Bariatrics and Weight Management

Regional Health Weight Management

Regional Health Weight Management understands that losing weight is difficult. We have an experienced interdisciplinary team of medical, surgical, neuropsychological and nutritional professionals to help you achieve your weight-loss goals. Our highly trained teams of caregivers are dedicated to providing guidance and education throughout your weight-loss journey. Weight loss can pose many challenges, and it may even seem impossible at times, but our team is here to help you achieve weight-loss success.

We will work with you individually – taking into consideration previous weight loss attempts, characteristics, habits, concerns and areas of need – to develop a program specifically tailored for you.

What are the health risks associated with obesity?

There are more than 40 medical conditions associated with obesity. Individuals affected by obesity are at risk of developing one or more of these serious medical conditions, causing poor quality of life or, in severe cases, early death. The most prevalent obesity-related diseases include:

  • Type 2 diabetes
  • High blood pressure
  • High cholesterol
  • Heart disease
  • Stroke
  • Gallbladder disease
  • Gastroesophageal Reflux Disease (GERD)
  • Osteoarthritis
  • Sleep apnea and respiratory problems
  • Some cancers

What are your options?

Our goal is to help you achieve your desire for a happier, healthier life through lifestyle modification. We will provide you with the knowledge, tools and confidence you need to maintain your healthy lifestyle for long-term results. Please call our office in Rapid City or Spearfish for more information on any of the following options.

  • Medically supervised weight loss
  • IBT, Intensive Behavioral Therapy – a Medicare benefit for qualified patients
  • Preventative medicine counseling, First Choice Caregivers - 3 to 12 covered visits per year depending on your BMI
  • HMR meal replacement plan
  • Nutrition and wellness counseling
  • Pharmacotherapy for weight loss
  • Bariatric surgery (Weight loss surgery)
  • Medical follow-up after bariatric surgery
  • Lap-band adjustments and follow-up
  • Cooking classes
  • Cognitive Behavioral Therapy

Weight-Loss Medications

If you have tried conventional weight management and have not achieved your weight-loss goal, then weight loss medications may be an option.

Patients interested in taking weight loss medications must have an initial consultation with our medical provider to discuss the prescription medications available, their side effects and potential complications. If you are a candidate for weight-loss medications, you will begin working with our provider and dietitian on lifestyle changes necessary for long-term success.

HMR Weight-Loss Program

In 2017, HMR was ranked a No. 1 Fast Weight Loss Diet by U.S. News & World Report’s annual diet rankings for the second year in a row. HMR's program for weight management is one of the most effective weight-loss options available. This comprehensive weight-loss plan uses HMR foods and coaches to prepare you for a lifetime of healthier living. This program will help you achieve your weight-loss goals with Healthy Solutions, and you will leave the program with the tools and skills you need to maintain your lower weight.

This plan allows individuals to achieve meaningful weight loss by integrating diet, physical activity and weekly coaching.

A medical assessment with our provider is completed to ensure your safety throughout the meal replacement program. The meal replacement program consists of two phases.

Healthy Solutions Phase 1 - Active weight loss phase: To lose the most weight, you'll eat only HMR shakes, entrees, fruits and vegetables in place of your meals and snacks. Since you don't have to think about what to eat, you can focus on learning and practicing new healthier skills you can use for life. You will have weekly group meetings with our dietitian.

Healthy Solutions Phase 2 - Maintenance phase: During this phase you may continue to lose weight and will maintain the weight loss already achieved. You will continue to utilize some supplements.
 
Weight Loss Surgery:

Many people struggle to lose weight and keep it off. If your weight is starting to affect your health and your way of life, and you’ve tried other weight loss methods without success, it may be time to consider weight-loss surgery. Weight-loss surgery has been life-changing for many people. Is it right for you?

You may be a candidate for Weight Loss Surgery if:

  1. You are 18 years or older.
  2. BMI ≥ 40.
  3. BMI ≥ 35 and at least one or more obesity-related co-morbidities such as type II diabetes (T2DM), high blood pressure, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders or heart disease.
  4. Inability to achieve a healthy weight loss sustained for a period of time with prior weight-loss efforts.

How Does Bariatric Surgery Work?

Bariatric -surgery procedures such as gastric bypass, gastric sleeve and adjustable gastric banding, work by changing the anatomy of your gastrointestinal tract (stomach and digestive system) or by causing different physiological changes in your body that change your energy balance and fat metabolism. By changing your gastrointestinal anatomy, certain bariatric procedures affect the production of intestinal hormones in a way that reduces hunger and appetite and increases feelings of fullness. The end result is less desire to eat. These surgically induced changes in hormones are different from those produced by dietary weight loss alone. 
When you meet with the surgeon, different surgical options will be presented, and you and the surgeon will decide which procedure is best for you. It is important to remember that bariatric surgery is a “tool.”  Weight-loss success depends on many other important factors such as nutrition, exercise and behavior modification.
Bariatric Surgery Options:

  • Sleeve Gastrectomy
  • Gastric Bypass
  • Adjustable Gastric Banding