Consultation Packet. Allison L. Haughton-Green, MD, FAAP

Transcription

1 Consultation Packet Allison L. Haughton-Green, MD, FAAP Clinical Bariatrics, Pediatrics, & Metabolic Medicine 422 S. Alafaya Trail, Suite 24 Orlando, FL (407) Fax (407) ChildhoodObesityOrlando.comm Copyright 2012 Orlando Institute of Weight Management and Metabolic Medicine, LLC Page

2 Welcome to Orlando Institute of Weight Management and Metabolic Medicine! We are delighted that you have chosen us to assist you in permanently reducing your weight and percentage of body fat. Our three-step program is specifically structured to meet your individual weight loss goals. First, you will enter the Aggressive Weight Loss step where we will restore your proper insulin levels and restrict your diet for rapid, safe weight loss. During the Educational step, your nutritional plan will be liberalized in preparation for the final step, Permanent Lifestyle Change. The final step is structured to enable you to maintain your goal weight. In your initial evaluation you will receive an extensive medical examination by Dr. Green or one of her colleagues here at the center. This evaluation will include a detailed physical, a complete metabolic laboratory panel, and an EKG. Additionally, you will receive an individualized and concise regimen of nutritional supplements, moderate exercise and/or natural fillers. Since your progress is medically supervised, a weekly office visit is required for the duration of the first and second steps of the program in order to monitor your progress and ensure your success. Monthly visits during your Permanent Lifestyle Change keep you on track and prevent regressing. You will stay in our program as long as you need us. Just imagine spending the rest of your life free from hunger and cravings. Your mind is alert and exquisitely focused. Your body has greater energy and physical performance and endurance are improved. Permanent weight loss is our goal for you. We are committed to assisting you in reaching this goal safely and quickly.

3 Dr. Green s Story: From 1999 to 2007, I suffered from a variety of chronic disorders which included crippling migraine headaches, insomnia and anxiety. It was in my annual physical when it finally hit home that my health (or lack of good health) was taking a serious toll on my body. I was showing the beginnings of illnesses that were potentially life threatening if I didn t take action. My labs tests showed signs of Type II Diabetes and my cholesterol was at 270. I was 30 pounds overweight, taking multiple medications daily, and under the care of three physicians. The final straw was a migraine that incapacitated me for 5 days, feeling as though I was literally on fire. I was of limited use to my family and my practice. I had to make a change and fast. I began investigating weight loss programs and the science behind them, only to find that they are extremely costly and are often geared toward pre-packaged products that did not fit into my family s lifestyle. More importantly, most of the programs focused on eating just to lose weight. None of the programs focused on making the lifestyle change necessary to avoid repeating past dietary mishaps. Insulin is a key factor to weight loss. Recent studies conclusively find that men, women, and children that have belly fat are targeted for an earlier death than those without this tendency. This even includes individuals that are not overweight! Belly Fat is dangerous due to it posing a serious risk of disease to the organs it envelopes. It is also a clear indicator of high insulin levels. My approach to weight control is an easy, realistic, and nutritive way of dining that decreases inflammation in the body by targeting insulin. The result is significant and consistent weight loss. Today, I am 45 pounds lighter, having gone from a size 12 to a size 2. I am off all medications, diabetes is no longer a threat, I am sleeping well and my last migraine was several months ago.

4 I practice what I preach. I have been blessed with this program in more ways than one. Losing 45 lbs. in two and a half months cured me of diabetes and high cholesterol. Alas, I cannot put a price tag on my health. BEFORE AFTER I wish for you what I desire for myself...to live a long, healthy life FREE from all disease. I am determined to help people Eat Right, Cure Disease, Feel Great... It is just that simple. Copyright 2012 Orlando Institute of Weight Management and Metabolic Medicine, LLC Page

5 Unlocking the secret of permanent weight loss: Ø More than 60% of adults and children are overweight Ø Obesity is caused by high fasting insulin levels Ø This hormonal imbalance causes inflammation in the body that can lead to chronic diseases such as: Arthritis Asthma Anxiety Back Pain Cancer Chronic Fatigue Depression Diabetes Heart Disease Premature Death Reproductive Issues Stroke While on our program, you will learn: Ø Eating right and exercising a lot doesn t always solve your weight problems. You, like so many others, struggle with your weight because of an underlying hormonal imbalance that has never been treated. This program will correct that hormonal imbalance. Your struggles are finally over. Ø Food is the most powerful drug that we put in our bodies and strongly influences our insulin levels. Hence, changing the food you eat can bring healing to your body and cure disease.

6 KEYS TO SUCCESS! Ø YOU NEED TO EAT FAT TO LOSE FAT. Ø ALWAYS DRINK BEFORE YOU EAT. Ø EAT FROM A SMALL PLATE. Ø KEEP PROTEIN SNACKS HANDY GI= Glycemic Index INSULIN LEVELS STORE FAT INSULIN LEVELS BURN FAT Ø GRAZE THROUGH OUT THE DAY Ø There are many triggers of Emotional Eating such as: anger, sadness, disappointment, hopelessness, lack of control, anxiety, boredom, and even happiness. We will equip you with the tools to deal with this phenomenon and still lose weight. Copyright 2012 Orlando Institute of Weight Management and Metabolic Medicine, LLC Page 3

7 Supplements: ACR2XTM (DETOX) Contains: Aloe Curacao, Cascara Sagrada, Rhubarb PE, Ginger Natural cleansing formula on that is mild and fast acting. Contains natural cascara sagrada, rhubarb and ginger roots and aloe curacao for effective results. DNS - Doctors Nutritional Support contains Chromium, Vanadyl sulfate, Gymnema sylvestre extract, Mormordica chirantia extract D.N.S.TM, Doctor s Nutritional Support, was formulated using therapeutic levels of key ingredients proven to effectively regulate insulin levels. This unique combination of vitamins, minerals, enzymes, amino acids, herbs and nutrients, promotes and encourages the body s natural mechanisms to balance sugar levels. Besides diet and exercise, a daily dose of these nutritional requirements can be beneficial in helping the body normalize blood sugar levels and to enhance cells response to insulin. Feel Full - Natural Stomach Filler contains Vitamins A & D, Thiamine HCL, Riboflavin, Ascorbic Acid, Chromium, Sodium, Carboxymethylcellulose Feel Full works in two ways: as an appetite controller and as a fat and sugar binder. Before meals, taken with an 8oz glass of water, Feel Full can swell seven times its dry volume in the stomach. This promotes a feeling of fullness and prevents over- eating. During digestion, Feel Full is thought to surround sugar and fat molecules and thus minimize their absorption by the body.

8 Joy ~ Focus contains - L- Phenylalanine, Vitamin C, Pyridoxine (B6), and Pantothenic Acid (B5) Joy ~ Focus may aid in inhibiting appetite, regulating mood, curbing cravings and head hunger, controlling binge and night time eating, and enhancing mental focus. HYDROXY FAT BURNER contains Vitamin B1, B2, B6, and B12, Biotin, Choline, Inositol, Vitamin C This is a unique combination of vitamins that work synergistically and help to combat stress. Although these vitamins are available in a wide variety of foods, they are light and heat sensitive and are depleted with poor food storage. Also, overcooking food and cooking with water leads to vitamin loss before ingestion. Consequently this water- soluble vitamin group needs daily replenishing. Magnesium Potassium contains Potassium and Magnesium Aspartate Magnesium and Potassium facilitate energy production and are integral to the development and regeneration of ATP, the biochemical battery molecule that stores and releases the boy s energy supply. Patients who take this supplement may experience the following benefits: relaxes skeletal muscles, smoothes muscles of blood vessels and gastrointestinal tract, dilates coronary arteries, normalizes the heartbeat and blood pressure, alleviates symptoms of PMS, and helps chronic fatigue.

9 PRO-HEALTH 1-A-DAY PACKET FOR ADULTS & KIDS contains ProbeseTM ; Joy ~ Focus; Craving Inhibitor; Multi- Vitamin Pro- Health packets represent a synergistic blend of nutrients and herbs. These packets are designed to aid in correcting the metabolic faults, which are typical of obesity. The formula reduces hunger and food cravings by improving the metabolism of carbohydrates and fats to increase feeling of energy and well- being. SUPER ENERGYTM PLUS contains Korean Ginseng, Niacin, B- 12 (Cobalamine), Folic Acid, Vit C, Guarana Extract, Potassium Gluconate, Bee Pollen Just as the name suggests, this supplement rejuvenates and restores vigor and helps to increase energy levels. What makes our program different: CUSTOM MADE INJECTIONS Dr. Green personally assembles our injections to include the best possible blend of weight loss enhancing supplements. BOOSTER INJECTION Includes the following: Methionine - an amino acid that builds muscle, healthy skin, hair, nails, prevents fatigue, and is a powerful antioxidant. Inositil - Vitamin B breaks down fats, promotes healthy hair and skin.

10 Choline - Vitamin B breaks down fats, prevents gallstones, fights fatigue / infection, and increases memory & learning capabilities. Chromic Chloride - prevents cravings, reduces total cholesterol, reduces LDL (bad cholesterol), increases HDL (good cholesterol) Vitamin B12 - increases your energy level; prevents fatigue; acts as a mild diuretic; utilizes proteins and fats BOOSTER PLUS INJECTION Includes all of the ingredients in the Booster Injection PLUS: Extra B6 and Extra B12 - helps to correct hormone imbalance; reduces stress, fatigue, and headaches; boosts your immune system, and increases energy. Especially helpful for women. SUPERIOR CUSTOMER SERVICE Our uncompromising commitment to providing unmatched customer service is certainly one of the benefits of our program. Daily phone calls during your first week, a patient, caring staff, and very knowledgeable doctor are just a few of the ways that you will experience our desire to serve you well! LET S GET Copyright 2012 Orlando Institute of Weight Management and Metabolic Medicine, LLC

11 PATIENT INFORMATION

12 Health History

13 I verify that the above information is true and accurate to the best of my knowledge. Patient Signature: Date: Food & Drink Diary

14 ACKNOWLEDGEMENT & CONSENT FOR WEIGHT LOSS PROGRAM I authorize Orlando Institute of Weight Management and Metabolic Medicine to help me in my weight reduction efforts. I understand that my program may consist of a balanced calorie restricted meal plan, a regular exercise program, instruction in behavior modification techniques, supplemental booster injections and may involve the use of appetite suppressants. I understand that if appetite suppressants are utilized, they may be used for durations exceeding those recommended in the medication package insert. It has been explained to me that these medications have been used safely and successfully in private medical practices as well as in academic centers for periods exceeding those recommended in the product literature. I understand that any medical treatment may involve risks as well as the proposed benefits. I also understand that there is certain health risks associated with remaining overweight. Risk of this program and the use of appetite suppressants may include but are not limited to nervousness, restlessness, dry mouth, fatigue, elevated blood pressure, heart abnormalities, headaches and gastrointestinal irregularities. These and other possible risks could have long term effects and may be fatal. I understand that risks associated with remaining overweight are tendencies to high blood pressure, diabetes, heart disease, arthritis of the joints, sleep apnea, depression, and possible sudden death. These risks may be modest if I am not significantly overweight but will increase with additional weight gain. I understand that the success of the program will depend on my efforts and that there are no guarantees or assurances that the program will be successful. I also understand that obesity may be a chronic, life-long condition that may require changes in eating habits and permanent changes in behavior to be treated successfully.

15 I understand that all supplements will be dispensed from the pharmacy located at Orlando Institute of Weight Management and Metabolic Medicine in order to ensure quality and efficacy. I understand that prescriptions for appetite suppressants will not be written for any other purpose by Dr. Green or her colleagues at the facility and will be filled at a local pharmacy of your choice. I understand that by consenting to treatment that I am financially responsible for payment of my office visits and additional products at the time of service unless some other payment arrangement is agreed upon with the management of Orlando Institute. I understand that refunds are never given under any circumstances. By signing this form, I acknowledge that I understand the risks of the proposed treatment and the medical staff of Orlando Institute has answered all of my concerns regarding my care. Patient Signature: Date: Witness: Date: Copyright 2012 Orlando Institute of Weight Management and Metabolic Medicine, LLC Page 10