Prior to your first appointment with the doctor, we will first need to establish your BMI ( body mass Index) as you need to have a BMI in excess of 30 (27 with associated comorbidities), not be taking any medication for conditions such as epilepsy or depression, and provide confirmation that you are over the age of 18 (ID required) before any appointment can be offered.
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.
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.
A: UltraShape is aimed primarily at healthy people who are not obese but would like to improve their body contour by reducing local areas of fat from the abdomen, outer thighs, or flanks. During the consultation your goals and concerns will be discussed and a full medical history and examination will be performed, including a full body analysis with the state of the art InBody Analyzer, to assess if UltraShape is right for you.
A: Clinical results show that in three treatments, patients see an average of 4 cm reduction in circumference. Clinical trials have shown an average of 2 cm reduction in circumference even after a single treatment. As with any non-invasive procedure the results you see may differ from the clinical trial results. The Doctor will be happy to discuss this in detail with you during a consultation.
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.
Why do we wrestle with what we eat and how much we eat? Sometimes we eat the right foods in the right portions, and sometimes we eat the entire dinner table and all the wrong foods. Why is it so hard to eat healthfully? Whether you're trying to lose a few pounds or maintain a nutritious diet, you'll find many of your eating habits are due to emotional eating. So weight loss or weight gain become more an issue not of what you eat, but how you feel when you're doing it.
A: Each patient follows a personalized program and undergoes a recommended series of one to three treatments in order to maximize results. Clinical studies have shown a measurable reduction in body circumference in most patients, even after a single treatment. The series of treatments is performed in one-month intervals, giving time for the body’s natural metabolic processes to safely clear away the destroyed fat cells. During these intervals, patients can treat other areas of the body and undergo other complementary procedures.

Our entire team is dedicated to making you feel secure and comfortable on your weight loss plan. Whether you are a picky eater, an emotional eater, require a willpower boost or have distinct dietary likes and dislikes that need to be addressed – our goal is to make this about YOU. There are no group appointments at Shulman Weight Loss. Rest assured, you will be meeting with your personalized nutritionist in a one on one setting each and every time to get you to your weight loss goal.
Appetite suppressants, like all drugs, have side effects, so read the fine print and discuss potential side effects with a medical professional before taking them. Stimulant-type drugs can cause insomnia, increased blood pressure, increased heart rate, drug dependence and abuse, and withdrawal symptoms. Drugs that work to prevent fat absorption can cause gas, soft stools, and oily spotting. Diet pills that affect neurotransmitters are associated with headache, nausea and vomiting, constipation, dry mouth, and dizziness.
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Most nonsurgical weight loss programs are based on a combination of diet, behavior modification and regular exercise. Unfortunately, even the most effective interventions don't work for everyone. It's estimated that less than 5 percent of individuals who participate in nonsurgical weight loss programs will lose a significant amount of weight and maintain that loss for an extended period of time.
Obesity results from interactive influences of biological, physiological, psycho-social, behavioural and environmental factors. With such a multifactorial aetiology, prevention of weight gain, weight loss and weight maintenance is less than straightforward. Whilst the energy equation (calories consumed = calories expended +/- calories stored as body fat or glycogen) holds true, food choice is highly complex. As such, interventions that only address factors at the individual level, and do not take into account the social and environmental influences mentioned above, are unlikely to be successful.
Phase 3: Relax: at this point you will receive a more extended food list allowing you to broaden your meal choices.  This is the time when a weekly 'treat' meal is added in.  Adding exercise at this point is extremely beneficial. This is when most people really start to see a difference in how they look and feel.  Hunger and craving diminish and you will notice how a small amount of food will leave you feeling satisfied.  Energy levels rise, skin looks glowing and all round wellbeing improves.
Medi-Weightloss® was developed by physicians, registered dietitians, and health professionals in the area of weight loss to help you control your calorie and carbohydrate intake while eating the optimum amount of protein to preserve muscle mass. The Medi-Weightloss® Program is evidence-based to result in a successful lifestyle change. When administering the treatment, Medi-Weightloss® healthcare providers take each patient's unique health profile into account, which is what makes us The One that Works!®

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It seems so simple: Eat less, exercise more and lose weight. But for many severely overweight people, diets and exercise just do not work. Fortunately, we have the solution - bariatric surgery, which has a near 100% success rate in sustained weight loss. And for those who wish to try non surgical techniques at weight loss, we offer comprehensive programmes in both lifestyle and medical (tablet) treatments.

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.


You’ve most likely already tried just about every diet out there, and some! You’ve likely joined a gym (or several over the years), maybe had a personal trainer, tried a bunch of slimming clubs, meal replacement programmes, and maybe some other weird and wonderful ways to lose weight, but it’s battle you’re still fighting and probably feel like you’re never going to win… Despair not, we can help!
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