What To Expect – Bariatrics

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Step 1: Evaluation
On your first day at our center you will meet with one of our nurses or medical assistants. Your evaluation will include a medical, behavioral, exercise, and nutritional history, body composition testing, EKG, and comprehensive blood tests including blood sugar, thyroid and cholesterol levels. A follow-up appointment with Dr. Bruner is scheduled to review tests results and institute a personalized treatment program.
Step 2: Examination and Consultation
Dr. Bruner will perform a physical examination and analyze the results of your medical history and tests. She will discuss with you a treatment program designed to meet your individual needs and health. You will begin your individualized treatment program on this day.
Step 3: Behavioral and Exercise Counseling

Behavior and exercise counseling are cornerstones of a successful bariatric program. We will empower you to implement strategies to meet every day challenges such as: 'diet saboteurs, 'eating out, confusion about food labeling, and family or job-related stresses.

Exercise provides a multiplicity of long term health benefits including stress reduction. We will help you decide what exercise is best for you.

Step 4: Follow-up Visits/Monitoring
We will monitor your progress during each subsequent office visit. We will help you to make the necessary behavioral changes. Your laboratory testing will be performed at appropriate intervals to further document your progress.
Step 5: Maintenance Program
One of the most important and often overlooked aspects of weight loss is keeping the weight off after you have lost it. We will help you to sustain lifestyle changes that will maintain your desired weight and health.
 
What To Expect – Anti-Aging
Step 1: Evaluation
On your first day at our center, you will meet with one of our nurses or medical assistants. A comprehensive history that includes present complaints, medical and surgical history along with your personal wellness objectives, is obtained. Based upon this information, laboratory testing is ordered. A follow-up appointment with Dr. Bruner is scheduled to review your results and institute a personalized treatment plan.
Step 2: Medical Assessment

Dr. Bruner will thoroughly review your current and past medical history, nutritional intake, activities, lifestyle, and laboratory results. She will outline a treatment program that may incorporate bio-identical hormone therapy *(BHRT), nutritional supplements, diet, exercise, and lifestyle changes, all designed to optimize your health and well-being.

Bio-identical Hormone Replacement Therapy *(BHRT): Dr. Bruner’s BHRT is designed to treat individuals who suffer from PMS, perimenopausal, menopausal, symptoms, and andropausal symptoms, thyroid insufficiency, and adrenal fatigue. Symptoms may include: loss of sex drive, chronic fatigue, insomnia, weight gain, mental fogginess, depression, headaches, and joint and muscle pains.

Step 3: Follow-up Visits/Monitoring
Follow-up is critical. There may need to be adjustments and additions to your treatment regimen based upon your individual response. Additional laboratory testing will be performed upon your progress.
 
What To Expect – Advanced Aesthetics
Step 1: Consultation
On your first day at our center you will be provided with necessary medical forms and a consent form to be completed. After completing your forms you will meet with our medical aesthetician or one of our nurses. He or she will review your pertinent medical forms, assess your concerns and educate you regarding different aesthetic treatments. Photos will be recommended.
Step 2: Medical Assessment/Evaluation
Dr. Bruner will thoroughly review your current and past medical history. Dr. Bruner will exam your facial anatomy and/or your body. She will review your desired treatment(s) and make recommendations explaining risks and benefits. Your treatment may be performed at this time or scheduled for a later date.
Step 3: Treatment
Your treatment will be tailored to match your skin’s condition and your desired results. As each person differs, a series of treatments are recommended for optimal results. If necessary a home skincare program may be recommended so you can experience excellent results.
Step 4: Follow-up Visits
Follow-up visits are important. There may need to be adjustments and additions to your treatment regimen based upon your individual response.


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