Weight Loss Management Specialist

Salman Khan, MD -  - Internal & Bariatric Medicine

Primary Care Solutions

Salman Khan, MD

Internal & Bariatric Medicine located in Boyle Heights, Los Angeles, CA & Van Nuys, CA

Weight loss can be frustrating, especially when going through it alone. With the help of Dr. Khan, a leading bariatrician, you can get the help you need. Patients in Van Nuys, Boyle Heights and throughout greater Los Angeles visit Dr. Khan and work with him to craft a personalized diet plan so they can lose weight safely and keep it off.

Weight Loss Management Q & A

What Options for Weight Loss Management Are Available?

Weight loss management programs use a wide array of techniques and medical options to assist people with losing weight and getting healthier. The biggest part of a losing weight is going to be lifestyle changes and frequently patients will work with a meal replacement program initially. When a large amount of weight has to be lost, medications can be prescribed by the doctor to help. The doctor wants all patients to remember however, that maintaining a healthy lifestyle and exercising regularly are crucial to losing weight and keeping it off for the foreseeable future.

What are Pre-Packaged Meal Replacement Plans?

These options utilize meal replacement products which have been crafted to be healthy and filling. Behavior counseling is frequently combined with these products. These programs are meant to teach patients how to eat healthy and which food products should be cut out of their diet. This can help the patient maintain the good habits once the program has concluded. Some of programs used include:

  • New Direction
  • Advanced Health System
  • Health Management Resources

Initially, patients will work with a team of healthcare specials and patients can choose to participate in group and individual counseling to determine if emotional causes are connected to their overeating.

What Medications Are Available through a Weight Loss Management Program?

While we all want losing weight to be easier, hard work will always be required and there aren’t any short cuts to good health. Prescribed medications are designed to work in conjunction with diet and exercise and are usually reserved for those who are severely obese. The intended recipients are also those who tried diet and exercise alone and didn’t see any results. Food and Drug Administration approved medications include:

  • Adipex-P®
  • Belviq®
  • Qsymia®
  • Saxenda®
  • Suprenza®
  • Xenical®

The doctor will go over what to expect as results and possible side effects. Remember, lifestyle changes are a required in addition to medications.

 

Obesity: A Disease

Obesity is a complex, multifactorial condition characterized by excess body fat. It must be viewed as a chronic disorder that essentially requires perpetual care, support, and follow-up.

Obesity is an excess of total body fat, which results from caloric intake that exceeds energy usage. A measurement used to assess health risks of obesity is Body Mass Index (BMI).
Obesity is the second leading cause of preventable death following smoking.

Causes of Obesity

Obesity could be a combination of the following

  • The genes you inherited from your parents
  • How well your body turns food into energy
  • Your eating and exercising habits
  • Your surroundings
  • Psychological factors

Consequences of Obesity

  • If you are obese, severely obese, or morbidly obese, you may have

Major health risks

  • Shorter Life Expectancy
  • Compared to people of normal weight, obese people have a 50% to 100% increased risk of dying prematurely
  • Obese people have more risk for
    • Diabetes (type 2)
    • Joint problems (e.g., arthritis)
    • High blood pressure
    • Heart Disease
    • Gallbladder problems
    • Certain types of cancer (breast, uterine, colon)
    • Digestive disorders (e.g., gastroesophageal reflux disease, or GORD)
    • Breathing difficulties (e.g., sleep apnea, asthma)
    • Psychological problems such as depression
    • Problems with fertility and pregnancy
    • Urinary Incontinence

Risk to psychological and social well-being

  • Negative self-image
  • Social isolation
  • Discrimination

 

Difficulties with day-to-day living

  • Normal tasks become harder when you are obese, as movement is more difficult
  • You tend to tire more quickly and you find yourself short of breath
  • Public transport seats, telephone booths, and cars may be too small for you
  • You may find it difficult to maintain personal hygiene

 

Diagnosis

The physician should perform a comprehensive medical evaluation—including elicitation of a comprehensive patient history, performance of a comprehensive physical examination, appropriate laboratory testing, assessment of overweight and related health risks, and a psychologicmental status evaluation. This comprehensive evaluation helps the physician achieve the following objectives:

  • Diagnose the degree of obesity
  • Determine the patient's level of health risk because of obesity
  • Identify any psychologic conditions (such as depression, substance abuse, or sexual abuse) that must be treated along with the obesity or that may contraindicate obesity therapy
  • Identify other substantive contributing factors, such as genetic traits or neurologic disorders—for example, Prader-Willi syndrome, Bardet-Biedl syndrome, or lipodystrophy
  • Identify endocrinologic correlates—for instance, insulin resistance or hyperandrogenism
  • Determine the most appropriate weight-management strategy

Laboratory Tests

The following laboratory tests may be useful:

  • Lipid profile (total cholesterol, HDL-C, LDL-C, and triglycerides)
  • Fasting blood glucose level
  • Metabolic and chemistry profile (for example, liver tests and uric acid)
  • Thyroid function tests—for example, thyroidstimulating hormone (thyrotropin)
  • Urine free cortisol measures to detect hypercortisolism in patients with signs of possible Cushing’s syndrome

 

Overweight and obesity ranges are determined by using weight and height to calculate a number called the "body mass index" (BMI). BMI is used because, for most people, it correlates with their amount of body fat.

  • An adult who has a BMI between 25 and 29.9 is considered overweight.
  • An adult who has a BMI of 30 or higher is considered obese.

 

See the following table for an example.

HeightWeight RangeBMIConsidered
5' 9"124 lbs or lessBelow 18.5Underweight
125 lbs to 168 lbs18.5 to 24.9Healthy weight
169 lbs to 202 lbs25.0 to 29.9Overweight
203 lbs or more30 or higherObese

It is important to remember that although BMI correlates with the amount of body fat, BMI does not directly measure body fat. As a result, some people, such as athletes, may have a BMI that identifies them as overweight even though they do not have excess body fat. For more information about BMI, visit Body Mass Index.

Other methods of estimating body fat and body fat distribution include measurements of skinfold thickness and waist circumference, calculation of waist-to-hip circumference ratios, and techniques such as ultrasound, computed tomography, and magnetic resonance imaging (MRI).

Selected Insurance Providers

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Accepts most PPO Insurances
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Aflac
Alignment Health Plan
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Anthem Blue Cross
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Covered California
Easy Choice Health Plan (California)
Health Net
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