The Weight Battle--Medically Supervised Weight Management Programs

Our Nurse Practitioner has years of experience working with patients to achieve their optimal weight.  For some patients this is a needed loss, for others a needed gain.  We understand that achieving optimal weight is a very personal process and requires a tailored plan of care.  We offer emotional support and motivation for times when the battle is overwhelming and assist you in taking action to achieve your goals.

MEDICALLY SUPERVISED WEIGHT LOSS PROGRAMS: Prices vary depending on your program selection and required follow up.

We offer various programs to include disease specific nutritional counseling, Appetite Suppressants, Lipo B injections, HCG Protocol, and more.

At MargaretCare we understand that for many people weight gain is a constantly fought battle.  Most people nowadays go to the doctor to seek help to lose weight. However, they are often told eat less and exercise more.  However, while this is true in theory, it seems that regardless of what we eat or do, the weight just piles on. On the other hand, weight loss advice seems to be as prevalent as the poundage: the net, newspapers, diet books, magazine articles, weight loss clinics, weight loss machines, etc., etc… Everybody has a plan or a program or a machine or a … You try this and it works a little then stops. So, you try that and you gain weight! Next, you lose a little with this diet but gain it all back and some more. Despite “dieting and exercising” you are gaining weight. How frustrating? What should one do?  We at Margaret Care believe we have the answer...

 In keeping with our motto of safety and efficacy, we sought guidance in the medical literature. We attempted to understand how and why the body makes fat and muscle. Though quite complex, we can provide a synopsis here.

The Neuro-Endocrine Core is made up of the Nervous System and the Endocrine System. The Nervous system consists of the brain and the nerves. Electric signals travel through the nerves. The Endocrine system produces and uses chemicals known as hormones. The Neuro-Endocrine core controls all the body’s organs, both mind and body. The electricity-based nervous system is a rapid system, causing fast movements of bones and muscles. The chemically-based (hormonal) endocrine system induces slower changes in the body. Hormones control weight gain as well as most other functions of the body.

Glucose is the energy currency of the body. Fat is the long-term energy storage product of the body. Fat is essentially composed of a large number of glucose molecules. Whether glucose is utilized immediately or stored, is decided by the hormones. If the level of metabolic hormones is higher, the glucose is utilized to make energy and tissues such as muscle, nerves and bone. If the storage hormones are dominant, the glucose is stored as fat. The dominant metabolic hormones are thyroid, testosterone, progesterone and growth hormone. The dominant storage hormones are insulin and estrogen. We evaluate these and optimize them in favor of metabolic hormones, in order to optimize weight loss.

However, external factors also play a role in weight loss or gain. These are called lifestyle factors and include exercise, nutrition, nutritional supplements and stress. If these factors are not managed as well, the body will not allow optimal weight loss and the body will in fact go into survivor mode and gain weight. This is easily seen in dieters and exercising people who cannot lose weight, often even gaining more weight than when they first started.  For this reason, we are here to guide you through achieving a natural balance and prime your body and lifestyle for healthy living!

Obese individuals who lose even a small amount of weight (5 to 10 percent of initial body weight) are likely to improve their health in the short run by reducing the severity of the conditions associated with obesity.  Being seriously overweight is not caused by one single factor. There are a number of things that may interact and contribute to one becoming morbidly obese.

That's why Margaret Care offers a plan of care that addresses all these factors. These include:

Genetics - Genes play a part in how your body balances calories and energy. Children whose parents are obese also tend to be overweight. A family history of obesity increases your chances of becoming obese by about 25 to 30 percent. Heredity does not destine you to be overweight, but by influencing the amount of body fat and fat distribution, genes can make you more susceptible to gaining weight. You cannot change your genetic makeup by willpower any more than you can make yourself taller or shorter by wishing. But you can still achieve your weight loss goals even with a family history of obesity.

Culture - People learn to eat and cook the way in which they were brought up. Food choices and combinations are learned very early in life. Social events and family rituals are often centered around large meals.
Today's culture promotes eating habits that contribute to obesity. People may serve large portions and foods that are most readily available instead of choosing foods that are most nutritious. Cooking with butter, chocolate and other high-caloric foods is a normal part of the American diet. Also, food is often used as a reward in this country. Children are treated to sweets for cleaning their room, and the team is taken for pizza or ice cream after the game. Seldom is eating only when hunger is present.

Physical Inactivity – Overweight people are usually less physically active than normal weight adults. Seriously overweight people may have difficulty moving. The additional weight can cause pain in the feet, knees and ankles. It can cause shortness of breath, making you feel tired quickly. Also, we have so many labor-saving devices now that it is difficult for people to get exercise in the amounts the body requires. For example, we drive to the corner store for a frozen dinner. We drive home, click the garage door opener and relax on the couch with the remote control. All these devices can keep us from physical activity.

Emotional or Psychological Factors - Food is often a source of solace or celebration. If we feel blue, we may turn to food. If we celebrate a new job or birthday, we may go out to a big dinner. If a friend is grieving, we bake them a pie. Often as children, parents told us to clean our plates. Food carries many significant memories from our past. Food may be your best friend. Food may become less important in your life after weight loss.  Weight loss will allow you to acquire new interests in your life and become more active and varied in your activities.

Gender - Muscle uses more energy than fat does. Men have more muscle than women, and burn 10 percent to 20 percent more calories than women do at rest. For this reason, women are more likely to be obese.

Age - As you get older, the amount of muscle in your body tends to decrease, and fat accounts for a greater percentage of your weight. This lower muscle mass leads to a decrease in metabolism. Your metabolism also slows with age. Together, these changes reduce your calorie needs. If your food intake is not adjusted, you will gain weight.

High-fat / High-Calorie Diet - Ounce for ounce, fat provides more than twice as many calories as protein or carbohydrates (nine calories for fat versus four calories for carbohydrates). This energy difference may explain how fat promotes weight gain. Yet even when caloric intake is the same, a person eating a high-fat diet tends to store more excess calories as body fat than someone eating a lower fat diet. Often low-fat foods are high in calories.

 Weight Loss Surgery - Despite our comprehensive approach to weight management we at MargaretCare  understand that for some bariatric surgery is the best approach to manage a life long obesity disease.  Once we have identified a failed treatment plan for lifestyle modification and physiological optimization, we have excellent bariatric specialist with which we work to get your surgery approved and coordinated.