Can you tell me how your program works?
Our program is based on counting calories. When you come in, we'll have you register and fill out a health history questionnaire. You will then be taken back to our exam room by our friendly staff that will provide you with an orientation of our program, including education about counting calories and reading nutrition labels. Our Nurse Practitioner, (“NP”), Lydia T. Grant, will review your medical history and perform a brief exam on you. If you're a candidate for the program, you will be given a 30 day supply of an appetite suppressant and a Vitamin B12 injection. Our staff will then typically work with you to monitor your progress every month until you reach your desired goal weight.
What is a Nurse Practitioner?
Nurse Practitioners (“NP”) treat both physical and mental conditions through comprehensive history taking, physical exams, and ordering tests for interpretation. NPs can provide a diagnosis and recommendations for a wide range of acute and chronic diseases (within their scope of practice) and provide appropriate treatment for patients, including prescribing medications in some states. NPs can serve as a patient's primary health care provider, and see patients of all ages depending on their specialty (family, pediatrics, geriatrics, etc.). Similar to all medical professions, the core philosophy of the field is individualized care that focuses on patients' conditions as well as the effects of illness on the lives of the patients and their families. Like all medical care providers, NPs make prevention, wellness, and patient education priorities. In addition to providing health care services, NPs may conduct research and are often active in patient advocacy activities. To become licensed to practice, NP’s must be board certified in an area (such as family medicine, women's health, pediatrics, adult medicine, acute care, etc.), and are licensed through the state nursing boards. NPs must practice within the scope of their certification.
According to the International Council of Nurses, an NP/advanced practice nurse is "a registered nurse who has acquired the knowledge base, decision-making skills and clinical competencies for expanded practice beyond that of an RN, the characteristics of which would be determined by the context in which s/he is credentialed to practice."
Additional advanced practice RN roles include the certified registered nurse anesthetist (CRNA) s, CNMs, and CNSs.
NP’s can be educated and certified in areas of family health (FNP), pediatrics, including pediatric acute/chronic care, pediatric critical care, pediatric oncology and general pediatrics (PNP), neonatology (NNP), gerontology (GNP), women's health (WHNP), psychiatry & mental health (PMHNP), acute care (ACNP), adult health (ANP), oncology (FNP, ACNP, ANP, PNP or ANP) emergency (as FNP or ACNP), occupational health (as ANP or FNP), etc. In Canada, NPs are licensed by the province or territory in which they practice.
What is the name of your appetite suppressant? Is it safe?
The name of the appetite suppressant that we dispense at our center is called Phentermine. We are also offering the Brand name of this medication which is called Adipex. These medications are safe; FDA approved, and have been available for over 50 years.
I think I have a slow metabolism. How much weight can I lose?
Average weight loss in a month is typically 8-10 pounds. There are factors that may cause you to either lose more or less weight. Some of these factors could include: your adherence to the program; frequency /portions of food consumed, exercise, water intake, certain medications that you may be taking, etc.
Are there any side effects from the medication?
Common side effects include dry mouth, jitteriness, rapid heart rate, nervousness, and constipation. Most of these side effects will diminish over the course of a few days. We ask all patients to start with 1/2 of a tablet to help minimize the likelihood of side effects.
I suffer from Diabetes and Hypertension. Can I still be on your program?
This program is generally safe for a majority of patients with health conditions; however, when a patient does have high blood pressure, we ask that the blood pressure be under control from their Primary Care Provider, (“PCP”). While you are on the program, we will request that you monitor your blood pressure at home daily prior to taking the appetite suppressant, and that you keep a log of your blood pressure. There are occasions in which the blood pressure is very high, which will result in our not being able to dispense the appetite suppressant. We would then advise you to go to your PCP. Once the blood pressure is under control, and if your PCP medically clears you, you can resume taking the appetite suppressant medication again. Most patients will notice as they lose weight, that their blood pressures and blood sugars generally improve. At times, this results in a decrease in dosage or discontinuance of their blood pressure and /or diabetes medication by the PCP. We ask you to be honest about any medical conditions in which you may have. There are several medical conditions which can make the patient not a good candidate to receive the appetite suppressant.
If I'm not hungry while on the program do I still need to eat?
Often times, when taking the appetite suppressant, the sensation of wanting to eat decreases. Although the temptation to skip meals/snacks is there, it is very important that you eat. When you don't eat regularly, your metabolism will slow down thus causing your body to store fats. The net result will be a decrease in your chances of losing weight.
I haven't exercised in years. Can I still be successful on this program?
Absolutely! When a patient comes in and they're either deconditioned or fatigued, we will ask them to focus on the eating aspect of the plan for the first month. Once a patient looses 5-10 pounds, they become more energetic and motivated. That is when we encourage the addition of simple exercises to their weight loss program (i.e. walking) 3-4 days per week until they are able to gradually work up to 4 days /week of exercise. Most people are astonished to see that they become more energetic and begin getting more strength and stamina.
My entire family is obese. I think its genetics. Can I still lose weight on this program?
Although genetics can definitely influence the likelihood of developing potential medical problems for people, studies have shown that losing weight and developing a healthy lifestyle can decrease your chances of developing certain conditions. This program is ideal for these types of patients.
What is the cost of your program?
The cost of our program depends on whether you prefer “Generic vs. Brand" medication. New patients requesting the generic appetite suppressant are $90.00.... New patients receiving the brand medication are $120.00. After your first visit, you are then considered an established patient. The prices will then be $80.00 (generic) and $110.00 (brand).
I've been told that I will receive an injection. Can you tell me what it is and why I'm getting it?
We offer is a Vitamin B12 injection which provides our Patients with the following benefits:
- Vitamin B12 is needed to convert carbohydrates into glucose in the body, thus leading to energy production and a decrease in fatigue and lethargy in the body.
- Vitamin B12 helps in healthy regulation of the nervous system, reducing depression, stress, and brain shrinkage.
- Vitamin B12 maintains a healthy digestive system. It also protects against heart disease by curbing and controlling unhealthy cholesterol levels, protecting against stroke, and high blood pressure.
- Vitamin B12 is essential for healthy skin, hair, and nails. It helps in cell reproduction and constant renewal of the skin.
- Vitamin B12 is scientifically proven to help protect against cancers including breast, colon, lung, and prostate cancer.
Make sure that your body is getting enough Vitamin B12 by incorporating these foods into your diet: liver, meat, eggs, milk, cheese, and some varieties of fish.
I'm fearful of receiving injections. Is it absolutely mandatory that I receive it?
Receiving the Vitamin B12 injection is included in the cost of the visit but is not mandatory. Occasional reactions to the Vitamin B12 injection may include pain/burning while receiving the injection, headache, nausea, and an occasional tiny bruise at the site of the injection.
How often are the follow-up appointments?
Follow up appointments vary with each individual. Most of our patients will follow-up in one month. Some patients continue to take half a pill; therefore their follow-up would be every two months.
What does a follow-up appoint consist of?
Follow-up appointments are necessary due to the fact that these are controlled medications. We will check you in, weigh you, check your progress using the BMI calculation, check your blood pressure, answer any of your questions and concerns, reinforce behavioral changes related to nutrition and exercise, give you the Vitamin B12 injection, and a 30 day supply of the appetite suppressant.
Do I have to schedule an appointment or do you accept walk-ins?
We are proud to announce that we accept appointments as well as walk-in patients. We are very flexible and do our best to accommodate people’s schedules.
I'm running low on the appetite suppressants; can I swing by and pick some up?
Because it is a controlled medication, it is necessary to have a follow-up visit before we can dispense a refill of the medication.
How and when should I take the medications?
We ask that our patients always start with 1/2 a tablet for at least a week prior to increasing the dose to one entire pill. No more than one pill is indicated per day.
Can I drink alcoholic beverages while on this program?
Alcohol is allowed on this program; however, please keep in mind that alcohol contains a lot of calories.
Please Note: We encourage making wise choices; Example: instead of having a Margarita which is 750 calories. The tequila and triple sec contribute roughly 500 calories, and the 1/2 cup of margarita limeade mix kicks it up another 250 calories. The result equates to more calories than one would find in many restaurant meals.
Once I reach my goal weight, will I gain back all of my weight that I had lost?
Many patients often ask this question. As with any program, you are educated on how to eat properly, decrease your portion sizes, exercise, and drink plenty of water. Sometimes, when people get to their goal weight, they forget that this is a lifestyle change and revert to their old behavior patterns and habits. Some examples of this process include skipping meals/snacks (especially breakfast), eating larger portions, not drinking enough water, excessive alcohol intake, lacking on their exercise regimen, etc. At New Beginnings Weight Loss Center, we encourage that our patients never abruptly stop their appetite suppressant. When it comes down to you getting closer to your desired goal weight, we will instruct you on how to taper off of the medication and adjust your caloric intake accordingly.
If I haven't visited your center in several months, can I come back and resume the program?
Absolutely!! You are always welcome to come to New Beginnings Weight Loss Center. We know that situations occur in life that may affect your weight. We are here to help you succeed. If you ever have any questions or concerns, please feel free to call us.
Are there any meals that I am required to purchase on your program?
No, there are never any prepackaged foods to purchase. We believe that patients should make healthy decisions as to what they would like to eat. By providing you with the right tools, you will be able to purchase your foods at the grocery store and incorporate fresh, healthy options into your lifestyle.
What forms of payments do you accept?
We accept cash as well as credit cards (Visa, MasterCard, and Discover). We do not accept checks or American Express at this time.