Medical Weight Loss Options

Being overweight is a chronic disease. As such it requires different treatment modalities at different times in ones’ life. At times surgery is essential, and at other times, nutritional education, life style guidance, exercise interventions, behavioral-mindful eating technologies and trigger analysis is needed. At the NYU Weight Loss Management Program patients have an array of choices to choose from. Programs are customized to meet each individual’s needs.

Dr. Holly Lofton offers Individual Programs as well as evidence based Behavioral-Nutritional Groups with Supervised Meal replacement technology.

At the NYU Weight Management Program we offer:

1. Medical evaluations of weight related conditions

2. Medications for weight loss

3. Review of medications which cause weight gain

4. Metabolic rate testing

5. Meal replacement alternatives

6. Individual meal planning

7. Weight loss groups

8. Behavioral training in weight control: mindful eating

9. Nutrition planning tools

10. Self monitoring tools

11. Evaluation of exercise limitations: orthopedic and pain issues

12. Strategies for safe, pain-free and doable exercise you might even enjoy

13. Special populations

14. Chronic disease management – it takes a lifetime!

 

1. 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. Back to Top

2. Medications for weight loss

Hunger can be distracting and defeating. Medications can often help us gain control of our hunger while we also put other medical, surgical and lifestyle strategies into place. Medications are a tool and work best when used as part of a comprehensive weight management plan. Back to Top

3. Review of medications which cause weight gain

Many medications used to treat common diseases as high blood pressure, 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. Holly Lofton works with your regular doctor to suggest helpful strategies. Back to Top

4. Metabolic rate testing

We all know that in order to lose weight we must take in fewer calories than we burn. But how many of us know how many calories we burn? By knowing what your resting metabolic rate is you will be able to learn how many calories you burn, whether your metabolism is low, normal or high and how many calories you need to maintain, lose or even gain weight. In just 7-10 minutes through a simple breathing test your results will be available, immediately. For more information please call 866-886-4698Back to Top

5. Meal replacement alternatives

Research shows that prepackaged 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. Holly Lofton helps each individual patient figure out which meal replacement strategy might suit them at any one time. One option is our New You Program designed for you to lose weight conveniently, rapidly and comfortably without hunger, pills or shots, safely under clinical supervision. Check out our New You Program. Back to Top

6. Individual meal planning

Planning is key. Nutritional awareness is key. Self accountability is key. This can be done individually or in groups, often with daily homework in terms of food diaries. There are many ways to record what one eats from a simple breast pocket check list to a detailed excel spread sheet.Back to Top

7. 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. Some groups will incorporate behavioral and nutritional strategies only. Some groups are centered around a “partial” / (Low Calorie Diet) meal replacement strategy where patients use meal replacement products for all but one meal a day. The total calorie consumption remains at 1200-1500 calories usually. Groups work best if they are weekly. Sometimes there is not enough time on your schedule for this so we utilize scheduled weekly telephone contact with Dr. Holly Lofton. Back to Top

8. Behavioral training in weight control: mindful eating

This is a cornerstone of all individual and/or group curriculums. Changing how one eats, understanding ones eating cues and understanding head hunger vs. metabolic needs is key. Diets all fail when life hits us sideways. It is important to learn how to manage inevitable stress and eat less, see it coming or get back on track as soon as you can. There are tools. We all need to practice and fine tune these tools to develop a kind and safe individual strategy. Back to Top

9. 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 planning is important. Dr. Holly Lofton utilizes the expertise of the registered dieticians at the NYU Program for Wellness and Surgical Weight Loss to provide meaningful weight loss strategies and goals. Back to Top

10. Self monitoring tools

When do you need to weight yourself? How much of a diet history must you do? How many labels should you read? How do you know you are “safe”? There are many strategies. 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. This should be done in the spirit of curiosity and not guilt or dread. There are ways. Back to Top

11. Evaluation of exercise limitations: orthopedic and pain issues

Walking may be painful and even damage joint surfaces when there is extra weight to bear. There are many considerations on how to find a safe, comfortable, easy to do exercise program: sitting, water, reclining, pacing, frequency. Back to Top

12. Strategies for safe, pain-free and doable exercise you might even enjoy

What is cardiovascular fitness when walking really hurts? What biomechanical factors can be addressed to find safe exercise? What about strength training? Who needs a stress test? What about supportive shoes? Do I need a trainer? How do I find a gym? I hate gyms, so what do I do? How do I use a gym? Why do I need to exercise anyway? Research shows that people who exercise doing something they love and especially if it is with someone they enjoy, these people are resistant to weight regain. Back to Top

13. Special populations

Diabetics, patients with insulin resistance including women with PCOS (polycystic kidney disease) or with a history of gestational diabetes have unique vulnerabilities related to glucose (sugar) metabolism. Dr. Holly 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. Back to Top

14. Chronic disease management – it takes a lifetime!

Practice and repetition. Dr. Holly Lofton reminds us that overweight issues are 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 talking, or specialty referrals to many therapists (orthopedists, cardiologists, psychologists to name a few). If you have a Weight & Wellness Specialist which you see routinely (usually ever 4 weeks), new life issues, new insights and new medical concerns are addressed and strategies and instituted. This is the best obesity care possible for any disease. And you deserve it. There is hope when you know that there are solutions as long as you keep coming. It is not simple but you are not alone. Back to Top