Weight Management Program
Why a weight management program may help you
Numerous studies have shown that a gradual sustained weight loss of as little as 5-10% of total body weight has significant health benefits. The biggest thing we want our patients to understand is that the Biggest Loser and fad diets lead to “yo-yoing” of body weight, sometimes causing more weight gain and eating disorders than what a person starts with.
Dr. Smith states:
Personally, I have lost 16 pounds, or 6% of my body weight over the last year. Without medication support it is painfully hard to do. I know what you are going through. That's why I wanted to offer more options for people who cannot get started, cannot maintain, or have hit a wall with their weight loss.
Am I a candidate for this program?
This program is for patients who have been unsuccessfully trying to lose weight with at least 6 months of diet modification and exercise.
Patients must fit the following BMI and waist circumference guidelines:
- BMI - must be greater than or equal to 30, or 27-29.9 with another chronic medical condition present.
- Waist measurement of 40 inches for men and 35 inches for women.
What is BMI?
BMI is a person’s weight in Kilograms divided by his or her height in meters squared. It is calculated based on height and weight, so it does not take into account the manner in which fat is stored on a given individual.
Why does a chronic medical condition put me more at risk?
Chronic conditions can be caused or worsened by excessive body weight. For example, increased waist circumference is associated with heart disease, stroke, high blood pressure, diabetes, and some cancers.
Why do waist measurements matter?
Waist measurements tell us how a person stores body fat. Fat stored within the abdomen is associated with greater health risks than fat stored in the hips, thighs, arms, and gluteal muscles.
Waist measurements are performed at the belly button. You may be at risk if your waist measurement is greater than 35 inches for women or greater than 40 inches for men. These measurements and their association with risk are valid regardless of your height.
How will this program treat my weight problem?
When patients have shown diet and exercise modifications for extended periods of time that do not lead to weight loss, medication therapy will be prescribed.
Weight loss medication therapy includes medications that will help diminish appetite and diminish the need to alter your mood by eating. When combining this with a suitable diet and exercise program, you should begin to realize results. Some of the medications that may be prescribed include:
- phentermine (Adipex, Ionamin),
- bupropion (Wellbutrin),
- topiramate (Topamax)
- liraglutide (Victoza, Saxenda)
- lorcaserin (Belviq)
- other agents are also considered.
Will insurance cover this program?
It is common for insurance to not cover the brand name medications prescribed for weight loss. In these cases, generic medications can be prescribed.
Even if insurance does not cover generic weight loss medications, the use of prescription discount cards can lead to a price of approximately $9-13 per prescription (dependent on which pharmacy is used).
It is best to check with your insurance company to verify your coverage for both medications and the weight loss program.
Future program features
We are excited to grow our program to one day also offer the following features.
Dietary services will be offered at the office for meal planning, calorie restriction information, and supportive care. For assistance with meal planning, Reid Health's ChooseWell at Homeprogram will be made available to patients. The ChooseWell at Home program provides prepared, frozen, low-cost meals and makes an excellent option for those accommodating a diet with restrictions on calories, saturated fats, and sodium.
For those with non-treatable heart failure, uncontrolled diabetes, inoperable coronary heart disease, and other very serious diseases; rapid, highly monitored weight loss can be lifesaving.
Behavioral support is an important feature of the weight management program. Participants in the weight management program will have the opportunity to connect with Reid's Behavioral Health Providers one on one. Participants will utilize the Telehealth program and have the option to attend group meetings.
Weight loss is shown to become more permanent when daily behavioral changes in eating and exercise patterns occur. The Reid Healthier Wellness program will also assist in rewarding healthy behavior. Through this free community program open to the public, members can earn rewards for healthy behaviors.
Physical Therapy services at the hospital will also be utilized for our patients to promote as much movement and exercise as we can achieve. We understand the physical limitations that disease and weight often cause, and a physical therapist can help you continue to exercise around some of your limitations.
How to enter the program
There are two primary ways to enter this program.
Patients who meet the criteria
Any patients who are interested and meet the above criteria can contact Reid Health Primary & Specialty Care - Hagerstown. The office is accepting patients for the weight management program.
Patients expecting surgery
Patients who fit the above criteria and are expecting surgery for a different matter may be referred into the Reid Health Perioperative Clinic. Perioperative clinics are now best practice in medicine. The goal of the clinic is to provide presurgery patients with better preparation before, on the day of, after surgery, and through the recovery period. Patients referred into the clinic find that their entire surgical process is better managed, while health care providers appreciate that all health care providers (surgeons, primary care doctors, anesthesiologists, and more) are kept up to date on their patients' health conditions. Patients meeting the above criteria for the weight management program, who have been referred to the Reid Health Perioperative Clinic for presurgical optimization of their health, may be enrolled in the weight managment program as a part of their care before surgery.