Questions and Answers

How is your office different?

This office schedules patients by appointment only, with little or no waiting time. We don’t require painful injections, won’t starve you and we don’t give every patient the same program and medications.

 

How should I choose my doctor?

The overweight condition is one the most challenging and persistent problems in medicine. Therefore, you are best treated by an M.D. whose qualifications include proper training, experience and knowledge in the field of prevention. Dr. Salvati’s goal is to deliver long term treatment, ideally reversing and preventing chronic illness. She believes that preventing risk factors such as diabetes, hypertension, arthritis and hypercholesterolemia can be obtained through a healthy diet and lifestyle modifications.

 

How much does it cost?

The initial consultation is $225. After that, it is $225 per month, and patients are usually seen every 1-2 weeks. There are no contracts. Your investment includes a physical exam, metabolic body composition analysis, doctor visits and nutritional counseling as needed. Depending on the program, nutritional supplements and medications are billed separately and vary from patient to patient. Blood tests are billed separately. (Click here for additional information on blood tests.) Medications normally average $15 - $30 per week.

 

What about B12 injections?

B12 injections do not cause weight loss, but other offices may require them 2-3 times a week to generate more return visits. This is unnecessary and can be painful. Dr. Salvati does not use injections casually and will discuss this on your first visit.    

 

Do you accept health insurance?

We do not accept Medicare, Medicaid or private insurance. Medicare and Medicaid do not reimburse for weight loss but will reimburse medical conditions being treated. Some private insurances may cover weight management and you can submit claims for possible reimbursement.  Payment is expected at time of service. For your convenience, we accept Visa, MasterCard, Discover and personal checks.

 

May I have appetite suppressants on your program?

After a complete medical evaluation, Dr. Salvati will discuss the possibility based on your medical condition and discuss whether this is for you. Prescription appetite suppressants can be used to reduce hunger and appetite, reduce thoughts of food (aversion), and make you feel fuller on smaller portions (satiety). They can increase your ability to adhere to your plan. Dr. Salvati will review the benefits and risks of the medication and you will be fully informed with the type and strength of any prescription medication. We do dispense medication in our office or you may use an outside pharmacy if you prefer. Results will vary from patient to patient.

In the event that prescription suppressants are not appropriate for you and you request aid in decreasing your appetite, Dr. Salvati has non prescription appetite supplements that are helpful in reducing hunger. There are other options available to you.

 

Do I have to buy food products?

No. Dr. Salvati’s meal plans are designed for each individual’s lifestyle. If a patient wishes more structure and a degree of portion and calorie control, liquid protein and/or protein bars can be implemented into your diet. Most plans utilize everyday foods with nutritional counseling.

 

What happens on the first visit?

You will fill out a medical questionnaire, have blood tests, and EKG, RR Trend test, body composition analysis, consultation and medical exam with Dr. Salvati and discuss an eating plan. This first visit usually takes approximately one hour. Return visits to the doctor are required at two week intervals, occasionally more often depending on your program.

 

Can I fill out patient forms before arriving to my first appointment?

Yes. Our office encourages printing and filling out the patient forms prior to arrival. Click here to view and print the required forms, fill them out and bring them with you when you come in for your appointment to save time. These forms require Adobe Acrobat Reader to view.

 

Will I gain the weight back?

Most patients who adhere to the lifestyle changes of proper food choices, exercise and behavior modification can keep their weight in check. Medications have been shown to be safe and effective for weight maintenance as well as weight loss. We recommend gradual tapering off medications after you reach your target weight.

 

What are the risks with remaining overweight?

There are certain risks with remaining overweight or obese. Among these risks are tendencies for high blood pressure, diabetes, heart disease, arthritis, and certain cancers. These risks may be modest if you are not very overweight. Even if you don’t need to lose much, the cosmetic and psychological benefits of weight loss can be very rewarding. If you are extremely overweight (50 – 100 pounds) a reduction by only 10 percent of your starting weight can reduce your risks of medical complications.

 

What type of blood tests will be performed?

Blood tests are drawn quickly and privately in our office. Patients are requested to be fasting (nothing to eat or drink at least 6 hours prior to testing). Tests are billed separately and average $80. If you have had blood tests within four weeks and bring the results with you, further testing may be unnecessary.

The blood tests include:
   • Lipid panel (total cholesterol, HDL, LDL, VLDL, Triglycerides)
   • Blood chemistries (Na+, K, Cl, C02, Glu, BUN)
   • Kidney function (Albumin, Calcium, BUN, Creatine)
   • Liver function (Alb, TBili, BDili,Alk, Phos, AST, ALT, TP)
   • Complete blood count (red, white cells, platelets)
   • Thyroid Panel (TSH, T3, T4, FTI)
   • Extra hormone tests are available by request:
      –    Men: PSA / Total testosterone: $40
      –    Women: FSH / LH (Menopause hormone test) $75

Dr. Salvati will review the results and provide you with a copy for your records.

 

 

Are children treated in the office?

No. Dr. Salvati treats individuals ages 16 (with parental consent) and above.

 

Can my prescription be phoned in?

No. It is our policy to not phone in prescriptions. Patients must be seen in the office by the doctor for medications.

 

What else should I know?

You should understand that there are many ways and programs to assist you in your desire to lose weight. If you have been discouraged with other programs or if your willpower for calorie counting or food exchange programs has been unsuccessful, a medically supervised program such as ours offers you an option to prevent discouragement and hopeless feelings about your weight. You need to know the success of our program will depend on your efforts and motivation. We cannot guarantee success, as a tendency to be overweight is a life-long problem and you will need to continue watching your weight all of your life.

 

How can I get started?

Call us at (561) 495-1885 for an appointment, or use our on-line appointment scheduler to book your consultation with Dr. Salvati. Please also print and fill out our initial medical forms prior to your appointment.

 

How fast can I lose weight?

Results vary from patient to patient; Dr. Salvati will work with you to set a realistic goal. Slow steady loss works best and is associated with less fatigue, fewer complilcations and less risk of sagging skin. Semi-starvation diets of less than 800 calories can be unsafe.

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