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.


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!
A: The patented UltraShape technology uses a handheld ultrasonic transducer to deliver controlled focused ultrasound at a precise depth within the fat layer. The technology is selective, meaning that only fat cells are broken down and surrounding important structures such as blood vessels nerves and connective tissue remain intact. The treatment area is marked and each point within that designated area is treated only once to ensure complete and uniform treatment.
Regular physical activity is important but who said you have to buy expensive equipment or gym memberships? simaktiv’s goal is to add physical activity into your lifestyle in a fun and convenient way. Our own workouts range from dance and pilates to HIIT cardio. We even have low impact workouts and chair-based exercises for those with mobility issues.
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.
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.
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 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.
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You will not necessarily burn more fat using a ‘fat burn’ program on the treadmill which keeps you in an intensity of 50 – 60% of your max heart rate. There is evidence to show that exercising at a light to moderate range burns more fat than strenuous exercise as the body has greater access to use fat as a fuel during these lower intensities. As you can see in the table below, a percentage of fat is used during all intensities of exercise, but at different rates. Because the rate of fat use is slow during light to moderate exercise, it is important to increase the duration of your exercise session – minimum of 30 minutes progressing to 60 minutes.
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.

However, if you are one of the increasing numbers of people who don’t cook at all, this makes it much harder to be successful on the plan.  You need to be prepared to dedicate some time to buying groceries, food preparation and some basic cookery.  Yes you can use ready cooked salmon and lentils or bags of ready prepared veg but I would worry about your ability to stick with the plan over the longer term in this case.
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.
Secondly, our nutritional approach uses a method that has been shown to be much more user friendly than counting calories (calories on food packaging can be out by up to 25%!) and doesn’t rely on weighing every morsel of food that passes your lips. Our nutritional approach is about achieving optimal health while gradually increasing the quantity of food you are allowed while supporting muscle growth and fat loss. This is important as the industry ‘standard’ approach is to restrict/decrease food as time goes on which leads to muscle breakdown and a lower metabolism – both of which are disastrous as far as fat loss is concerned.

You cannot spot reduce! Weight loss results from an energy deficit; burning more calories than you take in. Aerobic exercise will help create this energy deficit. Genetics and gender play a role in where we store excess fat and where it comes off first. Abdominal exercises will tighten and tone the abdominals but will not directly affect the layer of abdominal adipose.
We don’t believe in extreme calorie restriction, cutting food groups completely from your diet, depletion protocols that look to dehydrate you so you look good for about a day (the day of your photoshoot!) or training you to the point of injury or exhaustion. Instead we take a much more measured yet highly effective method that will yield fantastic results that are still visible months later.

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.
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.
“I had heard lots of stories about slimming pills, so I was naturally skeptical about attending a clinic. The doctor prescribed for me a course of tablets and a diet. I did not take them for the first week because of my doubts but I have to say, that apart from a dry mouth for the first few days, they were marvelous and I lost weight almost like magic. Yes, they worked and were safe.”
Sustained weight loss for patients who are morbidly obese—usually defined as being 100 pounds or more over ideal body weight or having a body mass index of 40 or higher—is even harder to achieve. And serious health risks have been identified for people who move from diet to diet, subjecting their bodies to a severe and continuing cycle of weight loss and gain known as "yo-yo dieting."
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).
The IRS will allow people who are diagnosed by a physician as being obese to deduct the costs of the services in this program. The revenue ruling, IR 2002-19, approves the fees related to services (i.e. medical services and nutrition education meetings) when they are occurring for medically valid reasons. A person must be under the guidance of a physician in order to qualify. The ruling does not cover the cost for foods or Meal Replacements, which people would have to pay for regardless of their weight. Click here for further information concerning Medical Weight Loss Tax Deduction Information.

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.
The London Obesity Practice at the London Bridge Hospital is pleased to announce the launch of an innovative obesity therapy aimed at patients with a BMI of 30+. The therapy focuses on healthy eating habits and portion control and consists of 2 parts. Firstly, an intra-gastric balloon, known as the ReShape Duo, is inserted endoscopically in an outpatient procedure, and remains in the stomach for a 6 month period, occupying space in the stomach making the patient feel full. Secondly, the patient is supported by a dietician for the 6 months while the balloon is in place and given advice on portion control and support to develop healthy lifestyle habits.
Dr Lisa Gatenby, MSc; PhD is a Registered Nutritionist, with a PhD in Nutrient intakes and a Masters of Medical Science in Human Nutrition. She is a Registered Nutritionist, approved by the Association for Nutrition (who control the UK voluntary register of Nutritionists). Dr Gatenby started her career with a love of food and worked as a chef for 5 years followed by food development for 4 years before progressing into nutrition. Dr Gatenby has been working in Nutrition for the last 10 years and as well as offering consultancy services works in Public Health, she delivers lectures at various universities. Dr Gatenby helps people meet their goals whilst enjoying tasty and satisfying food.

I called Ageless Medical Weight Loss and MedSpa after my doctor prescribed Liptor for my high cholesterol and I did not have any energy. Six months later, I lost 104 pounds and had healthy lifestyle. I prevented having to take any medicines for my high cholesterol. I love the way I feel and I wanted to share my success with those struggling with their weight in the London area.
adjustments that will allow you to best achieve your short & long term goals. Our primary goal is to help you reach your target weight quickly & safely. The focus of care is to allow you to maintain your weight loss permanently. We promote a healthy lifestyle & maintaining a healthy weight for a LIFETIME. We have a far-reaching service area including London, Somerset, Corbin, Hazard, Mt Vernon, Barbourville and Williamsburg. In addition to our weight loss program, we offer services including Lipovite, B-12 injection, skin care, facials, & more. Lipovite injections give you a boost in metabolism, reduce water retention and provide you with needed energy. Less
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