During an initial phone interview,
questions about the various programs the Clinic has to offer will be
answered, and the patient will be directed to the Marietta Weight Loss
Clinic's web site: (www.MaWLC.com). After
scheduling an appointment, the subsequent office consultation with the
Medical Director consists of a review of: Recent,
pertinent blood laboratory results Urinalysis EKG Pulse and
blood pressure Respiratory
rate An
obesity-directed medical history is recorded and a physical exam is
performed to: Determine
the relative risk status based on overweight and obesity parameters. Identify
those at very high absolute risk. The following diseases have a very
high absolute risk with a need for intense risk-factor modification
and management diseases present:
Established coronary heart disease (CHD),
Presence of other atherosclerotic diseases, Type 2
diabetes (fasting plasma glucose ≥ 126 mg/dL, or 2-h post-prandial
plasma glucose ≥ 200 mg/dL), Sleep
apnea. Symptoms and signs include very loud snoring or cessation
of breathing during sleep, which is often followed by a loud
clearing breath, then brief awakening. Identify
other obesity-associated diseases/risk factors:
Hypertension (systolic blood pressure of ≥140 mm Hg or diastolic
blood pressure ≥ 90 mm Hg) or current use of antihypertensive
agents.
High-risk low-density lipoprotein (LDL) cholesterol (serum
concentration ≥ 160 mg/dL). A borderline high-risk LDL-cholesterol
(130 to 159 mg/dL) plus two or more other risk factors also
confers high risk. Low
high-density lipoprotein (HDL) cholesterol (serum concentration
< 35 mg/dL).
Impaired fasting glucose (IFG) (fasting plasma glucose between
110 and 125 mg/dL). Family
history of premature CHD (myocardial infarction or sudden death
experienced by the father or other male first-degree relative at
or before 55 years of age, or experienced by the mother or other
female first-degree relative at or before 65 years of age). Age ≥
45 years for men or age ≥ 55 years for women (or
postmenopausal).
Cigarette smoking. Measure
height, total body weight, fat weight, fat-free weight, % body fat,
total body water. Measure
waist, hip, neck, arm, and thigh circumferences. Measure
skin-fold subcutaneous fat deposits: Arm -
Biceps, Triceps, Pectoral Upper
and lower abdomen and Iliac areas Medial
and anterior supra-patellar areas
Sub-scapular and renal areas All of
these measurements are then followed at monthly follow-up exams. Calculate
Body Mass Index (BMI) and Basal Metabolic Rate (BMR). All of
these measurements are then followed at monthly follow-up exams. Recommend
an individualized treatment plan based on the Risk Factors,
measurements, medical history, and healthy, reasonable goals. This
individualized plan may include: FDA
approved appetite suppressants
Hormone and vitamin injections
Vitamin and/or nutriceutical supplements
Diet prescription with specific caloric content
Meal replacement, snack, and meal supplement food products
Physical therapy evaluation with an exercise prescription
Our staff will be pleased to assist
you in any way possible, and all efforts will be made to accommodate
your schedule.
Please call for an appointment:
678 - 797 - 6810