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.
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Medi Weightloss clinics are located around the country and help dieters to slim down with food plans, counseling, and medication. The physician-monitored program is popular among customers who are comfortable with a structured program and are ready to make significant changes to their diet to lose weight. But not everyone can stick to the plan long enough for weight loss to occur.

Jenny - the founder of Jenny Janes Beauty - has a bubbly, easygoing personality that is instantly engaging and reassuring. She consults with you during each stage of treatment in order to ensure complete understanding of the process, as well as allowing her to accommodate any special requests. Jane is passionate about providing a thorough and precise service, using her wealth of knowledge and experience to produce immediate benefits and satisfying results.
"My wedding day was fast approaching and I had been frustratingly unable to get to my target weight.  Metabolic Balance was the thing that made the difference.  It is a tough programme but it gets results.  I felt fabulous on my wedding day, not just because I was happy with my weight but my skin was glowing and I had no bloating or puffiness that I had before"
As you move through the program, you return to the facility to attend weekly one-on-one support meetings. At these meetings, your health is monitored and supplements, prescriptions, or injections are administered. This is also a time when you can ask questions and make any necessary modifications to your plan. You may meet with a nurse, medical professional, registered dietitian, or fitness trainer.
*By checking this box, you are providing your signature to consent to receive SMS text alerts from Medi-Weightloss®, even if such communications are considered advertisements, and you confirm that you are the subscriber or customary user of any phone number you submit. Your consent is not a condition of purchasing any goods or services, and may be revoked at any time. Message and data rates may apply.

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
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.
Psychology Today does not read or retain your email. However, a copy will be sent to you for your records. Please be aware that email is not a secure means of communication and spam filters may prevent your email from reaching the therapist. The therapist should respond to you by email, although we recommend that you follow up with a phone call. If you prefer corresponding via phone, leave your contact number.
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.
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.
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.
How much weight will I lose? : it really does depend on how much weight you have to lose in the first place and how well you stick with the programme.  I have seen 3-4 kg lost in the first two phases (2 weeks and 2 days) through to a staggering 10kg.  For most people the first two phases sees the most dramatic loss in weight after which point is does slow down a bit.  One lady on the plan at the moment has lost 7kg and she is a couple of weeks into phase 3 (more relaxed phase where one weekly treat meal is allowed) and is half way to her total weight loss goal.
I was fed up with being tired, living an unhealthy lifestyle and struggling to deal with the everyday stresses that life brings us. Then I found Monica, a qualified nutritionist and lifestyle guru, who helped me change my whole way of thinking about my lifestyle. Monica encouraged and supported me throughout my journey, in fact she walked the journey with me. Her insight into my condition was simply amazing. Her knowledge and understanding of the direction I needed to take was exceptional. In five months I feel so much better, I have got my zest for life back and I have the added bonus of losing an amazing amount of weight in a healthy way, all of which wouldn’t have been possible without Monica’s support and help. Monica is simply superb and would I recommend her to someone else – absolutely in a heartbeat.
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.
**Discount split over 12 consecutive weeks with weekly full menu purchase (avg. $156 US/$175 CAN). Any shipping costs are extra. Valid only at participating centers and JCA. Not valid at jennycraig.com. New members only. No cash value. Offer ends 3/29/19. Must redeem coupons by 6/14/19. Not valid with any other food offers or discounts. One offer per person.
Lastly, you enter the Wellness Phase when you have met your goal weight. Monthly visits help to keep you on track with your long-term weight maintenance plan, and additional testing and supplements may be suggested. During this phase, the dieter moves to a 40/30/30 eating plan where 40 percent of calories consumed come from carbohydrates, 30 percent come from fats and 30 percent come from protein.
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.
“When I started the programme I had spent years trying different types of diet and exercise regimes but deep down I knew I would not be able to succeed long term if I didn’t change the way I think about food. Now, I finally feel back in the driving seat when it comes to my attitude towards food. I no longer feel like a prisoner in that respect and feel totally in control which is an achievement I am absolutely delighted with! I have not binged on food for a long time and I now feel I am much more the real me. I am a lot happier and more confident almost all of the time. This is the way I used to feel when I was going through a good patch but there are no patches anymore. For the first time I really feel like I have a fit, healthy future ahead of me!” (Thomas Greaves, IT Consultant, London) more…
Angelique is charismatic, knowledgeable and really encouraging – she is so connected to what foods benefit our systems and about what will make us feel well. Her weight loss programme is excellent and it is so refreshing to learn about food from a nutrition perspective rather than endless calorie counting. I can absolutely recommend that everyone goes to see her and learns about nutrition and what we can do to improve ourselves!
Bariatric surgery is saving lives and benefiting people struggling with morbid obesity worldwide. With each successful procedure, the medical community sees further evidence that bariatric surgery is an effective weight loss tool and treatment for obesity-related health conditions. Many studies show that bariatric surgery patients are living longer, higher-quality lives.

This programme takes a new ground-breaking approach to weight loss and healthy eating! You’ll get much more than a new diet/eating plan – the programme will get to the root of why you overeat and continue to struggle with your weight. Above all else we’ll address the emotional and psychological aspects of your struggle with your weight and food, as well as covering motivation, stress, overcoming cravings, self-esteem, physical activity and a whole lot more. Together with your weight loss coach you will develop and follow a program where you only do what works for you and learn the skills you need to successfully stay slim and healthy for life!

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