Weight loss clinic overview
Dr Anuja Garg is a board-certified Internal medicine and Obesity medicine doctor. Our clinic offers a comprehensive weight loss program, including meal replacements, coaching for lifestyle changes, medicines for weight maintenance, and transition.
In our weight loss clinic, we specialize in medical weight loss, which is often known as medically supervised weight management. Our approach is comprehensive and evidence-based, aimed at helping individuals effectively manage their weight and enhance their overall health under healthcare professionals’ guidance.
Here are the essential elements and components that define our medical weight loss clinic:
- Thorough Medical Evaluation: Our programs commence with a meticulous medical assessment conducted by our healthcare providers. This evaluation involves a detailed review of your medical history, a comprehensive physical examination, and, when necessary, laboratory tests to identify any underlying medical conditions or risk factors.
- Personalized Treatment Plans: We understand that every individual is unique. Therefore, our healthcare providers create customized weight loss plans tailored to your needs, goals, and medical considerations. These plans may encompass precise dietary recommendations, exercise protocols, and, in some cases, the inclusion of prescription weight loss medications.
- Dietary Expertise: Our medical weight loss clinic incorporates dietary guidance and counseling. This includes techniques like calorie tracking, portion control, and advice on establishing a balanced, nutritious diet that fosters effective weight loss.
- Physical Activity: Exercise and physical activity are central to our programs. We strongly emphasize regular physical activity as an integral part of your weight loss journey. Our exercise plans are designed to align with your current fitness level and aspirations.
- Behavioral Counseling: Successful weight loss is not just about physical changes but also about addressing the psychological aspects of eating habits and lifestyle choices. We provide counseling and support to help you overcome emotional eating, modify unhealthy behaviors, and sustain lasting results.
- Nutritional Education: Knowledge is power. We empower you with nutritional education, teaching you how to make healthier food choices, interpret food labels, and cultivate sustainable eating habits that will serve you well beyond your weight loss journey.
- Regular Monitoring: Our medical weight loss programs involve continuous monitoring and regular follow-up appointments with our healthcare providers. We track your progress meticulously and adjust your treatment plan when necessary.
- Prescription Medications: In certain cases, our healthcare providers may recommend prescription weight loss medications as part of your personalized program. These medications are typically reserved for individuals with specific medical conditions or those who have not responded optimally to other interventions.
- Support and Accountability: Our team of healthcare professionals, including dietitians and, where needed, behavioral therapists, are dedicated to providing you with unwavering support. We believe in fostering a sense of accountability and equipping you with the resources necessary to overcome challenges.
- Education and Sustainable Lifestyle Changes: Our approach is holistic. While we focus on achieving short-term weight reduction, we place equal importance on helping you adopt long-term lifestyle changes that promote weight maintenance and overall health and well-being.
- Comprehensive Wellness: Our medical weight loss programs address the complete spectrum of health and wellness. We don’t just target weight; we also aim to improve related health conditions such as diabetes, high blood pressure, and sleep apnea.
Our medical weight loss programs are designed to benefit individuals grappling with obesity, being overweight, or experiencing weight-related health issues. We are committed to offering you expert guidance, unwavering support, and medical oversight to enhance your chances of achieving successful and sustainable weight loss.
What patients are saying about our weight loss clinic?
We have achieved great results with our comprehensive medical weight loss program at our clinic.
Our weight loss approach consists of three phases: putting patients on meal replacements and monitoring them closely to ensure they lose weight while maintaining their health. In the second phase, we transition the patients to normal meals and coach them to make lifestyle changes like portion control, intermittent fasting, and measuring weight regularly. In the last phase, we ensure patients can maintain the lost weight and lead a healthy lifestyle.
Weight Loss Clinic Phase 1: Intensive weight loss phase
Our Weight Loss Clinic program is structured into multiple phases, with the initial phase spanning 8 to 12 weeks. During this crucial stage, patients have the potential to shed an average of 3-5 pounds weekly, with some achieving remarkable results of up to 50 pounds lost in just 12 weeks. To effectively manage calorie intake, our patients rely on meal replacements, which involve consuming four meal replacement shakes or soups daily alongside one lean and green meal. We provide detailed recipes and all the necessary ingredients for these meals, ensuring a daily calorie intake falls within the range of 800-900. Moreover, we encourage patients to participate in mild to moderate exercise or join our daily Yoga sessions conducted over Zoom.
In our weight loss clinic, we closely monitor our patients’ progress. This includes conducting relevant lab tests, EKGs, and comprehensive body composition analyses, which are crucial for providing precise guidance. We make these assessments accessible to our patients as we bill most of these to insurance, which covers lab tests and EKGs. Additionally, we offer bulk body composition analysis sessions at a discounted rate of $199 for ten sessions as part of our registration fees.
In this initial phase of weight loss at our clinic, our patients establish a regular cadence of meetings with our doctor. These meetings are weekly for the first 4 weeks, transitioning to bi-weekly thereafter. Each visit encompasses essential components such as EKGs, lab orders, and body composition analyses. These expenses are typically covered by insurance. For patients without commercial insurance, we provide competitive cash-pay pricing options.
Our commitment to your well-being extends beyond the clinical setting. We offer comprehensive nutritional counseling materials tailored to each phase, empowering our patients to maintain a healthy diet and embrace sustainable lifestyle changes. Behavior counseling, led by our doctor, is pivotal in ensuring patients adopt and maintain these healthy habits. We further encourage daily self-monitoring of weight using the MyHealthy Journey app from Robard Corporation, allowing patients to log their daily food intake and blood pressure.
Our weight loss program underscores the importance of several lifestyle modifications, including reducing consumption of sugary and processed foods, managing stress, improving sleep quality, engaging in physical activity, maintaining proper hydration, and fostering a supportive social network. To accomplish these objectives, our patients set realistic and attainable weight loss goals, closely track their progress, and identify triggers for overeating. We actively encourage self-monitoring through the use of food diaries or mobile apps.
At the start of the program at our weight loss clinic, we conduct a comprehensive medical evaluation, delving into your medical history, current medications, and underlying health conditions. Subsequent medical evaluations remain a key feature of our program, involving regular lab tests, EKGs, and in-depth discussions regarding your progress and plans for the upcoming weeks. Body composition analysis measures essential metrics such as body fat percentage and muscle mass, ensuring a holistic approach to your weight loss journey.
Weight Loss Clinic Phase 2: Transition phase with reducing meal replacement with normal meals
Our Weight Loss Clinic implements a carefully structured 12-week phase duration and Weight Loss transition program, ensuring participants experience consistent progress toward their journey. During this program, participants are scheduled to meet with their doctor every four weeks to monitor and refine their weight loss journey. While the ultimate aim is to shed 1-2 pounds per week, we intentionally slow the pace of weight loss as participants transition from meal replacements to regular foods. This strategic transition is paramount as it enables individuals to seamlessly reintegrate normal foods into their diets while maintaining weight loss momentum at a slower pace.
The transition process from meal replacements to regular meals at our weight loss clinic is meticulously designed to guarantee a smooth shift and assist individuals in cultivating sustainable eating habits. Here is an outline of the typical steps involved in this transition:
- Assessment and Planning: The process commences with a comprehensive evaluation of the individual’s progress, goals, and readiness for the transition. The doctor reviews the patient’s meal replacement plan and thoroughly discusses the impending transition.
- Education and Guidance: Participants receive invaluable education about the significance of a gradual transition and are knowledgeable about making healthy food choices. Topics include portion control, balanced nutrition, and meal planning.
- Gradual Reduction of Meal Replacements: The transition process typically encompasses a gradual reduction in the weekly intake of meal replacements. The pace of reduction is customized according to the individual’s progress.
- Introduction of Whole Foods: Nutrient-dense whole foods, such as fruits, vegetables, lean proteins, and whole grains, are gradually introduced into the diet. Patients at our weight loss clinic are encouraged to favor these options while restricting processed or high-calorie foods. Furthermore, individuals are advised to incorporate protein shakes or supplements into their diet, typically at a rate of 1 mg per pound of body weight. This not only enhances satiety but also reduces carbohydrate intake.
- Benefits of Protein Shakes: Protein shakes offer many benefits during the weight maintenance phase, including appetite control, preservation of muscle mass, support for metabolism, nutrient density, enhanced muscle recovery, balanced nutrition, and prevention of muscle loss.
- Meal Planning and Tracking: At our clinic, patients undergo training in crafting well-balanced meals that encompass protein, fiber, healthy fats, and essential nutrients. Utilizing a food journal or meal-tracking app assists individuals in monitoring their food intake and staying on the path to success.
- Regular Clinic Visits: Continued follow-up appointments at our weight loss clinic, typically once a month, remain integral to monitoring progress and providing tailored guidance. The transition plan is subject to adjustments based on individual responses and evolving needs.
- Behavioral Support: Behavioral counseling and steadfast support serve as indispensable components during the transition phase, addressing any emotional or psychological challenges that may arise.
- Support System: Acknowledging the significance of a support network, we encourage participants to seek encouragement from friends, family, or support groups during this transitional period. Sharing experiences and seeking support when needed can be invaluable.
- Stress Management: Due to the vast experience of Dr Garg with primary care, she guides patient to manage their stress well at our weight loss clinic. Effective stress management techniques are emphasized to empower patients in coping with potential challenges and emotional triggers encountered during the transition, ensuring they maintain their newfound healthy habits.
Weight Loss Clinic Phase 3: Weight maintenance
Maintaining a healthy weight is an ongoing endeavor that requires dedication and mindful choices. At our Weight Loss Clinic, we are committed to helping you sustain your weight loss achievements and cultivate lifelong habits that promote a healthy weight and overall well-being. Here are some essential guidelines to guide you on your post-weight loss journey:
- Weight Monitoring: We encourage regular weight monitoring, ideally daily. Your target range should typically be your goal weight plus 5 pounds.
- Balanced Diet: Continue prioritizing a balanced and nutritious diet, emphasizing whole foods like fruits, vegetables, lean proteins, whole grains, and healthy fats.
- Portion Control: Practice portion control to prevent overeating. Be mindful of serving sizes and avoid the temptation to consume more than your body requires.
- Regular Meals: Maintain consistent meal times and avoid skipping meals. This helps regulate hunger and discourages overindulgence.
- Mindful Eating: Embrace mindful eating by tuning into hunger and fullness cues, savoring your meals, and minimizing distractions while eating.
- Hydration: Stay adequately hydrated by drinking plenty of water throughout the day, as sometimes thirst can be mistaken for hunger.
- Physical Activity: Continue your regular physical activity routine, adhering to health guidelines recommending at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week.
- Strength Training: Incorporate strength training exercises into your fitness regimen to preserve lean muscle mass and support a healthy metabolism.
- Stress Management: Maintain effective stress management techniques, such as relaxation and mindfulness, to prevent emotional eating.
- Sleep: Prioritize good sleep habits and aim for 7-9 hours of quality sleep each night, as it plays a crucial role in metabolic health and overall well-being.
- Behavioral Support: Consider continuing with behavioral counseling or support groups to address emotional or psychological factors that may influence eating habits.
- Celebrate Success: Acknowledge and celebrate your accomplishments and milestones without resorting to food. Reward yourself with non-food treats or engaging in enjoyable activities.
- Regular Clinic Visits: To ensure long-term success, we recommend seeing patients every 3 months as long as they maintain their lost weight without gaining more than 5 pounds. Scheduled follow-up appointments with your weight loss clinic or healthcare provider provide valuable guidance and address any challenges that may arise.
- Long-Term Mindset: Shift your perspective from short-term dieting to a lifelong commitment to a healthy lifestyle. Recognize that maintaining weight loss is an ongoing journey.
- Flexibility: Allow flexibility in your eating patterns to accommodate occasional indulgences or special occasions. The key is to balance these treats with an overall healthy diet.
In summary, this phase is dedicated to sustaining the achievements made during your weight loss program and fostering habits that support a healthy weight and overall well-being. We are here to support you every step in your lifelong journey to health and wellness.
Describe the weight loss medicines prescribed at your clinic.
In our Weight Loss Clinic, prescription medications are considered valuable when non-pharmacological approaches, such as diet and exercise, have not yielded the desired results. We carefully assess each individual’s health risks and thoroughly address any underlying medical or psychological factors contributing to weight gain.
Prescription medications for weight reduction are typically recommended in several situations, including cases of obesity (BMI ≥ 30) and overweight individuals (BMI ≥ 27) with comorbidities. They are also considered for managing type 2 diabetes, reducing cardiovascular risk, when lifestyle changes have not produced results, and when medical necessity dictates their use.
These medications are always integrated into a comprehensive weight management plan, including dietary modifications, increased physical activity, and behavioral counseling. Importantly, they are intended for short-term use and require close supervision by a healthcare provider. There are various prescription medications used for weight loss, each with its unique mechanisms and considerations:
- Metformin: Initially designed for diabetes management, Metformin may result in modest weight loss by curbing appetite and enhancing insulin sensitivity.
- Wegovy (semaglutide 2.4 mg): Approved specifically for weight management, Wegovy increases feelings of fullness and is typically prescribed for the long term, often leading to substantial weight loss, especially during the initial months.
- Ozempic (semaglutide): Initially approved for type 2 diabetes management, Ozempic can also support weight reduction by lowering blood sugar levels and reducing appetite.
- Liraglutide (Saxenda): Used for weight management, Liraglutide influences appetite regulation. It is administered via subcutaneous injections and typically results in a 5-10% reduction in initial body weight.
- Mounjaro (Tirzepatide): FDA-approved for diabetes, Mounjaro can significantly reduce weight when prescribed off-label for obese or overweight individuals, ranging from 15% to 21%.
- Orlistat: This medication blocks the absorption of dietary fat and reduces calorie intake. Weight reduction is generally modest and can vary among individuals.
- Phentermine: An appetite suppressant used for short-term weight management, Phentermine may lead to 5-10% weight loss when combined with lifestyle changes.
- Phentermine-Topiramate (Qsymia): Combining phentermine and topiramate, Qsymia reduces appetite and supports weight reduction. Results may vary, but a 5-10% reduction in weight is common.
- Buproprion-Naltrexone (Contrave): Combining antidepressant and addiction treatment medications, Contrave controls appetite and promotes weight reduction. Like Qsymia, it typically results in 5-10% weight reduction.
It’s essential to note that healthcare providers should only prescribe and monitor these medications. Their use is tailored to individual needs and circumstances, and weight loss expectations can vary widely based on factors such as initial weight, treatment adherence, and incorporating lifestyle changes. Our clinic is dedicated to providing comprehensive and personalized weight management solutions to help you achieve your health and wellness goals.
Do you recommend B12 shots for weight loss?
Vitamin B12 shots, also known as B12 injections, are sometimes advertised as a solution to boost energy and metabolism. However, scientific evidence does not strongly support using B12 shots for weight loss, and their effectiveness is generally limited.
Vitamin B12 is an essential nutrient that plays a crucial role in various bodily functions, including nerve function, the formation of red blood cells, and DNA synthesis. While a deficiency in vitamin B12 can lead to anemia and fatigue, taking B12 supplements or injections is generally recommended only for people diagnosed with a deficiency.
No strong scientific evidence suggests that B12 shots alone lead to significant weight loss. Any perceived weight loss benefits from B12 shots are likely due to a placebo effect or other lifestyle changes that may come with a person’s decision to seek weight loss treatments. Weight loss is usually achieved through dietary changes, increased physical activity, and behavior modifications.
However, there are some situations where B12 shots may be appropriate:
B12 Deficiency: B12 shots are typically prescribed for individuals diagnosed with a B12 deficiency. Deficiency symptoms may include fatigue, weakness, anemia, and neurological problems. B12 shots can help address the deficiency and reduce related symptoms.
Certain Medical Conditions: Medical conditions or treatments like pernicious anemia, celiac disease, Crohn’s disease, or weight loss surgery may interfere with the absorption of B12. B12 shots may be necessary in these cases to maintain adequate B12 levels.
Vegan or Vegetarian Diets: Individuals who follow strict vegan or vegetarian diets risk B12 deficiency because B12 is primarily found in animal-based foods. In such cases, B12 supplements or injections may be recommended to ensure sufficient intake.
Boosting Energy: Some people use B12 shots or supplements to combat fatigue or increase energy levels. Although limited scientific evidence supports this use, some individuals feel more energized after receiving B12 injections.
Consulting with a healthcare provider is crucial if considering B12 shots. They can assess your medical needs, check for a B12 deficiency through blood tests, and provide guidance on whether B12 supplementation is necessary. Without proper medical guidance, it’s important not to use B12 shots solely as a weight loss strategy.
B12 shots are not generally recommended as a standalone weight loss solution. They are primarily indicated for individuals diagnosed with B12 deficiency or specific medical conditions affecting B12 absorption. If you have concerns about B12 levels or are interested in weight loss, consult a healthcare provider to develop a comprehensive and evidence-based plan that addresses your unique health needs and goals.
How can I sign up for the weight loss program at your clinic in Pleasanton?
We recommend you call our clinic at 925-263-9547 and make an appointment for the first visit. We provide you with forms you need to fill out and bring to the first visit. The doctor will go over your history and weight loss goals. She will also order labs during this visit and perform EKG as needed.
Where can I get more details about your weight loss services in Pleasanton?
You can check our dedicated Weight Loss Services page for more details.
What other Aesthetic service do you provide in Pleasanton?
You can check all the Medical Spa services we provide at our clinic.
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