Lose weight. Gain health.
Weight loss is life changing and worth the effort.
Let us help you take the steps toward health and wellbeing.
Obesity is a disease that can be treated through medical interventions.
Marshall Medical Center offers both medical weight loss and bariatric
surgery, complemented by expert nutrition advice and behavioral health
counseling to maximize results and long term success.
Medical Weight Loss Program
The goal of medical weight loss is to lose five to 10% of total body weight.
Scientific evidence shows that even this small amount of weight loss adds
up to dramatic improvement in obesity related conditions as well as overall
health. Some of the benefits you’ll see include:
Cholesterol – a five point increase in HDL, or “good” cholesterol,
lowering the risk of heart disease.
Hypertension – a lowering of blood pressure, both systolic and diastolic, by
about 5mmHg on average
Diabetes – a decrease in A1C by about half a point, the same improvement
as many anti-diabetic medications
Insulin Resistance – significantly less insulin in the blood
Obstructive Sleep Apnea – reduction in pauses and gaps in breathing during sleep, helping
Inflammation – fat cells, especially abdominal fat cells, produce a large number
of substances that result in inflammation. Modest weight loss helps reduce
What is medical weight loss
Unlike other weight loss programs, medical weight loss is directed by a
physician. Marshall Family Medicine Physician Tarandeep Kaur, MD, is Obesity
Medicine trained in managing weight related conditions. Working with experts
from the fields of nutrition and psychiatry, a comprehensive medical weight
loss program leads to better outcomes.
Our medical weight loss program includes a personalized program overseen
by a team of experts.
- A medical evaluation by a physician
- Treatment of possible medical issues for your weight gain
- Laboratory blood tests
- Body composition analysis
- An EKG or bone density screening, if necessary
- Prescription weight loss medication, if necessary
- Nutritional counseling
- Mental Health therapy, if necessary.
Depending on your insurance plan, a doctor’s referral may not be
necessary to enroll in Marshall’s Medical Weight Loss Program. If
you think you’re ready for medical help with losing weight, call
Am I candidate for medical weight loss
Anyone with a body mass index (BMI) of 30 or over can benefit from a medical
weight loss program. Body mass index measures your body fat relative to
your height and weight. Use this BMI calculator to see if your BMI is
within the parameters for the program.
Weight Loss surgery
Weight loss surgery, also known as bariatric surgery, is a medical procedure
to aid in losing a large amount of weight. The procedure surgically limits
the amount of food you can eat and changes how your body absorbs nutrients.
Weight loss surgery is recommended for those severely overweight, especially
when obesity negatively affects health.
Though weight loss surgery can take off the pounds, it is not a cure for
obesity. A healthy lifestyle is even more important after surgery, or
the weight will come right back. A commitment to active living and mindful
eating is required even
before you have weight loss surgery.
Weight loss surgery may not be right for you
Unfortunately, weight loss surgery is not the solution for everyone. A
commitment to long-term lifestyle changes is required or the procedure
may be dangerous and even life-threatening.
Your physical and mental health will be assessed before surgery is approved.
Pre-existing health conditions may increase the risk and complications
after surgery and may disqualify you from weight loss surgery. The following
health conditions must be identified and successfully managed before surgery:
- Severe or long-term (chronic) obstructive sleep apnea
- Heart or lung disease
- Depression, anxiety, substance abuse or other mental health conditions
- Digestive tract disease, such as Crohn’s disease, ulcers, or esophagitis
- Liver disease
- Chronic pancreatitis
- Issues with excessive bleeding
Disqualifications can also include:
- Being pregnant or planning to become pregnant within two years
- Smoking tobacco or marijuana, drinking alcohol, or using illegal drugs
- Using steroids over a long period of time or within the past 15 days
- Having a mental health condition that is not successfully managed
- Having a medical condition that makes surgery too risky
Am I a candidate for weight loss surgery?
According to the National Institutes of Health and the American Society
for Metabolic and Bariatric Surgery, bariatric surgery candidates:
- Are more than 100 pounds over weight
Have a Body Mass Index (BMI) of 40 or greater or a BMI of 35-39.9, along
with two or more medical conditions such as diabetes and/or hypertension
which would improve significantly with weight loss.
- Have tried and been unable to lose weight through diet and exercise
- Are prepared to make a lifelong commitment to dietary, exercise and behavioral
changes necessary for long-term success
- Have no mental health conditions that may interfere with long-term weight
Why do I need to meet with a psychiatrist before surgery?
Many bariatric surgery candidates have mental health conditions which can
get in the way of making the significant, lifelong changes in eating and
physical activity needed to support successful bariatric outcomes. Pre-surgical
psychosocial assessment is an opportunity to prepare bariatric candidates
During this evaluation, Dr. Correia will
- help identify vulnerabilities (such as disordered eating behaviors like
- provide support and education regarding what to expect following surgery
(such as a warning about increased risk for alcohol use disorders) and
- identify possible contraindications to surgery (such as active substance
abuse or uncontrolled psychiatric illness).
This assessment helps Dr. Correia build a treatment plan with each candidate
to facilitate the best possible outcome.
What results can I expect from bariatric surgery?
Each procedure will have a different outcome. On average, people lose 50-80
percent of their excess body weight in the first year depending on the
type of surgery performed and the level of commitment to the post-surgical
diet and exercise regimen.
As with any surgical procedure, there are risks associated with bariatric
surgery. You and your surgeon will discuss specific risks related to your
individual health condition and your selected surgical procedure.
What is gastric bypass surgery?
Gastric bypass is one of the most common types of weight loss surgery.
The surgery alters the stomach, creating a small pouch that is connected
directly to the small intestine. After surgery, food will bypass most
of the stomach and the first section of the small intestine. A permanent
change to diet is required to maintain weight loss and nutritional health.
Because of the limited amount of capacity for food, patients will need
to commit to eating healthfully and add nutritional supplements to their
Risks of gastric bypass surgery
Gastric bypass surgery has been proven to be successful in helping obese
patients lose weight. Like all surgery, gastric bypass surgery involves
risks such as malnutrition, stomal stenosis (the narrowing of the opening
between the stomach and intestine) and “dumping syndrome”
(where food gets dumped from the stomach into the small intestine without
being digested). Peritonitis, or a stomach leak, is the most serious complication.
Nutritional management, careful oversight of your health and quick reporting
of issues to your doctor can help resolve these issues.
What is sleeve gastrectomy?
Sleeve gastrectomy is a weight loss surgery that removes 75-80% of the
stomach. The procedure is done laparoscopically, through small incisions
in the abdominal wall. The surgery divides the stomach, creating a smaller
pouch with only 25% of the original volume. The reduction in stomach volume
causes you to feel full faster and reduces the secretion of hunger hormones.
On average, people lose 60-70% of their excess weight 12 to 24 months
after surgery. As with any bariatric surgery, patients must adhere to
a healthy diet and active living post-surgery.
Risks of sleeve gastrectomy
As with any surgical procedure, complications can occur. Some possible
complications include, but are not limited to: Infection, blood clots,
pneumonia, bleeding ulcer, bleeding, leak, stricture (severe tightening
of the sleeve) and worsening heartburn.
The Marshall Medical Weight Loss and Bariatric Surgery Team
Maisha Correia, MD is a Board Certified Psychiatrist. She will complete pre-surgical psychosocial
evaluations and will provide psychiatric medication management as needed
for patients in the Bariatrics program at any stage of treatment. She
earned her medical degree from University of California, San Francisco
School of Medicine then completed her psychiatry residency at University
Of Washington School of Medicine in the UW-Idaho Advanced Clinician Psychiatry
Track where she focused her efforts on community and rural psychiatry
and served as Chief Resident.
Tarandeep Kaur, MD, is double board certified in family medicine and obesity medicine. She
specializes in diet and nutrition, along with counseling and medications
for medical weight loss. She earned her medical degree from Government
Medical College in India. She completed her family medicine residency
at East Tennessee State University.
Ryan Lussenden, MD, FACS, is a board certified general surgeon, fellowship trained in bariatric
surgery. Dr. Lussenden serves as medical director for Marshall Medical
Center’s Bariatric Surgery Program. He earned his medical degree
at Albany Medical College and completed his general surgery internship
at the Mayo Clinic. Dr. Lussenden completed his residency at Cottage Hospital
in Santa Barbara and his bariatrics fellowship training at Lahey Clinic
Marshall Diabetes and Nutrition Education – Our team of registered dietitians are licensed to assess, diagnose and
treat nutritional problems. They will coach participants in meal planning,
weight management, cholesterol control, nutrition and more.
Considering a medical or bariatric weight loss procedure?
If you are significantly overweight and you’re ready to make a change,
please call one of the offices below for more information:
Medical Weight Loss
Insurance coverage is dependent on your individual plan and benefits. Please
contact your health insurance provider about your coverage. If you do
not have insurance, Marshall Medical Center has provisions for a self-pay option.