Medical and Surgical Weight Loss Center

Medical and Surgical Weight Loss Center Providers

Medical and Surgical Weight Loss Surgery Center

Welcome to the Medical & Surgical Weight Loss Center. Your comprehensive and personally tailored program is just ahead, and we hope you are as excited as we are to begin your care.

Our expert team is standing by to coach and guide you along the journey to better health and a new outlook on life. Many have come before you and are living better lives thanks to their dedication and willingness to be led by our experts. Today is a new day, and tomorrow brings hope. Let’s get there together.

Our program offers three pathways to fit your specific needs

Medical Weight Loss and Wellness- Our Bariatrician and Nutritionist will do a full evaluation of your current health and weight, clarify goals, and identify your best options for success. With Bi-weekly appointments, personal planning and access to our nutritional resources, you will see positive changes with each appointment

Celebrate Nutrition / Supplemental Program- In addition to the medical weight loss pathway, you have the option of participating in our exclusive and medically directed nutrition program. This 12 week program utilizes meal replacement products, such as protein shakes and supplements to guide meal planning with weekly 1:1 coaching sessions by our experts. Lose weight the healthy way and learn how to approach meals for continued, life-long changes.

Bariatric Surgical Options- For those who are interested in a physical, surgical change to the digestive system to aid weight loss, we offer two surgeons with years of experience in bariatric procedures. Along with our Bariatrician Doctor, your health will be holistically evaluated for a shared decision between the Surgeon, Bariatrician and you concerning which surgical option will provide the best outcome for life long changes.

In any pathway that you choose, we supply the following:

  • One, complementary, body composition analysis
  • Bariatrician evaluation and planning
  • Nutritionist evaluation and coaching
  • A marketplace for supplemental meal / nutritional snacks
  • Free weight check-ins
  • Group support in person or online

Losing weight can be challenging and overwhelming. Our team at the South Bend Clinic is excited to help you in your weight loss journey. Our board-certified physicians, surgeons, dieticians and health coaches will help you lose weight safely and effectively.

OBESITY is a chronic, complex, treatable disease. The treatment for obesity needs a multidisciplinary team approach consisting of behavior therapy for lifestyle interventions, medications and bariatric surgery. Obesity is defined as having a Body Mass Index (BMI) of 30 and above. BMI is a measure of body fat based on height and weight that applies to adult men and women.

The Medical and Surgical Weight Loss Center, a South Bend Clinic partner, is excited to offer you the following weight loss options:

Surgical Treatments

Our expert surgeons perform high volume bariatric procedures including vertical sleeve gastrectomy, Roux -en-Y gastric bypass and revisional surgeries (for complications of previous weight loss surgery)

Non-Surgical Treatments or Medical Supervised Weight Loss

This is individualized and personalized weight loss treatment for patients seeking alternatives to surgery

Surgical Treatments / Bariatric Surgery

Frequently Asked Questions for Bariatric Surgery

Q. What is Bariatric Surgery?

Bariatric surgery is sometimes called weight loss surgery. It is intended to help people that have struggled to lose weight. There are two types of surgery;

  • Roux-en-Y gastric bypass
  • Sleeve gastrectomy

Q. How do these surgeries help me to lose weight?

Bariatric surgeries can serve two functions, these include the following:

Restrictive surgeries– (like gastric sleeve) work by physically restricting the stomach’s size, limiting the amount of solid food you can eat. A normal stomach can hold about three pints of food. After weight loss surgery, a stomach may only hold one ounce of food, although over time it may be able to hold two or three ounces of food.

Malabsorptive surgeries (like gastric bypass) work by changing the way your digestive system absorbs food. This type of weight loss surgery is more complicated. The surgeon removes parts of your intestine, creating a shortcut for the food to be digested. This means that fewer calories get absorbed into the body. The combined malabsorptive/restrictive surgery also creates a smaller stomach pouch, which restricts the amount of food you can eat.

Recent studies have also shown that both of these surgeries also effect the levels of hunger and satiety hormones in your body which helps in long term weight management.

Q. How do I know which surgery is right for me?

You will be having a one on one consultation with the bariatric surgeon to discuss the same. The visit with surgeon will help you understand the risks and benefits with each surgery and come to a plan to choose the right surgery for you.

Q. How much weight will I lose after surgery?

The amount of weight that you lose will be dependent on multiple factors including your compliance with lifestyle modifications including diet, physical activity and behavior modifications. Studies have shown on an average, a patient can lose 20-35% of their total body weight at the end of 1-2 years after surgery. The exact amount depends on the type of surgery and ongoing patient’s behavior changes and lifestyle modifications.

Q. How do I know if I am eligible for surgery?

To be eligible for Bariatric surgery you must have a, Body Mass Index (BMI) above 40 or a BMI >35 with two or more chronic diseases. These chronic diseases include – hypertension, Type 2 diabetes, sleep apnea, depression and anxiety.

Q. How long does it take to get ready for bariatric surgery?

It takes around six months after the first visit with the physician to get ready for the bariatric surgery. During these six months you will be having on going testing, behavior counselling and psychological evaluation to prepare for surgery and have good results.

Q. Will my insurance pay for the surgery or can I pay out of pocket for this program?

We will assist you to contact your insurance company to get specific answers to your benefits. Not all insurance companies cover this service and it is important to know this information. In addition, we are able to offer a cash price for this service and will be happy to discuss this personally with you.

Q. Do I have to take any supplements before or after surgery?

One of the risks with all types of weight loss surgery is increased risk of deficiency of micro-nutrients (vitamin and minerals). To prevent this risk, the national guidelines, advise that all patients with weight loss surgery should take appropriate vitamin and mineral supplementation. Our support staff will explain this to you in detail and suggest appropriate bariatric multi-vitamins.

During the pre- surgery phase, you will also be required to go on a full liquid diet 2 weeks prior to surgery. This full liquid diet consists of meal replacement protein shakes. Studies have shown that doing the two week of full liquid diet just before the surgery, helps to shrink the liver and have better outcomes after the surgery.

Please use your insurance card to call member services for assistance with the following questions. This is to ensure that your insurance will cover your bariatric surgery.

Insurance Benefit Questionnaire

Non-Surgical Treatments or Medical Supervised Weight Loss Program

  1. Medical Supervised Weight Loss Program using Meal Replacement Products – This is a medically supervised weight management program that utilizes meal replacement products and behavior change counseling to help patients reach and maintain their weight-loss goals.

Frequently Asked Questions about this Program:

Q. How is this program Structured?

This is a structed program that utilizes meal replacement products. These meal replacement products are evidence-based interventions that are safe and effective for weight loss.

Dr. Dhuper who is a board-certified physician in Internal Medicine and a diplomate of American Board of Obesity Medicine will be doing a sixty minute one on one consultation at the first visit. This comprehensive evaluation includes:

  • Detailed review of medical history
  • In depth review of your weight history
  • Analysis of your nutrition, exercise status and factors contributing to weight gain
  • A detailed Body Composition Analysis (Read More about BCA)
  • Laboratory studies if indicated

The program is divided into 3 phases:

  1. Jump phase – this last for 2 weeks and the nutritional needs are met by using meal replacement protein shakes, bars and snacks
  2. Burn phase – is from week 3 to 12. Patient uses meal replacement supplements and grocery food to meet their calorie and nutritional requirements.
  3. Maintain phase- after the 12 weeks, patient transitions to grocery food meal plans, with ongoing behavior health counselling.

Patient is expected to have weekly follow ups for 12 weeks for nutritional and behavior counselling. These weekly follow ups are with a registered or health coach. Patient will follow up with the medical bariatrician (weight loss doctor) once a month for 3 months.

Q. What is the cost of the program?

The visits with the dietician, health coach and the physician, is billed to patient’s insurance. Patient is responsible for copays, deductibles or any services that is not covered by health insurance.

Patient is also responsible for the cost of the meal replacement products. The average cost of supplements for the twelve-week program is $18/day.

Q. How much weight will I lose with the program?

The amount of weight loss varies and depends on your overall efforts in following the program and behavior changes. On an average most patients can lose close to 5-8% of total body weight by the end of 12 weeks.

  1. Medical Supervised Weight Loss program using grocery food

This program is for patients who are not wanting to use the meal replacement products. This program starts with a one on one consultation with the bariatrician (weight loss doctor) followed by regular follow up with registered dietician, health coach for ongoing behavior and lifestyle modification counselling.

Frequently Asked Questions about this Program.

Q. How is the program structured?

Dr. Dhuper who is a board-certified physician in Internal Medicine and a diplomate of American Board of Obesity Medicine will be doing a sixty minute one on one consultation at the first visit. This comprehensive evaluation includes:

  • Detailed review of medical history
  • In depth review of your weight history
  • Analysis of your nutrition, exercise status and factors contributing to weight gain
  • A detailed Body Composition Analysis
  • Laboratory studies if indicated
  • An initial weight loss plan tailored to your needs
  • An ongoing re-evaluation and adjustment of the plan to in-corporate the tools right for you
  • Initiation and adjustment of medications (if indicated) to help with appetite control and weight management
  • Adjustment or discontinuation of medications that you may be taking for diabetes, blood pressure or cholesterol

Follow up visits and what to expect:

  • Close follow up has shown to provide better results, hence for the first month we would like to check your progress once a week for 4 weeks. These visits will be with a registered dietician and or a health coach for ongoing behavior and lifestyle modification
  • After the first 4 weeks the appointments will be every other week or once a month depending on patient’s needs.
  • If a weight loss medication is started then a close follow up, once a month is necessary for the first 3 months to check the efficacy and tolerance of the medication.
  • Refills of the weight loss medications has to be in person visits and cannot be called in to the pharmacies

Q. What is the cost of the program?

The visits with the dietician, health coach and the physician, is billed to patient’s insurance. Patient is responsible for copays, deductibles or any services that is not covered by health insurance. Patient is also responsible for the cost of the medications, if a medication is prescribed for weight management.

Q. Are weight loss medications available?

Depending on medical appropriateness and insurance prescription coverages, patients may be prescribed medications for weight loss, if desired.

Q. What is Body Composition Analysis (BCA)?

Body composition Analysis refers to measuring your body composition, generally known as your body muscle, fat, and water. Instead of focusing on a single number on your scale, body composition analysis allows to focus on losing body fat and gaining muscle mass. BCA is the key to tracking and maintaining effective weight loss. It also helps to measure the basal metabolic rate, which in turn helps to determine the daily calorie requirements for losing weight,

The test entails standing on a body composition scale and the measurement is done in less than 45 seconds and prints out a results sheet which lists out your body composition components, tracking your progress over time. The device shows you key components of your health like your:

  • Skeletal Muscle Mass
  • Percent Body Fat
  • Body Fat Mass
  • Basal Metabolic Rate
  • Visceral Fat Level and more!

Your first BCA measurement is totally free of cost/complimentary at the initial visit with the bariatrician. It is advisable to repeat the BCA measurement every 3-4 months during the weight loss phase. This is not a covered service by all health insurance and the out of pocket cost for subsequent BCA after the first one will be $35.

Located at:

301 E. Day Rd.

Mishawaka, IN 46545

574-307-6522

Monday & Tuesday: 8am-6pm

Wednesday & Thursday: 8am-5pm

Friday: 8am-12pm

Please, do not hesitate to call us at 574-307-6522 for any questions or to make an appointment.

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