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About Our Weight Loss Management Program – And What You Can Expect

Pria’s Weight Loss Management Program is a non-surgical approach to safe and effective weight loss.

Surgical interventions are radical, often non-reversible, and risk post-operative complications including death. They are also expensive. The cost of the procedure itself can be prohibitive, and there’s downtime from work.

At Pria, your personalized weight loss program is grounded in science and will take you from initial weight loss all the way to long-term maintenance – safely – and we’ll be with you every step of the way.

Take a look at the details of our weight loss management program.

The Weight Loss Phase – Your First Steps Toward Success

Step 1: Body Composition Analysis

Your initial visit includes a specialized body composition analysis using state-of-the-art equipment.

This analysis will determine your body’s distribution of fat, muscle and water.

It also includes an estimate of your current metabolic rate, which is the amount of calories your body consumes every day.

Step 2: Personal History & Exam 

Our board-certified physician will obtain a comprehensive and detailed medical and diet history and conduct a physical examination. Your evaluation will include blood work and a routine electrocardiogram.

Step 3: Personal Weight Loss Plan Design & Meals 

Our physician will develop a weight loss plan, based on all this information and on your personal preferences, that best fits you.

This plan may include meal replacements (full or partial) or a dietary plan. The latter will be based, as much as possible, on your personal food preferences.

Step 4: Customized Exercise Program 

After making adjustments in your diet, and after the first weeks of your program, you’ll begin a regular exercise regimen based on your abilities, past exercise history and preferences.

Step 5: Achieving Your Goals 

Your weight loss plan will also take into consideration your own personal weight loss goals.

The length of your weight loss phase will depend on your specific needs and goals. The average duration varies from 12 to 20 weeks.

Jumpstarting Your Weight Loss – The Full Meal Replacement Plan

For those who need a more aggressive weight loss approach (those with significant weight to lose or those with medical conditions such as diabetes, high blood pressure or high cholesterol), a very low calorie diet may be prescribed by the doctor using full-meal replacement plan.

This full-meal replacement plan will help you eliminate food choices for a period of several weeks as you learn to change your eating behaviors and as you adapt to a healthier nutritional regimen.

The full-meal replacement plan requires weekly visits, during which our board-certified physician will monitor your weight, body composition and metabolic rate. He’ll also review important lifestyle modification educational materials to help you transition into a more permanent lifestyle change.

As you near your goal weight, we’ll gradually reintroduce you to grocery store food and help you cope with the controlled reintroduction of calories, carbohydrates and fats.

This weight loss plan may also be suitable for those in need of more rapid weight loss due to their own personal goals or due to an upcoming special event in the near future.

Weight loss with full-meal replacement is typically 3-5 lbs per week.

Weight Loss Medications – Supporting Your Progress

Prescription medications may also be considered on an individual basis, depending on your medical history, your current medications and potential drug interactions, as well as your metabolic profile.

These medications can help you curb your appetite or help you reduce the absorption of fats.

These medications are intended to be used along your diet and exercise program and require medical supervision. They are prescribed for a limited period of time during the weight loss phase of the program.

Low-Carbohydrate Dietary Plan – A Healthy and Effective Choice

Either as a stand-alone weight loss plan or as a lifelong dietary choice for those who transition into weight loss maintenance, a low-carbohydrate diet is a healthy and effective way to lose weight and keep it off for the long run.

The low-carbohydrate dietary plan uses real food, with or without meal replacements, and is based on a target amount of carbohydrate intake per day.

This plan allows the body to lose weight faster than low-fat diets with better outcomes in terms of lowering triglycerides, increasing good cholesterol, decreasing blood sugar, decreasing blood pressure and decreasing inflammation in your body.

The low-carbohydrate dietary plan is developed with the help of specialized nutrition software that includes recipes showing meal composition of macro and micronutrients.

Weight Loss Maintenance – Keeping Weight Off Long Term

The weight loss maintenance phase is very important for lifelong maintenance of weight.

During your follow-up visits, your physician will spend time educating you about lifestyle change through educational modules that cover one topic each visit.

Using your initial medical history and exam results, your physician will have already identified the lifestyle changes that will help you increase your individual chances of prolonged weight loss maintenance.

If you were initially enrolled in the full-meal replacement plan, you’ll be progressively reintroduced to real food during this phase.

You’ll also continue your regular exercise regimen, which was designed based on your initial abilities and preferences and which will evolve as you make progress.

Why Is a Personalized Program So Important?

Obesity is a disease that requires long-term treatment by a physician with expertise in this field.

We have found that one-size-fits-all solutions, such as those available over the counter, and programs such as Weight Watchers, Jenny Craig and the like, do not have the long-lasting effectiveness that could be obtained from a personalized, customized, science-based and physician-supervised program.

Here’s why:

  • Your Personal Metabolic Profile: All people do not have the same metabolic rate. This means our ability to burn and store calories, as well as our ability to build muscle, differs. Additionally, many people are unable to metabolize fat, sugars and starches in an efficient manner thanks to an array of biological factors.
  • Your Current Medical Conditions: The more medical conditions you have, the more factors need to be taken into consideration in the design of an effective weight loss regimen.
  • Your Medications: Many prescription drugs hinder our ability to lose weight effectively. Without a full understanding and knowledge of the many effects of drugs on our body, no weight loss regimen will be able to achieve the long-term effects needed for success. In many situations, medication dosage needs to be decreased or even the medication itself needs to be discontinued. All of this is done in close collaboration and communication with your other physicians and your primary care provider.
  • Your Hormones: Hormones are regulatory biochemicals produced by our body that influence our metabolism. Failure to identify hormonal imbalances may lead to failure to lose weight in the short or long term. Thyroid, adrenal, and hormones such as testosterone and estrogen are often responsible for excessive weight and the inability to lose weight.
  • Your Body Composition: The weight we see on the scale is the result of muscle mass, fat mass, bone mass and total body water. Without a scientific analysis of these factors, weight loss regimens based only on total weight, height and body mass index (BMI), can never take into account your body’s true needs and what will be effective for you.

Your periodic evaluations include routine blood work that will help identify your body’s response to the weight loss process.

Dr. Fernandez is not only concerned with your health, but also with your lifestyle. I have been with him over 10 years and will not go to another doctor.
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