About the Clinic

Health Transitions Clinic offers the Greater Cedar Rapids area with a medically supervised weight loss program to help those who are overweight, and dealing with medical issues that accompany the condition including:


  • Type 2 Diabetes Mellitus
  • High blood pressure
  • Sleep apnea
  • High cholesterol
  • Back pain
  • Heart disease
  • Chronic back pain
  • Osteoarthritis
  • Depression
  • Gastroesophageal Reflux Disease (GERD)

The ten month program offers guidance from a physician, a dietician, monthly check-ins, support meetings, and tools to track progress.

The process starts with an understanding of what dietary changes are necessary, implementing those changes, coupled with simultaneous changes in medications. Close monitoring of weight, blood pressure, and blood sugar are necessary through this process. After your initial weight loss, we’ll help you transition to an active lifestyle and work with you to develop a new diet that you can maintain and enjoy.

Health Transitions Clinic is located on the main level of the Physicians Clinic of Iowa medical pavilion.


About the Team


Charles Pruchno, MD, FACP

I have been a practicing nephrologist- a kidney specialist- in the Cedar Rapids area for the past 24 years.

As a kidney specialist, it didn’t take me long to realize that the largest percentage of patients with kidney disease had diabetes. For much of my career I focused an enormous amount of energy learning everything I could about diabetes. I became a local diabetes expert in the Cedar Rapids area, and for years was medical director of the Crawford Diabetes center, and later the Joslin Diabetes center. Read more


William Clayton, MS, RD, LD, CC

I have a passion for food that started at a young age. My father worked as a chef, until he became the owner of a bakery. With his influence, I started cooking at an early age and began working in his bakery in middle school. At 16, I took my first kitchen job working as a dishwasher in a local pizza shop. By the end of the first year, I’d worked my way up to the line cook. Through years of hard work, I climbed the ladder from dishwasher to line cook, prep cook to assistant chef and sous chef. Finally, I worked as head chef in various restaurants while I was in graduate school.

I have a master’s degree in clinical nutrition therapy and completed a dietetic internship with Saint Louis University. I have a bachelor’s in culinary nutrition from Johnson and Wales University. These degrees give me a unique combination of skills to work most efficiently with people needing nutrition knowledge. I have been a practicing dietitian for almost three years. As a dietitian, I have never followed the “rules,” telling people what to eat. My goal is to teach patients how to eat. I believe having the knowledge to follow a healthy lifestyle is only part of the puzzle and knowing how to apply that knowledge is just as important.

  Alissa Ulrich, Patient Services Coordinator

I attended Kirkwood Community College. I worked in long term care setting for 11 years, in addition to various roles in the healthcare field over the past 5 years. I take pride in working with patients while helping them achieve their healthcare goals. I started as Patient Service Coordinator for Dr. Pruchno, May 2017. I love what I do; working with our patients and watching their health steadily improve. Each of their successes makes my job more enjoyable. I grew up in Cedar Rapids.  Outside of work I enjoy bonfires, traveling, fishing, camping, cooking, hunting, and going to concerts.  I enjoy fun crafty projects as well.

  Erin Williams, RN, BSN

I graduated with my RN, BSN degree from Mount Mercy College in 2007. I’ve been practicing now for almost 10 years in various nursing professions: med-surg, skilled nursing care and hospice care. For the last two years, I’ve taken on the role of clinical nurse for Dr. Pruchno. My interests outside of work are: working out, fishing, golfing, camping, walking my dog, traveling, and hiking. Health and fitness have always been my passion, which makes this job perfect for me. To share that passion with others and see others grow individually is a rewarding experience as a health professional.

  Brandy Powers, MA

I graduated with my Associates degree in Applied Science from Kaplan University in 2009.  I am currently a full time Nursing student with expectations to graduate with my Associates in Nursing  in February 2019. I have spent the majority of my medical career working for Podiatry specialists. I also enjoy Real Estate as I have worked as a Realtor.  I have been with Dr. Pruchno since February 2017.  The most rewarding part of my position is watching real people change their lives and transitioning to a healthier lifestyle. Outside of work I enjoy spending time with my family.  I have three daughters who keep me very busy.  They are involved in softball, volleyball, track, and basketball.  I enjoy playing in softball and volleyball leagues when I can find free time.  If I am not on the bleachers, on the court, or on a field I enjoy cooking and watching lifetime movies.