Program Details

Health transition clinic is a physician directed weight management program for the purpose of treating chronic medical diseases including type 2 diabetes mellitus, hypertension, obstructive sleep apnea, chronic GERD, fatty liver, chronic back pain and degenerative arthritis and other chronic diseases.

Health transition clinic is also a medically supervised program focused on a nutritional cure for type 2 diabetes mellitus.

The key components of this program are an aggressive low carbohydrate diet  combined with close monitoring.  Anticipate frequent re-evaluations of medical needs, and reduction in medications at appropriate times.  Exercise is introduced later in the program, in order to maximize the likelihood of long-term success.  Throughout the 40 week program, you will be reevaluated weekly, either by the clinic nurse, the dietitian, or the physician.  Weekly visits are necessary for accountability, to adjust medication, and to ensure that any intercurrent problems are addressed in a timely manner.

The health transition clinic program is labor intensive.  Substantial and dramatic changes in lifestyle will often lead to marked changes in need for prescription medications.  By paring lifestyle change (typically noncovered services) with close medical supervision, covered by health insurance, many people achieve better health with less medication.  The program is divided into 3 phases: A four month induction phase, followed by a six month augmentation phase.  Finally, there is an indefinite maintenance (graduate program) phase.

Phase 1

The first phase of the program is the four month induction phase.  During this phase patients initiate a very intense low carbohydrate diet, with very close monitoring of blood sugars, blood pressures, and medications.  There are monthly group visits, and weekly nurse visits.  The frequent interactions allow adequate monitoring, and often frequent medication changes, while providing accountability necessary to be successful.  There is a subscription fee of $220 per month for four months.  In addition to the subscription fee, typical physician evaluation and management fees (E&M codes) are charged to your insurance at each of the 4 sessions to cover the physician (this is covered by all health insurance, copays and deductibles apply).  Additionally, nurse visits are charged to health insurance, copays and deductibles again apply.

Phase 2

The second phase of the program is the 5-6 month augmentation phase.  During this phase, we attempt to address all of the issues likely to interfere with your progress.  We focus significant attention on building a sufficient library of recipes to allow you to enjoy this lifestyle, without feeling deprived or  bored.  We continue to provide enough one on one attention to maintain a high degree of accountability.  We introduce and focus attention on all the behaviors necessary to have long term success, introduce exercise,  therapeutic fasting, strategies toward eating out at restaurants as well as family functions and traveling. There is a subscription fee of $90 per month for five months.  In addition to the subscription fee, typical physician evaluation and management fees (E&M codes) are charged to your insurance at each of the 4 sessions to cover the physician (this is covered by all health insurance, copays and deductibles apply).  Additionally, nurse visits are charged to health insurance, copays and deductibles again apply.

Phase 3

The third phase of the program is the indefinite maintenance phase.  We have previously called this the graduate program.  This open-ended program is offered to anyone who has completed the induction and augmentation phases.  It’s focus is to maintain accountability while re-amplifying the messages heard throughout the program.  There is a subscription fee of $10 per month. In addition to the subscription fee, typical physician evaluation and management fees (E&M codes) are charged to your insurance at each of the 2 yearly sessions to cover the physician (this is covered by all health insurance, copays and deductibles apply).  Additionally, monthly nurse visits are charged to health insurance, copays and deductibles again apply.

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