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Non-Surgical Medical Weight Loss Management Program
Our Medical Weight Loss Program with Dr. Holly Lofton involves a thorough initial medical and lifestyle consultation with specific plans for long term planning and follow up. Programs include either individual or group nutritional and behavioral instruction related to eating problems, metabolic testing, review of individual medical conditions which either cause or are affected by weight and the development of individual exercise prescriptions.
Dr. Lofton is a medical doctor who specializes in developing designing programs for long term weight loss management. Her strategy is to incorporate individual weight history, genetic background, social situations and current stressors along with extensive traditional evaluations of medications, and concurrent medical concerns into a chronic disease approach.
Every month there are new individual issues. Every day there are new eating challenges and the potential for novel insight and interventions. The tools of weight management are changing. Current medical treatment of excess weight and weight-related diseases utilizes many treatment options including, but not limited to: medications, behavioral life strategy tools, nutritional education, meal planning, meal replacements, and of course, exercise. No strategy works in a vacuum. No strategy works forever and that is why diets do not work. Food choices and life stressors affect us many times a day. Every person has a unique story. Yet sometimes patients gain understanding and commitment from groups. Everyone is different and everyone deserves their own chronic disease care program.
Dr. Lofton welcomes anyone who has a weight concern and hopes to gain a sense of control over time with all the components of his/her weight issues. Call 212-263-0701 for an initial evaluation. Please bring your current list of medications, any recent laboratory and any significant medical documentation. Dr. Lofton will work with you and your regular primary care physician, exercise experts, nutritionists, psychologists, and other specialty providers as necessary. This is a lifelong endeavor. It may seem daunting to cure this chronic disease but it is totally possible to manage it. We will help you manage this chronic disease and have fun in the process.
Some areas of Medical Weight Manangement to consider:
Medical evaluations of weight related conditions
Many medical conditions worsen with increasing weight. Some are metabolic diseases like diabetes and some are mobility diseases as knee pain and osteoarthritis. The understanding and treatment of weight and coexisting diseases goes hand in hand.
Medications for weight loss
Hunger can be distracting and defeating. Medications can often help us gain control of our hunger and urges while we concurrently put other lifestyle strategies into place. Medications are a tool and work best when used as part of a comprehensive weight management plan.
Review of medications which cause weight gain
Many medications used to treat common diseases as hypertension, diabetes, depression, seizures and arthritic conditions can contribute to weight gain. There may be alternative medications or ways to ameliorate the disease processes so as to utilize less medicine in general. Dr. Lofton works with your regular doctor to suggest helpful strategies.
Metabolic profiling and evaluation for malnutrition
One can be severely overweight and malnourished due to an overuse of carbohydrates, and fast foods. Patients who have had a weight loss surgery or for any other reason have taken in too few calories and vitamins or vomited frequently are also at risk of malnutrition. Fatigue, achiness, balance problems or confusion may be due to a weight related vitamin deficiency or a protein deficiency.
Meal replacement alternatives
Research shows that pre-packaged nutritionally balanced low calorie food choices help to maintain weight loss and can be a mainstay of weight loss success. Over the counter or special medically supervised meal replacement products are used depending on individual patient needs. Dr. Lofton helps each individual patient figure out which meal replacement strategy might suit him or her at any one time.
Individual meal planning
Planning ahead makes it easier to deal with the stressors of the day without sacrificing the benefits of well-balanced diet. Meal planning as well as food logs may be used to improve self- accountability as well as nutritional awareness.
Weight loss groups
Just showing up at a group energizes patients to work to lose weight. Well structured informational groups where a sense of safe community develops can make the difference in success or failure both short or long term. Regular group meetings are available to patients who participate in the New You programs. Groups will incorporate behavioral and nutritional strategies as well as serve as springboard for those new to weight loss attempts.
New You and New You Xtreme Track – Full meal replacement Very Low Calorie Diet
Qualified patients may opt to follow one of these popular and successful medically supervised diets. For those looking to lose about 10% of their current weight – the New You plan will meet your needs. While patients who are looking to lose 30 pounds or more may opt for the New You XT plan. Both plans use meal replacements together with regular foods to produce weight loss of 3 – 10 pounds a week. Regular medical monitoring is essential in order to monitor fluid shifts, medication effects and other metabolic parameters. These plans intend to place patients in a state of ketosis which maximizes fat burning while minimizing hunger.
Behavioral training in weight control: mindful eating
This is a cornerstone of all individual and/or group curriculums. Changing how one eats, understanding one’s eating cues and understanding head hunger vs. metabolic needs is key. It is important to learn how to manage inevitable stress and life-changing events without over-eating or cutting back on activity. We all need to practice and fine tune these skills to develop a kind and safe individual strategy.
Nutrition planning tools
Part of mindful eating is to learn to read labels, menus and general food composition while setting into motion how to utilize this knowledge into one’s busy life style and one’s family preferences as well. Holiday and special events can be a barrier to weight loss and weight management, so planning is important. Dr. Lofton and the skilled registered dieticians may be able to provide lower-calorie alternatives to your favorite foods to help you enjoy time with family and friends without feeling deprived.
Self monitoring tools
There are many strategies that can be used to track your progress as you reach for your goals. What works for one person may not work for another. But we do know that staying accountable to yourself helps weight loss and prevents weight regain. If tracking calories and nutrients on paper is too time-consuming for you, we have fun, motivating alternatives that you can access with a smartphone or online to help fit into your busy lifestyle.
Evaluation by exercise physiologists: orthopedic and pain issues
Walking may be painful and even damage joint surfaces when there is extra weight to bear. The NYU Langone Rehabilitation Medicine and Exercise Physiology departments have collaborated with the Weight Management to help our patients develop exercise routines that lead to weight loss or maintenance, while taking care not to further injure the patient or cause pain.
Strategies for safe, pain-free and doable exercise you might even enjoy
Research shows that people who exercise doing something they love and can easily access are resistant to weight regain. We can help you determine a routine that suits your interests, abilities, and schedules.
Diabetics, patients with insulin resistance, women with PCOS (polycystic kidney disease), or with a history of gestational diabetes have unique vulnerabilities related to glucose (sugar) metabolism. Dr. Lofton works intensively with you to develop safe low calorie and very low carbohydrate meal plans which often seem to jump start and accelerate weight loss while maintaining glucose control.
Chronic disease management – it takes a lifetime!
Dr. Lofton reminds us that obesity/overweight is a chronic disease process which reflect societal, genetic, and individual vulnerability that usually needs to be addressed for the rest of one’s life. Life hits us sideways and issues crop up. Sometimes we may need different tools: surgery, medication, VLCD meal plans, group counseling, or specialty referrals (orthopedists, cardiologists, psychologists) to name a few. If one has a Weight Management Specialist which you see routinely, new life issues, new insights and new medical concerns are addressed and strategies are instituted. Constant re-evaluation is essential to weight loss and weight maintenance. The same plan will not work for the rest of your life. There is hope and reasonable solutions as long as you keep continue to follow-up. It is not simple but you are not alone.