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VA Portland can help you with your weight loss and health goals through weight management classes, medication and surgery. Commonly treated health conditions linked with being overweight and

obese are diabetes, high blood pressure, heart disease, cholesterol problems, gallbladder disease, female health disorders, arthritis, some types of cancer and sleep apnea. Losing 5-10% of

your body weight may help decrease risk of these conditions. ------------------------- WEIGHT MANAGEMENT CLASSES Comprehensive lifestyle interventions are programs that combine changes to

habits and behaviors as well as nutrition and physical activity, with support from a health coach or other member of a health care team. (Learn more about Comprehensive lifestyle

interventions.) VA offers a free weight management program for Veterans called MOVE! which offers classes on nutrition, physical activity and behavior change. The goal is to assist Veterans

in losing 5-10% bodyweight and to make positive changes in lifestyle and health. You can schedule for the introductory MOVE! Basics of Weight Management class before committing to the full

program and you do not need a consult. Day, evening and women’s groups available. Telephone and video options are also available. More detail can be found on the VA PORTLAND MOVE! WEIGHT

MANAGEMENT WEB PAGE. THIS LIST OF PROGRAMS MEET THE COMPREHENSIVE LIFESTYLE INTERVENTION REQUIREMENT FOR WEIGHT MANAGEMENT MEDICATIONS AND BARIATRIC-METABOLIC SURGERY: * VA MOVE! Weight

Management Program for Veterans * WW (Weight Watchers) * TOPS (Taking Off Pounds Sensibly) * HMR (Health Management Resources) * Optifast * Curves Complete Interested in learning how to cook

healthier, eat for certain health conditions, or move your body more? VA Portland offers many classes to choose from. LEARN ABOUT VA PORTLAND'S MANY AVAILABLE NUTRITION CLASSES.

Physically active individuals sleep better, feel better, and function better. Scroll down this page to Related Resources section to learn more about VA Portland’s active movement classes.

LEARN ABOUT VA PORTLAND'S ACTIVE MOVEMENT CLASSES. Following a healthy eating pattern over time can help support a healthy body weight and reduce the risk of chronic disease. Scroll

down this page to the RELATED RESOURCES SECTION to learn more about VA Portland’s nutrition and cooking classes. ------------------------- WEIGHT MANAGEMENT MEDICATIONS Although lifestyle

changes alone can result in weight loss, some Veterans may need additional help. VA has several medications available to help with weight loss and diabetes management for those who qualify.

WHO IS A GOOD CANDIDATE FOR WEIGHT MANAGEMENT MEDICINE? If you are participating in a lifestyle change program but are not meeting your weight loss goal: * And if you have a body-mass index

(BMI) of 30 or greater OR * If your BMI is 27 or greater and you have one or more health problems (examples: high blood pressure, high cholesterol, type 2 diabetes, obstructive sleep apnea,

or osteoarthritis) WILL I NEED OTHER FORMS OF TREATMENT TO HELP ME LOSE WEIGHT? Yes, weight management medications may be prescribed if a Veteran qualifies and is actively participating in a

lifestyle change program that includes nutrition, physical activity and behavior counseling with a clinician. See the Weight Management Classes section above for qualifying programs. There

are specific criteria that must be met to determine if a weight management medication is a safe and appropriate treatment option. Each medication has a list of criteria that a pharmacist

will review with the Veterans medical history, health conditions, medication list, etc. GO TO THIS VA BROCHURE TO LEARN ABOUT WEIGHT MANAGEMENT MEDICINE OPTIONS.  KEEP IN MIND: * Medication

may need to change or stop if 3-5 percent of weight has not been lost after 12-16 weeks, if Veteran can not tolerate side effects, or if weight is gained. * Weight loss will likely plateau

around 6-9 months. * Weight is usually regained after the medication is stopped. * Taking the medication longer does not usually lead to more weight loss, but may help maintain weight. If

you are interested in seeing if you qualify for a weight management medication, talk to your primary care provider. You will need to be participating in a lifestyle change / weight

management program before a prescription can be written. ------------------------- There are different types of weight loss surgery to help people lose weight in addition to making positive

lifestyle change. IS WEIGHT LOSS SURGERY THE RIGHT CHOICE FOR ME? This will depend on your current health condition and risks. Veterans may be considered for surgery if their body mass index

(BMI) is 30 or more and there is a health condition that may be improved with weight loss. * Veterans with a BMI of 40 or more * Veterans with a BMI of 35 or more that also have an

obesity-related condition (heart disease, diabetes, high blood pressure, obstructive sleep apnea, fatty liver disease, etc.) * Veterans with a BMI of 30 or more that also have type 2

diabetes LEARN MORE ABOUT BMI AND CALCULATE YOUR OWN BMI ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION WEBSITE. There are also requirements that must be met to qualify for surgery which

may take up to 12 months to complete. These vary by location and include: * Tobacco free 3-6 months * Weight Management classes (may include individual assessment with dietitian and physical

therapy) * Mental Health evaluation * Health Screenings (pre-operative risk evaluation, cancer screening, etc.) * Medical Tests (vary by patient and may include endoscopy, pulmonary

function test, sleep study, etc.) Talk with your provider about your health concerns and goals to see what will be right for you. WHERE CAN I GET SURGERY? If you are eligible for VA

beneficiary travel, you will have the choice to be referred to VA Palo Alto in California. A VA Community Care option may also be available. Each location will have specific criteria that

must be met for a Veteran to qualify. WHAT TYPE OF SURGERY CAN I GET? Surgery options may vary by location. If you qualify for surgery, the medical staff at the location for your surgery

will explain the procedures available. LEARN MORE ABOUT AND COMPARE DIFFERENT METABOLIC/BARIATRIC PROCEDURES. The amount of weight loss after surgery depends on a Veterans overall commitment

to change old habits, lifestyle, exercise and nutrition. After one year, Veterans may lose on average of 15-30% of their body weight depending on the type of surgery. Weight re-gain of

5-10% has been reported 10 years after surgery.