Posts Tagged ‘Obesity’

NH Integrated Health Care

Dustin Forrest, APRN, CDE
Marie Veselsky, RD, LD, CDE, BC-ADM
Dustin Forrest, APRN, CDE
Marie Veselsky, RD, LD, BC-ADM

NH Integrated Health Care is in Conway, NH, with a new location in Rochester, NH opening soon! We do both in-person visits and telehealth visits for all types of diabetes as well as medically supervised weight loss.

Our team will help you better manage your diabetes, blood pressure and cholesterol as well as help you achieve weight loss if appropriate. We provide medically supervised weight loss programs to help you lose the weight you need.

To reach your optimal health you need to get to the root of the problem to help lower your blood pressure, cholesterol and blood sugars and your risk for other disease. Achieving a healthy weight is not just about looking good but improves your overall health.

During COVID-19, it is more important than ever to achieve your healthy weight, with optimal nutrition and lifestyle strategies, using a comprehensive science-based approach. We have individualized weight loss meal plans that will fit your needs.

We provide kick start weight loss programs for appropriate clients that are supervised by our prescriber and Family Nurse Practitioner Dustin Forrest, APRN, CDE, such as medically developed meal replacements to lower total daily caloric intake, weight loss medications and assessment and referral if appropriate for bariatric surgery.

Our health care provider and prescriber, Dustin Forrest, is a Family Nurse Practitioner (APRN), Certified Diabetes Educator (CDE), that specializes in diabetes with a focus on metabolic syndrome and individualized medically supervised weight loss. Metabolic syndrome typically consists of elevated blood sugars, high blood pressure, high cholesterol and a large waist circumference related to being significantly overweight.

MARIE VESELSKY, RD, LD, CDE, BC-ADM, is a Registered Dietitian that specializes in weight loss and diabetes education for individuals that want to use diet and lifestyle changes first, or in addition to, any medications that have been prescribed. Marie will help you better manage your own diabetes, using tools that will help prevent complications of diabetes down the road.

Individualized meal plans are available including Low Carbohydrate, Mediterranean Diet, and Calorie Controlled that will allow you to use our nutrition software to provide you with recipes, meal plans and tracking. You will be able to communicate your progress to us.

We use nutrition software that will create meal plans for you, analyze, and track your progress. This will keep you connected and accountable and provide the communication and support you need to be successful. We use a professional weight scale that assesses BMI, Body Fat % and provides graphs of your weight loss progress. We take your blood pressure and pulse at each visit. To assess your overall health, we will order labs that will look for nutrient deficiencies, inflammation and your cholesterol and blood sugar levels as appropriate.

We will educate you on a healthy meal plan to promote weight loss and provide you with accountability to help you meet the weight loss requirements prior to any approved bariatric surgery. In addition, we provide follow-up care.

We are an AADE Accredited Diabetes Center since 2014!
Providing Healthcare since 2010.

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Do It for the Health of It! You Need to Get to the Root of the Problem!


By Marie L. Veselsky RD, LD, CDE, BC-ADM

Metabolic syndrome is a health problem that is finally getting more attention. This is due to the COVID-19 pandemic putting the obesity epidemic once again into the spotlight.  Data reveals that obesity or metabolic syndrome (several risk factors in addition to obesity) is no longer a health threat just in the long run, but one that can have devastating effects right now. This should give us all a wake-up call that being significantly overweight is not a benign condition. Medications for high cholesterol, high blood pressure and high blood sugar cannot do it alone. You need to get to the root of the problem.  Do it for the health of it!


Over 40% of the United States population is considered obese. Not only does obesity or metabolic syndrome increase your risk of getting infected with COVID-19 but they may also increase your risk of greater complications from the virus. There are also concerns that obesity may interfere with the vaccine’s effectiveness.  New studies and information confirm health care providers’ suspicions that the COVID-19 virus takes advantage of a chronic disease that our current U.S. health care system is unable to get under control.  Researchers have found that being significantly overweight can also worsen other health conditions such as the flu and other respiratory conditions.


What is metabolic syndrome? Metabolic syndrome is a cluster of risk factors based on several well recognized signs including obesity, elevated triglycerides, reduced HDL cholesterol, raised blood pressure and elevated blood glucose. Typically, the root of the problem for metabolic syndrome starts with being significantly overweight. Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. A body mass index (BMI) over 25 is considered overweight and over 30 is obese.


The good news is that weight loss does not have to happen overnight to be beneficial. As a licensed Registered Dietitian and a Certified Diabetes Educator (CDE), I like to tell my clients “one rock at a time.” I reinforce with them that if you are going in the right direction, no matter how slow, you will be successful. Just a 10% reduction in body weight can decrease expected lifetime medical costs from hypertension, high cholesterol, and type 2 diabetes as well as heart disease.


For those that have struggled and not been successful in losing the weight there is good news!  Comprehensive medically monitored weight loss programs are out there!  Medically supervised weight loss programs can provide a safer, more accountable approach to help people lose the weight and improve weight related medical conditions. An initial appointment followed by monthly follow-ups with a licensed credentialed health care provider/prescriber that specializes in weight loss, as well as weekly weigh-ins and support groups with a Registered Dietitian, will help you achieve weight loss and stick with the program.


There are “kick start weight loss programs” that can help you get the fresh start you need, such as weight loss medications for the right candidate, meal replacement programs that reduce daily caloric intake and even supervised exercise programs. Medically supervised weight loss programs can also assess if you are an appropriate candidate for referral for gastric weight loss surgery.  We will help you meet the initial weight loss and diet education requirements needed, all as you are learning new behaviors for the future to help maintain your weight loss.  This includes education on the right weight maintenance meal plan for you such as the Mediterranean Diet or a healthy meal plan that is made up of more “real food,” such as fresh fruits and vegetables, less processed bready carbohydrates, more lean protein, and an individualized total daily carbohydrate number.


Getting to the root of the problem and getting the weight off is the best prevention for any weight related illness.  Do it for the health of it!

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Metabolic Syndrome Increases Risk for Disease Including Risk for Complications from COVID-19

Metabolic syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke, type 2 diabetes, and other serious diseases. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol or triglyceride levels.

Metabolic syndrome is caused by an imbalance or disturbance to overall metabolism, and typically the root cause of that imbalance is being significantly overweight for height or obesity. There is a direct link between a person’s weight or more precisely their percentage of body fat and the development of metabolic syndrome.

People with obesity are more likely than normal-weight people to have other diseases that are independent risk factors for severe COVID-19, including heart disease, lung disease and diabetes. A recent study from Tulane University of 287 hospitalized COVID-19 patients found that metabolic syndrome itself substantially increased the risk of complications from COVID-19.

So, do you have metabolic syndrome? Those who have metabolic syndrome have 3 out of 5 of the following criteria:

  1. Waist circumference greater than 35 inches for women and greater than 40 inches for men.
  2. Triglycerides greater than 150.
  3. HDL cholesterol less than 50 for women and less than 40 for men.
  4. Blood pressure greater than 130/85.
  5. Fasting blood sugar greater than 110.

At the very top of almost every health care provider’s medication algorithm or guidance sheet for preventative medication therapy is the statement “healthy eating, weight control, increased physical activity and education.”   This indicates that promoting and educating on healthy lifestyle changes should be included along with any medication they may prescribe.

So, what is the treatment for metabolic syndrome?   The treatment is weight loss.  Research data shows that many people will lower their blood pressure, cholesterol, and blood sugars when they lose weight, gradually increase their physical activity, and make healthier choices for food.  Going to a licensed registered dietitian that can accept your insurance as well as having a primary health care provider that promotes healthy lifestyle changes can get you on the right path. So, get started now! Most insurance companies cover preventative care!

Marie Veselsky, RD, LD, CDE, BC-ADM is the owner and coordinator of NH Integrated Health Care at 45 Washington Street, Conway, NH. Dustin Forrest APRN, CDE is the health care provider and specializes in diabetes. nhintegratedhealthcare.com, 603-662-0234.

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