Obesity is a significant health concern that impacts individuals across all age groups, intertwining with and exacerbating numerous other health factors. While it’s crucial for everyone to consider their weight and its implications, it’s especially important for older adults, where the interplay with other health conditions can become more complex and serious.
The Interwoven Risks of Obesity, Especially for Older Adults
Weight management for older adults requires greater mindfulness and clinical nuance than for younger populations. Aging often brings a rise in medical complexity, with older adults more likely to live with multiple chronic conditions and take several medications, adding significant layers of consideration for weight loss interventions. In fact, over 50% of older adults have three or more chronic diseases, necessitating coordinated, multidisciplinary care, according to the American Geriatrics Society.
Clinicians must evaluate how meaningful weight loss could improve obesity-related complications, while also considering potential unintended consequences from rapid or unmonitored health changes. Polypharmacy, or the use of multiple medications, is a common concern in geriatric care; for adults aged 65 and older with Medicare, the median number of prescription medications is four, per the Journals of Gerontology.
The good news is that weight loss surgery has been shown to significantly improve many obesity-related health issues and reduce the need for certain medications. After bariatric surgery, many people find they can reduce or eliminate medications they previously relied on, particularly for conditions like type 2 diabetes, high blood pressure, and sleep apnea. Weight loss also improves the efficacy and reduces the need for other medications, such as those for pain or inflammation.
Making Weight Loss Solutions Accessible: Nicholson Clinic and Medicare
Recognizing the widespread need for effective and lasting weight loss solutions, Nicholson Clinic is committed to making its services available to a broader range of patients, and now proudly accepts regular Medicare. At Nicholson Clinic, we will walk you through the process of getting started and will guide you every step of the way. We know that obesity management in older adults requires a careful and tailored approach, prioritizing comorbidity management and risk mitigation. Patients should be informed about how weight loss may interact with existing medical conditions, medication regimens, and musculoskeletal health. We work closely with registered dietitians, exercise physiologists, endocrinologists, and primary care professionals to ensure a comprehensive approach to wellness.
Choosing the right weight loss solution and an experienced treatment team is crucial for effective weight loss and lasting results. If you are struggling with weight related conditions and looking to improve your quality of life, give us a call today at 972-494-3100.
Every morning, I woke up feeling drained.
As usual, my body ached when I stood up, and my reflection in the mirror didn’t help much either.
I’d sigh, grab my phone, and scroll through social media. Friends were posting vacation pictures, hiking adventures, and family gatherings while I was stuck on the couch, in pain, feeling utterly miserable.
But that wasn’t the worst part.
The worst part was knowing that my weight was controlling my life.
The Struggle Was Real
Before I made the decision to undergo weight loss surgery, life felt like a never-ending battle with my body. Simple things, like tying my shoes or playing with my kids, became insurmountable tasks.
I couldn’t walk up a flight of stairs without stopping halfway to catch my breath. My knees ached all the time. My back hurt from carrying the extra weight. And, worst of all, I was embarrassed to even leave the house. I avoided social events, family gatherings, and even casual outings with friends because I was ashamed of how I looked and felt.
Even simple tasks like grocery shopping felt like marathons. I’d get winded after pushing a cart around the store, and sometimes, I couldn’t make it to the checkout without feeling like I was going to collapse.
My health was deteriorating, and I could feel it every single day. I was at my lowest point.
The Turning Point
Then, one day, I sat down with my primary care doctor. He told me, point-blank, that I was at risk for serious health issues — diabetes, heart disease, sleep apnea, and even joint problems, all of which were exacerbated by my weight.
That’s when he brought up weight loss surgery.
At first, I was hesitant. I was scared. I thought, “Is surgery really the answer? Can’t I do this on my own?”
My doctor looked me in the eyes and said, “You wouldn’t try to beat breast cancer on your own. Why do you want to try to beat obesity on your own?” He explained, “Sometimes, your body needs help. And this could be the turning point you need.”
He explained that weight loss surgery, especially when combined with healthy habits and lifestyle changes, could offer a permanent solution.
I went home, thinking about his words, and after much consideration and discussion with my family, I decided to take the leap. I scheduled a consultation with the Nicholson Clinic to learn more. The idea of finally getting my life back was too powerful to ignore.
Insurance Didn’t Cover My Weight Loss Surgery but There Was a Solution: Weight Loss Surgery Only $4,500
The Nicholson Clinic insurance advocate checked my insurance and informed me that I didn’t have bariatric coverage, but I could self-pay for the procedure. This would be $10,500 or I could finance for $284/month, or, if I needed surgery for another condition, I may be able to use insurance for that procedure and add-on a weight loss procedure for only $4,500 or $122/month. I decided to go to my consultation to explore my options.
When asked about my medical history, I explained that I have been diagnosed with gallstones in the past, and that I often have upper right abdominal pain after eating.
Dr. Nicholson explained that this is very common with patients who are overweight. Excess body fat can increase cholesterol levels in bile, which is a key factor in gallstone formation. Dr. Nicholson ordered some tests, and it turned out that I will need gallbladder removal at some point, and that it’s better to remove it as a scheduled procedure rather than an emergency room visit.
The good news was the Nicholson Clinic was able to remove my gallbladder and add on a weight loss procedure all in one surgery session. I used insurance to cover my gallbladder removal and paid 60% less for a gastric sleeve at the same time. The cost-savings was incredible!
The Surgery: My Path to a New Healthier, Pain-Free Life
I won’t sugarcoat it — I was nervous for surgery, but the procedure itself was quick, and the recovery time was relatively short.
The procedure was outpatient, so I was home the same day. The first few days post-surgery were the hardest. I was tired, sore, and had to adjust to a liquid-only diet. But after a week, I noticed something different. I felt lighter, more energized, and, surprisingly, pain-free.
Every day, I saw improvement. My energy levels skyrocketed. I started walking more, and within two weeks, I could feel the weight literally lifting off my body.
A Life Transformed
The changes were dramatic. By the end of the first month, I had already lost 20 pounds and my reflux was gone. And it wasn’t just the physical attributes that had changed. My whole outlook on life was different.
Each month that past, I kept on losing weight, being more active and feeling better. I could walk for miles without feeling winded. I wasn’t afraid to try on clothes anymore. I was able to do things I hadn’t been able to do in years — like run around with my kids at the park. And best of all, my joints no longer ached.
Something inside me shifted, and I felt like a completely new person.
A New Lease on Life: It Was All Worth It
Looking back, it’s hard to believe how far I’ve come in such a short amount of time. I went from being bedridden by my own body to enjoying life again. Weight loss surgery wasn’t just a physical transformation—it was an emotional one, too. It helped me reclaim my confidence and happiness.
Sure, there were challenges, but every single day since my surgery has been a victory. I’m now living the life I always dreamed of—active, healthy, and happy. I’ve reconnected with old friends, gone on hiking trips, and, most importantly, I’ve rediscovered what it feels like to truly enjoy life.
If you’re reading this and struggling like I was, I want you to know this: there is hope. Weight loss surgery isn’t for everyone, but for me, it was the catalyst I needed to turn my life around. It gave me a second chance to live the life I always imagined.
And if I can do it, so can you.
This blog is based on stories of several of Nicholson Clinic patients combined. We’ve helped over 25,000 patients lose weight and live healthier happier lives. We can help you too! If you’re ready for a change, contact us today! 972-494-3100 or www.NicholsonClinic.com
At Nicholson Clinic, we know weight loss surgery can be a life-changing step—but it doesn’t have to be financially overwhelming. That’s why we offer a unique and cost-effective solution for patients who may need other medically necessary surgeries. By combining procedures, you can save money, shorten your recovery, and achieve better long-term health.
Weight Loss Surgery Starting at Just $4,500
For qualifying patients, gastric sleeve surgery is now available at our lowest pricing ever—just $4,500. And with CareCredit financing starting at only $122/month, it’s more affordable than ever to take the next step toward better health.
If you don’t have bariatric benefits but do need surgery for another medical condition that qualifies, this could be a valuable opportunity. In many cases, insurance may cover the medically necessary procedure, allowing you to add a gastric sleeve at a significantly reduced cost during the same operation.
Keep in mind that in addition to the $4,500 fee for the gastric sleeve, you may still owe any deductible and out-of-pocket costs based on your specific policy. The good news is, the surgery center offers payment plans for those additional costs, making the overall process even more manageable.
Combine Your Surgery & Save More
If you’re struggling with obesity and need another surgical procedure—such as gallbladder removal, hernia repair, or LapBand removal—you may be eligible to combine surgeries. This not only lowers your overall cost but also reduces your time in recovery.
How Common Is This?
Here’s the best part: More than 50% of patients have at least one of these conditions, so it’s actually very common! That’s why it’s important to schedule a consultation to explore your options. Our team will perform any necessary tests to confirm whether you’re eligible for a combined procedure. You can request a consultation HERE!
What Conditions Can Be Combined with Weight Loss Surgery?
- Paraesophageal Hernia Repair + Gastric Sleeve – Patients who are overweight and experience severe reflux or GERD could have a paraesophageal hernia, which is a form of a hiatal hernia. Combining surgical repair with gastric sleeve can relieve symptoms and support long-term weight loss.
- Gallbladder Removal (Lap Cholecystectomy) + Gastric Sleeve – Obesity raises your risk of gallstones, which can cause pain and digestive issues. If you need gallbladder surgery, adding a gastric sleeve at the same time could be a smart and efficient option.
- Abdominal Wall Hernia Repair + Gastric Sleeve – Hernias caused by previous surgeries or injury can worsen over time. Repairing them during weight loss surgery reduces complication risks and speeds up recovery.
- LapBand Removal + Gastric Sleeve – Many LapBands are removed within 7–10 years due to complications or poor results. If you’re dealing with pain, slippage, or reflux, we can remove the LapBand and perform a gastric sleeve in the same operation.
Why Choose a Combined Procedure?
✔ One operation instead of two
✔ Lower overall costs
✔ Faster recovery time
✔ Only one period of missed work
✔ Improved quality of life and long-term health
Schedule Your Consult Today
If you’re facing any of the conditions above, don’t wait— schedule a consult with Nicholson Clinic today. We’ll walk you through your insurance, confirm your eligibility, and help you decide if a combined procedure is right for you.
This could be your most affordable opportunity yet to take control of your health and start your weight loss journey! Call 972-494-3100 or request an appointment online!
There comes a moment in life when change is no longer optional—it becomes necessary. For one mother, that moment came on Mother’s Day in 2014. Looking at pictures of herself, she was faced with a truth she could no longer ignore; she needed to take control of her health if she wanted to be there for her young daughters. What followed was a journey of transformation, perseverance, and ultimately, self-love.
The Decision to Change
Before weight loss surgery, life was challenging in more ways than one. Simple joys—like running and playing with her daughters—were overshadowed by exhaustion. Shopping for clothes in regular stores wasn’t an option, and she avoided cameras at all costs. For many years, she struggled with yo-yo dieting and starting exercise routines only to fall off the wagon. Eventually, she reached a breaking point and decided, “Enough is enough. I need help.” After extensive research, she attended a seminar by Dr. Nicholson at the Nicholson Clinic, where she learned about her options. After carefully weighing the pros and cons, she proceeded with the procedure.
Choosing the Gastric Sleeve
By October 2014, she was ready. After consulting with Dr. Nicholson, they determined that the gastric sleeve procedure would be the best tool to help her achieve her weight loss goals. The decision wasn’t taken lightly—she conducted thorough research, completed all necessary pre-op testing, and ensured she was mentally and physically prepared. What stood out most was Dr. Nicholson’s openness and guidance, which gave her confidence in her choice.
The Surgery and Recovery Process
Thanks to the Nicholson Clinic, the process was straightforward. They handled the complexities of insurance and provided a clear roadmap for pre- and post-surgery requirements. While some days were more challenging than others—especially in meeting hydration and protein intake goals—she followed every instruction to the best of her ability. Over time, the process became second nature, and she learned how to fuel her body effectively.
Throughout it all, Kathy was never alone. Her husband and children stood by her side, offering unwavering support and encouragement through every step of the process. Whether it was helping with meal preparations, cheering her on as she incorporated exercise into her daily routine, or reminding her of her “why” on tough days, their love and belief in her never wavered.
A New Lease on Life
To challenge her body in new ways, she joined a walking club, which evolved into walk-run intervals, pushing herself beyond what she ever imagined possible. With the support of her family, coach and accountability partners, she ran a half-marathon in December 2015. In 2023, she decided to challenge herself again—this time by running a full marathon. For eight months, she trained, trusted the process, and in November 2024, she crossed the marathon finish line—without gaining weight. The experience reaffirmed that she could achieve anything she set her mind to.
Fast forward to today, and life is nothing short of amazing! Initially, she lost 102 pounds and then found her balance at a healthy 140 pounds. Over the past decade, she’s experienced the reality that weight loss surgery is only a tool—it still requires effort in maintaining nutrition, exercise, and mindset.
But what made the journey even more fulfilling was the love that surrounded her. Her family became her biggest cheerleaders, always reminding her of how far she had come and reinforcing the belief that she was never alone in this process.
Maintaining Success 10 Years Later
A decade after surgery, she continues to prioritize her health. Meal planning, scheduled exercise, and daily mindset work are non-negotiables. She invests in personal growth, working with mentors and continuously learning about whole-person health. By making herself a priority, she ensures she can show up as the best version of herself—not just for her, but for her family as well.
Advice for Those Considering Weight Loss Surgery
For anyone contemplating weight loss surgery, she offers this advice: knowledge is power. Understand that surgery is not a cure; it is merely a tool. Success requires a commitment to lifestyle changes, including diet, exercise, mental health, and personal growth. Ask yourself:
- How will my habits need to change before and after surgery?
- Can I commit to putting my health first?
- What adjustments do I need to make to support this commitment?
Weight loss is a journey, not a destination. It takes time, patience, and consistency. Most importantly, always remember—you are worth the investment! Stay tuned for more on Kathy’s story!
Kathy’s personal growth journey continues with coaching! Follow her today on IG: @kathymatthewscarlisle
At Nicholson Clinic, we are thrilled to announce that all three of our physicians have been honored with a top healthcare award. Dr. Nick Nicholson, Dr. Brian Long, and Dr. Thomas Roshek have once again been named to D Magazine’s “Best Doctors” in Collin County for 2025! This accolade highlights their dedication, expertise, and unwavering commitment to patient care.
A Legacy of Excellence
This recognition is not just a one-time achievement; it is a testament to years of hard work and dedication. Each of these physicians has consistently been recognized for their contributions to premier bariatric care in both Dallas and Collin County. Dr. Nicholson is being recognized for the 18th time, Dr. Roshek for the 10th, and Dr. Long for the 7th.
What This Means for Our Patients
Being recognized as a “Best Doctor” by D Magazine is a tremendous honor, as it reflects not only professional excellence but also peer recognition. These awards are based on recommendations from fellow physicians, showcasing the respect and admiration that Dr. Nicholson, Dr. Long, and Dr. Roshek have earned within the medical community.
For our patients, this award reaffirms that they are receiving care from some of the most trusted, skilled, and compassionate weight loss surgeons in the region. Whether it’s through innovative treatments, personalized care plans, or simply taking the time to listen, these physicians continuously set the standard for high-quality medical care.
Thank You to Our Community
We are incredibly proud of Dr. Nicholson, Dr. Long, and Dr. Roshek for their well-deserved recognition. Their commitment to excellence is what makes our practice a trusted healthcare provider in Collin County and beyond.
We also want to express our gratitude to our patients and community for their continued trust and support. Your health and well-being are our top priorities, and we look forward to continuing to provide you with exceptional medical care.
Schedule an Appointment
If you are looking for expert, compassionate care from award-winning surgeons who specialize in weight loss procedures and minimally invasive abdominal surgery, we invite you to schedule an appointment with Dr. Nicholson, Dr. Long, or Dr. Roshek. Contact our office today at 972-494-3100 to experience the outstanding care that has made them stand out in the medical field.
If you have a BMI of 30 or higher you could be classified as obese. As recognized by the World Health Organization and other medical bodies, obesity is a chronic disease that requires proper treatment, much like any other serious condition.
Seeking treatment for obesity is paramount because it is not just about weight; it’s a complex health condition that can significantly affect your overall well-being. Here are several reasons why treatment for obesity is important:
- Reduces the Risk of Serious Health Conditions: Obesity increases the risk of developing numerous chronic diseases, such as:
- Type 2 diabetes
- Heart disease and stroke
- High blood pressure
- Certain types of cancer (e.g., breast, colon, and endometrial)
- Sleep apnea and respiratory problems
- Fatty liver disease
- Osteoarthritis
Addressing obesity can reduce the risk or severity of these conditions, potentially improving quality and length of life.
- Improves Mental Health: Obesity is often linked to mental health conditions like depression, anxiety, and low self-esteem. Seeking treatment can improve psychological well-being and help manage emotional factors related to eating and body image.
- Enhances Mobility and Physical Function: Carrying excess weight can cause joint pain, mobility issues, and difficulty engaging in physical activities. Losing weight through proper treatment can enhance physical function, making it easier to move, exercise, and live an active lifestyle.
- Prevents Complications During Surgery: Obesity can increase the risk of complications during surgery, anesthesia, and recovery. Managing weight before surgery can reduce these risks and lead to better outcomes.
- Improves Quality of Life: Effective treatment for obesity can help individuals feel better physically, have more energy, and engage in social and recreational activities without limitations.
- Long-Term Health Benefits & Longevity: Even modest weight loss can lead to significant improvements in health, including better blood sugar control, reduced blood pressure, and improved cholesterol levels, plus increase your lifespan.
- Personal Empowerment: Seeking help is a proactive way to take charge of your health. Obesity is a medical condition, not a personal failing, and with the right support and treatment, people can make meaningful changes that lead to improved health outcomes.
- Obesity is a Disease, Not a Lifestyle Choice: Obesity is a chronic disease that requires proper treatment, much like any other serious condition. It’s not about willpower but about finding the right medical care to manage it.
Your weight is not something to be ashamed of—it’s a medical condition that can and should be addressed. Seeking treatment early can help prevent the worsening of health problems and promote a healthier future. If you’re ready to take the next step toward improving your health, our team at the Nicholson Clinic is here to support you every step of the way. Contact us today at 972-494-3100 to learn more about your options!
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects many women of reproductive age, often leading to irregular menstrual cycles, infertility, and metabolic challenges like insulin resistance. For women struggling with both obesity and PCOS, weight loss surgery—also known as bariatric surgery—can be a life-changing intervention. By promoting significant weight loss, bariatric surgery can restore regular ovulation, reduce high androgen levels, and improve insulin sensitivity, ultimately enhancing fertility and overall health.
How Bariatric Surgery Helps Women with PCOS and Infertility
- Improved Ovulation and Menstrual Cycles
One of the major symptoms of PCOS is irregular or absent menstrual cycles due to anovulation (lack of ovulation). Weight loss achieved through bariatric surgery can help restore regular ovulation and menstruation, increasing the chances of conception naturally.
- Reduced Insulin Resistance
PCOS is closely linked to insulin resistance, which can disrupt ovulation and contribute to weight gain. Bariatric surgery improves insulin sensitivity, helping to regulate blood sugar levels and reduce metabolic complications. This, in turn, enhances reproductive function and supports a healthier pregnancy.
- Lower Androgen Levels
Women with PCOS often have elevated androgen (male hormone) levels, which can cause symptoms like excessive hair growth (hirsutism) and contribute to infertility. By promoting weight loss and hormonal balance, bariatric surgery can lower androgen levels, leading to improved fertility and reduced PCOS-related symptoms.
- Increased Pregnancy Rates
Studies have shown that women with PCOS who undergo bariatric surgery experience higher pregnancy rates compared to those relying solely on traditional weight loss methods. The improvements in ovulation, hormonal balance, and metabolic health significantly boost fertility.
- Better Pregnancy Outcomes
For women with PCOS, pregnancy can come with additional risks, including gestational diabetes, preterm birth, and high birth weight (macrosomia). After bariatric surgery, these risks decrease due to improved BMI, better blood sugar control, and overall metabolic health.
Important Considerations Before Bariatric Surgery and Pregnancy
While weight loss surgery offers numerous benefits for fertility and pregnancy, there are important factors to consider:
- Delaying Pregnancy Post-Surgery
Experts recommend waiting 12-18 months after bariatric surgery before trying to conceive. This period allows for stable weight loss, proper nutrition absorption, and reduced risks associated with rapid weight loss.
- Nutritional Deficiencies and Preconception Care
Because bariatric surgery alters the digestive system, women may experience vitamin and mineral deficiencies. Proper preconception care, including monitoring vitamin levels and taking necessary supplements, is crucial for a healthy pregnancy.
- A Multidisciplinary Approach
Women considering pregnancy after weight loss surgery should work with a team of healthcare professionals, including:
- Bariatric surgeons
- Dietitians specializing in post-bariatric nutrition
- Obstetricians familiar with high-risk pregnancies
- Endocrinologists or fertility specialists as needed
- Different Surgical Procedures and Pregnancy Risks
Certain bariatric procedures, such as Roux-en-Y gastric bypass (RYGB), may carry a higher risk of nutritional deficiencies, potentially affecting pregnancy outcomes. It’s essential to discuss with an experienced bariatric surgeon which procedure best suits individual health goals and fertility plans.
- Male Fertility Benefits
Bariatric surgery isn’t just beneficial for women—men struggling with obesity-related infertility may also see improvements in hormonal balance, sexual function, and sperm quality after surgery.
Scientific Evidence Supporting Bariatric Surgery and Fertility
According to the National Institutes of Health (NIH), bariatric surgery in obese women can lead to:
- Improved ovulation rates
- Reduced BMI, lowering risks of pregnancy complications like gestational diabetes and preeclampsia
- Lower miscarriage rates
- Better perinatal outcomes, resulting in healthier births
Patient Success Story: Meet Gingerella!
After having sleeve gastrectomy surgery with Dr. Nicholson in 2015, Gingerella lost 115 lbs within the first year and has successfully maintained her weight loss. Beyond the incredible health benefits, her transformation also played a key role in her fertility journey. The weight loss helped her conceive, and today, she is pregnant with her fourth baby!
Her journey is a testament to how bariatric surgery can not only improve overall health but also restore fertility and change lives in profound ways.
Conclusion
For women with PCOS and obesity, bariatric surgery can be a powerful tool in restoring fertility and improving overall reproductive health. While it’s a big decision, the benefits—including increased pregnancy success rates, better hormonal balance, and lower pregnancy complications—make it an option worth exploring.
If you’re considering weight loss surgery to enhance fertility, it’s essential to consult with your healthcare team to ensure a safe and effective approach to achieving your family-planning goals.
At the Nicholson Clinic, we have seen thousands of patients who struggled with infertility finally conceive after bariatric surgery. For many, this life-changing procedure was the key to overcoming PCOS-related fertility challenges and achieving their dream of parenthood.
If you’re ready to take the next step toward improving your health and fertility, our team at the Nicholson Clinic is here to support you every step of the way. Contact us today at 972-494-3100 to learn more about your options!
For those relying on compounded weight loss medications, recent changes may feel like a major setback. With the impending unavailability of these drugs, many are left wondering what’s next for their weight loss journey. If you’re feeling frustrated or abandoned, know that you are not alone—and more importantly, you are not without options.
Why Are Compounded Weight Loss Drugs Becoming Unavailable?
According to the FDA, shortages of Wegovy® and Ozempic® (the brand name drugs for semiglutide) and Zepbound and Mounjaro (both containing the active ingredient tirzepatide) are no longer considered to be on the shortage list. Thus, the availability of compounded weight loss medications is decreasing over the next couple months as these brand-name drugs become more available. Recent regulatory shifts and supply chain issues have further impacted accessibility. While these drugs have been a helpful tool for many, the changes in availability are beyond individual control. This shift may feel disruptive, but it’s essential to focus on the solutions available to keep your progress on track.
Tirzepatide
As of February 18, 2025, 503A compounding pharmacies can no longer provide compounded tirzepatide. Outsourcing facilities, which are FDA-registered compounding pharmacies, have until March 19, 2025, to stop dispensing compounded tirzepatide.
Semaglutide
As of late February 2025, most pharmacies and physicians have until April 22, 2025, to stop making and dispensing compounded semaglutide injections. Outsourcing facilities have until May 22, 2025.
You Are Not Alone—Nicholson Clinic is Here to Help
At Nicholson Clinic, we understand how discouraging this news may be. But don’t lose hope—our expert team is here to help you navigate this change with a variety of solutions tailored to your unique needs. Weight loss is not one-size-fits-all, and our comprehensive approach ensures that you’ll have access to effective, medically supervised options that work for you.
Alternative Solutions for Your Weight Loss Journey
While we’re still happy to keep prescribing these medications while available, patients should be aware that we will only be able to prescribe these medications and brand name drugs while they’re still under patent.
At Nicholson Clinic, we offer a range of options to support your weight loss, including:
- FDA-Approved Weight Loss Medications: We stay up to date on the latest approved treatments to ensure you have access to safe and effective alternatives.
- Surgical & Non-Surgical Procedures: If you’re considering long-term weight loss solutions, we offer expert consultations to explore the best approach for you.
- Ongoing Support: Customized plans that include nutrition counseling, exercise guidance, and metabolic support.
Stay on Track with Nicholson Clinic
While change can be challenging, it also presents an opportunity to reassess your approach and find even better, more sustainable solutions. At Nicholson Clinic, we’re committed to helping you continue your weight loss journey without missing a step.
Don’t let pharmaceutical changes define your success. Reach out to Nicholson Clinic today and let us help you take control of your health with proven, effective solutions. You’re not alone—we’re with you every step of the way.
While weight loss medications can be a viable option for many people, and we do prescribe them in certain instances, patients need to be mindful of their use. As a recent article in USA Today points out, most people stop taking weight loss drugs within a year. Many individuals discontinue the use of weight-loss medications like Ozempic within 12 months due to factors such as severe side effects, high costs, and insurance coverage issues.
The length of use depends on several factors, “about 65% of those without diabetes discontinued the drugs in less than one year. Those with Type 2 diabetes were more likely to stay on the medication at least one year. And those with higher incomes and fewer side effects were also more likely to stay on the pricey drugs, according to a study recently published in JAMA Network Open.”
According to researchers from Truveta, a Bellevue, Washington-based medical research company that teamed up with University of Pennsylvania on the study, the higher quit rate among non-diabetes patients is likely due to cost. People with fewer side effects and better results tend to stick with these drugs longer.
But if you are looking to lose a significant amount of weight, 50 – 100 pounds or more, weight loss surgery could be a more viable, affordable, long-term solution. Consider the following:
• Side Effects – You will have some recovery time after surgery, but most gastric sleeve patients, for example, can go back to work in 3-5 days at a desk job once they stop pain medication. You will need to adjust to your new stomach and follow the post-op protocol, but you will not have ongoing nausea, vomiting, or abdominal discomfort like you could with weight loss medication.
• Cost – Weight loss surgery is often covered or partially covered by insurance. If you don’t have bariatric benefits, we do offer some of the lowest cash-pay, all-inclusive pricing in the country, that could cost you LESS THAN one year on a brand name medication. And while compounded weight loss medications can be more affordable, their availability is closely tied to the supply status of FDA approved drugs like semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro). Once the FDA removes these drugs from its official shortage list, compounding pharmacies will no longer be authorized to produce their versions.
• Increased Weight Loss – Weight loss surgery leads to more weight loss than medications. With Wegovy for example, you can lose approximately 15% of your body weight, compared to 50-80% of your excess weight with weight loss surgery.
• Long-Term Weight Loss – Weight loss surgery permanently alters your anatomy, reducing the size of the stomach and removing the portion of the stomach with the hormone ghrelin, responsible for hunger. So you have a built in tool for maintaining your weight loss, making it easier to follow the post-op protocol. But with medication you are relying on the monthly injection to help with appetite suppression, so once you stop the medication patients often regain the weight they lost and sometimes more.
If you’ve been thinking about weight loss surgery, you’re not alone. The Nicholson Clinic is committed to supporting you before, during, and after surgery, helping you find the right weight loss solution for you.
If you’re ready to take the next step, schedule an appointment with the Nicholson Clinic to learn more about your options today!
February is American Heart Health Month. The alarming rise in obesity-related heart disease deaths underscores the importance of heart health awareness and makes it an ideal time to discuss preventative measures such as weight loss surgery.
A recent article, “Death rates linked to obesity-related heart disease are up, especially among men,” published by the American Heart Association News, highlights a disturbing trend. The study revealed that deaths from ischemic heart disease related to obesity almost tripled in the US over two decades. This alarming rise is primarily driven by narrowed arteries, reducing blood and oxygen flow to the heart, ultimately leading to heart attacks.
The study’s lead researcher, Dr. Aleenah Mohsin, emphasizes that “Obesity is a serious risk factor for ischemic heart disease, and this risk is going up at an alarming rate along with the increasing prevalence of obesity“. The issue is particularly prominent among Black adults, middle-aged men, and individuals residing in the Midwest and non-metropolitan areas.
So, what can we do? The article stresses the importance of managing weight and reducing heart disease risk, particularly for high-risk groups. Lifestyle modifications are key, including adopting a healthier diet, regular exercise, and collaborating with healthcare professionals to monitor heart health.
Weight loss surgery presents a viable option for individuals struggling with obesity. The Nicholson Clinic, a bariatric weight loss surgery center in Texas, offers a range of surgical solutions for significant long-term weight loss. Their services include gastric sleeve, gastric bypass, SADI-S or loop duodenal switch, gastric balloon, lap-band removal, and revisional surgeries.
Here’s why weight loss surgery can be a game-changer:
- Effective and Long-lasting Weight Loss: Weight loss surgery often leads to more substantial and sustained weight loss compared to traditional methods like diet and exercise alone or even the newer weight loss meds.
- Reduced Risk of Obesity-Related Illnesses: By facilitating weight loss, bariatric surgery can effectively lower the risk of obesity-related diseases, including heart disease, type 2 diabetes, and sleep disorders.
- Improved Quality of Life: Weight loss surgery can significantly enhance a person’s quality of life, allowing them to participate more actively in daily activities and experience improved overall well-being.
The Nicholson Clinic provides comprehensive support to patients throughout their weight loss journey. The clinic offers insurance coverage, financing options through Care Credit, and a robust support system, including patient support groups, psychological support, dietary and fitness guidance, and access to a bariatric app.
If you are struggling with obesity and concerned about your heart health, consider exploring weight loss surgery as a potential solution. The Nicholson Clinic can provide guidance and support on the path to a healthier life.
