DR STUART WASSER   ROCKVILLE CENTRE LONG ISLAND   516-594-2514

Approach to Weight Management

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As I write this introduction in November of 2010, I do not consider myself an expert in nutrition.  I do not really know if  low carb is or is not better than low fat.   I have no special theories about food matching

What I do know is that many people cannot stick  to a diet and I do consider myself an expert in impulse control disorders.  I  prescribe several combinations of medications that I have found help people lose weight.  (see Medications Used for weight control)  These may include traditional diet medications such as appetite suppressants and fat blockers.  They are combined with one or several medications which have been found to suppress cravings and the reinforcing aspects of eating that lead us to eat more than we should.  I may use diabetic medication which has been found to be helpful.  I am certainly open to any other suggestions that my patients might have.

It is the combination of several different medicines at once that makes my approach more unusual.  It results in greater weight loss as it simultaneously exploits several mechanisms by which the body attempts to maintain weight.  It allows me to use lower doses of certain medicines to minimize side effects of any one medication. 

Of course, dietary and lifestyle changes are essential.  I am not focused on any one diet.  Low carbohydrate diets seem to be better for more people but each person has to find what works for them.  Portion control is fine and exchange diets at the 1200, 1500, 1800 and 2000 calorie levels are available.  Support groups always work and I recommend any and all programs such as overeaters anonymous, Weight Watchers, Jenny Craig or any other less known diets.  For those patients desiring intense personal counseling, I work with a premium service that will keep daily tabs on you and keep in touch through the internet.

Excercise is also important and I will discuss regimens that I consider optimal.

Many of the medical regimens that I use will be maintained for a year or longer.  If one is successful with weight loss, you do not want to stop what is working.  Of course, we should attempt to wean people off medications but we should resume medications if weight gain should occur.


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