Bariatric medicine: Difference between revisions

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==Diagnostic Studies==
==Diagnostic Studies==
* Laboratory Work: An “executive-type” profile including testing for thyroid function (TSH suggested), liver, kidney function, lipid profile, fasting blood sugar, uric acid, urinalysis, HgA1c etc. will be completed in addition to other laboratory work if indicated. If these tests were ordered recently by other providers, a copy will be requested.
* Laboratory Work: An “executive-type” profile including testing for thyroid function (TSH suggested), liver, kidney function, lipid profile, fasting blood sugar, uric acid, urinalysis, HgA1c etc. will be completed in addition to other laboratory work if indicated. If these tests were ordered recently by other providers, a copy will be requested.
* [[Resting metabolic rate test]] - A test that measures resting metabolic rate.
* Electrocardiogram: Required if there is reasonable evidence of present or past significant cardiac disease. In addition, the potential value of an ECG will be considered if coronary heart risk factors are present; e.g., hypertension, hyperglycemia, dyslipidemias or a strong family history of cardiac disease.
* Electrocardiogram: Required if there is reasonable evidence of present or past significant cardiac disease. In addition, the potential value of an ECG will be considered if coronary heart risk factors are present; e.g., hypertension, hyperglycemia, dyslipidemias or a strong family history of cardiac disease.
* Optional Tests: Body composition using skinfolds, infrared or impedance testing may be performed as additional testing. Other tests may be included at the discretion of our physicians/physician extenders.
* Optional Tests: Body composition using skinfolds, infrared or impedance testing may be performed as additional testing. Other tests may be included at the discretion of our physicians/physician extenders.
==Patient Counseling==
==Patient Counseling==
Appropriate counseling will be given to patients on proper eating habits, exercise, behavior modification, medications and other aspects of therapy, prior to and during the weight loss program. When prior medical records can be obtained indicating any of the above procedures have recently been completed, our physicians will try to avoid unnecessary duplication by performing only those exams needed to complete the bariatric work-up.
Appropriate counseling will be given to patients on proper eating habits, exercise, behavior modification, medications and other aspects of therapy, prior to and during the weight loss program. When prior medical records can be obtained indicating any of the above procedures have recently been completed, our physicians will try to avoid unnecessary duplication by performing only those exams needed to complete the bariatric work-up.