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Bariatric Medicine & Non-Surgical Weight Loss
Age-Management Medicine
Female Hormone Menopause & Bio-Identical Hormone Restoration
Executive Health Evaluation & Wellness Program
Complimentary Treatments for Chronic Illness and Nutraceutical Treatments
Aesthetic Medicine
Specialty Diagnostic Testing

 

 
Bariatric Medicine & Non-Surgical Weight Loss
 

Dr Damian is a Bariatrician who specializes in medically supervised, comprehensive weight management and wellness programs. Our trained medical team has just one goal in your weight management: to help you achieve long-term health through healthy eating, activity, and behavior. Patients often find we can reduce or even eliminate medications for diabetes, high blood pressure, and high cholesterol as their health improves.

We offer a variety of quality programs designed to help you lose weight and maintain your weight loss long-term. Each of these programs will be customized specifically to accommodate your medical conditions, physical limitations and personal health goals.

Our programs have a well-established track record of weight loss success. Every program incorporates a comprehensive approach to your health.

 
Physician Exams
Lab and diagnostic testing as needed
Nutritional Counseling by Registered Dietitian or Physician
Various Diet Plans
Bio-identical Hormone Replacement
IV Infusion Therapy
Fitness Counseling with Exercise Physiologists
Supplements, Medications and Injections where Appropriate
Natural supplements to curb appetite and burn fat
Lifestyle Motivation/Private and Group Counseling
 

Reduced Calorie Diet

 

With a Reduced Calorie Diet Plan you will eat a variety of healthy meals designed to achieve a gradual weight reduction while providing you with the essential nutrients you need for good health. Typically, during this program you will lose between 1 and 3 pounds a week.  It is a nutritional plan that you can utilize to not only reach your goal weight but also to maintain your weight loss.

 

Prescription Partial Supplement Diet and Prescription Full Formula Diet

 

Patients enrolled in the Partial Supplement Diet program use a nutritionally complete product to replace their daily meals as prescribed by the physician. The program is carefully designed to meets the bariatric needs of each patient, those over 65 years of age and nursing mothers. Typical weight loss varies. Weight reduction can range form 1 to 3 pounds weekly.

 

Bariatric Surgery

 

Dr. Damian coordinates pre and post bariatric surgical therapy with certified bariatric surgeons. The pre-surgical weight loss regime and evaluation are vital to a successful lap-band or gastric bypass. These treatments are prescribed on an individual basis.

 

The Evaluation

 

During your evaluation a health history, complete blood work, cardiac testing and hormonal levels may be reviewed and a plan will be designed specifically for your needs. A comprehensive approach to provide a true education in healthy living that empowers you with the ability to make wise choices.  After you achieve your weight loss goals a maintenance program can and should be instituted to help achieve successful weight loss long term.

 

Follow-up

 

You will have the opportunity to participate in group education, and nutritional counseling. Patients will be educated on developing healthy eating habits, healthy lifestyle strategy and plan for long term maintenance and avoiding relapses. Every part of the program is designed to give you the very best chance of success possible.

Many patients who are using medications to control cholesterol, blood sugar and blood pressure are able to reduce these medications as their weight loss progresses. therefore, close monitoring is essential. Our physician will determine how often you need to be seen and will work closely with your Primary Care Physician or other Medical Specialists.

 

Lifestyle Motivation

 

Keeping weight off is often more difficult than losing it in the first place! Your long-term success depends on learning strategies to help you to cope with the pressures and stressors of your life in healthy ways. During your weight loss program you will learn coping strategies that are right for you. We will support you as you learn to implement new ways of approaching old issues in a positive and effective way.

When your program is over and you have reached your goal weight, our doors are always open to you to attend our support sessions or discuss specific food or weight related problems with our staff. National research shows that patients who maintain their weight loss best for five years after completing treatment attended a weight maintenance program for at least a year after their initial treatment.

 

Fitness Consultation

 

Our patients have the opportunity to work with skilled fitness coaches when needed.

 

Individual Nutrition Counseling

 

Our programs involve individual nutrition counseling. Some access to online and telephone consultations may also be available. This access will be arranged on an individual basis. Pre and post bariatric surgery dietary evaluations and maintenance are also performed as clinically indicated.

 

Selecting the Right Weight Loss Program

 

Our supervised medical weight loss program provides counseling to help you change your eating activity, and personal habits. Education is provided on how to deal with times when you may feel stressed and slip back to old habits. Attention is paid to keeping the weight off for life. Finally, the food choices are flexible and suitable and the weight goals set by the client and the physician. 

 

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Age-Management Medicine
 

Live better through advanced preventive medical treatment and hormone replacement where needed. Menopause, andropause, adult growth hormone deficiency, hypogonadism, PMS, adrenal and thyroid disorders are commonly treated conditions with either natural pharmaceutical grade supplements, bio-identical or pharmaceutical hormone restoration. Aggressive primary prevention of conventional medical conditions is the cornerstone of age-management.

 

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Female Hormone Menopause & Bio-Identical Hormone Restoration
 

Hormones and Restoration

 

There is delicate balance between the female hormones estrogen & progesterone. These hormones have both antagonistic and complimentary affects to keep the body in harmony.

Estrogens are a group of related hormones, each with a unique profile of activity. The three principal estrogens in the human female are Estriol (E3), Estradiol (E2) and Estrone (E1). Estrogens are involved in bone, brain and cardiovascular health and may play a role in 400 cellular functions. Progesterone is a natural occurring hormone in both men and women. It helps control the entire range of PMS symptoms, plays a vital role in pregnancy and stabilizes tissues and vital organs. Other hormones may also affect the female patient, and are needed in various quantities throughout your lifespan.

Synthetic hormones are commonly prescribed for symptomatic relief of symptoms. There are multiple studies to support and contrast their use. Bio-identical hormones however are identical to the body’s own hormonal structures and are an adjuvant method of treating menopausal symptoms.

 

Estrogen Deficiency:

 

Small breasts and breast drooping

  Irregular menstrual cycles
  Fatigue
 
Depression Recurrent bladder infections
Poor Memory Bladder prolapse
Poor libido Arthralgias
Night sweats or hot flushes Dehydrated skin
Vaginal dryness or itching Sharp wrinkles
Uterine or vaginal prolapse Premature aging
Painful intercourse Osteopenia or osteoporosis
Cardiovascular disease Alzheimer’s Disease
 

Progesterone Deficiency:

 
Breast enlargement Increased pain sensitivity
Breast cysts Insomnia
Swollen or painful breasts DEEP pain with intercourse
Ovarian cysts Red or swollen face
Uterine fibroids Distended abdomen
Nervous, tense, anxious Increased abdominal fat
Irritable or aggressive Swollen feet or ankles
Outbursts of panic  
 

Optimal Time for Testing:

PREmenopausal Females

19th -  21st day of a 28 day cycle
7 days pre cycle if irregular

POSTmenopausal Females

any day
 

Optimal Testing Environment:

 
Remain stress free prior to diagnostic testing
No coffee or alcoholic beverages 12-24 hours prior to testing
Remain hydrated
Limit food and fat intake the day of diagnostic testing
Avoid smoking
Get a good nights sleep prior to diagnostic testing
Do not take hormone medications the morning of diagnostic testing

 

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Executive Health Evaluation & Wellness Program
 

Executive Health Exam

 

For many people, it is difficult finding time to visit the doctor. Many of us will not see a doctor until we feel ill. Regular physical exams and health screening tests are an important part of preventive healthcare and has been medically proven to be an effective way of detecting and treating common, serious diseases and conditions.

Our program offers a comprehensive examination with access to a full range of medical resources. The Executive Health Program blends traditional diagnostic expertise with the latest in preventive medicine. Your evaluation is individualized according to your personal health needs. Our board certified physician, a specialist in internal and preventive medicine, will coordinate your care.

 

The Executive Health program offers an efficient, cost-effective way to maximize and individuals health an reduce the chance of long-term leave related to disability, illness or health concerns. Research conducted at the Mayo Clinic determined the prevalence of serious diseases and conditions in Clinic Executive Health Program patients that may otherwise have gone undetected. The results:

 
4.9% diagnosed with a potentially life-threatening disease
34.4% identified as having a previously undiagnosed, severe condition
47.6% identified as having risk factors for a serious condition
 

Men’s Examination Package:

 
Initial and Follow-up Consultation
Complete Medical History
Physical Examination and Assessment
Electrocardiogram
Chest X-ray
Kidney Profile
Lipid Profile
Diabetic Screening
Hematology
 
Thyroid Screen (T4, T3 and TSH)
Liver Profile
Hepatitis Virus Screen (A,B,C)
Urine Analysis
PSA
Tumor Markers
Stool OB
Total Skin Evaluation
Aesthetic Skin Consultation by request
Diet and Nutrition counseling as needed
 

Women’s Examination Package:

 
Initial and Follow-up Consultation
Complete Medical History
Electrocardiogram
Chest X-ray
Mammogram
Kidney Profile
Lipid Profile
Diabetic Screening
Hematology
Stool OB
Physical Examination and Assessment
Thyroid Screen (T4, T3 and TSH)
Liver Profile
Hepatitis Virus Screen (A,B,C)
Urine Analysis
Tumor Markers
Pap Smear and Pelvic Examination
Total skin evaluation
Aesthetic Skin consultation by request
Diet and Nutrition counseling as needed
 
 

You may choose to add other consulting services or diagnostic exams as medically necessary, for an additional fee. These services can be discussed with the physician at the time of the office visits.

 

We look forward to improving your
health and well being.

 

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Complimentary Treatments for Chronic Illness and Nutraceutical Treatments:

 

Pharmaceutical grade natural supplements are also known as nutraceuticals. Nutraceuticals are available for the treatment of chronic medical conditions beyond the traditional pharmaceutical drugs. Nutraceuticals can be prescribed by your physician after a thorough review of your medical conditions. We will be happy to evaluate you for the following medical conditions:

 
Acid Reflux / Gastric Ulcers
Acne Vulgaris
Adrenal Function
Angina Prevention
Asthma
Atherosclerosis
Candida
Cardiomyopathy Prevention
Cardiovascular Disease
Cholesterol Problems
Chronic Fatigue Syndrome
Congestive Heart Failure
Daily Foundation / Support
Depression / Anxiety
Diabetic Retinopathy
Diabetic Neuropathy
Dry Skin / Scaling
Eczema
Enuresis
Excess Menstruation/Cramps
Eye Health
Fatigue / Insomnia
Fibrocystic Breasts
Fibromyalgia
Fractures & Osteoporosis
Frozen Shoulder
Gallbladder Function
Glucose Intolerance
Gout
Hair Loss
Headaches
Herpes Simplex
Hot Flashes / Low Estrogen
Hyperparathyroidism
Hypertension
Headaches
Herpes Simplex
Hot Flashes / Low Estrogen
Hyperparathyroidism
Hypertension
Hypothyroidism
Immune Support
Interstitial Cystitis
Intestinal Function
Kidney Stones
Libido Enhancement
Liver Function / Hepatitis
Liver Toxicity
Memory Loss
Musculoskeletal Disorders
Osteoarthritis
Otitis Media
Periodontal Disease
PMS
Prostatits
Psoriasis
Rheumatoid Arthritis
Stomatits (Canker Sore)
 

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Aesthetic Medicine:
 

The skin is the largest organ of our bodies and plays a vital role in keeping us healthy. With aging our skin is exposed to antioxidants, UVA and UVB rays that increase the rate of premature aging. Fortunately, there are several prescription treatment options that can slow down or even reverse the signs of aging. Neutraceutical and Prescription Skinceutical products, Botox Cosmetic, and Facial Fillers work together to improve skin color, tone, texture, minimize sun damage and fine lines. Our physician will evaluate your skin and treatment options and will provide you with personalized care to meet your individual needs.

Acne
is one of the most common diseases seen in medical practice. Acne affects nearly 100% of the population at some point in life. There are many acne treatments. Several breakthrough technologies are available by prescription. Discuss your options with our physician for a custom therapeutic regimen.

 

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Specialty Diagnostic Testing
 

Osteoporosis Evaluation

 

Developing and keeping strong bones is vital.  In the 21st century, both women and some men in their early 20’s are beginning to show signs of bone loss due to lack of strength training, carbonated beverages, dietary changes and underexposure to UV light.  The ideal program is customized to address the challenges faced in today’s environment(s). Bone repair is a must for those who have already been diagnosed with bone loss.  It’s not too late to reverse the trend with a specialized strength training program, neutracuitical and/or pharmaceutical regimes.

 

Food Allergy Testing: 

 

This simple blood test determines slow building antigen responses to foods.   Inflammation can cause many types of symptoms in your body.  When we are allergic to foods in a slow response way versus an immediate response  we often have conditions caused by this type of inflammation.  Symptoms such as those effecting the digestive tract, joints and muscles, weight gain, headaches, fatigue, memory, mood or ear & sinus issues can all be related to inflammation or antigens the body creates in a response to food allergies.

 

Environmental Allergy Testing: 

 

This simple skin test determines slow building antigen responses to the environment.   Inflammation can cause many types of symptoms in your body that can be similar to food allergies. Injections have been the means of desensitization for years but now sublingual desensitization is available through advances in scientific research.

 

Vitamin, Mineral, Nutrition, Antioxidant and Composition Analysis:

 

This test tells your specific levels of essential vitamins, minerals and antioxidants at an intracellular level.  These results can uncover deficiencies that standard serum tests may miss.  Once we have the results we’ll know exactly where we need to supplement through either oral supplements or IV Infusion Therapy.

 

Heavy Metal Analysis:

 

We are exposed to environmental toxins which can have an effect on our bodies and cause poor health. Speak with our physician about your concerns for heavy metal testing.

 

Hair Loss:

 

Hair loss can be a disruptive process for males as well as females. If you are experiencing hair loss you may either have an underlying medical condition or progressing through the aging process. Although there are very limited quick fixes to hair restoration some medical treatments have proven quite effective. Our physician can help you understand your hair loss issues and prescribe the appropriate medical course of therapy to restore your hair.

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