Modern Non-Surgical Weight Loss Approach

Weight Loss Jorney

  • 1. Who qualify?

    At HB Skin, Non-surgical weight loss treatments with Ozempic, Mounjaro, and Zepbound are typically recommended for individuals with a Body Mass Index (BMI) of 30 or higher (classified as obese) or those with a BMI of 27 or higher who have weight-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. These medications work by regulating appetite and blood sugar levels, making them an effective option for long-term weight management. A consultation with a healthcare provider is essential to determine if this treatment is suitable based on individual health history and goals.

  • 2. Consultation

    At your first meeting with Dr.Yevhen Pavelko, MD at HB Skin you will have a chance to get acquainted with them and the rest of our staff. This is the perfect time to talk about your medical history, any potential surgical alternatives, and ask any questions that you may have about undergoing the procedure.


    What Should You Bring?

    To get started, make sure to bring your Analyses from your Primary Care Physician such as Blood work, including A1C levels, cholesterol, and kidney function. A summary of any existing health conditions, medications, and past treatments.

  • 3. Evaluation before Prescription

    In preparation for a successful weight loss procedure, it is important to complete a full evaluation before prescription. We will analyze various laboratory tests prior to undergoing treatment. In addition, you will be asked to complete a psychological and behavioural evaluation.

    Further, you may be asked to receive medical clearance from your own doctor or a medical professional. Upon the review of your tests, we will contact you with the set date for the procedure. In addition, we will offer you advice to help you stay ready for surgery.

Are you eligible?

  • At HB Skin we are taking into account all factors to determine whether you are an ideal candidate for weight-loss treatment.

  • You may be a candidate for weight-loss procedure if you meet any one of the following criteria:

    Weigh 100 lbs. More than your ideal body weight

    Have a Body Mass Index (BMI) of 30 or more Check your BMI to see if you meet any of these requirements.

    Have a BMI between 35 and 40 and one other obesity-related health condition, such as High blood pressure, Diabetes, Cholesterol etc.

  • Weight loss treatment requires mental preparation and understanding that it is not a quick fix. Long-term success depends on your commitment to lifestyle change and follow up care. The multidisciplinary team at HB Skin will support you through the initial period and follow up.

  • You are NOT alone on your journey. Your weight loss goals will also need the support of your family and friends. The HB Skin exclusively professional staff will support throughout the entire process until you reach your goal.

  • Patients must be over age 21.

    • Patients must not have any uncontrolled psychological conditions.

    • Patients must be free of drug, tobacco or alcohol abuse.

    • Patients must quit smoking at least 4 weeks before treatment and thereafter

Ready to take the first step towards a healthier you?

Explore the life-changing possibilities of weight loss surgery on our informative page. Discover the benefits, different procedures, and expert insights to help you make an informed decision. Your journey to a happier, healthier you starts here!

Types of Medical Weight Loss!

Ozempic

Ozempic (semaglutide) is an FDA-approved medication originally developed to treat type 2 diabetes by helping regulate blood sugar levels. However, it has also been found to be highly effective for weight loss, as it works by mimicking a natural hormone (GLP-1) that controls appetite and slows digestion. By reducing hunger and helping you feel full longer, Ozempic supports sustainable weight loss without the need for surgery.

    1. Effective Appetite Control – Helps reduce cravings and overeating.

    2. Steady, Sustainable Weight Loss – Many patients experience gradual, consistent weight loss over time.

    3. Blood Sugar Regulation – Beneficial for individuals with insulin resistance or prediabetes.

    4. Non-Surgical & Convenient – Administered via a once-weekly injection.

    5. May Improve Cardiovascular Health – Can help lower the risk of heart disease

    1. Possible Side Effects – Nausea, vomiting, diarrhea, constipation, and fatigue are common during the initial stages.

    2. Requires Long-Term Commitment – Weight may return if the medication is stopped without lifestyle changes.

    3. Not for Everyone – Individuals with a history of thyroid cancer, pancreatitis, or certain gastrointestinal conditions may not be suitable candidates.

Mounjaro

Mounjaro (tirzepatide) is an FDA-approved medication for type 2 diabetes that has shown significant effectiveness in weight loss. It works by mimicking two natural hormones—GLP-1 and GIP—both of which help regulate blood sugar, control appetite, and enhance fat metabolism. This dual action makes Mounjaro even more effective for weight loss than Ozempic for some individuals.

    1. Dual-Hormone Action – Targets both GLP-1 and GIP, potentially leading to greater weight loss compared to Ozempic.

    2. Stronger Appetite Suppression – Helps reduce cravings and overeating.

    3. Faster and More Significant Weight Loss – Studies suggest Mounjaro may lead to more rapid weight reduction than other GLP-1 medications.

    4. Improves Metabolism – Enhances the body’s ability to break down and store fat efficiently.

    5. Regulates Blood Sugar – Beneficial for people with insulin resistance or prediabetes.

    1. Possible Side Effects – May cause nausea, vomiting, diarrhea, or constipation, especially in the first few weeks.

    2. Not Suitable for Everyone – Individuals with a history of thyroid cancer, pancreatitis, or gastrointestinal disorders should consult their doctor.

    3. Higher Cost – Can be expensive without insurance coverage.

    4. Requires Ongoing Use – Stopping the medication without lifestyle changes may lead to weight regain.

Zepbound

Zepbound (tirzepatide) is an FDA-approved medication specifically for weight loss, unlike Mounjaro, which was initially approved for diabetes. Both drugs contain the same active ingredient (tirzepatide) and work by mimicking GLP-1 and GIP hormones to reduce appetite and enhance fat metabolism. However, Zepbound is formulated specifically for individuals looking to lose weight, making it a dedicated weight management solution.

    1. Highly Effective for Weight Loss – One of the most powerful non-surgical weight loss medications available.

    2. Targets Two Hormones (GLP-1 & GIP) – Works more efficiently than Ozempic by promoting better fat breakdown and appetite control.

    3. Formulated for Weight Management – Unlike Mounjaro, Zepbound is approved specifically for obesity and weight loss.

    4. Improves Metabolic Health – Helps regulate blood sugar, insulin levels, and fat storage.

    5. Once-Weekly Injection – Simple and convenient dosing.

    1. Potential Side Effects – May cause nausea, vomiting, diarrhea, constipation, or low energy, particularly during dose adjustments.

    2. Weight May Return if Stopped – Long-term use, combined with lifestyle changes, is recommended for sustained results.

Main information

  • An excessive body fat is a disorder with a serious risk of many health problems. Obesity is a results from excessive calories than are not burned through a day and by lack of exercise or daily activities. Persone considered obese with body mass index 30 or greater. The main symptom is excessive body fat, low eneregy level and ext.

    Different weight can be classified by BMI (kg/m2) ranges:

    • Underweight: Less than 18.5

    • Optimum range: 18.5 to 24.9

    • Overweight: 25 to 29.9

    • Class I obesity: 30 to 34.9

    • Class II obesity: 35 to 39.9

    • Class III obesity: More than 40

    Class I and Class II is considered severe obesity. Class III obesity (morbid obesity), is a complex chronic condition leading to serious health issues. The treatment options includes lifestyle changes, behavioral & psychological therapy, medication and surgical procedures.

  • A metabolism is the process when calories are converted into energy to fuel your body’s functions. When person consume more calories than it can use, our body converts the extra calories into fat tissue. Enlarged fat cells secrete hormones and many diferent chemicals that produce an inflammatory reaction affecting our body.

    Type 2 diabetes.

    Obesity raises the risk of Type 2 diabetes seven-folds. The risk increases by 20% for every additional point you gain on the BMI scale. The risk diminishes with weight loss.

    Cardiovascular diseases.

    High blood pressure, high cholesterol, high blood sugar and inflammation are all risk factors for cardiovascular diseases which are not limitted to coronary artery disease, congestive heart failure, heart attack and stroke.

    Fatty liver disease.

    The liver is responsible for filtering blood. Excess fats circulating in your blood travel to your liver which can lead to chronic liver inflammation (hepatitis) and long-term liver damage (cirrhosis) by storing excess fat inside your liver.

    Kidney disease.

    High blood pressure, diabetes and liver disease are main common contributors to chronic kidney disease which eventually will lead to end stage kidney disease, dyalisis and kidney transplant.

    Gallstones.

    Higher blood cholesterol levels can cause cholesterol to accumulate in your gallbladder, leading to cholesterol gallstones and potential gallbladder diseases.

    Direct effects:

    Excess body fat can cover your respiratory system organs and musculoskeletal system. This contributes to such diseases as:

    • Asthma

    • Sleep apnea

    • Obesity hypoventilation syndrome

    • Osteoarthritis

    • Back pain

    • Gout

    Indirect effects:

    Obesity is also associated indirectly with:

    • Memory and cognition, including a heightened risk of Alzheimer’s disease and dementia

    • Female infertility and pregnancy complications

    • Depression and mood disorders

    • Certain cancers, including esophageal, pancreatic, colorectal, breast, uterine and ovarian

  • How is obesity treated?

    We take into account your complete health profile that will determine your individual treatment plan. We will target your most urgent health concerns first following a longer-term weight loss plan. Every person is unique, that is why it common to take some trial and error to figure out which therapies work best for you. Studies have shown that team-based programs with frequent, personal communication between your physician and you will help to lose weight and maintain desired body. Such approach is the most successful.

    Dietary changes

    The dietary changes you personally need to make to lose weight will be individual to you. Our professional dietician will create individual plan for you.

    Increased activity

    The diet and exercise are both important to weight loss and weight maintenance. Walking at a moderate pace is one of the most efficient types of exercise for weight loss.We advise you in great details regarding activity changes.

    Behavioral therapies

    Counseling,support groups and cognitive behavioral therapy are methods that may play an important role in supporting your weight loss journey. Such methods can help you to manage stress, emotional and psychological factors that may be working against you.

    Medication

    We may recommend to use medications in conjunction with other treatments but this method aren’t the whole answer to weight loss.

    Weight loss surgery

    Surgery is a not easy option but highly effective solution to long-term and significant weight loss. If you are diagnosed with class II and III obesity, bariatric surgery may be solution for you. All bariatric surgery procedures can change your digestive system in different ways. Some of them can restrict the number of calories you can consume while other affect your calories absorption as well as hormonal changes.

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