This is the first step in improving your health and lifestyle.

I'm ready to get started now.

At Tidewater Bariatrics, we will develop an individualized program that meets your weight loss needs. Your first visit will be with our clinic nurse who will do your initial laboratory work and EKG, body composition analysis, and complete your health history.

Your second visit will be with Dr. Gaglione who will review your history, EKG and laboratory results, perform a physical, and develop your weight loss program. All patients must come to the clinic weekly for blood pressure monitoring and a weigh in. All patients will be seen weekly to monthly by Dr. Gaglione to review their goals and progress.

After your initial nurse and physician consultation, you and Dr. Gaglione will decide which program is best suited to optimize your success. Tidewater Bariatrics is supported by Health Management Resources ® (HMR®).

HMR has led the way in weight management for more than 30 years and is the program used by many academic university programs including the University of Kentucky Medical Center, University of Kansas, University of California at Irvine, and University of Nevada. The meal replacements are delicious, low in simple carbohydrates and fat, and high in protein.

Tidewater Bariatrics offers the following weight loss programs:

Decision Free® Diet

This is our most intense program. It requires weekly physician supervision and attendance at weekly nutritional classes. This diet is designed for patients who need to lose 30-60 pounds or more. It promotes rapid weight loss under medical supervision. During the Weight Loss Phase, patients will only use nutritionally complete HMR® Shakes and Entrees, instead of grocery store foods. After the Weight Loss Phase I, patients will enter the Transition Phase which involves the use of meal replacements and the reintroduction of other select foods (similar to the Healthy Solutions® program below)

In the Transition Phase, close behavioral supervision and support via attendance at nutrition classes is imperative. The final phase, Maintenance Phase II, starts after completion of the Transition Phase. Patients will learn additional strategies to maintain their weight in the "real world."

Patients using this diet will have laboratory tests done at regular intervals. The use of prescription medication and supplements will be determined on an individual basis by Dr. Gaglione.

 

Healthy Solutions®

This program is designed for patients who wish to have the option of using meal replacements as well as fruits and vegetables. Patients will be seen weekly. Attendance at the nutrition classes is required. Use of prescription medication and supplements will be determined on an individual basis by Dr. Gaglione.

HMR at Home®

This program is designed for patients who don't have the flexibility in their schedules to attend weekly educational classes or make weekly medical visits. It is designed for patients who wish to have the option of using meal replacements as well as fruits and vegetables. Meal replacement orders can be made over the telephone and shipped directly to the patient.

 

Smart Choices

This program is designed for patients who wish to buy their own groceries using the Tidewater Bariatrics Food Guide. Patients will be seen weekly, with appointments alternating between Dr. Gaglione and a health educator. Use of prescription medication and supplements will be determined on an individual basis by Dr. Gaglione.

Pharmaceutical Treatment

Dr. Gaglione will prescribe medication as required for appetite suppression and as necessary to treat your obesity. As with any medical therapy, this care needs to be individualized and designed specifically for you.

 

Supplements

As with the use of medication above, the use of nutritional supplements, vitamins and minerals will be determined on an individual basis.

Coastal Internal Medicine

Coastal Internal Medicine and Tidewater Bariatrics is a TPMG practice. If you would like Dr. Gaglione to be your primary care physician, please let the office staff know.

This is the first step in improving your health and lifestyle.

At Tidewater Bariatrics, my staff and I are committed to helping you achieve your weight loss goals.

I am a board certified Bariatrician and Internal Medicine physician. I will tailor a program specific to your needs, time constraints and abilities.

Our program is modeled after successful academic university medical center programs, and is dedicated to decreasing your health risk, improving nutrition, providing health education, and increasing your overall wellness. You can expect to lose weight, improve your cardio-vascular health, and reduce your risk of developing long-term obesity complications.

Even if you already have the complications of obesity, weight loss can decrease or eliminate their effects.

Dr. Margaret Gaglione

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