SSM Web Site
WLI Web Content
Revised December 3, 2008
WLI Home Page Copy
Concept #1
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Our gain is your loss.
Our surgeons were part of the team that pioneered the FDA approval of Adjustable Gastric Banding.
Concept #2
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We take innovation seriously.
Drs. Roger de la Torre and J. Stephen Scott are two of the first surgeons in the world to perform a Roux-en-Y
divided gastric bypass laparoscopy.
Concept #3
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Experience that creates new beginnings.
SSM weight-loss surgeons have performed over 5,000 life-changing and life-saving surgeries to help patients
lead healthier and happier lives.
Concept #4
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Think of it as healthy food for thought.
SSM offers an innovative, full-service, medically supervised diet and exercise program, called HMR® (Health
Management Resources).
Concept #5
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You’ll experience better results.
We are recognized as a Bariatric Surgery Center of Excellence.
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The SSM Weight-Loss Institute offers breakthrough surgical and non-surgical options that can be tailored to fit your
weight-loss goals. You’ll find comfort in the fact that our surgeons have performed more than 5,000 life-changing and lifesaving weight-loss surgeries to help our patients lead healthier and happier lives. We also offer a full-service, medically
supervised diet and exercise program called HMR® (Health Management Resources). No matter what your health goals, the
SSM Weight-Loss Institute is dedicated to partnering with you to ensure the quality of life you seek and deserve.
Locations
Convenient access to life-changing weight-loss resources.
SSM Weight-Loss Institute services are currently offered through DePaul Health Center, conveniently located at I70 and I-270 and St. Joseph Hospital of Kirkwood.
Contact information is as follows:
12303 DePaul Drive
505 Couch Avenue, Ste 215
St. Louis, MO 63044-2588
St. Louis, MO 63044-2588
1-877-4SSMWLI (477-6954)
1-877-4SSMWLI (477-6954)
Customer Relations Coordinator [Link]
(Map is located in WLI Picture File)
a. St. Joseph Hospital of Kirkwood / St. Clare – Non-surgical treatment options and consultations for surgical treatments
will be available at this site December, 2008.
About Us
The SSM Weight-Loss Institute is dedicated to helping you relieve suffering from clinically severe obesity. We do this by
providing unequaled accessibility to the best care – and the best results. By seamlessly combining multidisciplinary care, we
strive to create lasting weight-loss that reduces life-threatening risk factors, improves self-esteem and enhances daily living.
Our proven physicians don’t just perform the latest weight-loss techniques and procedures – they invent them. In
fact, SSM weight-loss surgeons hold more than 40 patents in weight-loss techniques and surgical procedures, helping our
facility at DePaul be recognized as a Bariatric Center of Excellence. Our surgeons were part of the team that pioneered the
FDA approval of Adjustable Gastric Banding. Rest assured, you now have direct access to the leading weight-loss pioneers
and innovators in the medical industry.
World-class procedures by world-class surgeons. Drs. Roger de la Torre and J. Stephen Scott, along with worldrenowned surgeon and inventor Dr. Thomas J. Fogarty, developed the first endoscopic gastric bypass procedure. The
procedure, called transoral gastroplasty (TOGA), involves the use of flexible instruments inserted into the stomach
through the mouth. Unlike other bariatric procedures, the TOGA does not require any incisions. The procedure is currently
in U.S. Food and Drug Administration trials, with the first U.S. study having occurred in St. Louis July 2008.
When you are looking for outstanding weight-loss results, turn to the experienced professionals at the SSM Weight-Loss
Institute.
Special Designations of the SSM Weight-Loss Institute
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American Society for Metabolic & Bariatric Surgery (ASMBS) - Center of Excellence
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United Health Care - Bariatric Resource Service Center of Excellence
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Blue Cross Blue Shield of Missouri
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Blue Center for Bariatric Surgery
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Aetna Insurance Plan - Aetna’s Bariatric Network
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CIGNA - Certified Hospital for Bariatric Surgery
Our Team
World-class physicians and health professionals in the field of weight-loss.
SSM Weight-Loss Institute physicians and health professionals have helped to set – and maintain – the standard of the
weight-loss industry. Our forward-thinking, progressive team has patented more than 40 weight-loss surgical and treatment
techniques and is dedicated to providing you with the best care – and the best results.
Meet our experienced, compassionate, and high-performance team:
Roger A. de la Torre, M.D. – Bariatric Surgeon
Center of Excellence surgeon by American Society for Bariatric and Metabolic Surgery
Dr. Roger de la Torre has participated in nearly 4,000 bariatric procedures, and has been designated a Center of
Excellence surgeon by the American Society for Bariatric and Metabolic Surgery. During his time in private practice, de la
Torre has worked to develop numerous surgical devices, and holds more than 40 patents worldwide. One of these, for a
surgical access port, has proven instrumental in initiating a whole new field of minimally invasive surgery.
Dr. de la Torre has been instrumental in training surgeons across the country on a variety of laparoscopic operations,
including weight-loss surgery. He has been invited to speak and provide surgical instruction at hospitals and universities in
several foreign countries. Dr. de la Torre’s many publications range from peer reviewed journal articles to chapters in
several textbooks on surgery.
Dr. de la Torre is a graduate of the Indiana University School of Medicine. He completed his internship and residency in
General Surgery at Mount Sinai Medical Center in Miami Beach, Florida. Shortly after going into private practice, he
became recognized for his abilities as a laparoscopic surgeon.
Dr. de la Torre’s Patents
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"Surgical Mesh with Semi-Rigid Border Members"
"Surgical Instrument for Tying a Knot in a Length of Suture at a Remote Location"
"Magazine for Loading a Needle onto a Stitching Instrument and for Loading a Length of Suture onto a Suture
Dispensing Instrument"
"Laparoscopic Access Port for Surgical Instruments or the Hand"
"Screw Type Skin Seal with Inflatable Membrane"
"Polypectomy Device and Method"
“Method and Device for Use in Minimally Invasive Approximation of Muscle and Tissue”
“Method and Device for Use in Minimally Invasive Placement of Intragastric Devices”
J. Stephen Scott, M.D., FACS – Medical Director and Bariatric Surgeon
Center of Excellence Surgeon by the American Society for Bariatric and Metabolic Surgery
Dr. J. Stephen Scott has spent years studying obesity and training to treat this condition as a surgeon. In 1996, he
performed his first open Roux-en-Y divided gastric bypass and in 1997 became one of the first surgeons to ever perform
this procedure laparoscopically. He has been involved in over 3,000 Roux-en-Y procedures since that time.
Dr. Scott is nationally recognized for his proficiency and expertise in many laparoscopic procedures. He has published
and lectured extensively on several of these operations, and has served to proctor and teach these to a large number of
surgeons across the country. As national laboratory director for the American Society of Bariatric Surgeons, Dr. Scott
oversees the training provided to surgeons interested in surgical techniques and overall management of the morbidly
obese. He was recently designated a Center of Excellence surgeon by the American Society for Bariatric Surgery.
In 2000, Dr. Scott and his partner, Dr. Roger A. de la Torre, became Founders of Satiety Inc., along with world-renowned
surgeon and inventor, Dr. Thomas J. Fogarty. This is a company which focuses on the endoscopic treatment of obesity.
Furthermore, he has contributed to the development of several surgical instruments, which are sold worldwide.
Dr. Scott graduated from the University of Missouri School of Medicine in 1986. He completed his internship and
residency in General Surgery at Mount Sinai Medical Center in Miami Beach, Florida in 1991, and went into private
practice the same year.
Dr. Scott’s Patents
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"Surgical Instrument for Tying a Knot in a Length of Suture at a Remote Location"
"Magazine for Loading a Needle Onto a Stitching Instrument and for Loading a Length of Suture Onto a Suture
Dispensing Instrument"
"Laparoscopic Access Port for Surgical Instruments or the Hand"
"Screw Type Skin Seal with Inflatable Membrane"
Jessica Smith, M.D. – HMR Physician
Dr. Jessica Smith manages the non-surgical HMR® (Health Management Resources) program at SSM DePaul Health
Center. She is a family practice physician trained in the identification and management of acute problems and chronic
diseases, such as diabetes, hypertension and high cholesterol.
Dr. Smith graduated from the Southern Illinois University School of Medicine and completed her internship and residency
at the University of Illinois College of Medicine at Peoria-Methodist Medical Center. She is board-certified in family
medicine, and a member of the SSM DePaul Medical Group.
Thomas A. Johnson, Jr., M.D. – HMR Physician
Dr. Thomas Johnson is board certified in family medicine and has spent more than three decades in private practice while
also serving as an associate professor at both St. Louis University and the University of Missouri in Columbia.
Dr. Johnson’s mission to help impact the obesity epidemic facing America began in 1995. After personally gaining
substantial weight, he developed heart disease. Dr. Johnson underwent cardiac bypass surgery and decided to
dramatically change his lifestyle. He lost the weight and sought out educational opportunities that could help him help
others. He began taking nutrition and lifestyle classes at both the Mayo Clinic and Washington University in St. Louis and
also became an active member of the American College of Lifestyle Medicine.
Today, Dr. Johnson is passionate about using medically proven interventions to help others reach a healthy weight and
maintain it for a lifetime.
Diane Joyce, PsyD – Psychologist
Dr. Diane Joyce holds a masters degree in counseling and a doctorate in clinical psychology. Although her experience
includes work with a multitude of psychological and behavioral issues, she has spent the past 12 years specializing in
binge eating disorders and conducting pre-surgical psychological evaluations for surgical weight-loss patients. She has
performed more than 3,000 such evaluations to date.
Dr. Joyce serves as vice-president of health for the St. Louis Metropolitan Medical Society and is listed in “Who’s Who
Among American Women” and Marquis’ “Who’s Who of American Women”.
Our Weight-Loss Specialists
Nancy Corbett, R.N. (Surgery)
Teresa Miller, R.N. (Surgery)
Stephanie Lucido R.N. (Surgery)
Jennifer Moffett, Registered Dietician (Surgery)
Steve Mauchenheimer, Exercise Physiologist (Surgery)
Kathy McCulloch, R.N. (HMR)
Cari Breckel, Weight Management Education Specialist (HMR)
Kayla Ramsey, Weight Management Education Specialist (HMR)
Amy Thomas, Director
Patsy Beeson, Customer Relations/Office Coordinator
Liola Davis, Insurance Verification
Megan Westermeyer, Department Assistant
Shirley Woodard, Department Assistant
What is Obesity?
Defining a life-threatening disorder that affects one-third of all Americans.1
Obesity is defined as a life-long, progressive, life-threatening, genetically related, and costly disease of excess fat
storage. This disorder is associated with illnesses directly caused or worsened by significant weight. Morbid obesity (or
clinically severe obesity) is defined as being over 200% of ideal weight, more than 100 pounds overweight, or a body mass
index (BMI) of 40 or greater, at which serious medical conditions occur as a direct result of the obesity.
What causes this challenge that adversely affects the health of so many men and women? There are several
contributing factors to excess weight or obesity. According to the Centers of Disease Control and Prevention, these
factors including consuming too many calories and not enough physical activity, work and home environmental factors,
genetics and certain diseases and medications.2
Links
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1
How Overweight Are You? (BMI Calculator)
Related Health Conditions
Ogden CL, Carroll MD, McDowell MA, Flegal KM. Obesity among adults in the United States – no change since 2003—2004.
NCHS data brief no 1. Hyattsville, MD: National Center for Health Statistics, 2007.
2
Centers of Disease Control and Prevention, http://www.cdc.gov/nccdphp/dnpa/obesity/defining.htm
Am I Overweight?
Determining how you measure up against obesity.
Your body mass index (BMI) is important data that can help you evaluate health risks related to excessive weight
and obesity. Your BMI measures your height/weight ratio and is your weight in kilograms divided by the square of your
height in meters. Measuring your BMI and combining this data with one or more obesity health-related condition(s) can
help you and an SSM Weight-Loss Institute physician determine your best course of treatment.
Discover your BMI now. Simply enter your height and weight in the grid below, then click “calculate.”
(For reference, client indicated that they liked layout of BMI grid found at:
http://www.stvincent.org/stvnet/dotNetTemplates/BodyMassIndicator.aspx?NRMODE=Published&NRNODEGUID=%7b77
C84EE6-D1D0-4D40-B0C4E1D7CD5275B7%7d&NRORIGINALURL=%2fourservices%2fbariatrics%2fabout%2fbmi%2fbmi%2ehtm&NRCACHEHINT
=Guest)
Related Health Conditions
The consequences of excess weight.
Obesity can cause increased risk for many diseases and health conditions. These include:
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Type 2 Diabetes – A long-term metabolic disorder in which the body produces, but resists, insulin. Because of
excess weight, obese individuals develop a resistance to insulin, which controls blood sugar. While Type 2
diabetes may occur regardless of someone’s age, gender, or body mass, the disease tends to be more severe in
the obese.
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High Blood Pressure/Heart Disease – Excess body weight often results in high blood pressure (hypertension),
which can cause strokes and heart and kidney damage. Evidence shows that the age-related lifetime risk of
hypertension in men and women ages 45 to 54 will double as their average body mass index (BMI) increases
from 25 to 35. While hypertension may occur regardless of age, gender, or body mass, it tends to be more
severe in the obese.
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Osteoarthritis of Weight-Bearing Joints – Osteoarthritis, one of the most common forms of arthritis, is a
chronic condition resulting in a breakdown of joint cartilage. Excess body weight on joints, particularly knees and
hips, results in rapid wear and tear, and pain caused by inflammation. Similarly, bones and muscles of the back
are constantly strained, causing disk problems, pain, and decreased movement ability.
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Sleep Apnea and Respiratory Problems – Obstructive sleep apnea occurs when breathing suddenly stops
because soft tissue in the rear of the throat collapses and closes during sleep. The greater your excess body
weight, the greater the amount of fat pressing down on your chest and lungs. Those who are morbidly obese are
likely to have a greater buildup of fat deposits in the tongue and neck adding to sleep and respiratory problems.
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Reproductive Health – Women challenged with morbid obesity can struggle with reproductive health concerns.
Issues such as infertility and menstrual irregularities may occur due to morbid obesity. Fertility issues include
possible miscarriage, reduced success with fertility treatments, and polycystic ovarian syndrome (PCOS). PCOS
is an endocrine disorder in women of childbearing age that can cause infertility and other reproductive health
conditions.
Non-Surgical Treatments
SSM Weight-Loss Institute offers a healthy variety of non-surgical treatments to help you achieve your weightloss goals. Our physicians, dieticians and weight-loss professionals are dedicated to helping you take advantage of diet
plans, and nutrition and wellness programs that are designed to meet your specific needs.
Our weight-loss professionals will provide helpful guidance through every step of these proven programs.
Depending on your goals, you may benefit from the following programs:
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HMR® (Health Management Resources) – Designed to help patients achieve long-term weight loss that leads to
life changing health gains.
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HMR Healthy Solutions – A delicious and nutritious eating plan for your success.
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HMR Very Low Calorie Diets – For people who want to lose a large amount of weight (30 pounds or more) in a
short amount of time.
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Nutrition & Wellness – Special eating and exercise programs designed by licensed dieticians and exercise
physiologists.
You’ll also find nutritional guides within this section that can help to give you a head start toward healthy meals and
eating.
HMR® (Health Management Resources)
A healthy diet program that helps you lose weight, and gain your life back.
The HMR (Health Management Resources) Program for Weight Management™ has helped more than one-million
people lose – and keep off – excess weight. Since 1983, the program has been offered in more than 400 hospitals and
medical centers nationwide. Staffed by physicians and other healthcare professionals, this diet includes high volume lowcalorie foods so you won’t go hungry, making it more likely you’ll reach your goal. Most importantly, this program helps you
learn how to maintain weight-loss after the dieting is over.
The SSM Weight-Loss Institute is proud to introduce this revolutionary program to St. Louis. The HMR® Weight
Management Program at SSM Weight-Loss Institute offers program options to meet individual needs and weight-loss
goals. Quite simply, HMR is unlike any diet you’ve ever tried because you’ll learn more than diet skills – you’ll learn skills
that can help you continue to pursue a healthy lifestyle after completing the program and for years to come.
HMR® Benefits
Learn more than diet skills – learn lifestyle skills.
For over 25 years, HMR® (Health Management Resources) has been helping people achieve long-term weightloss that leads to life-changing health gains. HMR benefits are many and include:
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Lower cholesterol
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Lower blood pressure
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Increased physical activity
More than 1,000,000 HMR patients have lost an average of 20 to 60 pounds. And they have achieved this success
with the help of weight-management specialists just like the ones you’ll find at the SSM Weight-Loss Institute. Through
these successes, HMR has become the leader in medical weight management programs, measurably impacting the
health of Americans.
(Consider recreating table from page 17 of client-provided reference here.)
(Chart)
Data from 1000 maintenance patients from 28 HMR Programs shows significant reduction in all measured values:
Cholesterol Ratio (TC/HDL) - 13%
Triglycerides - 23%
Fasting Blood Glucose - 10%
Systolic Blood Pressure - 8 points
Diastolic Blood Pressure – 7 points
Most patients also experience significant reduction or elimination of medication.
HMR® Healthy Solutions
A delicious, nutritious and healthy eating plan for your success.
Meal replacements for your current diet and eating habits, Healthy Solutions is a diet with plenty of delicious,
healthy foods. Along with this diet comes a lifestyle education that teaches you realistic ways to eat and live healthier
long after you leave the program. In effect, weight-maintenance techniques are built into the diet – what could be easier
and healthier?
Why choose Healthy Solutions? Because you will:
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Feel full with satisfying weight-loss shakes, entrees, vegetables and fruits.
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Get complete nutrition, including essential protein, vitamins and minerals.
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Save money while losing weight by spending less on groceries and restaurant foods.
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Stay on your diet with easy-to-prepare, portion-controlled foods.
Published reports have shown that using shakes and other meal replacements produces substantially better
results than conventional diets. Why? Because the fewer decisions you have to make about what to eat, the better your
chances of staying on a diet plan. Healthy Solutions’ shakes and packaged meals take the guesswork out of dieting. This
leaves you more time to learn and practice new skills for healthier living.
If the food choices in your diet leave you hungry, chances are you'll go off the plan without reaching your goal.
That's not likely to happen with Healthy Solutions. On the Healthy Solutions plan, you'll be surprised at all the food you get
to eat. Healthy Solutions uses nutritious and filling HMR weight-loss shakes, soup, and entrees as meal replacements,
plus unlimited amounts of fruits and vegetables. Since these foods are all so low in calories, you can eat as much as you
need to feel full. We call this novel concept More Is Better™ – and it works.
(NOTE: Link to a page of pictures/prices of HMR food and shakes (Pictures are in WLI file). From there have link to a
PDF and order form.)
HMR® Very Low Calorie Diets
Low calorie, highly successful results.
The Low Calorie and Very Low Calorie Diets (VLCD) are medically supervised weight-loss programs offered at
the SSM Weight-Loss Institute. These programs are designed for people who want to lose a significant amount of
weight (more than 30 pounds) in a short amount of time. We approach the task of weight-loss with a commitment that
goes well beyond “traditional” dieting. Taken as directed, the diet provides 100% of the Daily Value for vitamins and
minerals, so you can be confident you’re getting the nutrition you need.
Here are just a few of the ways we’re different from other programs:
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Physician supervision
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The amount of weight-loss possible
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The speed of weight-loss
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The depth of lifestyle education
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The level of personal attention
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The proven maintenance program
Studies show that the fewer decisions you have to make about what to eat, the more likely it is you will lose
weight. With this weight-loss program, you won’t have to make any decisions about what to eat. You’ll lose weight using
nutritionally complete, delicious HMR meal replacements (filling weight-loss shakes, soup, and entrees) instead of grocery
store food. No complicated food lists. No extensive food preparation. No extra food shopping.
Currently, HMR has the most successful weight-loss and outcome data of any ongoing diet treatment program.
HMR collects weight and health-related data from program participants across the country. What is the reason for this
success? Losing and keeping weight off is an acquired skill, like learning to play an instrument or a new sport. The
friendly, professional SSM Weight-Loss Institute physicians and health professionals will work closely with you as you
learn these new skills in friendly, highly supportive classes.
(NOTE: Link to a page of pictures/prices of HMR food and shakes (Pictures are in WLI file). From there have link to a
PDF and order form.)
HMR® Diet FAQs
Answers to the most common questions related to HMR® diet programs.
Where is the program located?
The HMR Program at SSM Weight-Loss Institute is located in Suite 200 in Medical Office Building South on the SSM
DePaul Health Center campus in northwest St. Louis County. The DePaul campus is conveniently located at the
intersection of I-70 and I-270. The HMR program is also offered at St. Joseph Hospital Kirkwood at 505 Couch Avenue,
Ste. 215 and will move to the new St. Clare Hospital located in Fenton, Mo. at the end of March, 2009.
How can I get more information?
Free information seminars [Link to “Classes & Support” section.] about HMR weight-loss in St. Louis are held on every
Monday from 5:30-6:30 pm and Tuesday, noon- 1 pm. Please call 1-877-4SSMWLI (477-6954) to register.
What makes HMR different?
The HMR Program is delivered by professionally trained HMR weight management specialists and health professionals, in
more than 400 hospitals and medical centers nationwide. Participants follow a diet using HMR meal replacements that
makes weight-loss as easy as possible. The program teaches long-term lifestyle changes that produce successful weight
and health management. In fact, active HMR maintenance patients are keeping off an average of 68 pounds (23% of
initial body weight) more than two years after weight-loss. That far exceeds the established “gold standard” in the medical
literature of 5-10% of initial body weight kept off one-year post weight-loss.
What is the HMR philosophy?
HMR sees weight management as a skill. Given the rapid increase in obesity in America and the fact that two-thirds of
Americans are now overweight or obese, it is clear that the major cause of this epidemic is environmental. For most of our
history, weight management was automatic. Our modern lifestyle and western culture have virtually eliminated the need to
exercise and made large portions of high-calorie food readily available. The research shows that a structured program
using meal replacements is the best way to incorporate new weight-and health-management skills. The foundation of
HMR Programs is based on this research.
Why meal replacements?
The research is clear. More than 50 published references show that people using meal replacements lose and keep off,
on average, three times more weight than those on conventional diets. Meal replacements help clients take the
guesswork out of dieting, providing them with a convenient and satisfying way to eat. For example, having an HMR shake
for breakfast instead of a muffin and an HMR entrée with two servings of vegetables for dinner in lieu of a typical fast food
meal would save someone approximately 1,600 calories a day. Making these two simple changes once each week for a
year would result in a 24-pound weight-loss.
Why does HMR’s structured weight-loss program work?
There are three simple reasons:
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The HMR Program focuses only on research-based variables. Each of these variables independently has been
shown to have a direct effect on successful weight-loss and maintenance. When practiced together, there is an
even more pronounced, cumulative effect.
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Losing and keeping off weight is a skill, much like learning to play an instrument or a new sport. It is only logical,
therefore, to approach weight management with the same structure one would apply to any new skill. That
includes a cycle of lessons, practice, and feedback. That’s exactly how the HMR Program is structured.
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HMR health educators are highly-trained professionals. To supplement their past professional training, HMR
provides health educators with intensive initial training and more than 25 hours of continuing education each year.
How does HMR work?
The HMR Program focuses on five research-based success variables including an ongoing supportive structure and
feedback:
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Weekly classes
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Record keeping
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Physical activity
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Meal replacements
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Vegetables and fruits
How much does HMR cost?
The HMR at Home® Program costs $12.00-13.00 per day during weight-loss and approximately $7.50 per day during
maintenance. Meal replacements are an additional expense but are purchased in place of grocery, restaurant, and
convenience store foods.
If you would like to order HMR products, download order form and fax to 314-344-6699, or email to
Kayla_Ramsey@ssmhc.com
(NOTE: Link to a page of pictures/prices of HMR food and shakes (Pictures are in WLI file). From there have link to a
PDF and order form.)
Aren’t meal replacements expensive?
Many participants in the program actually report saving money because in the weight-loss phase they do not spend
money on grocery foods other than vegetables and fruits. They also save a considerable amount of money by dining less
frequently at restaurants and not eating fast food or convenience store snacks.
How can I learn to eat in the “real world” with meal replacements?
Eating in the “real world” is what has most Americans overweight. HMR meal replacements are real food and are a
healthy way to eat better, manage calories, lose weight, and add more nutrition to one’s diet.
Nutrition & Wellness
People and resources dedicated to helping you achieve your weight-loss goals.
The registered dieticians of the SSM Weight-Loss Institute can give you the support and guidance you need to
achieve better health. Our dieticians will tailor a healthy eating plan, based on your individual goals and health concerns,
including:
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Weight loss
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Diabetic diets
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Cholesterol restrictions/fat restrictions
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Sodium restrictions
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Gluten-free diets
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Lactose-free diets
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Sports nutrition
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Balanced nutrition for all ages
To schedule an appointment at:
SSM DePaul Health Center, call (314) 344-7220
SSM St. Joseph Hospital – Kirkwood, call 314-966-1590
SSM St. Joseph Hospital West – Lake St. Louis, call 636-949-9600, or toll-free direct at 1-800-263-1177.
The Wellness Center of the SSM Weight-Loss Institute at DePaul Health Center features exercise physiologists.
These experienced professionals specialize in cardiac and respiratory disease management and are ready to help you
plan and achieve a healthy lifestyle. The Wellness Center features:
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Cardio equipment – Treadmills, elliptical trainers, recumbent steppers and stationary bicycles.
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Strength training – Full-circuit weight training and free weights.
Visit the Wellness Center now. The hours of operation are:
Mondays & Friday
5:30 a.m. – 6:30 p.m.
Tuesday, Wednesday & Thursday
5:30 a.m. – 7:00 p.m.
Saturday
8:00 a.m. – 12:00 p.m.
Sunday
Closed
Phone Number
314-344-6176
Wellness tools to further help you achieve your weight-loss goals can be found at:
http://ssmhealth.adam.com/content.aspx?pid=20
Nutritional Guides
(PDFs to be included within this section.)
Surgical Treatments
Revolutionary procedures, life-changing results.
If you have come to this site, you have likely arrived at a point where you are considering weight-loss surgery, for
yourself or a member of your family. Weight-loss surgery, also known as bariatric surgery, has changed significantly in
recent years. Today, enhanced surgical options provide healthy outcomes with less risk. Current procedures are
performed laparoscopically – minimally invasive surgery which means less time in the operating room, reduced pain, a
shorter stay, and a faster recovery. The surgeons of the SSM Weight-Loss Institute perform three types of weight-loss
surgery:
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The Roux-en-Y divided gastric bypass
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The Adjustable Gastric Banding System
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Sleeve Gastrectomy
The SSM Weight-Loss Institute offers a comprehensive bariatric program that addresses all needs prior to and
following weight-loss surgery. All aspects of the program are conveniently located on the SSM DePaul Health Center
campus in St. Louis, Missouri. This could be a viable option to help you or a family member live better, healthier, and
longer.
Benefits of Surgery
Consider the advantages of bariatric surgery.
Bariatric surgery continues to benefit people struggling with morbid obesity and can save lives. Recent studies
indicate that bariatric surgery patients are living longer lives than morbidly obese individuals. Although there are numerous
benefits, this surgery is not without risks. It is important to consider these risks and weigh them against potential benefits
with an SSM Weight-Loss Institute physician.
Bariatric surgery can reduce mortality rates and extend life expectancy. Compared to a person of normal weight, a
25-year-old obese man has a reduced life span, and can expect a loss of about 12 years of life. Bariatric surgery has
been shown to improve life span by reducing excess body weight. In a recent study, bariatric surgery reduced overall
morbidity and the development of new health-related conditions in morbidly obese patients. Bariatric surgery reduced the
relative risk of death by 89 percent with an absolute mortality reduction of 5.49 percent.
Bariatric surgery has been proven to impact obesity-related health conditions.
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Through gastric bypass surgery, patients have shown more than 83% resolution in type 2 diabetes.
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Patients experienced up to 88% resolution in obstructive sleep apnea, while another group noted 75% resolution
in hypertension.
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More than 70% of patients experienced an improvement in their hyperlipidemia.
Additional obesity-related health conditions may be improved or resolved with bariatric surgery.
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Type 2 diabetes
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High blood pressure/heart disease
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Dyslipidemia (lipid metabolism abnormalities)
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Osteoarthritis of weight-bearing joints
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Depression

Sleep apnea/respiratory problems

Gastroesophageal reflux/heartburn

Infertility

Urinary stress incontinence

Menstrual irregularities

Asthma

Skin breakdown

Swollen legs/skin ulcers

Extremity venous stasis
While each patient is different, the SSM Weight-Loss Institute’s specialized surgery program has produced a high
degree of successful outcomes. The chart below demonstrates the long-term success rate of weight-loss program and
treatments when pursued by extremely overweight individuals.
(Chart on pages 22 & 23 from client-provided reference info here.)
The SSM Weight-Loss Institute provides ongoing support throughout the entire weight-loss surgery process.
This helps to ensure the best possible outcome and helps our patients to permanently maintain their weight loss.
Gastric Bypass
Our surgeons were the first in the world to perform gastric bypass laparascopically.
One type of weight-loss surgery, called a Roux-en-Y divided gastric bypass, can now be performed
laparascopically, with small incisions. During the 60 to 90-minute procedure, the surgeon sections off a portion of the
stomach and reroutes part of the small intestine. Since less food is needed to feel full, patients can significantly reduce the
amount of food consumed. Also, fewer calories are absorbed because part of the intestine is bypassed.
Animation from Bariatric Edge File QT, MPG
Gastric Banding
Pioneered by the surgeons of the SSM Weight-Loss Institute.
The surgeons of the SSM Weight-Loss Institute were part of the team that pioneered the FDA approval of
Adjustable Gastric Banding System. The adjustable gastric band is a silicone ring that is placed around the top part of
the stomach, creating a small pouch. The ring may be adjusted several times to ensure proper weight-loss.
Animation from Bariatric Edge File QT, MPG
Sleeve Gastrectomy
Fewer restrictions on foods, fewer calories consumed.
The vertical sleeve gastrectomy is a restrictive form of weight-loss surgery in which approximately 85% of the
stomach is removed. This process leaves a cylindrical or sleeve shaped stomach. Because the new stomach continues
to function normally there are far fewer restrictions on the foods which patients can consume after surgery, although the
quantity of food eaten will be considerably reduced.
Picture sent in WLI file
Planning for Surgery
Selecting the procedure that’s best for you.
Most surgeons and insurance providers recommend and support a team approach to bariatric surgery. An ideal
program would have at least four components: medical, nutritional, psychological, and surgical. This multidisciplinary team
evaluates the patient before surgery and provides education and treatment after surgery. The team also delivers medical,
nutritional, and psychological care, and monitors lifestyle changes following surgery.
Select an appropriate procedure with your SSM Weight-Loss Institute bariatric surgeon. After you have completed
the pre-surgery medical, nutritional, and psychological evaluations and have adequate metabolic control, your bariatric
surgeon will discuss the benefits and risks of the different surgical procedures, and together you will choose the most
appropriate surgery for you. Once you and your surgeon have agreed upon a procedure, your next step will be to set a
date.
Before Surgery
Preparing mentally and physically for surgery.
How can you prepare mentally? Bariatric surgery is like other major surgeries. You can best prepare by knowing the
benefits and risks of surgery and by closely following your doctor's instructions. To mentally prepare yourself:

Understand the surgical process and what to expect afterward.

Keep in mind that you’ll never be able to eat the way you did before, and that you’ll have to watch the way you eat
for the rest of your life.

Talk to people who have had bariatric surgery.

Write a letter to yourself and your surgeon explaining your reasons for having bariatric surgery and outlining your
plans to maintain your weight-loss after surgery.

Start a journal. Record how you feel now, the challenges you face, and the things you hope to be able to do after
bariatric surgery.

Get a letter of support from your family. It helps to know you have people behind you, waiting to help.
How can you prepare physically? Follow the guidelines that your doctor will give you. The guidelines will be based upon
your procedure, your personal profile, and other factors. You want to ensure your best outcome, and the guidelines will
help you accomplish that.
Day of Surgery
A healthy new lifestyle begins today.
For many weight-loss surgery patients, the long-anticipated day of surgery is an exciting end to a long wait. It’s
often referred to by post surgical patients as their “birthday,” because of the life-changing transformation of health they’ve
achieved.
Preparing for the day of surgery is like preparing for many other surgeries: Your surgeon will have specific
instructions for you to follow. A few of the more frequently given instructions include:

Do not drink or eat anything prior to surgery, beginning the evening before the day of surgery.

Most medicines can be taken the day of surgery, just with small sips of water (however, your doctor will have
instructions regarding specific medications).

Bring all of your medications with you.

Bring your CPAP machine, if you have one, for use in the hospital.

Arrive early; some hospitals and surgery centers require patients to be up to two hours early.
When you arrive, you will undergo a few preoperative steps. You will change out of your clothes. You will see your
nurses, and often, you will see your surgeon as well as your anesthesiologist. An IV line will be started to keep you
hydrated and to administer medications such as antibiotics. The preoperative experience is often a short one, after which
you will be taken to the operating room.
After surgery, in the recovery room, you can expect to have some discomfort and feel the effects of the surgery
(this can last for several days). Unfortunately, you may feel worse before you feel better. In the early days after
surgery, you may not feel much different. Even though you’ve taken a big step, you may find yourself asking what has
changed.
There are short-term risks. All abdominal operations carry the risks of bleeding, infection in the incision, blood clots, lung
problems (pneumonia, pulmonary embolisms), strokes or heart attacks, anesthetic complications, and blockage or
obstruction of the intestines. These risks are greater in patients suffering from morbid obesity. You should be aware that
some surgical side effects, such as a blood clot, can be life-threatening. According to the 2004 consensus statement from
the ASMBS, the risk of death during bariatric surgery is less than one percent.
Life After the Surgery
Making a full, positive recovery from your procedure.
Bariatric surgery is not a quick fix. It’s an ongoing journey toward weight-loss through lifestyle changes. After
surgery, the difference in your body makes it physically easier to adjust your eating and lifestyle habits. Fortunately, you
will not have to go through the process alone. A team of professionals will be there to support your efforts. Positive
changes in your body, your weight, and your health will occur, but you will need to be patient through the recovery
process.
Recovery takes effort. The diet is strict. Your body is trying to heal. Your weight is beginning to adjust. The recovery
stage of the process becomes easier once you start to see positive changes. The timing varies by patient. Some patients
begin to lose pounds within days of their surgery. For others, a couple of months go by before they see noticeable weight
loss. With courage and a circle of support, you can make it through recovery.
The changes made to your gastrointestinal tract will require permanent changes in your eating habits that must
be followed for successful weight-loss. Post surgery dietary guidelines will vary by bariatric surgeon. You may hear
about post surgery guidelines different from the ones you receive. It is important to remember that these guidelines will be
different depending on the surgeon and type of procedure. What is most important is that you follow your surgeon's
guidelines. The following are some of the generally accepted dietary guidelines:

When you start eating solid food, it is important to chew your food thoroughly and eat very slowly. It is important to
wait two to three minutes after swallowing before putting the next bite of food in your mouth. You will not be able
to digest steaks or other chunks of meat if they are not ground or chewed thoroughly.

Don't drink fluids while eating. They will make you feel full before you have eaten enough food. Fluids consumed
with meals can cause vomiting and dumping syndrome, and can lead to feeling hungry sooner after a meal.

Don’t eat desserts and other items with sugar if they have more than 3 to 5 grams per serving size.

Avoid carbonated drinks, high-calorie nutritional supplements, milk shakes, foods high in fat, and foods that have
no nutritional value.

Avoid alcohol.

Limit snacking between meals.
Maintaining Weight-loss
An ongoing journey toward weight-loss through lifestyle changes.
Bariatric surgery is meant to help you keep off excess body weight for life. Maintaining weight-loss means a
dedicated lifestyle – developing new attitudes toward food, exercise, and even in how you relate to other people.
Bariatric surgery is not an immediate fix. It’s a positive, ongoing process of change. Following surgery, your body will
give you signals to stop eating before you take in extra calories that would return your excess body weight. It’s what you
do with these signals that count. When you develop lasting positive habits, you can achieve lasting weight-loss without
dangerous weight-loss/weight-gain cycles. At least two-thirds of patients who have gastric bypass surgery are able to
keep off at least 50 percent of their excess weight for 10 years or longer.
To help you maintain excess weight-loss, the SSM Weight-Loss Institute offers you ongoing support. You are
encouraged to attend the support groups with other patients, where you can share experiences, insights, and concerns.
The goal is to adopt lifestyle changes, lose fat, gain muscle, and keep off the weight for good. View the Weight-Loss
Institute’s support group meeting schedule. [Link to “Classes & Support” section.]
Surgery FAQs
Healthy answers to your most common weight-loss surgery questions.
What types of bariatric surgery are performed by the SSM Weight-Loss Institute?
We offer SSM Weight-Loss Institute patients three procedures:

Roux-en-Y gastric bypass [Link]

The Adjustable Gastric Banding System [Link]

Sleeve Gastrectomy [Link]
Please note: Intestinal bypass surgery and stomach stapling are no longer used because of complications as well as
failure resulting in weight gain after a few years.
What is the recovery time?
SSM Weight-Loss Institute patients usually stay in the hospital one to two days in private rooms. Depending on the
patient’s work, he or she can return in one or two weeks after weight-loss surgery, as opposed to the average six weeks
for traditional surgery. Outpatient surgery for adjustable gastric banding may be available.
Is bariatric surgery covered by insurance?
We advise surgical candidates to ask their insurance provider to verify coverage. Some insurance companies are now
requiring patients to first complete a specified amount of time in a medically-supervised diet program, such as our HMR®
Program before approval.
Link to Insurance Page
How do patients’ eating habits change after surgery?
Patients will meet with specialists on their SSM Weight-Loss Institute bariatric team to determine the diet regimen they
should follow. Generally, patients are on a liquid diet for four weeks following surgery, but gradually return to eating
normally, but in smaller amounts.
Can you talk about diet specifically?
During the first four weeks, patients eat only protein supplements and pureed foods. In the fifth week, they move on to
semi-soft food. And at the sixth week, patients can eat most foods, only eliminating refined sugars and fats. We will
recommend a daily calorie total for each patient. This usually falls between 1000 and 1200 calories.
How much food will I be able to eat following surgery? How often will I be able to eat?
Most patients are instructed to eat 1/4 cup, or 2 ounces, of food. As time goes on, you can eat more (as instructed by your
medical team). Most people can eat approximately 1 cup of food after a year or more post surgery.
What could happen if I don’t follow one or more of the dietary guidelines?
The guidelines are designed to improve the chance of long-term success in weight loss. If you don’t follow the guidelines,
you may not lose or maintain the loss of the estimated 70 to 90 percent of excess weight. You may experience
complications such as vomiting, diarrhea, or malnutrition after surgery.
How soon will I be able to walk?
Soon after surgery, doctors will require you to get up and move around. Patients are asked to walk or stand at the bedside
the night of surgery and take several walks the next day and soon after. Upon leaving the hospital, you may be able to
care for all your personal needs, but you will need help with shopping and lifting, and with transportation.
How soon can I drive?
You should not drive until you have stopped taking medications (associated with surgery) and can move quickly and
alertly. Usually, this takes seven to 14 days after surgery.
When can I go back to my normal activity level?
Your ability to resume pre-surgery levels of activity depends on your physical condition, the nature of the activity, and the
type of bariatric surgery you had. Many patients return to normal levels of activity within six weeks of surgery.
Should I use birth control?
It is strongly advised that women of childbearing age use the most effective forms of birth control during the first 16 to 24
months after bariatric surgery.
Here are some questions patients have asked about maintaining excess weight-loss and lifestyle changes after
surgery:
Why is exercise so important?
When you have bariatric surgery, you lose weight as the amount of food energy (calories) you can eat becomes much
less than your body needs. Your body has to make up the difference by burning unused fat or muscle tissue. Your body
will tend to burn any unused muscle before it begins to burn the fat it has saved up. Without daily exercise, your body will
burn unused muscle, and you will lose muscle mass and strength. Daily aerobic exercise for 20 minutes will tell your body
to use your muscles and force it to burn the fat.
How much exercise is needed after bariatric surgery?
Exercise is an important part of success after surgery. Exercise actually begins on the afternoon of bariatric surgery––the
patient must be out of bed and walking. The goal is to walk further every day after that, including the first few weeks at
home. You may be encouraged to begin exercising, limited only by discomfort, about two weeks after surgery. The type of
exercise depends on your overall condition. Some patients who have severe knee problems can't walk well, but may be
able to swim or bicycle. Many patients begin with low-stress forms of exercise and move on to more demanding activity
when they are able.
Why is it important to drink so much water?
When you are losing weight, there are many waste products to eliminate, mostly in the urine. Some of these substances
tend to form crystals, which can cause kidney stones. A high water intake protects you and helps your body rid itself of
waste efficiently, promoting better weight loss. Water also fills your stomach and helps create a feeling of fullness. If you
feel a desire to eat between meals, it may be because you did not drink enough water in the hour before.
Adjustable Gastric Banding Nutritional Guide
Roux-en-Y Gastric Bypass Nutritional Guide
What are the risks of bariatric surgery?
Potential risks are the same as any other major abdominal surgery: infection, leg and lung clots, bowel obstruction and
intestinal or stomach leakage. Learn more [Link to “Post” surgery page].
Is Surgery Right for You?
Determining if you are a candidate for surgical weight-loss procedures.
If you are experiencing health complications or severe discomfort from excess weight, you may be a candidate
for bariatric (weight-loss) surgery. To learn about all the options that may be available to you, begin by determining
which of the following statements apply to you:

I have tried to lose and keep off excess weight and have consistently failed.

I have obesity-related risk factors, such as sleep apnea, breathing difficulties, diabetes, heart problems, or back
and knee pain.

My Body Mass Index (BMI) is 40 or higher. [Link to BMI calculator]

I am 100 or more pounds over my ideal body weight.

I have realistic expectations concerning how weight-loss will affect my life.

I have supportive friends and family in my life.

I am committed to living a healthy lifestyle.

I understand and fully accept the risks of surgery.
If any of these statements apply to you, we invite you to attend a free informational seminar [Link] to learn more about the
dietary treatment techniques and surgical procedures available through the SSM Weight-Loss Institute.
Insurance Coverage
Understanding your weight-loss treatment payment options.
It is important to note that insurance coverage associated with weight-loss surgery and treatments varies greatly
between insurance companies. Before pursuing any type of professional weight-loss assistance, be sure to contact your
insurance provider – not all carriers will cover weight-loss treatments and procedures. If your health insurance does not
cover the costs of weight-loss treatments, you will be completely responsible for all of your weight-loss medical bills. To
obtain financial information regarding the cost of surgical and non-surgical weight-loss options, call 314-344-6800.
Your insurance provider may require that you have prerequisite weight-loss treatments before allowing you to
receive insurance coverage for surgery. For instance, some insurance companies require documentation of
participation in a six-month physician-supervised weight-loss program, like HMR® (Health Management Resources), in
the previous year before weight-loss surgery. Be sure to ask for all the details.
Until we receive insurance authorization, or payment arrangements have been finalized, we cannot schedule a
procedure. Your insurance provider will notify both of us at the same time regarding your approval status. If you have
questions regarding the progress of your request, please contact your insurance provider. Note that the evaluation and
insurance/payment verification process may take up to six months to complete.
Surgical Treatment
Billing Process
After you have received treatment at SSM Weight-Loss Institute, we will bill your insurance carrier using the
information you have provided. After processing your claim, your insurance carrier will notify us. Note that you
may receive an “Explanation of Benefits” (EOB) from your insurance carrier, which will explain how your bill was
processed and will also indicate if you are responsible for any outstanding fees not covered by the terms of your
insurance. Once the claim is processed by your insurance carrier, we will balance bill the guarantor. Also, we
may seek assistance from the subscriber of the policy if we fail to receive a response from your insurance
carrier.
Note: Not all charges may be included in your bill. Physician billing groups may invoice you separately.
Managed Care Plans
You should be aware that your plan may require that your Primary Care Physician (PCP), or plan, may be
required to authorize your services if you are a member of a Managed Care Plan. In addition, you may be required
to have a referral authorization in order to receive care. You may also be responsible for a co-payment. If you
have questions, please contact your plan or PCP. Note that if you are admitted as an observation patient, we will
process your bill as an outpatient visit in accordance with your managed care plan’s reimbursement guidelines.
Self Pay
You will be billed directly for all services if you don’t have health insurance. If this causes you financial hardship,
we invite you to contact our financial counselors for payment options at XXX-XXX-XXXX.
Non-surgical:
HMR® is a fee for service program and does not accept any insurance plans.
Nutrition and Wellness Center Services: Most insurance plans are accepted for nutrition services. Please check with
your insurance company to verify your coverage. Insurance does not cover a membership to the Wellness Center.
Getting Started
Next Steps:
Non-surgical:
1st step: Attend a free orientation. There is no obligation to sign up for the program. If you choose to join, then you will be
scheduled for an appointment with the HMR nurse.
2nd step: Meet with a nurse and have a physical evaluation that includes blood tests and an EKG.
3rd step: Once you have received medical clearance you are enrolled in an active weight-loss class and would meet the
physician,
4th step: Attend weekly weight-loss class and adhere to diet and exercise protocols.
Surgical
1st step: Contact your insurance company to verify your coverage. The following codes may be requested by your
insurance company:
Roux-en-Y gastric bypass: 43644
Gastric banding:
43770
43659 - Unlisted Laparoscopic Stomach procedure, use for Sleeve Gastrectomy and pair with;
43845 - denotes a laparoscopic Biliopancreatic Diversion with Duodenal Switch
2nd step: Download the surgical packet, provide ALL requested information and attend a seminar (on-line or in person).
The completed packet can be sent to the office or brought to a seminar. Note: To speed up the process, please make
sure that ALL information requested is completely answered. We cannot proceed with the process if requested
information is missing.
3rd step: SSMWLI staff reviews your packet and checks it for any missing information. If any information is missing, then
you will be contacted and asked to provide the missing information. Once your packet is complete, the surgical nurse will
notify you that we have the required paperwork and we will request a pre-authorization letter from your insurance
company.
4th step: Once SSMWLI receives pre-authorization from your insurance company, a nurse will call and schedule you for a
pre-operative class. Your surgery date will be set at that pre-operative class. If insurance denies authorization of this
surgery, then the nurse will contact you and share the reason for denial. You do have the right to appeal this denial with
your insurance provider; however, the appeal is your responsibility.
Getting Started
Our Process for Surgical Treatment
We’re beside you every step of the way.
The SSM Weight-Loss Institute provides ongoing support throughout the entire weight-loss surgery process.
We’re beside you all the way and you will know what to expect before, during, and following your surgery. You will always
have access to a weight-loss professional who can answer any questions and concerns you may have. Our process for
surgical treatment includes:

Evaluation – In order to be accepted for a surgical weight-loss procedure, a complete physical and emotional
assessment will be conducted. You also will meet with an SSM Weight-Loss Institute bariatric surgeon to ensure
that you are an appropriate candidate for surgery.

Clinical Coordinator – A bariatric-trained registered nurse will provide guidance, answer questions, and serve as
a continuous resource throughout your entire experience.

Payment – Weight-loss surgery is covered by most insurance plans. Consult your plan administrator for details.

Consultation – Before your surgery, our bariatric-trained dietician will explain how your dietary requirements will
change. Your surgeon will also discuss risk factors and post-operative expectations with you.

Surgery – The SSM Weight-Loss Institute’s nationally recognized bariatric surgeons perform a minimally invasive
procedure that takes 60-90 minutes. Patients usually return home after a two-to-three day stay in a private room
at SSM DePaul Health Center. You will receive the highest level of post-surgical care by a specially trained staff.

Rehabilitation – As you begin to lose weight, your mobility will be enhanced. The physical therapists at SSM
Rehab will help you improve muscle tone as you increase your daily activity level.

Support – Following surgery, you will be invited to attend bi-monthly meetings with a facilitator to discuss lifestyle
adjustments and concerns. You will also have the opportunity to share your experiences with others who have
had the same surgery. Support group sessions include practical suggestions for continued success by colleagues
who have been in your situation and understand your weight-loss goals.
Classes & Support
Helpful resources to help you stay focused on your weight-loss goals.
SSM Weight-Loss Institute classes, seminars, and support can help you lose weight – and keep it off in the
future. Take a closer look at the helpful resources we have to offer.
Seminars
Educational opportunities that educate – and motivate.
The SSM Weight-Loss Institute offers regular informational seminars for those interested in surgical options for
weight-loss. The seminars are free, but reservations are required. Please call 1-877-4SSMWLI (477-6954) to register for
the next seminar or for information on how to get started. In addition, support groups for weight-loss surgery patients and
candidates are held every month. No reservations are required.
(2009 Seminar Dates in WLI Photo)
Surgical Options – Free Seminars
Surgical Weight-loss Seminar 2009 Dates
Date Day Time Location Surgeon
January 14 Wed 7:00 PM May Center dlT
January 24 Sat 9:00 AM St.Charles JSS
February 12 Thurs 7:00 PM May Center dlT
March 4 Wed 7:00 PM IL JSS
March 19 Thurs 7:00 PM May Center dlT
April 8 Wed 7:00 PM St. Charles dlT
May 13 Wed 7:00 PM May Center JSS
May 23 Sat 9:00 AM South County JSS
June 10 Wed 7:00 PM May Center dlT
July 11 Sat 9:00 AM May Center dlT
July 29 Wed 7:00 PM May Center dlT
August 6 Thurs 7:00 PM May Center JSS
August 26 Wed 7:00 PM St. Charles dlT
September 9 Wed 7:00 PM May Center dlT
September 19 Sat 9:00 AM May Center JSS
October 8 Thurs 7:00 PM South County JSS
October 28 Wed 7:00 PM May Center dlT
November 11 Wed 7:00 PM IL JSS
December 9 Wed 7:00 PM May Center dlT
MAY CENTER LOCATION:
SSM DEPAUL HEALTH CENTER
12303 DEPAUL DRIVE
ST. LOUIS, MO 63044
ST. CHARLES COUNTY LOCATION:
MOTEL 6 WENTZVILLE (FORMERLY HOLIDAY INN)
900 CORPORATE PARKWAY
WENTZVILLE MO 63385
SOUTH COUNTY LOCATION:
THE VIKING
10709 WATSON ROAD
ST. LOUIS MO 63127
ILLINOIS LOCATION:
GATEWAY CENTER
1 GATEWAY DRIVE
COLLINSVILLE IL 62234
Orientations (add under Seminars)
Information seminars about the HMR® weight-loss program are held on Mondays, 5:30 – 6:30 pm and Tuesdays, noon –
1 pm on the campus of DePaul Health Center. Please call
1-877-4SSMWLI (477-6954) for a reservation.
Support Group: First Wed of every month in the May Center 5:30 - 7PM - with the exception of 6/17/09
Adjustable Gastric Banding Support Group: Third Wed of every month in the May Center 5:30-7 PM - with the
exception of 5/6/09
Patient Stories and Testimonials
Read and hear about our patients’ positive weight-loss results.
Kim Garner (will have before and after pictures) (podcast)
Roux-en-Y Bypass Surgery
Date of Surgery: 3/21/07
131 pounds lost
Resolution of:
 Joint pain
 Hypertension
 GERD(gastroesphogeal reflux disease)
 Shortness of breath
Wows:
 Brings along workout clothes on vacation
 Gets excited about hiking
 No aches and pains anymore
Pat Nichols (have before and after pictures)(podcast)
Gastric Banding Surgery
Date of Surgery: 2/15/08
63 pounds lost
Resolution of:
 Joint pain
 GERD (gastroesphogeal reflux disease)
 High blood pressure improved
Wows:
 Has started running
Ann Armstrong (have before and after pictures)
HMR
Begin Program: 2006
140 pounds lost
Resolution of:
 High blood pressure
Wows:
 Can walk the stairs at work
 Perform military style pushups
 More energetic and self-confident
Ann Armstrong, 46, is very well acquainted with the startling statistics for obesity in America. For Ann, the pounds packed
on slowly over a number of years until one day she found her doctor recommending she start taking blood pressure
medicine. “I was shocked. My blood pressure had always been lower than average,” says Armstrong. She also suffers
from degenerative osteoarthritis, and knew if she didn’t lose some weight she wouldn’t be able to put off knee
replacement surgery much longer. “I remember thinking, I’m a young woman. I don’t want to live my life this way.”
Armstrong’s doctor recommended she enroll in the HMR® Weight Management program at the SSM Weight-Loss
Institute at DePaul. “I chose the most stringent, medically-supervised program because I wanted to lose significant weight
to improve my health,” says Armstrong. She was put on a nutritious meal replacement program that also includes daily
exercise, weekly visits with a doctor and a weekly support group. “The food is very low-calorie, but I can honestly say that
I was never hungry, even from the beginning. And everything tastes good.”
The program takes discipline, but Armstrong says the support group is a big help.
“We encourage each other and share recipe ideas and new exercise routines. It’s important not to get bored.” Armstrong
spends 30 minutes on a stationary bicycle every morning, but she likes to mix it up in the evenings. “I like to do a lot of
different workouts like aerobics or Pilates or even Tae Bo. My workouts have gradually gotten longer and more intense.”
A little over a year after Armstrong began the HMR Program, she lost 140 pounds. “I never thought I would feel this good
again. It’s beyond my comprehension,” she says with a sigh. Armstrong is off of blood pressure medication and doing
things she never would have before. “I climb the stairs at work every day now. I can do military-style push-ups. I’ve never
in my life been able to do those. And I’ll actually put on a bathing suit. I get in my sister’s hot tub every weekend and I
don’t turn down fun social things like float trips anymore.”
When asked if she feels like a new person, Armstrong answers with a big smile, “I get asked that a lot. I guess I feel like
myself, but even more so. I’m more energetic, more self-confident. I would have never done this if it weren’t for the
program, but I’m so glad I did.”
Armstrong says her knees are still painful, but she believes losing the weight will buy her more time before she needs
knee replacement surgery. She also feels strongly that she was headed for many more health problems if she hadn’t
acted when she did. “For me it’s all about being healthy. I don’t ever want someone else to have to take care of me
because I didn’t take care of myself.”
Blog
(To come.)
Referring Physicians
The SSM Weight-Loss Institute offers breakthrough surgical and non-surgical options that can be tailored to fit your
patient’s weight-loss goals. You’ll find comfort in the fact that our surgeons have performed more than 5,000 life-changing and
life-saving weight-loss surgeries to help our patients lead healthier and happier lives. We also offer a full-service, medically
supervised diet and exercise program called HMR® (Health Management Resources). No matter what your patient’s health
goals, the SSM Weight-Loss Institute is dedicated to providing your patients quality care and delivering results.
Our proven physicians don’t just perform the latest weight-loss techniques and procedures –they invent them. In fact,
SSM weight-loss surgeons hold more than 40 patents in weight-loss techniques and surgical procedures, helping our facility
at DePaul be recognized as a Bariatric Center of Excellence. Rest assured, your patients now have direct access to the
leading weight-loss pioneers and innovators in the medical industry.
This page is designed to provide you with the information you need to guide your patients with their weight- loss needs and
journey to a healthier lifestyle. There are links to websites that will provide you in depth knowledge on weight-loss surgical
procedures and outcomes.
To Refer Patients to the SSM Weight-loss Institute:
Download “WLI referral form”. Once the form is complete then you can:

Call our dedicated physician referral line at 314-344-7199 and provide information
or,

Send the referral form information via email to Patsy_Beeson@ssmhc.com or,

Fax completed referral form to 314-344-6801
After the patient referral information is received by the Weight-Loss Institute, then your patient will be contacted within 24
hours.
If you are a primary care physician and you know your patient is seeking a surgical weight-loss option, please download and
complete “Primary Care Physician Request Form” along with the WLI referral form. This information is required for preauthorization of insurance.
Physician Consultations:
The surgeons and medical physicians of the SSM Weight-Loss Institute are happy to serve as resources for you and your
patients. If you would like to consult with one of our weight-loss physician specialists about a patient of yours, please call our
dedicated physician line at 314-344-7199.
(Link)
https://professional.bariatricedge.com
https://lapbandcentral.com
Need to add link to forms that physicians can access: