Gaining weight and becoming obese or morbidly obese has created an epidemic not only in the United States , but also internationally. According to the Centers for Disease Control, more than two thirds of the US population are overweight, and nearly one third are obese or morbidly obese.
Obesity is defined as having a body mass index of 30 to 39. Morbid obesity begins at a body mass index of 40. It has been shown that the higher the body mass index (BMI), the greater the risk for associated illnesses such as diabetes, hypertension, sleep apnea, high cholesterol, coronary artery disease and others. When morbidly obese individuals have one or more of the above diseases, their risk for death increases, and quality of life is severely diminished.
The management of obesity involves medical and, if applicable, surgical interventions. Medical weight management combines diet, exercise and behavioral therapy and, if indicated, pharmacotherapy. At the Bariatric & Metabolic Institute, Dr. Karen Cooper and Dr. Derrick Cetin evaluate overweight or obese individuals for weight management with a thorough physical exam, which may require blood work and other diagnostic tools. The patient’s diet and exercise history is an important part of the medical assessment and is reviewed during this visit.
Dieticians in the Bariatric & Metabolic Institute work hand in hand with Dr. Cooper and Dr. Cetin to ensure optimal care. Psychologists are also part of the team to maximize behavioral therapy. Dr. Cooper (PDF) and Dr. Cetin (PDF) may also utilize the expertise of our exercise physiologists to create an individualized exercise program for her patients, with stress testing included.
Patients are monitored every 4 weeks by the physician and dietician. Medication, such as appetite suppressants can be prescribed to help with weight loss, as part of the treatment plan. Patients who are 100 lbs or more overweight are generally referred for surgical weight management. Dr. Cooper and Dr. Cetin continue to be involved in the surgical arm by assisting patients with weight loss prior to surgery. They also manage patients post-operatively to ensure adequate weight loss, perform medication adjustments when associated illnesses begin to improve, and to prevent nutritional deficiencies or other complications which could occur without frequent follow-up appointments.
To make an appointment with Dr. Karen Cooper or Dr. Cetin please call 216-445-3030.