I've performed over 10,000 weight-loss surgeries
Comprehensive metabolic evaluation: Initial consultation with full metabolic panel, body composition analysis (DEXA or bioimpedance), thyroid function, insulin levels, HbA1c, lipid panel, and hormonal assessment Pharmacotherapy management: GLP-1 receptor agonist prescribing, appetite suppressant management, and adjunctive medication protocols Nutrition planning: Individualized meal plans, macronutrient optimization, micronutrient supplementation, and dietary counseling Behavioral health support: Cognitive behavioral therapy for eating patterns, motivational interviewing, and habit formation coaching Body composition monitoring: Regular DEXA scans, bioimpedance measurements, and anthropometric tracking Maintenance programming: Long-term weight maintenance protocols, medication tapering strategies, and relapse prevention planning Offering a defined program structure rather than ad hoc visits dramatically improves patient compliance, outcomes, and revenue predictability
27 Patients with SVT or syncope associated with palpitations should be referred to a cardiologist
Vitamin B12, folate, and the methionine remethylation cyclebiochemistry, pathways, and regulation
Cellular energy production and mitochondrial health
Il nexiste pas suffisamment dinformations sur leur scurit pendant la grossesse ou lallaitement, il est donc conseill de faire preuve de prudence
