Bariatric surgical procedures and medical weight loss have been shown to effectively treat obesity and to significantly reduce the health risks associated with excess weight.
High blood pressure, diabetes, sleep apnea, elevated cholesterol and emotional well-being are just a few of the complications faced by people who are severely overweight.
We are proud to offer several options for weight loss including: vertical sleeve gastrectomy, roux-en-Y gastric bypass and a physician-guided medical weight loss program.
Bariatrics and Weight Management - Gatewood is a full service weight loss clinic that will meet all of your needs in the convenience of one location.
- An on-site Nutrition Shop stocked with the vitamins, nutrition supplements, and meal replacement products recommended by our doctors and dietitians
- Bariatric surgeons, exercise specialists, psychologist and dietitians on-staff who specialize in working with weight loss clients
- An on-site gym for one-on-one personalized workouts with our exercise specialists
- Class rooms for support group meetings as well as nutrition and exercise classes
We believe that there is no one weight loss option that works for everyone. We treat each patient individually when deciding which weight loss option is ideal for you. We are committed to helping our patients achieve long term weight loss success and will be there to support you every step of the way.
For more information about the surgical procedures we offer as well as the medical weight loss options, we encourage you to attend one of our free informational seminars or to talk with someone about becoming a patient.
Medical Weight Loss Program
Research shows that 95 percent of diets fail. This is because diets are quick fix attempts at a lifelong struggle. The reality is that the most effective way for you to solve the long-term weight loss struggle may be with a physician-guided weight loss program.
Our Medical Weight Loss program is a 12 week program overseen by a medical professional to ensure safe, effective and long-lasting weight loss results. Incorporating a comprehensive approach, we will help you meet your goals through diet, exercise and lifestyle modifications. Additionally, we utilize the Celebrate® product line to assist with proper dietary needs to ensure fat-burning while maintaining lean body mass.
Participants alternate weekly meetings with a medical professional, a registered dietitian and an exercise physiologist. Labs are monitored periodically; weight and body measurements/compositions are taken weekly. You will receive customized instructions by each member of our team and may be put on a weight loss medication if appropriate to help you adhere to your recommended diet plan.
Elements of the program include weight-loss manuals, food logs and the opportunity to purchase recommended meal replacements and supplements in our clinic.
If you are having a hard time losing weight, have tried many different weight loss strategies and have a BMI greater than 35, bariatric weight loss surgery may be right for you. Learn how to determine your BMI.
We offer 2 surgical weight loss options:
Surgical procedures that treat obesity work by either limiting the amount of food a person can eat before becoming full; or by altering the digestion process – producing an inability to absorb all the calories and nutrients that are ingested.
There are different approaches to weight-loss surgery. Only a full review of your particular situation, by you and your physician, will determine the right procedure for you.
Your Journey to a Healthier Life
Like any surgical procedure, the surgical treatment of obesity is a serious matter. But unlike some procedures, this one will require your active participation in your own care. Our overriding goal is for you to be fully prepared, so that you are better able to cope with the changes – both the changes that are a challenge and the changes that are a pleasure – that accompany substantial weight loss. The following are the steps that will be taken to ensure your weight loss surgery success.
We provide free informational seminars for our patients. Our weight loss surgery seminars are led by one of our surgeons and will provide you with additional information about the surgical options that we offer, along with information about morbid obesity as a medical condition and other kinds of weight loss surgery and treatments.
You will get a chance to meet our surgeons and staff and to ask any questions you may have about the surgery or our program. We will answer all questions regarding who qualifies for weight loss surgery, insurance coverage and questions, patient expectations, life after surgery, etc. We encourage you to bring a family member or friend.
Our insurance coordinator has a great deal of expertise working with many insurance carriers and we are committed to assisting you through the approval process. Our office participates with several insurance plans. However, insurance coverage for bariatric surgery varies according to the insurance carrier. You will need to call you insurance company to determine if bariatric surgery is a covered benefit. We do not accept Medicaid.
Insurance companies that cover bariatric surgery have various requirements.
If your appeal for insurance coverage is denied, or if you don’t have insurance, there may still be other financial options available to you. We can discuss self-payment options with you to help you pay for your procedure.
Once we have completed our verification process, we will call you to review your benefits and schedule your initial consultation.
With no complications, you can expect to be in the hospital one night. Our surgeon and registered dietitian will visit with you before being discharged. After being released from the hospital, you will remain under our watchful care.
Regular, consistent follow-ups with your surgeon are vital to your success and should be maintained for best possible results. Our team offers lifetime patient support through support groups, classes and follow up visits with your surgeon. Attending our support group meetings regularly can make a big difference in your weight loss success. Patients can discuss what they are experiencing after weight loss surgery and share their stories with other patients going through the same thing.
Weight loss surgery is not a solution, it is a tool. Following surgery you will need to follow strict nutrition guidelines as well as exercise regularly. Our multi-disciplinary team will give you the tools and ongoing support to stay on track however, ultimately it is up to you.
Making modifications in your lifestyle will consist of planning for your diet, exercise and taking medications and vitamins for a few months following your procedure and some as part of your daily routine. We offer support groups and resources for our patients as they make this change in life.
Patients will be expected to schedule regular follow-up visits with our surgeons and staff. These visits will allow us to regularly monitor your overall progress including health check-ups and provide you with nutritional and lifestyle guidance and support.
After bariatric surgery, the body responds by decreasing the absorption of calories, which causes you to lose both fat and muscle. Exercise is a key component to achieving and maintaining weight loss. After bariatric surgery, there is a loss of body mass (fat as well as lean muscle), which reduces the number of calories used to perform any given activity. Getting started on a gradual exercise plan after surgery is crucial to help preserve and increase lean muscle mass, which optimizes metabolism and increases the number of calories used by the body even at rest.
First 2 Weeks After Surgery
- Walk at a comfortable pace. Beginning on day 3, walk 20 minutes per day; 10 minutes in the morning and 10 minutes in the evening.
- Continue to walk 150 minutes per week.
Week 6 and Beyond
- Cardiovascular Exercise - Any type of cardiovascular exercise for a minimum of 150 minutes per week; Cross training is encouraged; Stay within your target heart rate zone
- Resistance Training - Train each muscle a minimum of 2 times per week
The purpose of an adjustment is to ensure that you feel satisfied when you eat and that you are losing weight gradually, about 1-2 pounds per week.
The adjustments are done by your doctor or another health care professional by adding sterile saline to the band through the port. Adjustments can also involve removing saline from the band through the port.
When filling the band, saline travels from the port through the tube and into the band, making the band fit more snugly around your stomach.
- Because your doctor wants to make sure that your stomach completely heals from the surgery, your first band adjustment won’t usually occur until 4-6 weeks after your surgery.
- Adjustments do not require more surgery. In fact, an adjustment can be made in a doctor’s office or a clinic, and usually only takes 5-10 minutes.
- An adjustment when fluid is added is referred to as a “fill”. Fills tighten the band around the stomach so you’ll feel full sooner and longer than you did before the fill, because the food will empty from your upper stomach more slowly.