Dr. Darm medically supervised weight loss programs at Aesthetic Medicine in Portland. The average patient losses 40-60 lbs in 3 to 6 months period.

1. DR. DARM AESTHETIC MEDICINE

2. DR. DARM AESTHETIC MEDICINE

3. 5 MAJOR COMPONENTS Meal Replacements Behavior Modification Training Medical Supervision: Physician, Registered Dietitian, and Medical Assistants Exercise Maintenance Program

4. MEAL REPLACEMENTS Benefits of meal replacements Decision free – client doesn’t have to make a lot of choices, plan meals, shop for food, etc. Gives client a break from current eating behaviors and relationship with food while learning new skills. On an average, more than 3 times as much weight is lost and maintained using meal replacements compared with traditional diets. Average weight loss on a “meal replacement only” program is 3lbs. per week. Such a weight loss can rapidly improve obesity related medical conditions, including high blood pressure, diabetes, and high cholesterol and triglycerides. Meal replacements improve dietary compliance, decrease hunger, and allow optimal nutrition intake at a lower calorie value.

5. BEHAVIOR MODIFICATION TRAINING Weekly classes are designed to teach skills necessary to become an effective self-manager, instead of relying on willpower. Classes include such topics as: planning, environmental control, emotional eating, self-talk, building support, body image, portion control, physical activity, as well as healthy eating.

6. MEDICAL SUPERVISION Our staff are professionals trained in the weight loss field: Dr. Jerry Darm MD – Medical Director, Nancie Fisher RD – Registered Dietitian, Marge Norman RD – Registered Dietitian, and Molly Webb MA – Medical Assistant. What is monitored? Medications, appetite suppression, body composition analysis, lab draws, blood pressure and EKG. We also coordinate your progress with you primary care physician.

7. EXERCISE Exercise is one of the major predictors of successful weight loss and, even more importantly, weight maintenance. Our goal is to train clients to incorporate physical activity into any lifestyle, understand its importance, and learn to enjoy it!

8. MAINTENANCE Clients entering maintenance for one year and classes available to them for continued healthy behaviors for a lifetime.

9. MEDICAL PROGRAMS LOW CALORIE DIET (LCD) HEALTHY SOLUTIONS (HS)

10. Low Calorie Diet (LCD) 5 or more nutritionally balanced meal replacements a day Weekly medical supervision during the first month and once a month thereafter Weekly class or dietitian/nutritionist visit (Additional cost for individual appointments) Weekly medical check-in Monthly lab work Monthly body composition analysis

11. Healthy Solutions (HS) 2 or more nutritionally balanced meal replacements, 2 entrees, 5 servings of fruits and vegetables a day Weekly medical supervision during the first month and once a month thereafter Weekly class or dietitian/nutritionist visit (Additional coast for individuals appointments) Weekly medical check-in Quarterly lab work Monthly body composition analysis

12. OUR PROVIDERS Dr. Darm: Medical Director & Owner of Medical Weight Management. Dr. Darm has specialized in weight loss for 15 years. He has practiced aesthetic medicine for the past ten years with over 50,000 laser procedures performed. Previously, Dr. Darm was a board certified Emergency Medicine physician with over 20 years of experience. He graduated from Stanford University with a Bachelor of Science in Biology and a minor in Psychology. His medical training was obtained at OHSU.

13. OUR PROVIDERS Ms. Fisher Registered Dietitian: Ms. Fisher has been with Dr. Darm since 2001. She has a Bachelor of Science from Oregon State University and completed her Internship at Indiana University Medical Center. She came to work with Dr. Darm in his practice after a 20 year relationship with Providence Medical Center. She has also taught out-patient weight loss classes for the Sisters of Providence, and she received her Certification of Training in Adult Weight Management.

14. OUR PROVIDERS Ms. Norman Registered Dietitian: Ms. Norman graduated from Oregon State University with a Bachelor of Science degree and completed her internship at Mayo Clinic/St. Mary’s Hospital in Rochester, MN. She practiced as a clinical registered dietitian at Providence Portland Medical Center for 20 years before leaving to work in the family business. She resumed her dietetics career and joined Aesthetic Medicine, specializing in medical weight management.

15. ABOUT DR. DARM Dr. Darm has practiced aesthetic medicine for the past 15 years, performing over 50,000 laser procedures. Previously, Dr. Darm was a board certified Emergency Medicine physician (ER doctor) with over 20 years experience. He graduated from Stanford University with a Bachelor of Science in Biology and a minor in Psychology. His medical training was obtained at OHSU. Dr. Darm opened his private practice, Aesthetic Medicine, in 1995. Initially specializing in weight loss, he expanded to include hair removal and rosacea treatments in 1997. Since that time, new services have been added yearly to promote health, wellness and beauty. Dr. Darm has pioneered his own trademark procedure, LaserLift™ for the treatment of wrinkles, and LipoLift™ for the treatment of unwanted fat and cellulite. He is internationally recognized and sought out by patients from all over the world.

16. CONTACT US AESTHETIC MEDICINE 9735 SW Shady Lane Suite 203 Tigard, OR 97225 (503) 697 9777 www.drdarm.com