FAQs

FREQUENTLY ASKED QUESTIONS (FAQ’s)

The following describes the services and programs we provide.


GENERAL OVERVIEW

What is “Your Body Goal” Center for Body Composition, Body Weight, and Body Metabolism?

Congratulations! By reading this document, you are taking an important step towards achieving your body goal.  “Your Body Goal” is a unique diagnostic, counseling, and treatment center for patients who wish to improve their body composition and body metabolism.  It is also a diagnostic, counseling, and treatment center for patients who need help with body weight management.

What is the purpose of this document?

The purpose of this document is to explain our services, determine your interest in our services, and obtain your informed agreement (or consent) to receive our services.

What is our mission?

  • Our mission is to improve your health, quality of life, body weight, and body composition (fat, muscle, and bone).
  • We pursue this mission through compassionate and confidential care, which is physician-directed and science-based.

What is obesity?

  • Currently, over 2/3 of U.S. adults are overweight or have obesity, and more than 1/3 of U.S. adults have obesity. What is the point? Obesity is common.
  • According to the Obesity Medicine Association: “Obesity is defined as a chronic, relapsing, multi-factorial, neurobehavioral disease, wherein an increase in body fat promotes adipose (fat) tissue dysfunction and abnormal fat mass physical forces, resulting in adverse metabolic, biomechanical, and psychosocial health consequences.”
  • This definition may seem complicated. But it makes the basic point that an increase in body fat is a disease, which harms the body in many ways. Even after weight loss is achieved, body fat often returns. It is therefore important patients receive nutrition and physical activity assessment, education, and guidance towards durable, lifelong changes.

What are examples of how obesity is a disease?

Obesity (too much body fat) is a disease that can cause:

  • Common metabolic disorders such as high blood sugar (diabetes mellitus), high blood pressure (hypertension), and high fats in the blood (high cholesterol and triglycerides).
  • Strain to joints.
  • Problems breathing.
  • Problems with mood and low self-esteem.
  • Damage to multiple body organs.

What about obesity and cancer?

  • Obesity and inactivity may soon cause more cancer deaths than smoking.
  • Obesity increases the risk of cancers of the bladder, brain, breast, cervix, colon, uterus, esophagus, gallbladder, head & neck, kidney, leukemia, liver, multiple myeloma, non-Hodgkin lymphoma, ovary, pancreas, prostate, stomach, and thyroid.
  • Appropriate nutrition and physical activity can reduce your risk of multiple cancers.
  • If you have cancer, appropriate nutrition and physical activity may improve your response to cancer treatments.

How else is obesity a disease?

  • Obesity can cause “sick fat disease,” (or adiposopathy) which can cause type 2 diabetes mellitus, hypertension, high cholesterol levels, and high triglycerides levels. Sick fat can also cause low testosterone levels in men, high male hormone levels in women, and promote cancer.
  • An increase in body weight can cause “fat mass disease,” which creates stress to joints (knees, hips and back), immobility, skin friction, and problems with sleep (sleep apnea). An increase in body fat can also contribute to depression or anxiety.
  • Among patients with overweight or obesity, a reduction in body weight can often improve both “sick fat diseases” and “fat mass diseases.”

How can obesity be measured?

Obesity can be measured by body weight, body mass index (calculated using weight and height), waist circumference (tape measurement around the waist), and percent body fat. Dual-energy X-ray absorptiometry (DXA) scanning is often considered the most reliable measure of percent body fat.

What is fitness?

According to the Centers for Disease control, physical fitness is defined as “the ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and respond to emergencies.”

How can fitness be measured?

Fitness can be measured in different ways, such as testing for speed, heart and lung endurance, as well as muscle strength, flexibility, and balance. In addition to how you feel during physical activity, another way to assess fitness is to determine the amount of muscle and fat in your body, such as through dual-energy X-ray absorptiometry (DXA) scanning.

What services do we offer?

We offer a number of services, ranging from diagnostic testing, to basic counseling, to behavior modification, and medical treatments.   Our structured programs include Titanium, Platinum, Gold, and Silver programs.  Our programs are described in detail on the Home Page of our website (https://yourbodygoal.com).  If you are reading a paper copy of our informed consent document, then our programs are found in tables at the end of this document.

Who is eligible for our diagnostic testing and basic counseling?

Individuals who wish to undergo our diagnostic testing and/or nutritional and physical activity counseling are likely interested in improving at least one of the following:

  • Body composition
  • Metabolic and physical health
  • Appearance through healthy nutrition and physical activity

Who is eligible for our treatment programs?

Individuals who wish to undergo our treatment programs should have strong motivation to improve:

  • Body weight
  • Body composition
  • Metabolic health
  • Physical health
  • Health habits through behavior modification techniques
  • Health and fitness through nutrition and physical activity

Who is not eligible for our treatment programs?

You are NOT eligible for our treatment programs if you:

  • Are underweight, with a body mass index (BMI) less than 18.5 kg/m2 (unless approved by the Medical Director)
  • Cannot provide us a name and address of a primary care clinician, or access to a primary care clinician
  • Do not have Internet access
  • Do not have a smartphone capable of texting and email notifications
  • Have severe physical or mental illnesses beyond our area of expertise (e.g., severe disease, terminal disease, recent multiple hospitalizations, etc.) wherein it would be in your best interest to be followed by other clinicians, specialists, or bariatric surgeons
  • Are a woman who is pregnant
  • Are less than 16 years of age (unless approved by Medical Director)
  • Are using supplements for weight loss (vitamin replacement after bariatric surgery is OK)
  • Are using supplements for other purposes (unless approved by the Medical Director)
  • Are currently treated with human chorionic gonadotropin (HCG)
  • Plan to be treated with HCG
  • If you agree to stop taking supplements and/or HCG, then you may be eligible for one of our treatment programs

Do we recommend or prescribe anabolic steroids, testosterone, other androgens, pain medications, or supplements?

We do not prescribe anabolic steroid, testosterone, other androgens, and pain medications. We do not sell supplements.  If you are seeking these types of drugs or supplements, then it is best you find other clinicians for your care.

Must you have a complication or disease related to overweight or obesity to receive our diagnostic procedures, counseling, or treatment?

We do not require you have a complication of overweight or obesity to receive our care. We believe preventing diseases caused by an increase in body fat is as important as treating body fat once the “sick fat disease” or “fat mass disease” has already caused disease.  Attaining and maintaining appropriate body composition and weight can improve, or sometimes essentially “cure” many metabolic diseases.  As importantly, achieving optimal body composition often prevents many diseases, such as diabetes mellitus, high blood pressure, heart disease, and cancer.

Do you have to be overweight to receive our services?

Our mission is to improve patient health, quality of life, body weight, and body composition (fat, muscle and bone). We pursue our mission through compassionate and confidential care, which is physician-directed and science-based.  Our recommendations focus on the fundamentals of healthy nutrition and physical activity, which should help you achieve a healthier body composition.  If you are not necessarily overweight, or only mildly overweight, then we believe healthy nutrition and physical activity can often prevent many diseases, such as diabetes mellitus, high blood pressure, heart disease, and cancer.  So you do not have to be overweight or obese to receive our services.

However, if your body mass index suggests you may be underweight [body mass index (BMI) less than 18.5 kg/m2], then you may be eligible for a bone mineral density DXA scan and perhaps other testing.  Otherwise, if you are underweight, then it would not be ethical for us to assist you with further weight loss, especially if you have a known or undiagnosed eating disorder.

What about athletes and bodybuilders?

Even if you are not overweight, a DXA scan is a unique and sophisticated way to determine your response to nutrition, physical activity, sports, and exercise training. If you are just starting a serious training program, or if you have already undergone serious training, a DXA scan will give you the information you need to monitor your muscle and fat mass, as well as your bone density.  Many athletes and bodybuilders find DXA scanning a useful tool in any well-structured routine training program.  Periodic DXA scan measurements of your muscle, fat, and bone takes the guess-work out of what is happening to your body goal, when you are training, or when you are gaining or losing weight.

A practical example is the new adoption of an aggressive resistance program. In the beginning, you may be discouraged to find no change in body weight.  This may be despite clear improvement in nutrition, caloric intake, and physical activity.  In this case, it is probable you are gaining muscle, but losing fat.  This is a healthy change.  However, you won’t know this by looking at a weight scale.  The weight on the scale may stay the same.  You will know this through a DXA scan, which should show a reduction you your percent body fat.

What are our treatment priorities?

Our focus is treatment through the use of sound nutritional and physical activity recommendations, tailored to your preferences and lifestyle. If you are overweight, then in some cases, we may also recommend weight-management pharmacotherapy (drugs).  We have no surgeons on staff.  However, if we believe it is in your best medical interest, then we may recommend referral to a bariatric surgeon.

How might our services be different from “weight loss” programs?

  • We are not simply a “weight loss” program. Our mission is to improve your body composition, and improve your health – not just your weight. We do so through a holistic approach of state-of the art body composition diagnostics. We do so through dietary counseling, education, and personalized coaching. We give guidance regarding physical activity. We provide you education on how an increase in body fat is itself a disease, and what you can do about it.
  • Included in our recommendations are practical behavioral modification techniques that we hope will help you achieve your body goal. You may find these life techniques may help you with changes that improve other aspects of your life. Your Body Goal is the location where the latest in science and technologies meet established and practical behavior modification techniques.
  • All aspects of our one-on-one personalized evaluation and treatment recommendations are targeted towards your individual needs. We do not restrict our nutritional recommendations to just one specific diet or just one type of meal pattern. We personalize our nutritional recommendations based upon the scientific evidence, and most of all, your choices. The same applies to our physical activity recommendations. It’s your choice!
  • We do not recommend or sell weight loss supplements. We do not recommend or sell human chorionic gonadotropin (HCG) treatments.

How are our services unique?

Overall, the care you receive from “Your Body Goal” is likely to be different from care you might receive elsewhere. Our approach is unique, and our services include:

  • Confidentiality
  • Compassionate staff
  • Physician-directed care
  • Science-based care
  • Convenient building location
  • Convenient parking
  • Body composition measurement through DXA scanning
  • Individualized approach through one-on-one personalized counseling to meet your individual desires and needs
  • It’s your choice !

How do we ensure you receive the information and tools you need to be successful?

At each visit, you will be instructed to bring various diaries and logs so we can assess your food intake and physical activity. These will be reviewed with you on a one-on-one basis with our dietitians and staff.  You will also be instructed on educational materials that will be provided to you – written by our Medical Director and edited by our expert staff.  We encourage you to be fully engaged in the process.  The greater your engagement in the process, the greater the chance you will achieve your body goal.

Can you substitute other educational sessions for the scheduled educational sessions?

Each treatment program has a listing of mandatory educational sessions. However, all programs have some allowance to substitute one scheduled educational session for another.  The more basic the program, the less the number of educational session slots available to substitute.  The more advanced the programs, the greater number of educational slots available to substitute – and thus the greater choice.  The educational programs for our various programs are described in detail on the “Our Services” page of our website ( https://yourbodygoal.com/our-services ).  If you are reading a paper copy of our informed consent document, then our educational program schedule can be found in tables at the end of this document.

Will you be given copies of educational handouts?

You will be provided copies of educational documents pertaining to the program you selected. However, you will not be provided, nor can you purchase educational documents beyond the program you selected.  These educational documents are copyright protected, and are an important component to our treatment programs.

Do the educational sessions reinforce one another?

Depending on the program you choose, concepts are repeated at various time. Repetition helps reinforce points we believe important for you to achieve your body goal.

What do we expect from you?

  • Investment and commitment: If you are looking for a short-term “quick fix,” then Your Body Goal is probably not for you. Also, we cannot achieve your body goals for you. Only you can achieve your body goals. But we are here to help. Our ability to help you is largely dependent upon your investment and commitment to the program. If you are overweight or have obesity, then our intent is to help you change your life. We are here to help you adopt a new way of thinking and living – not just for today – but for the rest of your life.
  • Active participation in the educational process: You have probably heard or know someone who lost a lot of weight with a “weight loss” program. Unfortunately, shortly after completing the “weight loss” program, these same people often regained all the weight they lost. Sometimes they gained back more than when they started. Maybe this has happened to you. The best way to ensure current success, and prevent future relapse, is to maximize your knowledge about nutrition and health.  at Your Body Goal,  we couple education with practical behavior modification techniques. These are skills you can use over a lifetime.
  • Choose the program best for you and your health: Scientific evidence supports the effectiveness of longer-term programs, such as those lasting 26 weeks or more. That is why our core “Platinum” program consists of visits once a week for 26 weeks. Even with 26 weeks, we do not have time to cover everything. That is why we offer a Titanium program as well (32 sessions over 38 weeks). We do offer alternative programs for 10 weeks (Silver) and 16 weeks (Gold). These shorter programs can help get you started. But these programs are not as intensive as the longer Titanium and Platinum programs.

Are you required to make weekly visits?

We will work with you to schedule visit dates and times most convenient for you. Research supports frequent encounters as one of the most important ways to promote success in working towards your body goal.  This is best achieved by weekly face-to-face visits over weeks to months.   Having said this, we understand you may have a challenging schedule or travel that prevents visits every week.  We will work with you.  However, if missed appointments become excessive, then we will need to have a conversation about how best to get back on track.  This is especially so if you miss several appointments in a row.  The more you take your body goal seriously, the better success you are likely to achieve.

Why is confidential care important?

  • Some patients may be apprehensive about seeking care regarding their body composition, body weight, or body metabolism. Some may feel embarrassed or ashamed, or fear they will be disrespected. Our staff is specially trained to understand how obesity is a disease. Our staff is no more likely to be dismissive of an increase in body fat, as they would any other disease.
  • We are located in our own building. Because we see patients for a wide-variety of reasons, even if you are in the same waiting room as others, no one needs to know why you are here.
  • The care we provide is confidential. It is between you and us, and nobody else. Our staff respects that an increase in body weight is a disease in need of treatment, not just a lifestyle choice.

PROCEDURES

What are the types of procedures we may perform?

  • An increase in body fat is most often due to genetics, biology, and environment. We can’t do much about your genetic make-up.   However, we can help address the biology. We can provide guidance regarding environment.
  • Regarding biology, some of our blood testing includes evaluation of glucose (diabetes mellitus), blood pressure, and cholesterol and triglycerides (fats in the blood). We also test for increases in liver enzymes (that might suggest a “fatty liver”), blood testing for thyroid abnormalities, and an electrocardiogram (to help provide some information about your heart).
  • Regarding environment, our staff can help train you on stress management and behavior modification techniques. These techniques can often help you address environmental challenges that promote fat weight gain.
  • We also have a Dual-Energy X-ray Absorptiometry (DXA) scan. The manufacturer does not recommend DXA scan be performed in patients over 350 pounds. However, for those who weigh less than 350 pounds, a DXA scan is an imaging and diagnostic test that can measure the relative amount of your body muscle and fat (body composition), as well as strength of your bones (bone mineral density). The DXA scan procedure does not involve needles or injections. Your body will not be confined or enclosed; your face will not be covered.
  • Some individuals with increased body weight may have a large amount of muscle. In muscular individuals, a body weight does not accurately assess health risks. In such cases, it may be useful to measure the body’s muscle and fat, such as through DXA.
  • The DXA scan may also be useful to assess the fat loss progress during weight management treatments. It is also a unique and sophisticated way to determine an individual’s response to sports, exercise, and/or physical activity training.
  • It is challenging to know how much bone mass you have without measuring it.   Bone loss and low bone mass can result in osteoporosis. Osteoporosis places you at risk for fractures due to weak bones. DXA scanning can measure the strength of your bones. Knowing the density of your bones may help direct you towards the need of treatments for good bone health, and reduce the risk of bone fractures.
  • DXA can also provide an estimate of your “metabolism” or resting metabolic rate. Knowing how many calories you burn off at rest can assist you in making nutrition and physical activity choices.
  • An increase in body fat can have numerous causes. It is not within our scope of evaluation to try to diagnose every conceivable cause of increased body fat. Specialized testing for rarer conditions that can contribute to increased body fat may require more specialized blood and imaging tests. However, we can provide you a summary listing of some examples of rarer diseases for you to discuss with your treating clinicians.

Examples of procedures included in our programs (some included procedures will depend on the program):

  • Informed consent
  • Inclusion/exclusion criteria checklist
  • Review of the Health Insurance Portability and Accountability Act (HIPAA)
  • Medical history
  • Medication review
  • Practice fusion patient portal instruction
  • Vital sign measurements
  • Physical exams
  • Waist circumference
  • Percent body fat caliper analysis
  • Army estimate of percent body fat
  • Photo-journal images
  • Stunkard rating scale
  • General blood chemistries
  • Uric acid
  • Lipid profile
  • Thyroid tests
  • Complete blood count
  • Urinalysis (including urine pregnancy test if applicable)
  • Electrocardiogram
  • Dual-Energy X-ray Absorptiometry (DXA) – for patients who weigh less than 350 lbs.
  • Review and discussion of diagnostic testing
  • 20 Question Short Obesity Life Assessment (SOLA – 20)
  • Nutrition assessments
  • Nutrition counseling
  • Physical activity assessments
  • Physical activity counseling
  • Medication adjustment
  • Medication recommendations
  • Medication prescribing
  • Certificate for completion of designated programs

What about education?

In addition to the multiple diagnostic procedures we conduct, our programs place a special emphasis on educating you on healthy eating and physical activity. In fact, over 50% of the face-to-face time spent with you will be educating you on specific things you can do as an individual to achieve your body goal.  This is in addition to the multiple sessions that include education on:

  • Nutrition
  • Physical activity
  • Fat-related diseases: Scientific basis
  • Fat-related diseases: Nutrition and physical activity tips
  • Stress management
  • Behavior modification
  • Ethnic foods

What are the possible benefits of our diagnostic testing?

The testing we recommend helps better define your body composition, body weight, and body metabolism. This helps us better assess your health, and helps us better recommend an individual treatment program best for you.

What are the possible risks of our diagnostic testing?

  • Testing can have potential undesirable side effects. Even simple procedures such as drawing blood through a needle can have complications. Therefore, before we perform our procedures, you will be informed of these procedures.
  • Another risk of having diagnostic procedures is that testing sometimes finds abnormalities that may or may not be of clinical significance. For example, blood work and electrocardiograms often show abnormalities. If your electrocardiogram or blood work are found to be abnormal, then we may recommend you seek further evaluation elsewhere – sometimes on an urgent basis. In extreme circumstances, this may save your life. However, it is also possible that the time and expense of further evaluation may reveal nothing of clinical importance.

ARE YOU READY TO CHANGE?

This is probably the most important question you need to ask yourself. While we cannot guarantee you will get the results you expected, we believe the structured plans we have in our programs give you a fighting chance of getting you closer to your body goal.

It is true that being overweight can contribute to stress and depression.  But oddly enough, sometimes successful weight loss can also result in changes that are stressful and may cause sadness.  If you are overweight, healthy weight reduction can often elicit compliments, especially from friends and family who care about you.  But not everyone may be happy with your success.  Your adoption of favorable life changes and reduction of body weight may be threatening to others.  The point is, as with most life changes, you should anticipate your relationship with others will also change.  For most, your relationships will hopefully change in a good way – but maybe not always.  You should know this from the start, and be prepared for this from the beginning.


TREATMENTS

What kinds of “diets” do we recommend?

For any nutritional intervention to be successful in helping you lose weight, the number of calories you eat will need to be less than the calories you burn with physical activity. Among the different types of “diets” we will discuss include the broad categories of lower calorie, “low carb” and “low fat” options. We will work with you to find the type of meal pattern best suited for you as an individual, based upon your lifestyle, your needs, and your preferences.  It’s your choice!

What will be required prior to implementing a physical activity program?

Increased physical activity can improve body composition, body weight, and body metabolism. Physical activity, including physical exercise is an important component to body health.  The optimal physical activity for depends on your health, readiness, expectations, and goals.  Therefore, before we recommend a physical activity program, we will first try to obtain input from you and your treating clinicians.

Do we offer gym services?

We do not offer gym services. However, we may make recommendations regarding local gym options.

Are the treatments we recommend “experimental”?

  • Our staff has research experience in developing investigational weight management and other metabolic drug therapies. However, unless you are participating in one of our clinical trials, the drugs we recommend are not “experimental.”
  • If you participate in one of our treatment programs, it is unlikely you will be eligible to participate in a clinical trial.
  • The treatments we recommend are physician-directed, and science-based.

What are the possible benefits of our weight management treatments?

Being overweight or having obesity has serious complications. If you are overweight or have obesity, and if you choose to be treated to improve your body composition and body weight, then many of these complications may improve.  Among the disorders that may improve are blood sugar (diabetes), blood pressure, cholesterol problems, sleep apnea, and numerous other diseases caused by too much body fat.

What are the possible risks of our non-surgical treatments?

  • Especially when the weight loss is rapid, weight loss can sometimes cause side effects. Some of these side effects include an increased risk of gallstones, dehydration, electrolyte imbalances, headache, fatigue, lightheadedness, constipation, menstrual irregularities, hair loss, and muscle loss.
  • If you are being treated for diabetes mellitus, then weight loss may cause your blood sugar to go low, sometimes too low. Low blood sugars can cause sweating, hunger, fatigue, shakiness, and in more severe cases, lightheadedness, mental confusion, unresponsiveness, or even death. Therefore, you will need to monitor your blood sugars closely during our counseling or treatment, to see if your diabetes mellitus medications should be reduced or stopped.
  • If you are being treated for high blood pressure, then weight loss may cause your blood pressure to go lower. Low blood pressure can cause lightheadedness, and in more severe cases fainting, stroke, and death. Therefore, you will need to monitor your blood pressure closely during counseling or treatment to see if your blood pressure medications should be reduced or stopped.

Why do we require you to provide the name and address of a primary care doctor before being treated here?

  • Being overweight increases the risk of multiple complications, such as heart disease, diabetes mellitus, high blood pressure, abnormal fats in the blood, and cancer. Through treatment of body composition or weight, we can help treat or prevent some of these diseases. However, we do not have the ability to assume the primary care for any patient, nor can we assume the primary care for any of these medical conditions.
  • If you seek medical attention during the course of your medical care here, please do not list any of our providers as your primary care clinician. We do not assume the primary care for any patient, including your metabolic diseases.

Why are Internet access and a smartphone required for participation in our treatment programs?

  • To provide you medical care in the most efficient way possible, and to facilitate patient-provider collaboration in medical care, patients who choose one of our treatment programs will need access online documents, such as test results. These documents are obtained through the patient portal of our Electronic Health Record provider.
  • By signing this informed consent document, you are agreeing to receive mobile text, voice, and / or email notifications. If you do not have free texting, voice, or email smartphone or tablet services, then messages sent and received may result in fees or costs to you.

Does our staff manage conditions beyond body composition and weight management?

Our care is focused on matters of body composition and weight management. Other than body composition, we do not assume the primary management of any of your medical conditions.  However, if you have diabetes mellitus, and our counseling or treatment might affect your glucose levels, then we may ask you to monitor your blood sugars.  Based upon your blood sugar readings, we may recommend you and/or your treating clinicians adjust your diabetes medications.  Similarly, if you are receiving treatment for high blood pressure, and our counseling or treatment may affect your blood pressure, then we will ask you monitor your blood pressure.  Based upon your blood pressure results, we may recommend to you and your primary care clinician an adjustment to your blood pressure medications.

Does our staff refill prescriptions made by other clinicians and doctors?

Our staff does not refill prescriptions originally written by other clinicians. If you need a prescription refilled that was written by someone other than us, then you will need to contact the clinician who wrote the original prescription.

When is our staff available to refill prescriptions originally written by us?

All prescriptions written by us should have refills requested at least two weeks in advance before the prescription runs out. If you need a prescription refill, then please call or contact us during regular working hours.  We do not refill prescriptions before or after normal work hours, weekends, or during holidays.  Please do not notify us of your need for a refill on a Thursday or Friday, with the expectation the prescription will be filled before the weekend.

Do we see patients in the hospital?

We are not primary care providers for any patient. We do not see patients in the hospital.  If you require hospital medical care, then you will need to be evaluated and treated by clinicians who see patients in the hospital.

What happens if a you experience a medical emergency?

If you have a medical emergency, then you will need to contact your treating clinicians, such as your primary care doctor, go to an emergency department, or dial 911. If you are not having a medical emergency, and you experience a side effect you believe may be related to a drug or treatment we prescribed, then stop the drug or treatment until you discuss with us. If you are not having a medical emergency, and you are experiencing a side effect you believe may be related to a drug or treatment prescribed by another clinician, then please contact the clinician who prescribed the drug or treatment.

What alternative treatments are available?

If you decline our services, then we encourage you to discuss alternatives with your treating clinicians.

Do we perform surgical procedures?

We do not perform surgical procedures. However, for patients with overweight and obesity wherein surgery is appropriate, we may be able to assist with surgical recommendations.

What are some of your other responsibilities if you agree to receive counseling and treatment here?

  • If you have diabetes mellitus, then it will often be necessary for you to monitor blood sugars, sometimes on a frequent basis.
  • If you have high blood pressure, then it will often be necessary for you to monitor your blood pressure, sometimes on a frequent basis.
  • While you are undergoing treatment here, it is necessary you keep us informed of any change in your health or any change in your medications. This includes the use of supplements, over-the-counter medications, hospitalizations, surgeries, and diagnostic procedures.

TREATMENT PROGRAMS AND COST

How much does the first “informed consent” visit cost?

The initial informed consent visit is FREE.

Why must you come to our building for the FREE Informed Consent Visit?

The Informed Consent process is an important procedure to ensure you understand what we do, understand your options, and understand your responsibilities. It is therefore important we be available to answer your questions face-to-face.

What treatment programs are available, and how much do they cost?

Our programs are described in detail on the Home Page of our website (https://yourbodygoal.com).  If you are reading a paper copy of our informed consent document, then our programs are found in tables at the end of this document.

Can you purchase individual components of the programs we offer? If so, then how much do they cost?

  • Yes, you can purchase individual components of our evaluation and treatment plans.
  • Our programs and “a la carte” services are described in detail on the Home Page of our website (https://yourbodygoal.com). If you are reading a paper copy of our informed consent document, then our programs and “a la carte” services are found in tables at the end of this document.

Do we have a payment plan?

We do not have a payment plan. If you choose a treatment program, then payment is due in full.

If you weight over 350 pounds, and cannot get a DXA scan, then will the cost be adjusted?

If you are unable to get the DXA scan, then your price will be adjusted by $100 for the Silver plan, and by $200 for the Gold, Platinum, and Titanium plans.

If you bring in prior laboratory, will this reduce the price of the program you choose? If you have previously laboratory, will it need to be repeated?

Bringing in prior laboratory will not reduce the price of the program you choose. It is important for us to have laboratory and procedures done at the time you start the program.  It is also important they be done by the same method and laboratory and machines, so we can accurately compare your initial values, to your future values.  So yes, the laboratory will need to be repeated, even if you had similar laboratory done recently elsewhere.

What payments do we accept?

  • Checks
  • Credit card
  • Debit card
  • Our services are currently not covered by health insurance, Medicare, or Medicaid

When is payment for procedures due?

While the Informed Consent visit is FREE, you will need to bring a debit card, credit card, or check on the same day of this initial visit. That way, should you decide to move forward with one of our programs, we can collect payment at the end of the Informed Consent visit.  After we receive payment, you can then be scheduled for procedures and treatment visits.  If you pick a treatment program, then this is a one-time payment for the services identified in the plans.  If you chose to purchase individual components of the plans, then payment will be due the visit before the scheduled procedure (diagnostic test, counseling, or treatment).  Patients cannot undergo diagnostic testing, counseling, or treatment prior to receipt of payment – at least a week before the visit date.

Are the prices for a total treatment program more or less expensive than purchasing the individual components?

The total of all the individual components will cost less when bundled as a program, compared to if you purchased the same number of components individually.

What is our refund policy?

No refunds are given after a diagnostic test is performed, or after counseling and/or treatment sessions are completed. If you choose a treatment program, and if you choose to stop the plan before it is completed, and want a refund, then you will receive a pro-rated refund, less a 20% administrative fee.

What happens if your payment returns with a notice of “not sufficient funds”?

If we are unable to secure your payment, for whatever reason, then you will need to reschedule your visits for procedures or treatment until we are able to secure payment from you.  You will be charged a $25 administration fee if we are required to reprocess a previous “not sufficient fund” payment.

When should you notify us of canceled appointments?

If you need to cancel an appointment, then please notify us immediately – at least 48 hours in advance. If you do not let us know you plan to cancel your appointment in a timely manner, then this means we will not likely be able to fill your appointment slot with another patient who could have otherwise scheduled at that time.  If you repeatedly fail to show up for scheduled appointments, then you may not be refunded if you miss your visit, even if you do not receive the services scheduled for that visit (e.g., diagnostic tests and counseling).  In some cases of repeated missed or canceled appointments, we may decide it is not in your medical interest to continue care at this center.  In this case, we may recommend you follow-up with your treating clinicians until your schedule allows you to better make your appointments here.  We cannot effectively counsel or treat you or any other patient unless they keep appointments.

If our treatments are not covered or paid for by health insurance, Medicare, or Medicaid, then why is it best for you to have health insurance?

  • Being overweight or having obesity is a risk factor for many diseases. During our involvement in your care, it is common we discover health issues that may require medical management beyond what we are able to provide.
  • We will explain the risks and benefits of approved weight management drugs. However, all drugs for any disease have potential side effects that may require medical management beyond what we are able to provide.
  • If the need arises, and if medical attention is required during the course of our involvement in your care, then you will need access to appropriate medical care – which is often facilitated by health insurance.

Why do we not accept health insurance, Medicare, or Medicaid?

Reimbursement through health insurance, Medicare, and Medicaid is not adequate to cover the cost of the medical care we believe best allows you to achieve your body goal. While it is possible we may accept health insurances in the future, we have no immediate plans to do so now.

Can you donate to help fund care for others?

Many patients find our services so unique and valuable for them, that they would like to have the same option available for other patients who may not be able to afford these services. If you would like to donate funds to help others, then please speak with the Site Manager.  You can purchase one of our programs for a specific person.  Or, you can purchase one of our programs for someone our staff feels would benefit.  If you do purchase a program for someone else, then please know we charge no additional administrative fee or processing fee for this purchase.


YOUR BODY GOAL PROGRAM VISITS

What is a typical testing visit?

If you choose to only have diagnostic testing, then after you review and sign an informed consent document to have such testing, and pay the applicable fees, then the testing will be performed at this center. You will be provided a copy of the results of your testing.

What is a typical counseling and treatment visit?

  • If you choose one of our diagnostic, counseling, and treatment programs, a typical visit will begin with a one-on-one discussion of your food diary with a dietitian. Based upon your individual records, the dietitian will make recommendations for the following week – specifically for you. In addition, the dietitian will also provide you a one-page education nutrition document, for which you and the dietitian will discuss. This education session is intended to provide you overall nutrition concepts, as well as give you practical and specific nutritional recommendations.
  • On the same day, you will also be seen by a “coordinator,” who will review the laboratory and diagnostic testing you had performed here. This coordinator may also review your exercise diary. Based upon this information, the coordinator will then make recommendations for the following week. In addition, the coordinator will also provide you a one-page education document regarding physical activity, diagnostic testing, or metabolic disease, for which you and the coordinator will discuss. This education session is intended to provide overall medical health concepts, as well as give you practical and specific medical recommendations.
  • The total amount of time for diagnostic testing days can take 2 or more hours. On days without diagnostic testing, the total amount of your time for a visit may range between 1 – 2 hours.

What acknowledgement will you receive from Your Body Goal?

The longer the counseling and treatment program you choose, the more advanced the Participant Certificate you will receive when you complete your assigned plan.

  • Silver Plan Participants have the potential to receive a “Basic Participation” recognition certificate
  • Gold Plan Participants have the potential to receive a “Honors Participation” recognition certificate
  • Platinum Plan Participants have the potential to receive an “Advanced Participation” recognition certificate
  • Titanium Plan Participants have the potential to receive a “Graduate” participation recognition certificate

Will your doctor or treating clinician be informed?

If you only receive diagnostic testing, then you will be provided copies of the results. We recommend you take these results and discuss them with your treating clinician.  If you agree to one of our treatment programs, then with your permission, we will send a letter notifying your clinicians of your participation.  Some of your diagnostic testing results are usually sent with this “entry letter.”  Once you complete our treatment program, we will send a follow-up letter as well.

What is the Louisville Metabolic and Atherosclerosis Research Center?

Your Body Goal is not a dedicated research facility. It is a body composition, body weight, and body metabolism diagnostic and treatment center.  Conversely, the Louisville Metabolic and Atherosclerosis Research Center (L-MARC) is a metabolic research center that investigates treatments for obesity, cholesterol disorders, diabetes mellitus, high blood pressure, osteoporosis, arthritis, and other metabolic disorders.

Can patients being treated participate in research trials?

Most of our staff also work as researchers. However, if you are in an active treatment program at Your Body Goal, then it is unlikely you would be eligible to participate in a clinical trial.  Similarly, if you are in a clinical trial, then it is unlikely you would be able to receive treatment at Your Body Goal.

How is “research” different from “treatment”?

  • Clinical research involves the evaluation of investigational therapies. In many clinical trials, the intent is to determine if the treatment is effective. Clinical trials often involve studies using a placebo (non-treatment). Laboratory testing, counseling, investigational products (study drugs), and other procedures are provided by the study.
  • At Your Body Goal, our counseling or treatment programs involve physician-directed and science-based care, for which the patients are responsible for payment. At Your Body Goal, we do not make treatment recommendations that may involve a placebo.

What about educational classes?

We do not currently offer educational classes. However, we may plan these in the future.

What if you are a woman who has the possibility of becoming pregnant?

  • Too much body fat can cause infertility. Weight loss can increase fertility. Many women with overweight or obesity who were not able to conceive before, may be able to conceive after weight loss. Unless you are surgically sterile or with menopause, you should not assume that because you have not gotten pregnant before, that you cannot become pregnant after improved body composition, body weight, and body metabolism.
  • If you are wanting to become pregnant, then you need to notify us, and remind us at each visit or encounter.
  • If you are of child-bearing potential, and not wanting to become pregnant, then you will need to use acceptable forms of birth control. This is even if you have not had to use birth control in the past.
  • Some weight loss drug treatments are known to have risks to the embryo or fetus. Weight loss treatments may also result in unforeseeable risks. It is therefore critical you let of know whenever you have stopped or withheld reliable contraceptive use.
  • It is especially important you let us know immediately if you know you are pregnant, or if you think you may be pregnant.

What training has the staff received?

Our staff has research experience in the evaluation and investigational management of metabolic diseases. Our staff has also received training specific to Obesity Medicine.

What is the Your Body Goal Community?

In addition to our treatment programs, experience supports our staff as among the very best in providing compassionate and confidential care. It is therefore no wonder why many who have worked with our staff consider themselves part of a special community.

What are the qualifications of Dr. Harold Bays (Medical Director)?

Dr. Harold Bays is Board Certified in Endocrinology and Internal Medicine, Diplomate of the American Board of Clinical Lipidology, and Diplomate of the American Board of Obesity Medicine. He has served as an Investigator for over 450 Phase I – IV clinical trials regarding treatments for dyslipidemias, obesity, diabetes mellitus, hypertension, and other metabolic and hormonal disorders. As Medical Director and President of Louisville Metabolic and Atherosclerosis Research Center, Dr. Bays has written, or served as a contributing author to over 200 peer review scientific manuscripts and book chapters, as well as over 100 scientific abstracts presented at major scientific meetings, and served as first author for a number of scientific consensus statements in Lipidology and Obesity Medicine. He is a Fellow of the National Lipid Association (FNLA), Fellow of The Obesity Society (FTOS), Fellow of the American College of Cardiology (FACC) and Fellow of the American Association of Clinical Endocrinologists (FACE). He is Chairman of the Obesity Medicine Association Obesity Algorithm.  He has received several scientific awards in such as the 2016 Obesity Medicine Association “Obesity Medicine Clinician of the Year,” 2015 National Lipid Association “President’s Service Award,” and 2014 American Society of Bariatric Physicians “Task Force Award.

Who can you contact for further information?

If you wish further information about our services, please contact a staff member. Our contact information can be found on our website (https://yourbodygoal.com).

Are patients entitled to one free copy of their medical records?

At the end of the diagnostic procedures or counseling or treatments we perform, upon your written request, Kentucky law entitles you to one free copy of your medical records. Therefore, after you complete your diagnostic procedures or treatment, you will have the opportunity to sign a written statement, requesting your one free copy of your medical records that were created at this center.

If you do not obtain your medical records at your last visit, and if you request medical records at a later time, then we will require payment for postage for mailing them to you.

Once you receive your free copy of your medical records, if you send another written request for your medical records, then you will be charged $1.00 per page copying fee, and postage charges. The same applies for requests for a second request of medical records made by someone acting as your representative.