Have you lost the weight, but still haven’t regained your ideal shape or figure due to remaining skin and pockets of superficial fat? Residents of greater Lexington and Georgetown, as well as the surrounding communities of Kentucky, count on Commonwealth Plastic Surgery for post-weight loss contouring. Contact us today to set up your post-weight loss contouring consultation!

Contact us today to book a private consultation with one of our specialists at The London Obesity Clinic. During your appointment you will be holistically assessed and a bespoke weight management plan will be designed for you. We take into consideration everything from your previous weight loss experiences, medical conditions, eating and sleeping pattern to your social environment and childhood.

Rigorously structured: you will be given super clear guidelines on what you can and cannot eat.  Rules to stick to (3 meals no snacking, 5 hour gap between meals, no oil / fat for the first two weeks, etc etc).  A detailed meal structure that will show exactly how many grams of food you should eat at each meal (yes that means using a scale to weigh your food).
Some patients have a need for other consultations (for example, with a consultant psychiatrist/ full course of psychological therapy, or a sleep apnoea consultant), or may require blood tests, electrocardiograms, echocardiograms, or overnight sleep oximetry; these would all be separately charged. If a patient requires more frequent support or help – including additional consultations or weekly support, these will be charged in separately.
As you get closer to your weight loss goal, you’ll move into the Short-term Maintenance phase. During this short stage, you can slowly increase your intake of carbohydrates and calories. You'll introduce servings of starch, dairy, and normally there is an increase in the servings of veggies, fruits, and fat. Protein calories may stay the same or change. Most patients continue weekly visits.
“The best part about this programme was the motivational side – I didn’t know it was coming and it was just what I needed. Kyle made me feel comfortable and at ease and his style was clear and direct. Working through the programme ended my fear of being stuck in rut indefinitely and I am more committed to making changes, feel better about myself and am confident that I can achieve my weight loss goals.” (Smita Patel, London) more…
The IRS does allow Flexible Spending Accounts to be used for Medical Weight Loss Plans and many of our patients have used this to pay for some of their program. Proper documentation is required in order to use this benefit. We will help you through this process. If you have a “Flex Plan” though your employer, check with your Benefits Administrator to see how this will benefit you.
Phase 2: Get in the zone: lasts for 14 days and is the strictest part of the programme.  Some people can get detox and withdrawal symptoms (headaches, cravings, etc).  I have other people who can feel hungry while they go through this adjustment phase.  It is best to avoid exercise during this phase.  At the end of this phase energy is increased and the weight loss results are usually very motivating.
The ReShape Duo, developed by California-based Reshape Medical, is the world’s only dual intra-gastric balloon. The dual balloon has 3 potential advantages over traditional single gastric balloons: the shape of the dual balloon fits the natural curvature of the stomach, allowing it to sit in a more comfortable position; the two balloons can hold up to 900ml of saline occupying more space in the stomach,; and as each balloon is filled and sealed independently, in the unlikely chance a balloon should deflate, the other balloon will hold the device in place until it can be removed.

The ReShape Duo weight loss programme will be offered at the London Bridge Hospital by Dr Jude Oben, Consultant Gastroenterologist and Fellow of the Royal College of Physicians Obesity Working Party. Dr Oben says, “I am excited to be working with ReShape’s Duo balloon because of their efficacy and comfort. I believe firmly that non-surgical options such as the balloon should very much be a part of the obesity management pathway.”


You will receive a customized weight loss program that includes personal medical counseling from a board certified physician and dietary counseling from a licensed, registered dietitian. We will monitor your progress and make the necessary adjustments that will allow you to best achieve your short and long term goals. Although our primary goal is to help you reach your target weight quickly and easily, the focus of care is to allow you to maintain your weight loss permanently so that you will not put the weight back on after you complete our medical weight loss program.
Phase 2: Get in the zone: lasts for 14 days and is the strictest part of the programme.  Some people can get detox and withdrawal symptoms (headaches, cravings, etc).  I have other people who can feel hungry while they go through this adjustment phase.  It is best to avoid exercise during this phase.  At the end of this phase energy is increased and the weight loss results are usually very motivating.
The results as seen or read in the examples on this website are from real people. The results they’re sharing were achieved through their effort and participation in our program. You are a unique individual and your journey begins in a specific place. Your average weekly weight loss, results in six months, a year, two years, will also be yours alone. We believe our program is uniquely capable of helping you achieve meaningful and measurable weight loss results.

"I have spent much of my life on one diet or another and this is the first programme that has really made a long term difference.  I have stopped yo-yo-ing up and down and I have finally managed to stabilise. My weight is pretty much at the same level that it was at the end of my plan and that was nearly two years ago - that's what I call a result!"  


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Phase 4: Maintenance: most people start this phase at week 12, though it does depend on how much weight you have to lose.  During this phase I work with you to make the programme become a long term way of life.  I show you how you can gradually expand your food list and explain which foods you should you should keep in moderation.  You will end up in a place where you will instinctively know how to stay in balance.
I am a physician who has had extensive training in medical weight loss and am here to help you get to the root of your specific weight loss challenges. I understand that weight loss is a very personal process, and I have the medical tools and resources to develop a highly personalized plan specific to your unique biological makeup. I’m also here to provide you with the motivational support you m...Read More
Group therapy takes many forms. The groups are variously referred to (often interchangeably) as London counseling groups, London support groups, London mutual support groups or peer support groups, self help groups, stress coping groups, workshops and mental health groups. They are moderated by a professional group counselor, group therapist or group psychologist and generally focus on a specific issue or client profile (e.g. men or women etc).
When it comes to overcoming weight problems, psychotherapies can help. It can increase one’s body-image, as well as improving motivation and confidence in being successful to achieve weight loss goals. Treatment can also help individuals find more effective coping strategies rather than binge-eating and provide the individual with a stress management kit.
Dr Sarkhel has basic psychiatric training in Adult Psychiatry, Old Age Psychiatry, Child and Adolescent Psychiatry, Learning Disability, Forensic Psychiatry, Psychotherapy and Substance Abuse. He then completed specialist Registrar training in Adult Psychiatry, Old Age Psychiatry and Liaison Psychiatry. He has published a number of research articles in peer-reviewed journals and is an examiner for The Royal College of Psychiatrists.
Your home and work environment. If you are surrounded by people who consume a typical American diet at home and work, you may have a harder time sticking to this plan. Most common foods (starchy carbohydrates like bread, pasta, rice, baked goods) are not included in a ketogenic diet. Cravings for these foods may be difficult and even intolerable at times.
“The best part about this programme was the motivational side – I didn’t know it was coming and it was just what I needed. Kyle made me feel comfortable and at ease and his style was clear and direct. Working through the programme ended my fear of being stuck in rut indefinitely and I am more committed to making changes, feel better about myself and am confident that I can achieve my weight loss goals.” (Smita Patel, London) more…
Dr Rajeswaran founded the National Diabesity Forum in 2008. National Diabesity Forum provides a network for health professionals involved in the management of Diabesity (Diabetes and Obesity). The aim of this forum is to share best practice in the management of Diabesity. He is also the editor-in-chief of a popular medical journal ‘Diabesity in Practice’, which provides practical advice to health care professionals.
If you are unhappy with our response or if you need any advice you should contact the Information Commissioner’s Office (ICO). Their telephone number is 0303 123 1113, you can also chat online with an advisor. The ICO can investigate your claim and take action against anyone who’s misused personal data. You can also visit their website for information on how to make a data protection complaint.
The biggest mistake the fitness industry makes when it comes to female fat loss is prescribing too much cardiovascular exercise which can actually reduce fat burning capacity! At Embody we take a different, and much more scientific, approach to female fat loss by structuring programmes so that metabolism is increased in the days following each session and, long term, metabolism is greater even at rest!
Our free monthly support groups provide opportunities before and after surgery to learn and ask questions of our dietitian, psychologist and bariatric nurse, as well as patients who share their personal stories about the challenges and successes of weight loss surgery. Support groups are open to anyone who has had or is planning to have weight loss surgery.
Eating healthily will become something you want to do instead of a sacrifice – by learning to value yourself and your body at a whole new level you will want to make sure that you are filling it with high quality fuel. You’ll discover how to balance treats and indulgences with a much healthier overall diet that helps to improve and maintain your health and energy levels without depriving you of all of the foods you love.
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