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          RATING




                      Over 100 years of combined Experience




                   Medical
                   WEIGHT MANAGEMENT
                      at Aesthetic Medicine
                           PHYSICIANS & SURGEONS




                      9735 SW Shady Lane #203 • Tigard, Oregon 97223
                                        (Off of 217 & Greenburg Road)
Proud
Sponsor                          1.866.callweightloss 1 866 225 5934
of                                                   www.drdarm.com
Free Consultation       Screening H&P       Meal Replacements       Dietitian Visits      Physician Visits          Weigh In           Lab Monitoring




      Weight                                                       Features
      Management                                                   & Benefits
      Our Program
      	         •        Free Consultation                         With the Doctor, Dietitian and Wellness Consultant
                •        Medical Screening                         Screening H&P, EKG, Laboratory Tests (Chemistry Panel, Lipid Panel,
                                                                      CBC, TSH), Urinalysis, Orientation with Dietitian and Physician
                    •     VLCD                                     Very Low Calorie Diet, 900 KCal./day, 5 Meal Replacements Daily
                    •    Healthy Solutions                         2 Meal Replacements, 2 prescribed Meals Daily, 1300 Kcal/day
                    •    Dietitian Visits                          Free Consultation, Individual Appointments, Weekly one hour classes
                    •    Physician Visits                          Free Consultation, Medical Screening, Weekly X 4, Then Monthly
                    •    Weekly                                    Classes with Dietitian; Weigh in, Vitals, Progress Report with MA
                    •    Monthly                                   Body Composition, Chemistry Panel, Lipid Panel, Physician Visits
                    •    Exercise Program                          Monitored weekly, Gradually increased to 2000 Kcal weekly or greater
                    •    Meal Replacements
                                                                                                   ®         ®
                                                                   Health Management Resources , Optifast , Health One
                                                                                                                           ®


                    •    Appetite Suppressants                     Administered According to BME Protocols
                    •    Lifetime Maintenance                      Maintenance Classes with the Dietitian, Ongoing Physician Visits,
                                                                     Meal Replacements 2/day, Fruits and Veggies 5 servings/day
      Study Results                                                  Exercise 300Kcal/day

      	             •    Wt Loss                                   Average 40 to 60# with VLCD, some patients lose over 100#
                    •    Improved Comorbitities                    Reduced BP, cholesterol, triglycerides, fasting BS,
                    •    Reduced Medications                       Total Meds, Insulin, Cholesterol Meds, BP Meds
                    •    Cost Savings                              Reduced Medications
                    •    Maintenance Results                       Long Term Weight Loss with VLCD

      Our Staff
      	         •        Experience                                Over 100 years of experience
      	         •        Dr. Jerry Darm                            Medical Director, Providence Milwaukie Weight Control Services 1989-95
                                                                     Current Owner and Medical Director Aesthetic Medicine 1995-present
                    •    Dr. Thomas Davenport                      Trained in Surgery and Anesthesia specializing in Weight Loss Medicine
                    •    Nancie Fisher, R.D.                       1978-present Registered Dietitian Providence Hospital & Aesthetic Medicine
                    •    Marge Norman, R.D.                        1978-present Registered Dietitian Providence Hospital & Aesthetic Medicine
                    •    Heather Hills, M.A.                       Medical Assistant, Special training in Weight Loss Medicine




  RW Lost 62 lbs in 4 months                JH Lost 57 lbs in 5 months           JM Lost 160 lbs in 13 months           LC Lost 50 lbs in 6.5 months
Medical Check In         Classes               Exercise                Fruits              Vegetables          Appetite Control      Maintenance




     Why VLCD?                                                  Study Results
     Weight Loss
                   •   Weight Loss                              44# in 12 weeks1, 56.8# in 24 weeks2, 60.9# in 29 weeks3
                   •   Weight Loss                              BMI>40 kg/m2 lost an average of 77# in 12 weeks4
                   •   Weight Loss                              Ave. starting wt 352# lost 134# in 44 weeks5
                   •   % Weight Loss                            15-25% average in first 3 months1
                   •   3X greater                               Than traditional food based diets6
                   •   BMI                                      Decreased from 35.3 to 27.5 in 4 months7

     Comorbidities
                   •   Blood Pressure                           8-13% fall in BP in hypertensive patients8
                   •   Cholesterol                              5-25% reduction in first 4 weeks8
                   •   Triglycerides                            15-50% reduction8 36.7% reduction after VLCD9
                   •   Diabetes                                 291 to 95 mg/dl plasma glucose decrease after 36 days7
                   •   Improvements                             Osteoarthritis, Gerd, Sleep Apnea, Depression, Gout

     Medications
               •       Total Meds                               41% decrease10, 43-72% decrease11 after VLCD
               •       % Off Meds                               Insulin 83.3%, chol. meds 43.7%, BP meds 50% at 2.4 years12




                                                                                                                                                     ©Copyright 2012. Aesthetic Medicine Physicians & Surgeons, all rights reserved.
               •       Diabetic Meds                            57% decrease9, 55% off all diabetic meds13 after VLCD

     Cost Savings
                   •   Med Costs                                Severely obese saved $1883 1st year and $2064 subsequent years11
                   •   Med Costs                                Obese patients saved $952 1st year and $1152 subsequent years11
                   •   %Med Costs                               Medication costs decreased by 78%14 after VLCD

     Long Term Results
                   •   Maintained                               47# after 2.6 years15; 38#,15%BW after 3 years11
                   •   Maintained                               58#, 21%BW after 2 years17; 53#,19%BW after1.8 years18
                   •   Maintained                               40# over 3 years, 1751 patients, 50 centers19
                   •   Maintained                               39# over 3.8 years, 1246 patients, 42 clinics20
                   •   Maintained                               62.8# over 5.3 years, 603 patients21
                   •   VLCD                                     Patients lost more weight and kept it off longer than with
                                                                   traditional diets22




 PM Lost 112 lbs in 17 months           KS Lost 85 lbs in 7.5 months            PR Lost 116 lbs in 12 months          MC Lost 50.8 lbs in 4 months
Life Changing




Studies
 1 Jama Aug 25,1993 NIH sponsored study
                                              Patient Testimonials

                                                                                                                                            ©Copyright 2012. Aesthetic Medicine Physicians & Surgeons, all rights reserved.
 2 Obes Res 2004;12 suppl:A40
 3 Obes Res 2006;14 suppl:A101                •   I am no longer a type 2 diabetic. Before starting I was giving myself 2 insulin
 4 Int J Obes 2007;31:4888-493.                   shots per day. Now I am completely off all diabetic related meds. And my blood
 5 Am J Clin Nutr 2007;86:301-307
 6 J Am Diet Assoc. 2009:109:1417-1421
                                                  glucose is normal. CD
 7 Diabetes Feb. 1986 vol. 35 no.2, 155-164
 8 Am J of Gastro. 1992 Jan;87(1):6-15
                                              •   The gift of movement– lower blood pressure and cholesterol. SLW
 9 Obes 2008; 16 suppl:s308
10 Diets. Obes 2006;14 suppl:A170
                                              •   My triglycerides went from 343 to 148 and I'm not even at my goal weight. KL
11 Current Clin Pharmacol 2010;5:232-238
12 Obes 2008; 16 Suppl 1:s158                 •   My blood pressure went from 143/60 to 114/60 and cholesterol is down. KW
13 Obes 2009;17 suppl 2:S279                  •   My blood pressure is reduced and my cholesterol and triglycerides are normal
14 Obes Res 2004;12 suppl:A38.
15 Obes Res 2005;13 suppl:A83
                                                  for the first time in 15 years. BB
16 J Am Diet Assoc 2004;104 suppl 2:A-24
17 Obes Res 2001;9 suppl 3:181S
                                              •   I no longer require medication to manage my type 2 diabetes. JE
18 J Am Diet Assoc 2001;101 suppl:A-18
19 Obes 2011;19 suppl 1:S99
                                              •   My blood sugars are in complete control and my joint pain has all but gone away! RW
20 J Am Diet Assoc 2010;110 suppl 2:A-45
21 Obes 2006;14 suppl:A101.
                                              •   Complete cessation of arthritis in hands and fingers. I no longer have joint pain in my
22 Am J Clin Nutr 2001;74:579-584.                knees and am off aspirin and pain relievers. KD

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Medical Weight Management at Aesthetic Medicine Physicians & Surgeons

  • 1. A+ RATING Over 100 years of combined Experience Medical WEIGHT MANAGEMENT at Aesthetic Medicine PHYSICIANS & SURGEONS 9735 SW Shady Lane #203 • Tigard, Oregon 97223 (Off of 217 & Greenburg Road) Proud Sponsor 1.866.callweightloss 1 866 225 5934 of www.drdarm.com
  • 2. Free Consultation Screening H&P Meal Replacements Dietitian Visits Physician Visits Weigh In Lab Monitoring Weight Features Management & Benefits Our Program • Free Consultation With the Doctor, Dietitian and Wellness Consultant • Medical Screening Screening H&P, EKG, Laboratory Tests (Chemistry Panel, Lipid Panel, CBC, TSH), Urinalysis, Orientation with Dietitian and Physician • VLCD Very Low Calorie Diet, 900 KCal./day, 5 Meal Replacements Daily • Healthy Solutions 2 Meal Replacements, 2 prescribed Meals Daily, 1300 Kcal/day • Dietitian Visits Free Consultation, Individual Appointments, Weekly one hour classes • Physician Visits Free Consultation, Medical Screening, Weekly X 4, Then Monthly • Weekly Classes with Dietitian; Weigh in, Vitals, Progress Report with MA • Monthly Body Composition, Chemistry Panel, Lipid Panel, Physician Visits • Exercise Program Monitored weekly, Gradually increased to 2000 Kcal weekly or greater • Meal Replacements ® ® Health Management Resources , Optifast , Health One ® • Appetite Suppressants Administered According to BME Protocols • Lifetime Maintenance Maintenance Classes with the Dietitian, Ongoing Physician Visits, Meal Replacements 2/day, Fruits and Veggies 5 servings/day Study Results Exercise 300Kcal/day • Wt Loss Average 40 to 60# with VLCD, some patients lose over 100# • Improved Comorbitities Reduced BP, cholesterol, triglycerides, fasting BS, • Reduced Medications Total Meds, Insulin, Cholesterol Meds, BP Meds • Cost Savings Reduced Medications • Maintenance Results Long Term Weight Loss with VLCD Our Staff • Experience Over 100 years of experience • Dr. Jerry Darm Medical Director, Providence Milwaukie Weight Control Services 1989-95 Current Owner and Medical Director Aesthetic Medicine 1995-present • Dr. Thomas Davenport Trained in Surgery and Anesthesia specializing in Weight Loss Medicine • Nancie Fisher, R.D. 1978-present Registered Dietitian Providence Hospital & Aesthetic Medicine • Marge Norman, R.D. 1978-present Registered Dietitian Providence Hospital & Aesthetic Medicine • Heather Hills, M.A. Medical Assistant, Special training in Weight Loss Medicine RW Lost 62 lbs in 4 months JH Lost 57 lbs in 5 months JM Lost 160 lbs in 13 months LC Lost 50 lbs in 6.5 months
  • 3. Medical Check In Classes Exercise Fruits Vegetables Appetite Control Maintenance Why VLCD? Study Results Weight Loss • Weight Loss 44# in 12 weeks1, 56.8# in 24 weeks2, 60.9# in 29 weeks3 • Weight Loss BMI>40 kg/m2 lost an average of 77# in 12 weeks4 • Weight Loss Ave. starting wt 352# lost 134# in 44 weeks5 • % Weight Loss 15-25% average in first 3 months1 • 3X greater Than traditional food based diets6 • BMI Decreased from 35.3 to 27.5 in 4 months7 Comorbidities • Blood Pressure 8-13% fall in BP in hypertensive patients8 • Cholesterol 5-25% reduction in first 4 weeks8 • Triglycerides 15-50% reduction8 36.7% reduction after VLCD9 • Diabetes 291 to 95 mg/dl plasma glucose decrease after 36 days7 • Improvements Osteoarthritis, Gerd, Sleep Apnea, Depression, Gout Medications • Total Meds 41% decrease10, 43-72% decrease11 after VLCD • % Off Meds Insulin 83.3%, chol. meds 43.7%, BP meds 50% at 2.4 years12 ©Copyright 2012. Aesthetic Medicine Physicians & Surgeons, all rights reserved. • Diabetic Meds 57% decrease9, 55% off all diabetic meds13 after VLCD Cost Savings • Med Costs Severely obese saved $1883 1st year and $2064 subsequent years11 • Med Costs Obese patients saved $952 1st year and $1152 subsequent years11 • %Med Costs Medication costs decreased by 78%14 after VLCD Long Term Results • Maintained 47# after 2.6 years15; 38#,15%BW after 3 years11 • Maintained 58#, 21%BW after 2 years17; 53#,19%BW after1.8 years18 • Maintained 40# over 3 years, 1751 patients, 50 centers19 • Maintained 39# over 3.8 years, 1246 patients, 42 clinics20 • Maintained 62.8# over 5.3 years, 603 patients21 • VLCD Patients lost more weight and kept it off longer than with traditional diets22 PM Lost 112 lbs in 17 months KS Lost 85 lbs in 7.5 months PR Lost 116 lbs in 12 months MC Lost 50.8 lbs in 4 months
  • 4. Life Changing Studies 1 Jama Aug 25,1993 NIH sponsored study Patient Testimonials ©Copyright 2012. Aesthetic Medicine Physicians & Surgeons, all rights reserved. 2 Obes Res 2004;12 suppl:A40 3 Obes Res 2006;14 suppl:A101 • I am no longer a type 2 diabetic. Before starting I was giving myself 2 insulin 4 Int J Obes 2007;31:4888-493. shots per day. Now I am completely off all diabetic related meds. And my blood 5 Am J Clin Nutr 2007;86:301-307 6 J Am Diet Assoc. 2009:109:1417-1421 glucose is normal. CD 7 Diabetes Feb. 1986 vol. 35 no.2, 155-164 8 Am J of Gastro. 1992 Jan;87(1):6-15 • The gift of movement– lower blood pressure and cholesterol. SLW 9 Obes 2008; 16 suppl:s308 10 Diets. Obes 2006;14 suppl:A170 • My triglycerides went from 343 to 148 and I'm not even at my goal weight. KL 11 Current Clin Pharmacol 2010;5:232-238 12 Obes 2008; 16 Suppl 1:s158 • My blood pressure went from 143/60 to 114/60 and cholesterol is down. KW 13 Obes 2009;17 suppl 2:S279 • My blood pressure is reduced and my cholesterol and triglycerides are normal 14 Obes Res 2004;12 suppl:A38. 15 Obes Res 2005;13 suppl:A83 for the first time in 15 years. BB 16 J Am Diet Assoc 2004;104 suppl 2:A-24 17 Obes Res 2001;9 suppl 3:181S • I no longer require medication to manage my type 2 diabetes. JE 18 J Am Diet Assoc 2001;101 suppl:A-18 19 Obes 2011;19 suppl 1:S99 • My blood sugars are in complete control and my joint pain has all but gone away! RW 20 J Am Diet Assoc 2010;110 suppl 2:A-45 21 Obes 2006;14 suppl:A101. • Complete cessation of arthritis in hands and fingers. I no longer have joint pain in my 22 Am J Clin Nutr 2001;74:579-584. knees and am off aspirin and pain relievers. KD