Your Path To Weight Loss

Here’s a breakdown of what you can expect when you become a patient of the Bariatric Center at Ellis Medicine.

Your Initial Visit:

Your journey starts with an initial consultation with our care providers. This is an important first step towards understanding your needs and goals so we can tailor your plan to what’s best for you and your body.

During this appointment, our experienced team will guide you through a thorough assessment, ensuring you are well-informed and comfortable with the process. We’ll discuss all your weight loss options, including medication-managed weight loss, nutritional coaching and weight loss surgery. We will also discuss the deep levels of support available through Ellis, including coaching, peer-based support groups, and access to additional diet- or exercise-related services.

Medical Workup/Risk Stratification/Clearance:

Following your initial intake, we’ll delve into completing a full medical workup. We’ll discuss your medical history, overall health, and existing medical conditions. We will also conduct any needed screenings and diagnostic tests.

Qualifying for Bariatric Care

Patients may qualify for weight-loss interventions based on specific criteria:
To be eligible for bariatric surgery, candidates must have:

• BMI of 40 or more (at least 100 pounds over ideal weight).
• BMI between 35 and 40, accompanied by a high-risk comorbid condition such as life-threatening cardiopulmonary problems (i.e., severe sleep apnea, Pickwickian syndrome, or obesity-related cardiomyopathy) or severe diabetes mellitus.
• BMI between 35-40, with obesity-induced physical problems that interfere with lifestyle (i.e., obesity prohibits a person from being treated for a joint disease, or body size problems preclude or severely interfere with employment, family function, and/or ability to walk).

Qualifications for medication weight loss:

• BMI of 30 or more or BMI between 27 to 30 with qualifying comorbidity
• Poorly controlled hypertension, diabetes, or sleep apnea
• Medication may be used to assist preoperative weight loss goals
• Note: Insurance coverage and national medication supply issues may affect participation in medically managed weight loss programs.

Preparing for Weight Loss Surgery

If you choose bariatric surgery, a letter of medical necessity from your primary care physician will be required. Once you have this letter, you will go through the following steps for education and physical assessments prior to surgical care. (Please note: The steps below require your insurance plan’s approval. For managed care and HMO patients, please remember to get referrals from your primary care physician when necessary. The Ellis bariatric team can assist with obtaining referrals if you need help.)

1. Schedule a one-on-one consultation to discuss surgery’s benefits, risks, and expectations/considerations and review the provided educational materials. During this visit, you’ll have the opportunity to meet with a registered dietitian, meet your case coordinator, and begin putting names and faces to your care team.
2. Undergo consultation/screening by a psychologist and nutritionist. Other clearances are also necessary (i.e., for pulmonary and other conditions that increase the risks of surgery).
3. Once you receive final clearance from our team, about two weeks before surgery, you will complete a pre-admission visit at Ellis Medicine. Additional lab tests may also be included.
4. On the day of your surgery, report to Ellis Hospital at your scheduled time.
5. Following surgery, you will be evaluated by the Bariatric Care Center Team to begin physical activity and walking as soon as possible.

Post-Op Labs and Medications:

1. Follow-up appointments will be scheduled regularly to monitor your progress and weight loss. Additional visits with the Bariatric Center Care team may be recommended to provide support as needed.
2. In addition to regular appointments, your doctor may recommend participation in support groups or counseling for continued success.
3. You will be invited to join the Bariatric Care Center social media Facebook Group, where you can access patient-to-patient support, encouragement, and advice.

Support Services:

Whether you choose surgical, medication-based, or nutrition-focused interventions, our holistic approach gives you access to ongoing support services. This includes meeting with a dietician, peer support, and coaching related to fitness, exercise, and overall wellness.

Ongoing Follow-Up:

Your journey doesn’t end simply because you’ve had weight loss surgery or because you’ve adopted a medication-managed solution. Ellis is committed to your long-term well-being. Follow-up appointments are scheduled at key intervals, allowing us to monitor your progress and address any concerns promptly. This includes routine labs to ensure your body is thriving.

Pregnancy and Special Considerations:

We provide specialized care for bariatric patients who plan to start or expand their families, including specific vitamins and lab testing during pregnancy. Our dedicated team supports you through every phase of your health journey.

Your success is our success, and we’re honored to be part of your journey to a healthier, more vibrant life. Our compassionate team is always here for you if you have any questions or concerns. Welcome to a brighter, healthier future!