At the Bariatric and Metabolic Institute (BMI) more than 5,000 annual patient visits as well as nearly 1,000 annual bariatric surgeries are completed. Our growing multidisciplinary team of physicians, advanced practice providers, psychologists, registered dietitian nutritionists who specialize in obesity medicine make up one of the largest interdisciplinary obesity clinics in the United States and largest in Northeast Ohio.

BMI has more than 30 clinical providers, including board-certified obesity medicine physicians, clinical psychologists, advanced practice providers, bariatric endoscopist (gastroenterologists), registered dietitians, registered nurses, an exercise physiologist and bariatric surgeons who are supported by an expanded staff, consisting of a research coordinators, medical assistants, and patient navigators.

The diverse population of patients seen at the BMI are reflective of that from the Cleveland Clinic and include the greater Northeast Ohio region, neighboring States eg Pennsylvania, West Virginia, New York, Indiana and Michigan, and several international countries in the Middle East.

The treatment options are tailored to the individual based on their weight, health conditions and future health risks. Some patients may receive nutrition education and counseling (nutrition therapies) from one of our registered dietitian nutritionists while others may be treated with a combination of lifestyle modification and weight loss medications (anti-obesity medications) or even metabolic and bariatric surgery. We understand that weight loss and maintenance are difficult and typically follow our patients closely, whether in clinic or virtually. At the BMI, patients can expect an initial comprehensive evaluation of their obesity in a non-judgmental setting. We understand patients have tried to lose weight on their own or through commercial programs. We meet our patients where they are, and remain supportive in this shared decision.

As more is understood about the clinical subtypes of obesity, new therapies, specifically combination therapies involving behavioral, pharmacological and surgical treatments will emerge, tailored to these specific subgroups of obesity. As the demand for more complex, individualized therapy to treat obesity increases, and so will the need for specialized expertise like ours.

Undoubtedly, there is great passion to educate and train the next generation of leaders in the field of obesity and the BMI has three existing post graduate obesity training programs, a clinical/health psychology postdoctoral fellowship in bariatrics (one fellow per year), a bariatric and minimally invasive surgical fellowship (2-3 fellows per year), and an obesity medicine fellowship (1 fellow per year). In 2023, the BMI will host the first Advanced Practice provider (APP) fellowship in obesity medicine in the country, with the goal of training nurse practitioners and physician assistants in this emerging field. In addition, the BMI offers both student and resident rotations. For physicians both in the U.S. and other countries, the BMI provides an international preceptorship in obesity medicine, which is an intense learning experience both at the Cleveland Clinic and via virtual learning.

At the BMI, our team approach consists of each patient being evaluated by multiple providers. We believe every patient is different and consider the evaluation of each patient essential to their treatment plan. Whether it’s a patient with severe class III obesity (BMI>60), a patient in need of losing weight in order to get an organ transplant, a patient with mental illness with medication-induced weight gain, or a young patient with a genetic disorder of obesity (e.g. Pradar Willi Syndrome), we will carefully evaluate them and create an individualized treatment plan. The BMI is not only locally and internationally known for managing complex patients with severe obesity but treats people who are curious why they’ve gained weight or are having difficulty losing weight. We believe that obesity is a disease and every patient with obesity deserves to be treated fairly without judgement. Our providers are passionate about this disease and continue to be leaders in the field of obesity whether serving in leadership roles within professional societies, publishing landmark articles in bariatric surgery or advancing the field in obesity education and advocacy.

Programs for Specific Populations

  • Patients with Fatty Liver Disease
  • Patients with weight gain after bariatric surgery
  • Patients who need weight loss prior to Surgery (hernia repair, knee replacement, organ transplant, etc)
  • Liver Transplant Patients and Liver Donors
  • Heart Failure and Atrial fibrillation
  • Patient with weight gain with medications
  • Patients interested in weight loss medications(Obesity Pharmacotherapy)
  • Patients with weight gain, BMI 27 - 30

Conditions:

  • Type II diabetes
  • Obstructive sleep apnea
  • High Cholesterol
  • GERD
  • Fatty Liver Disease
  • Osteoarthritis
  • PCOS
  • Low testosterone
  • Cancer
  • Pseudotumor Cerebri (intercranial hypertension)

Obesity Medicine Faculty