As the understanding of obesity progressess, research is continuing to look at the the underlying causes of differences in metabolism...

As a Diplomate of the American Board of Obesity Medicine, clinical practice guidelines of excellence call for not only treating the condition of overweight/obesity, but also for addressing the comprehensive healthcare needs individuals with this condition. After all, effective treatment for one thing loses its impact if a competing condition causes illness. Historically, this has emphasized ensuring people were up to date on routine health maintenance, as studies showed that

We have talked a lot about physiology within the body that causes energy dysregulation, but today we are dipping our toe into the subject...

We have read in recent blogs about physical activity and exercise training; today we are reading about their end result: cardiorespiratory fitness. Fitness is important because the more fit you are, the more likely you can survive an insult to your health. This has been shown with heart failure and cardiovascular disease and cancer. We have seen that with Covid, certain factors like male gender, blood type, obesity, and other underlying comorbid conditions are associated wit

While much of the adult population has referred to the “Covid 19” weight gain, some experts have warned of much more sinister...

The most important part of the Rainier Medical program is: YOU. Each program is a carefully woven tapestry of an individual’s journey from where they are to where they want to be. It is a journey not just about food. Each program is personal and no two are the same, since no two people are the same. Following are four different Rainier Medical programs. Most people benefit from being on one of the programs most of the time, to take care of their health while taking care of ev

Most of my patients begin their weight loss treatment using medical food / meal replacements. These are shakes, soups, and puddings that...

I was asked about my thoughts on bariatric surgery. It is a BIG topic, but here are some highlights! Please ask questions for follow up and remember, there are MANY different situations and things at play in each individual. So, these are starting points for a conversation with your physician, not medical advice!