Program structure

This multidisciplinary clinic is a referral only access clinic that will cater to the bariatric care of overweight and obese subjects with co-morbid conditions irrespective of their insurance status.

Subjects seen will need to have a referral letter or request from a primary care provider or other clinical care provider responsible for their regular medical care. Subjects will need to have a BMI of at least 26 to 30 with at least one co-morbidity or a BMI of 30 and above. The potential co-morbidities include but are not restricted to the following: hypertension, type 2 diabetes, dyslipidemia, atherosclerotic vascular disease (ASVD), obstructive sleep apnea, pulmonary hypoventilation (Pickwickian syndrome), osteoarthrosis of weight bearing joints, hyperuricemia and/or gouty arthropathy etc. 

Following an initial comprehensive clinical evaluation and laboratory screening program that will involve their evaluation by all the multidisciplinary clinical staff, all patients will be enrolled in a comprehensive lifestyle modification, behavioral intervention program delivered in class-based didactic fashion with associated individual counseling and individual exercise prescriptions.Subjects who successfully complete this program will have the opportunity, if they qualify and so desire, to be evaluated for potential bariatric surgery with the available options being gastric banding, Roux-en-Y gastric bypass and gastric sleeve placement.  Non surgical candidates will be followed in the long-term weight management clinic program with options for pharmacotherapeutic adjuncts and various calorie restriction and meal replacement plans as long term options. In addition subjects deemed as appropriate for bariatric surgery will undergo comprehensive preoperative evaluation and screening as well post operative nutritional and clinical follow up through the program follow up service system. 

Currently the OWL MBA clinic takes place on Thursdays from 8am until noon. Based on clinic growth it is anticipated that this will soon be extended to at least a twice weekly clinic schedule. The Clinic space and class for ongoing didactic nutritional teaching will be on the 3rd floor section E of the Lord and Taylor Building's outpatient clinic complex.