Itechnocrat Health – 1-Year Comprehensive Obesity Management Plan

Led by ABOM-Certified Obesity Medicine Physician

Tech-Enabled, Interdisciplinary, Lifestyle, Behavioral & Medical Approach

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🔷 PROGRAM OBJECTIVES

Clinical Goals

• Weight reduction of 10–15% in the first 12 months
• Improved metabolic markers: HbA1c, BP, lipids, liver fat
• Improve or reverse obesity-related comorbidities:
  • Diabetes
  • Sleep apnea
  • PCOS
  • Hypertension
  • NAFLD
• Prevent long-term complications

Lifestyle & Behavioral Goals

• Establish sustainable eating patterns
• Build long-term cooking skills
• Improve physical activity, mobility, strength
• Improve emotional wellness
• Improve sleep, stress, and HRV metrics

Technology Integration

• Continuous daily monitoring (Garmin, smart scale)
• AI-powered insights for calorie burn, stress, sleep, and activity
• Real-time care coordination across all providers

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📅 12-MONTH PLAN – FULL INTERDISCIPLINARY DETAIL

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📘 Month 1 — Intake, Labs, Diagnosis & Personalized Plan

ABOM-Certified Physician (Lead Clinician)

• Full obesity and metabolic history
• Screen for complications:
  • Sleep apnea
  • Diabetes
  • PCOS
  • NAFLD
  • Joint disease
• Orders Mobile Lab baseline panel:
  • Lipids
  • HbA1c
  • Thyroid (TSH, free T4)
  • Liver enzymes
  • Kidney function
  • Vitamin D
  • Fasting insulin
  • CBC
  • CRP (optional inflammation marker)
• Body composition baseline:
  • Body fat %
  • Visceral fat
  • Muscle mass

Physician Sets 12-Month Medical Treatment Plan

• May start pharmacotherapy:
  • GLP-1 (semaglutide or tirzepatide)
  • Metformin
  • Phentermine/topiramate
  • Bupropion/naltrexone
• Sets calorie or carbohydrate targets
• Defines goals for weight, activity, sleep, stress

Mobile Lab

• At-home phlebotomy
• Immediate upload to Itechnocrat EHR AI

Mobile Nurse

• Vitals
• Medication reconciliation
• Smart scale & Garmin setup
• Teach self-measurements

Dietitian

• Full nutrition intake
• Low-carb or Mediterranean plan
• Cultural food integration
• Enroll patient in Community Kitchen Program

Community Kitchen Meal-Prep & Skills Training (NEW)

Orientation and hands-on intro class:

• Reading labels
• Sugar swaps
• Calorie density
• Preparing simple low-carb meals
• Using KFS Rx Meals products

Kinesiologist

• Mobility, balance, gait, strength assessment
• Personalized exercise plan—Phase 1 mobility

Mental Health Therapist

• Screening:
  • Binge eating
  • Emotional eating
  • Anxiety, depression
• Introduce CBT and behavioral strategies

Social Worker

• Assess social barriers:
  • Food insecurity
  • Transportation
  • Gym access
  • Employment issues

Footcare Nurse

• Baseline foot/skin exam
• Obesity-related foot strain assessment

Patient Care Coordinator (PCC)

• Create 12-month appointment plan
• Coordinate all clinicians
• Enroll patient in community kitchen classes
• Manage medication/treatment schedule

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📘 Months 2–3 — Stabilization & Early Weight Loss

ABOM Physician

• Monthly or bi-monthly follow-up
• Review wearable data (weight, steps, sleep)
• Adjust medications:
  • GLP-1 titration
  • Side-effect management
• Early plateau prevention strategies

Mobile Nurse

• Bi-weekly then monthly visits
• Monitor vitals, medication tolerance

Dietitian

• Weekly → biweekly meal planning
• Introduce:
  • Calorie deficit
  • Low-glycemic eating
  • Higher protein goals

Community Kitchen

Weekly hands-on classes:

• Meal prepping for the week
• Cooking low-carb global dishes
• High-protein breakfasts
• Knife skills, batch cooking
• Cost-efficient healthy grocery list

Kinesiologist

• Steps goal 5,000 → 6,000
• Mobility training
• Light resistance exercises

Mental Health Therapist

• Emotional eating management
• Identifying triggers
• Stress coping techniques

Social Worker

• Support access to food, transport, gym

Footcare Nurse

• Monthly monitoring

PCC

• Monitor adherence
• Resolve scheduling issues

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📘 Months 4–6 — Active Weight Loss & Metabolic Reset

ABOM Physician

• Month 3 or Month 6 labs via mobile lab
• Medication optimization:
  • Continue GLP-1 or escalation
  • Add adjunct medications if needed
• Monitor metabolic changes
• Evaluate PCOS, fatty liver, hypertension

Mobile Lab

• Repeat full metabolic panel

Dietitian

• Introduce:
  • Higher protein intake
  • Low-carb OR Mediterranean structure
  • Optional intermittent fasting
• Custom plan for:
  • Shift workers
  • Busy families
  • Cultural cuisines

Community Kitchen

Advanced cooking workshops:

• Low-carb comfort foods
• Keto baking with KFS Rx mixes
• High-volume, low-calorie meals
• Lunch meal prep for work
• Family-friendly recipes

Kinesiologist

• Strength training 2–3× weekly
• Low-impact cardio
• Steps goal: 7,000 → 8,000
• Garmin HRV monitoring

Mental Health Therapist

• Address emotional attachment to food
• Build long-term habits
• Cognitive restructuring

Social Worker

• Evaluate home/financial stress
• Support long-term lifestyle stability

Footcare Nurse

• Increased monitoring due to activity increases

PCC

• Mid-year progress summary for entire team

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📘 Months 7–9 — Optimization Phase & Plateau Breaking

ABOM Physician

• Review wearable + AI metabolic trends
• Medication adjustments:
  • GLP-1 dose optimization
  • Add Metformin or bupropion/naltrexone
• Troubleshoot weight plateaus

Mobile Lab

• Month 9 labs

Dietitian

• Plateau management tools:
  • Carb cycling
  • Protein rotation
  • Fasting modifications

Community Kitchen

Workshops:

• “Eating Out on a Diet”
• Air fryer & one-pan meals
• Meal prep for long work hours
• Healthy cultural foods

Kinesiologist

• Strength 3× weekly
• Cardio 3× weekly
• Steps: 9,000 → 10,000
• Endurance + resistance periodization

Mental Health Therapist

• Relapse prevention
• Motivation reinforcement

Social Worker

• Review workplace and home environment
• Provide long-term community support

Footcare Nurse

• Monthly/bimonthly checks

PCC

• Update care coordination
• Ensure referrals (sleep, bariatrics, PT) completed

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📘 Months 10–12 — Maintenance Planning + Annual Review

ABOM Physician

• Comprehensive annual review
• Repeat full mobile lab panel
• Evaluate need for long-term medications
• Create Year-2 plan:
  • Maintenance meds
  • Bariatric referral if appropriate

Mobile Lab

• Annual metabolic panel
• Body composition analysis

Dietitian

• Develop long-term sustainable meal plan
• “Real Life Eating Strategy”
• Holiday survival plan
• Food freedom & intuitive eating (for some)

Community Kitchen

Graduation modules:

• Long-term meal planning
• Family cooking
• Smart grocery shopping
• Restaurant strategies

Kinesiologist

• Long-term training plan:
  • Strength 3–4× weekly
  • Cardio 150–200 min weekly
  • Flexibility routine

Mental Health Therapist

• Monthly maintenance visits
• Relapse prevention framework

Social Worker

• Annual benefits review
• Help maintain access to food & activity resources

Footcare Nurse

• Annual comprehensive exam

PCC

• Year-end summary
• Prepare Year-2 schedule

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🟦 FULL SERVICE SCHEDULE (12 MONTHS)

Service	Frequency	Delivered By
ABOM Physician	Months 1, 3, 6, 9, 12 (or monthly)	Physician
Mobile Labs	Months 1, 3/6, 9, 12	Lab Team
Mobile Nurse	Weekly → Monthly	Nurse
PSW	As needed	PSW
Dietitian	Weekly → Monthly	Dietitian
Community Kitchen	Weekly/Biweekly	Dietitian + Chef
Kinesiologist	Weekly → 3× weekly	Kinesiologist
Mental Health Therapist	Weekly → Monthly	Therapist
Social Worker	Monthly	Social Worker
Footcare Nurse	Monthly → Annual	Footcare Nurse
PCC	Weekly → Monthly	Care Coordinator
Smart Scale/Activity Tracking	Daily	Garmin + AI
Labs	Quarterly	Mobile Lab