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Waverly Weight Loss -
Medical Weight Loss Center
11165 Stratfield Court, 1st Fl
Marriottsville, MD 21104

Phone: (410) 442-8065
Toll Free: (877) 267-1960
Fax: (410) 442-8067

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Serotonin-Plus Weight Loss Plan: Frequently Asked Questions

What is the Serotonin Formula Weight Loss ProgramTM (SPWLP)?

The SPWLP is a medical weight loss program that allows people to lose a
significant amount of weight in a fairly short period of time but also
provides long-term behavioral modification techniques to continue weight
loss after the program is completed.

How is the SPWLP different than other programs available?

The SPWLP is a unique medical weight loss program that brings in the
“best” of all approaches to weight loss. Serotonin Formula offers
individualized weight loss programs to fit every weight loss need. Whether
you have 10 pounds or 150 pounds to lose we offer effective, safe and
responsible weight loss. The program utilizes Serotonin Formula™, a
patented serotonin supplement which may help to help suppress appetite
and carbohydrate cravings and an FDA approved prescription appetite
suppressant, when needed. As the medication and supplement are helping
the person reduce caloric intake, the Serotonin Plus Weight Loss
Program™, along with the nutritional and exercise counseling, are providing
guidance in behavioral modification. In this way, maintaining your weight is
easier once your weight loss goal is achieved.

What prescription medication is used in the SPWLP?

When needed, Phentermine is the prescription medication utilized in the
program. This FDA-approved medication should not be confused with the
popular “Phen-Fen” combination that was used about 7 years ago.
Phentermine has been approved by the FDA for appetite suppression and
weight loss and is not linked to any of the adverse heart valve problems
seen with other appetite suppressants. The side effects of phentermine
may include insomnia, constipation, dry mouth and sometimes fast heart
rhythm. During the program, each person has a weekly appointment with
the medical staff and is monitored closely.

Why is this program called the “Serotonin Formula Weight Loss
Program”?

In addition to utilizing phentermine, the medical weight loss program also
includes Serotonin Formula™, a unique serotonin supplement. Serotonin is
a natural brain chemical that has many effects in the body. Serotonin
deficiency has been implicated as a major cause of carbohydrate cravings,
obesity, depression, anxiety, premenstrual syndrome, mood disorders
secondary to menopause, migraine headaches and fibromyalgia. There are
many prescription medications that artificially attempt to raise serotonin
levels in different areas of the brain. Some of these medications include the
antidepressants Prozac®, Zoloft® and Paxil®. A prescription appetite
suppressant, Meridia® artificially attempts to raise serotonin levels at the
appetite suppressant receptors. Direct, natural serotonin supplementation
has been shown to decrease appetite as well as carbohydrate cravings.  
This natural supplement has been patented and subjected to a number of
clinical studies.

How much weight loss can I expect?

The Serotonin Formula Weight Loss Program™ will yield average weight
loss of 35 pounds with a range of 20-50 pounds in the twelve week
program.

Is the Serotonin Formula™ supplement safe to continue after I have
reached my weight loss goal?

Yes, many people continue taking Serotonin Formula™ indefinitely. It
contains pure, natural serotonin as well as important vitamins and
antioxidants. Our patients have said they feel more in control of their
carbohydrate cravings and can control their appetites more effectively
when they continue its use. Many have told us they experience mood
enhancement and a general sense of well-being when they continue the
serotonin supplement. Furthermore, some say they have experienced a
reduction in the number of migraine headaches they have as well as a
reduction in the symptoms of fibromyalgia. Serotonin Formula™ maybe
reordered by contacting our office.

What happens if I need to lose more than 50 pounds? Can I
continue in the the medically supervised Serotonin Formula Weight
Loss Program™ to reach my weight loss goal?

A number of people have entered our medical weight loss program wanting
to lose many more pounds then could possibly be achieved in a 12-week
session. It is possible to continue with more sessions after the initial 12-
weeks. At the end of the 12 weeks, each person is individually evaluated to
analyze the success of the first 12 weeks and whether it makes “good
medical sense” to extend the program to achieve their weight loss goals.
Some of our patients have wanted to lose over 100 pounds and can
extend for (3) 12-week sessions for a total of 36 weeks.

What if I have a “slow metabolism”?

There are many people who are frustrated with their inability to lose weight
even if they try dieting and some exercise. Often, these patients are
convinced that they have a thyroid problem or some other easily
addressed medical problem. It is very clear in our internal medicine practice
that a number of people suffer from “Slow Metabolic Syndrome”. This is a
term we have coined to describe the syndrome of people who gain weight
easily and have extreme difficulty in losing weight despite attempts at
dieting. Unfortunately, this seems to occur more frequently in females than
in males, especially females over the age of 35. There obviously is some
hormonal connection to the Slow Metabolic Syndrome, but it is not clear
what the hormones involved are and certainly it is not a thyroid or
estrogen imbalance alone. The Serotonin Formula Weight Loss Program™
and the Serotonin Formula™ System have achieved success in helping
people with Slow Metabolic Syndrome.

What is the medical supervision of the SPWLP?

The program is supervised by Ndidi B. F. Feinberg, MD.  Dr. Feinberg is a
Diplomate of the American Board of Internal Medicine and is a member of
the American Medical Association.

What happens when I enter the SPWLP?

When you enter the SPWLP, you will receive a complete physical
examination including electrocardiogram, and laboratory blood testing. You
will be given the Serotonin Plus Weight Loss Program™ and counseling.  
You will also receive the serotonin supplement and complimenting multi-
vitamins.  You may receive your first week prescription for phentermine if
you are interested and qualify. Over the next 12 weeks, you will have
weekly visits with the medical staff. During your follow-up visit, you will
have a weigh-in, and a thorough checkup of your heart and lungs, blood
pressure and pulse checks along with periodic body fat and circumference
measurements. You will also be given advice and feedback as to how the
program is working for you and what could be adjusted to further enhance
the program's results for you.  Then, you will be offered a free consultation
with two local personal trainers. You will then have periodic follow-up
sessions for weigh-in, nutritional counseling, body fat and circumference
measurements and we will constantly re-evaluate your status to maximize
your weight loss.

Am I expected to exercise even if I am not exercising at all right
now?

To achieve weight loss and for long-term weight maintenance, it is
important to exercise and increase physical fitness levels. The certified
personal trainer will construct a personal program for you that is
“reasonable”. That means there is not a standard exercise routine that
everyone gets. It is all based upon your ability to exercise. For example, a
28-year-old male with no orthopedic problems would be expected to
exercise more aggressively than a 62-year old female with who suffers
from some mild osteoarthritis. The personal trainer will evaluate you and
prepare a program that takes into account a number of factors. It is our
strong belief that exercise goals must be made realistic with the person’s
work and time schedules as well as health factors.

Can I Participate in the Serotonin Formula™ System if I am already
taking an anti-depressant, such as Prozac®, Zoloft®, Effexor®,
Paxil®, Wellbutrin®, Celexa®, Lexapro®?

Many prescription medications for depression work by indirectly raising
serotonin levels at the serotonin mood receptors. These medications do
not raise serotonin levels at the appetite suppressant/carbohydrate craving
reduction receptors, and therefore they do not help people lose weight.
Contrarily, some of these medications actually lead to an increase in hunger
and weight gain.

It must be emphasized that the tapering of prescription medications
and/or the initiation of new medications or supplements should be
discussed with your own physician.

Can I enter the SPWLP if I am taking other medications?

The answer to this question depends on the stability of your medical
problems and types of medications you are taking. Certainly, weight
reduction will help control hypertension, diabetes mellitus, and a number of
other medical problems. We have many patients enrolled in the SPWLP who
are taking blood pressure medications, antidepressants, diabetic
medications and a number of other prescription medications. We will be
happy to discuss our program with your physician.