Nu-Living Weight Management Center

Your initial evaluation and intake sessions will set you on course with your foundation program’s personalized diet, nutrition, exercise, behavioral and other therapeutic goals. As your test and lab results come in, Dr. Terlinsky will work with you to set short and long term body weight goals.  Along with a complete blood workup and physical, patients will receive a comprehensive review of their medications, and specialized tests such as the CVProfiler, Tanita Body Fat Analyzer, and Resting Metabolic Rate. The forms that you complete and return to our office enable Dr. Terlinsky to plan individualized, customized nutrition plans. Inthe meantime, you will begin learning weight control concepts - and putting them into practice!

Education:

The Education Component focuses on educating the individual in areas of definitions, energy equations, meeting goals, chronic problems, associated costs, support needs and choosing a program. Patients either providede or  are asked to purchase various books and manuals which are used in the program.  Food awareness is also taught. The goal is to provide the patient with the tools to understand the energy content of food, the impact of various foods on weight and hunger and to develop a lifelong plan to control body weight. Among the various educational tools that will assist the patient through his or her journey are the Nu-Living HandBook, "Food For Thought: A Guide for Nutrition Education", "Body Basics: A Guide to Exercise", various online programs,  video demonstrations, and one-on-one counseling.

Nutrition:

The Nutrition Component of this program includes developing a balanced and scientifically sound nutrition plan that allows for dining out (limited or eliminated in some Nu-Living programs) , minimal planning (variable depending on specifc program), satiety (fullness) and limited insulin response. This may include recommended meal plans  (many menus and recipes available) , meal plans plus meal replacements, or complete meal replacements. Some patients may elect to participate in a Very Low Calorie Diet (VLCD) also known as a Protein Sparing Modified Fast (PSMF), or choose from our other nutrition programs. The Nutrition Component of this program includes developing a balanced and scientifically sound long term nutrition plan. Patients will be taught the principles of healthy eating.

Diets will contain a variety of structures using scientifically-formulated nutrition products, either exclusively (No-Meal Diets) or in combination with basic foods. As adjuncts to the comprehensive nutritional management program, various medications and nutraceuticals may also be recommended to control appetite, promote weight loss or provide essential micro-nutrient supplements.

Exercise:

The Exercise Component focuses on the importance of activity while looking to make exercise a fun and year-round event that incorporates variety and is financially feasible and that is able to fit into daily schedules, while taking into account orthopedic limitations and gradual gain of endurance and stamina.  Aerobic and strength training strategies are both used in the program. 

Behavior:

The Behavioral Component of the program focuses on self-monitoring, event planning, stress management, time management, stimulus control, reinforcement strategies, and relapse prevention. Patients are asked to journal food consumption and exercise activities. The characteristics of Master Weight Controllers are displayed in line with the findings of the National Weight Control Registry. If patients have specific problem areas such as binge eating or craving control, materials appropriate to these issues will be assigned to the patient. Behavior Modification material may include the Nu-Living HandBook, Thought Restructuring by using Bariatric CBT, Therapeutic Lifestyle Change, and "Life Steps: A Guide to Behavior Education".  In some cases Dr. Terlinsky will recommend that a patient see a specialist in eating disorders. Nu-Living does not provide psychotherapy.

Pharmacology:

The Medication of Pharmacological Component of the program is prescribed to those individuals who may benefit. Nu-Living follows NIH guidelines and the  American Society of Bariatric Physicians  practice guidelines for the use of anorectic drugs (weight loss drugs). These  drugs are used in an appropriate, medically safe and sound manner. Medications are closely monitored and none will be prescribed without appropriate monitoring.