Your Hormones &
Health Medical Clinic

Medically Supervised Weight Management

Bodies of all shapes and sizes are beautiful. The idea of the ‘perfect body’ is unattainable and often not sustainable for many men and women. Social media and our cultures have created how beauty is defined and seen in our everyday settings. 

Talking about ‘weight’ or ‘obesity’ may bring up many negative emotions for you. 

Canadians living with obesity are faced with weight-based discrimination and weight bias daily. This may lead to feelings of shame, blaming oneself, anxiety, depression, poor self-esteem, and body dissatisfaction. This may contribute to excessive dieting, yo-yo diets, weight cycling up and down, and a sense that food is controlling you instead of you controlling your ‘food’. 

Please note that at Hormones and Health we are interested in meeting YOU where you are at. We work with our clients to create your own obesity management pathway.  

Obesity is a MEDICAL condition that can be caused by multiple factors.

Obesity is shown to have negative consequences on one’s health which increases over time. 

Obesity, like any other chronic disease does NOT define who you are as a person. 

Being overweight does not mean that you are lazy, have no self-control, have given up, or that you just don’t care enough!

Obesity does not mean that you are valued less compared to a non-obese person. 

However, our physical surroundings may contribute to feeling that way as the chairs are undersized, medical equipment is not the correct size, and aisles or doorways are too small to be able to move comfortably.

Weight discrimination can affect your access to education, employment, and medical care, causing health and social inequities. 

If you want unbiased, supportive medical care with respect to your weight please reach out to our Nurse Practitioner at The Nature Doctors or Body Measure by clicking here.

How can I access Medically Supervised Weight Management Plans?

Access to Medically Supervised Weight Management Plans can be virtual or in person via Nature Doctors or Body Measure by clicking here

The visits can also be a combination where the first visit is in person, and then follow ups are done virtually. 

The goal is to make this program easily accessible to all interested adult clients in Manitoba, regardless of where you live in the province. Labs will be required prior to starting any of the programs. 

If you chose to participate in a medically supervised weight loss program, you will first be required to complete a comprehensive health history questionnaire. This will also include questions on your weight loss goals, history of weight loss in the past, triggers for weight gain, or reasons that you feel you are wanting to lose weight. As well, you will identify why you are interested in this program, your commitment and healthy lifestyle changes that will help you achieve optimal results.

We want you to confident so that you may succeed in your weight loss journey. 

Our Nurse Practitioner, Annabelle Reimer, will review this and then send you a note to indicate which program you would be eligible for based on your medical history, weight loss goals, medications, and allergies. Please note that these programs are not open to all clients as safety must be maintained. Initial treatment fees will be due prior to your initial consultation. This will ensure your appointment time. 

Missed or late appointments will be managed as per clinic policy.

What are the eligible criteria?

To be considered as an eligible client the following criteria must be met: (this does not guarantee that you will be accepted as a client in the program)

  1. Adult age- must be > 20 years old

  2. No history or current condition of eating disorders or addiction

  3. BMI > than 27.5 with some treatments being restricted to those with BMI >30

  4. Mental health must be stable- you can be considered if you are on medications to treat anxiety or depression, but this will be assessed individually. 

  5. Lab work must be completed and reviewed prior to being provided with a prescription to any medication within the program

  6. Clients cannot be pregnant, actively trying to get pregnant, or breastfeeding

  7. If the visits will be virtual then you must have access to an appropriate blood pressure monitor and body weigh scale. 

  8. Clients are strongly encouraged to take their measurements (initial, ½ way through and final). These should be documented on the client tracking sheet. 

  9. Consent must be reviewed and signed prior to starting the program

Please note the cost of medications or other supplies required are NOT included in the program fee. 

Not all plans are suitable or safe for all clients. 

Your individualized plan and personal goals will be reviewed prior to starting any program.

What are the steps required to start your Medically Supervised Weight Management Plan?

Client completes medical history and questionnaire
Nurse Practitioner will review your completed forms and provide you with the medically supervised weight management plans that are available to you.

Client will confirm which plan they want to join & pay the fee associated with the plan. Schedule your initial consultation in 3-4 weeks to allow time for the lab results to be received. 

At this point there are no refunds. If the client wishes to delay their plan start date, then the visit can be rescheduled within 6 months. This must be done at this point.

NP will complete requisitions for required labs within 72 hrs of confirmation and payment by client and send link for the requisitions.

Client prints off the requisition(s) and takes to a Dynacare lab or other lab in their community. The labs will be covered under the Provincial medical system and there will be no charge to you for them. IF there are any additional requests from the client for labs that aren’t covered under the Provincial medical system, then there will be a fee that will be paid to the lab. Labs may need to be repeated if it has been > than 3-6months from the time they were taken until appointment time.

Initial consultation date:

 

 

Please note there are no-show and late policies for both virtual and in person clinic visits.

Lab results will be reviewed and shared with you at the initial consultation. 

Prescriptions, if applicable related to your chosen weight loss program will be sent to the pharmacy within 48hrs of your consultation. The pharmacy they will be sent to depends on the prescription. 

 

Complete preparations for your medically supervised weight loss plan. The goal is to officially start the program in the next 7 days.

Book an appointment. Comprehensive initial assessment will be done to review your health history, medications, allergies, and health care goals.

Costs for prescriptions and suggested supplements are NOT included.

Prescriptions will be provided for 3 months only. 

If you want to continue the prescription medication for more than 3 months, then book a follow up appointment for 30 or 45 minutes at 11-12 weeks to avoid running out of your prescription. 

Prescriptions will NOT be refilled without an appointment. 

These appointments can be virtual, or in-person and the fee is set by the clinic as a regular 30min or 45min consultation.

Is there a money back guarantee?

NO

 

Our nurse practitioner, Annabelle Reimer has obtained additional training to ensure safe medical supervision is provided. 

 

Training includes:

  1. Obesity Canada/ Advancing In: Advanced Obesity Management Program (2019)

  2. Optimizing Treatment and Management of Obesity (OPTiMO)- Canada (2019)

  3. University of Calgary: Obesity Management CME Program (2019)

  4. IAPAM (International Association of Physicians in Aesthetic Medicine: Clean Start Weight Loss

    1. The original Clean Start Hormone-based diet (2019)

    2. Ketogenic/Intermittent Fasting combination diet (2021)

Book a medically supervised weight management assessment with Annabelle Reimer today.