We cannot Prescribe Weight Loss Medications like Phentermine to People who are not Overweight Enough.
Probably the most straightforward way to determine if you qualify for our medical weight loss program is to check your "BMI" or Body Mass Index using the little widget in the upper left of this section. If your BMI is greater than thirty, then, on the basis of weight you DO qualify.
Qualification for Medical Weight Loss by BMI
BMI is a very rough measure of "fatness" and health risk from weight. Sadly, it remains the number that is used by nearly all of the medical profession and so, while I am rather much opposed to it, I am obliged to screen potential patients on the basis of their current BMI. To find your BMI just enter your height and weight in the gadget on the left. If your BMI is greater than 30 then you definitely qualify to become a patient. If your BMI is between 27 and 30 well, it depends on a lot of factors that are best assessed by a more personal approach. You can also use the chart to the left to determine if you qualify.
Qualification for Medical Weight Loss by Co-Morbidity
As I have and will discuss throughout this website, weight gain, particularly when it occurs in the gut, significantly increases risk for "co-morbid" or weight-induced (or related) medical conditions that include type II diabetes, hypertension, dyslipidemia (high triglycerides, high total cholesterol, high LDL cholesterol, low HDL cholesterol) and heart disease.If you suffer from any of these problems, but especially if you suffer type-II diabetes then you have important medical reasons to pursue aggressive weight loss and we can help you if your BMI is 27 or higher.
Qualification for Medical Weight Maintenance on the Basis of Recent Dramatic Weight Loss
If your body mass index was greater than 35 during at least 2 of the last 3 years but you have deliberately lost weight so that now your BMI lies between 25 and 30 AND if you are struggling to maintain your new lower weight or you are actively gaining-back that weight then we may be able to help you also. The purpose of our rules is not to deny treatment to people who need it or to reward success with hardship. Rather, Dr. Holland needs to ensure that before he prescribes a medication to a patient, that patient actually has a medical need for it.
What if I am NOT Overweight Enough?
We cannot treat people for illnesses they do not have. If you are minimally above ideal body weight, a medical weight loss program is probably not for you. Sometimes people respond to this statement by saying something like "what am I supposed to do---gain weight until I am sick and THEN come and see you?"
It's a fair but loaded question. The answer is no, of course if Dr. Holland had a crystal ball and could predict that medical obesity lay in your future, then he would intervene now to prevent it. The problem is that nobody can know such things and there is simply no good justification for treating you for a disease you do not have.
Even if You Don'T Qualify For Appetite Suppressant Therapy, We May Still Be Able to Help You Live a Better Life
As Holland Clinic expands, we plan to offer a broader array of non-medication-based options for weight loss and preventive health. These options, just like our medical therapy are all based on modern science as outlined right here on and in this website. Please feel free to contact us if yo are interested in exploring with us options that may include modalities like:
- Cooking classes
- Group hiking
- Intensive weekend weight loss retreats
Although we don't have any of these option fully in-place now (March 2012) we are working towards that goal and so we encourage you to contact us if you are interested.