Patient
NM

Height: 5 ft 3 in

Weight: 191 lbs

BMI: 33.8

Registered Dietitian

Victoria Fingerle, RD

Insurances: Aetna,Anthem,Blue Cross Blue Shield,Cigna,United Healthcare

Diagnosis and Treatment Plan

Changes / challenges since last visit

SUBJECTIVE

  • Weekly Recap: anxiety is getting better, some days worse than others.
    • Successes: ate at least one meal/day.
    • Challenges: nausea
  • Zepbound: (5mg) takes on Mondays in afternoon, tries to eat within the hour something with protein
  • Medical weight loss clinic diet: leaning towards not sticking with it, maybe just going in to get weight checked and accountability and b12 shots;
  • Goals: working on not feeling rushed while eating;
  • Intuitive Eating Principle
    • Making Peace With FoodDiscussed fears around giving permission to eat restricted foods

Meal plan updates

Meal Plan:

  • Going grocery shopping to get snack things today: apple slices, string cheese, granola bars, crackers, protein bars
  • Meal prep: grilled chx, ground turkey for tacos,

OBJECTIVE

  • Age, Gender, Ht: 26yo, F, 63in
  • SW/BMI: 194lbs
  • CW 5/4/24: 189.8lbs
  • 5/11/24: 191.4lbs
  • 5/25/24: 187-189lbs
  • 6/1/24: 186.6lbs

Goal Weight: 148lbs (started at 198lbs so wants to lose 50lbs)

  • Goal by end of month 185lbs

Frequency of weigh ins: every day after first BM and before eating; reminds self that weight can fluctuate for several reasons

Goals

ASSESSMENT & PLAN

Goals:

  • Eating at least 2 meal/snacks per day
  • Follow up with PCP for zofran - going to send message over charting app
  • Try to not feel as rushed when eating
    • talked about putting fork down; eating until 80% full

Follow-up Timing: Sat 6/1 at 11am EDT, IE #3

Things we could work on:

  • Stress eating
  • Finding things to do with free time
  • Stress management techniques
  • Ways to eat without much cooking/preparation
Topics Discussed

Weight Loss,PCOS

Appointment History

Number of Sessions: 4

Last Updated: Jun 01, 2024