Non-Surgical Weight Loss

Surgery may not be the right solution for everyone.  That’s why The Queen's Comprehensive Weight Management Program (CWMP) offers the non-surgical Medical Weight Loss Program.  It is for patients who want to lose weight and improve their obesity-related health issues such as diabetes or high blood pressure.  These patients may not be eligible for weight loss surgery or simply may not want to have surgery. 

Our team of weight loss professionals uses a skill set in weight loss technology and lifestyle management tools.  We combine evidence-based strategies using controlled caloric and nutrient specific diets, medication management, co-morbidity management, exercise and lifestyle interventions, nutrition education and counseling, behavior management strategies, as well as compassionate emotional support needed to assist each patient to achieve long-term success.

Support and constant application of weight loss intervention tools are the keys in our long-term weight maintenance program.  Losing weight is great, but teaching patients how to keep it off is our focus.  By seeing patients at least monthly during the initial weight loss phase, we establish a safe therapeutic bond which fosters long-term follow-up.

ELIGIBILITY

All patients with a body mass index (BMI) of 27 or greater are eligible except for patients who are pregnant or undergoing active steroid or chemotherapy.   As weight management goes hand in hand with diabetes management and improvement of diabetic indices, diabetics are excellent candidates for our program.  We also pay special attention to assessing and managing sleep disorders, especially obstructive sleep apnea and obesity hypoventilation syndrome.

PRE-MEDICAL MANAGEMENT WEIGHT LOSS EVALUATION

You will be thoroughly assessed by our bariatrician, a physician who specializes in the field of weight management.  The bariatrician will conduct a detailed review of the patient’s health history and a physical examination. Blood work and other studies will be ordered if necessary.  We will ask you what brought you to us, as motivation is key.  The bariatrician reviews individual health problems and unique concerns, and discusses all program options. Together we will decide which program approach is best suited to the patient. There is no one right approach. Each treatment plan is designed to meet your individual needs. 

All patients complete a Body Composition Analysis and Resting Energy Expenditure Test.  This affords us the opportunity to more accurately assess a patient’s metabolism and set realistic weight loss expectations.  Our recommendations are based upon the patient’s age, weight, height, sex, activity levels, sleep patterns and resting metabolic rate.  We are able to more accurately determine a prescription of calorie restrictions, activity needs, and targeted weight loss per week.  Depending on which program a patient elects, follow up usually proceeds either every two weeks or every one to two months. 

COMPREHENSIVE MULTIDISCIPLINARY TEAM

As obesity is a multi-faceted disease, The Queen's CWMP offers a multidisciplinary team approach.  Led by board certified physicians, our team is comprised of:

  • Registered dietitians with expertise in weight management
  • Clinical psychologists with expertise in eating behaviors and cognitive behavioral therapy
  • Physical therapists with expertise in weight related musculoskeletal concerns

Our registered dietitians, conduct medically supervised individual counseling.  Patients are provided the skills and knowledge to promote lifelong healthy eating habits.  Our clinical psychologist is available to assess individual issues which impact one’s ability to follow a successful weight management plan.  We are able to suggest appropriate community resources for further in depth treatment when indicated.  Physician directed and physical therapy assisted exercise evaluations and prescriptions are a cornerstone to successful weight loss.

A critical predictor for long-term successful weight loss is a person’s commitment to make important lifestyle changes, most notably in their eating and exercise habits.  We believe our multi-disciplinary approach affords patients the best chance at making these behavior changes.

MEDICAL MANAGEMENT WEIGHT LOSS OPTIONS

QUICK 20

QUICK 20 is a signature, partial meal replacement weight loss program that is designed to help the patient lose 10 to 20 pounds (or 10% of their body weight) quickly and safely.  It utilizes the New Direction meal replacement products. QUICK 20 allows the patient to enjoy a healthy daily meal of their choice in conjunction with the meal replacement program. With a medical screening exam and monitoring every other week, QUICK 20 places the patient’s body in a state of ketosis, which maximizes fat burning while minimizing hunger.

INDIVIDUALIZED MEAL PLANNING

The goal of Individualized Meal Planning is to maintain a well-balanced diet by planning ahead. Meal plans and food logs are used to improve self-accountability and increase nutrition awareness. Meal replacements may be recommended based on the patient’s needs, but are not essential.

Most patients will end up with a variation of individual meal planning. Patients learn about putting protein first, the importance of eating fruits and vegetables, and how to manage carbohydrates and fats.  They learn how to read food labels and quickly assess the quality of nutrition their bodies demand.  Snacking and mindless eating discussions occur at each visit.  Patients develop meal plans and weight loss expectations based on their individual metabolic rate, calorie needs for losing 1-2 pounds a week, and level of exercise.

 Discussions on behavioral strategies help them identify what helped them to succeed and what contributed if they slip up.  Visits always start with the question “what have you learned?” and not “well that was a bad week.” Slowly with insight into successes and failures, an individualized and sustainable weight loss plan develops. 

MEDICATIONS

 Weight loss medications are a tool which we employ only with those who have already demonstrated healthy nutrition and lifestyle behaviors.  Some medications are approved for use for up to a year, however, they only provide an average 5-10% weight loss, often are not covered by health plans, and can be expensive. Used wisely the newer medications can be a great tool. They work best when combined with a robust program of support

Weight loss medications are only considered after a thorough evaluation of the patient’s medical and psychological co-morbidities and the establishment of a well-rounded treatment regimen.  Although nothing is a substitute for excellent lifestyle and nutrition management, some patients truly benefit from the extra restraint that medications provide.