Successful medical weight management is about more than a number on the scale. Our physician-led approach uses individualized nutrition and, when appropriate, body-composition assessment to support fat loss, preserve lean mass and build a sustainable long-term plan.
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Body weight alone cannot distinguish body fat from lean tissue. During weight loss, monitoring body composition can provide useful context about the quality of weight change and help guide nutrition and activity recommendations.
Loss of muscle can occur during calorie restriction and significant weight reduction. Depending on the patient, strategies may include adequate protein intake, resistance exercise when medically appropriate, sufficient overall nutrition and periodic body-composition assessment.
Nutrition recommendations should fit the patient’s medical conditions, medications, preferences, lifestyle and goals. We may address protein, fiber, hydration, meal structure, calorie intake, food quality and strategies for managing appetite or gastrointestinal side effects during treatment.
Patients using GLP-1 or related medications may experience reduced appetite and gastrointestinal symptoms. Nutrition should remain adequate even when appetite is lower. We emphasize hydration, nutrient quality, protein and realistic meal strategies rather than simply eating as little as possible.
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Dr. Nazarian evaluates nutrition in the context of the whole patient. Medical conditions, medication effects, metabolic health, hormone or vitamin deficiencies when clinically relevant, sleep and lifestyle can all affect weight management and should not be ignored.
No. BMI is a useful population-level screening measure based on height and weight, while body composition estimates the relative amounts of fat and lean tissue.
Protein needs vary with body size, medical conditions, calorie intake, age and activity. Individualized guidance is preferable to a universal target.
It can provide additional information about changes in fat and lean mass and may help guide nutrition and exercise recommendations.
David Nazarian, MD is a board-certified Internal Medicine physician with extensive training in obesity medicine and weight management. His integrative, evidence-based approach connects nutrition and lifestyle medicine with medical evaluation, metabolic health, sleep and individualized treatment.
Written and medically reviewed by David Nazarian, MD. View physician credentials · Medical Editorial & Review Policy
Educational information only. Recommendations are individualized based on medical evaluation.
