Welcome to the High Metabolic Clinic's
Patient Resources.
Start Here!
Step-by-Step with the High Metabolic Clinic:
1. LEARN: To effectively treat Obesity and manage your weight longterm, it's important that you have an evidence-based understanding of what Obesity actually is.
To learn more about Obesity and how it should be treated as a medical condition, please listen to Dr. Sasha High's 5-Part Series called Rethinking Obesity on The Obesity Doctor Podcast. Listen by clicking the links below:
2. WATCH: Watch the 60-minute video by Dr. High that explains physiology in the brain and the role for obesity medications. The video is found lower down on this webpage.
3. DO BLOODWORK: If your Physician requested bloodwork, please bring your requisition to Lifelabs and get this done promptly before your next appointment. Your physician will review your bloodwork at your next appointment. We do not call to notify you of results outside of your scheduled appointment.
4. START: Consider starting Vitamin D3 2500IU + K2 100mcg supplementation (unless contraindicated) and any other vitamins or supplements that may have been recommended by your physician or Dietitian. Quality vitamins can be purchased from our Fullscript Store by creating an account here.
5. LIVE HEALTHY: For Nutrition & Lifestyle Support, explore our Registered Dietitian packagesor join Dr. High’s coaching program for women, Best Weight.
6. CHECK: If you are interested in starting obesity medication, please check your private health insurance coverage for the following medications (Wegovy, Contrave, Zepbound, Saxenda) so you know what options are available to you. If Pre-Authorization Paperwork is required for insurance, an $80-110 fee will be charged to you.
*Important note regarding Ozempic and Mounjaro: These medications are indicated for Type 2 Diabetes only. If you do NOT have type 2 diabetes, you will NOT have coverage for Ozempic or Mounjaro because the pre-authorization paperwork will ask us to confirm your diagnosis and when we indicate “no” diabetes, the claim will be declined.
Follow HMC Founder, Dr. Sasha High, on Social
Nutrition
What should I eat?
Do not attempt the latest fad diet - it will produce short term weight loss but longterm fat gain (not what you want!).
Do not restrict whole food groups or go super low cal.
Sustainable weight management is all about nourishing your body, while eating a very slight caloric deficit and then learning to do that consistently (ditch the all-or-nothing thinking!).
Here are some nutrition basics:
Aim for 30g of protein with each of your 3 main meals (this can be challenging! You may want to use a Food Tracker to learn more about the protein content of your foods for a few weeks). DOWNLOAD OUR FREE PROTEIN HANDOUT HERE.
Keep starches to 1/4 of your plate.
Fill 1/2 your plate with non-starchy vegetables for fibre and fullness.
Avoid sugar-sweetened drinks (lattés, sports drinks, pop, juices, store-bought smoothies, etc).
Eat regularly throughout the day (every 3 hours) to avoid over-eating in the evening. Aim to stop eating by 8pm.
The most important piece with any lifestyle changes is to drop the all-or-nothing mindset. Make small changes. Expect setbacks. Recover quickly. Show self-compassion. Set small goals and build confidence. Consistency is built upon imperfect action taken daily (not perfect actions done occasionally).
Need 1:1 nutrition help?
Our Registered Dietitians are experts in individualizing eating plans to make your eating simple, enjoyable and sustainable.
Beyond food, they are also skilled in tools to overcome emotional eating and binge eating, habit change, and the psychology of consistency, resilience and sustainable weight loss.
Vitamins & Supplements
Do I need them?
The goal with any eating plan is to balance your nutrition to avoid any major macro and micronutrient gaps. However, we recognize that some gaps are still possible!
For most people, a multivitamin is relatively ineffective and unnecessary. Instead, work with your Dietitian to understand whether specific Vitamins & Supplements may benefit your particular symptoms or health concerns.
We generally recommend all Canadians, especially those with obesity, fatty liver or Type 2 Diabetes, take Vitamin D3 + K2 supplementation. Dosing will vary but a good starting point is Vitamin D3 2500IU and K2 100mcg daily. Some patients will need much higher doses. Vitamin quality matters - ensure that you are buying from a reputable company.
Other symptom-specific vitamins/supplements:
Constipation - Magnesium Citrate 150-450mg before bed
Poor Sleep - Magnesium bisglycinate before bed
PCOS - Myo-Inositol, NAC
(Our Dietitians can give you further personalized guidance on vitamins and supplements)
Vitamin quality matters.
We have partnered with Fullscript to ensure that our patients only purchase the highest quality vitamins & supplements. Purchase here and have them shipped to your door.
Physical Activity
What kind of exercise should I do?
First off, we encourage you to separate exercise from the scale.
Exercise is not about weight loss - exercise is about wellbeing, strength, longevity, brain and heart health. Exercise helps with weight maintenance after loss, and ensures that weight being lost is fat, not muscle.
Here are some recommendations:
If you are currently sedentary, start with walking. Aim for 5-10 minutes daily, and slowly increase until you're able to walk 45-60 minutes at least 3 times per week. Walking is a form of aerobic exercise.
If you are taking obesity medication (eg. a GLP1), you MUST do strength training exercise to maintain muscle mass. This really is a non-negotiable, otherwise obesity medication may result in significant muscle loss along with fat loss. Muscle loss is detrimental to longterm health. Strength training can help prevent muscle loss. Strength training can come in the form of lifting weights, doing body weight exercises, or using resistance bands. Strength training is recommended 2x per week, for minimum 20 minutes.
Find an accountability and support partner. Exercise is more fun with friends! If you need even more accountability, consider hiring a personal trainer or signing up for classes at a local gym.
Wherever you're at, just start! You don't have to become an athlete overnight (or ever), but your body was made to move and maintaining daily movement becomes more and more important as you age.
Sleep
Is it really that important?
The answer is an emphatic YES!
Studies show that people who sleep less than 7 hours and more than 9 hours are more likely to gain weight.
If you have an erratic sleep schedule, or you tend to stay up very late (past 11pm), this behaviour may be contributing to insulin resistance which leads to metabolic diseases and weight gain.
Inadequate sleep has been irrefutably linked to earlier mortality, cardiovascular disease and many other health problems.
The reality is, most poor sleep is due to behavioural issues - like watching Netflix late at night or "doom scrolling" on social media.
Here are some recommendations:
Keep your phone out of your bedroom. If you need to, buy an alarm clock for your bedside instead of relying on your phone. Keep your phone charger in the kitchen downstairs.
Do not watch TV (Netflix, Youtube, or screens in general) in bed. This behaviour trains your brain to be awake in bed and can contribute to insomnia.
Timing: When within your control, aim to be asleep by 11pm latest and for a total of 7-8 hours of sleep.
If you struggle with insomnia, check out www.decodeinsomnia.com.
Sleep Apnea Testing: If you frequently wake up overnight, feel unrefreshed in the morning, snore and have obesity, you may have sleep apnea. Discuss this with your Family Doctor. Untreated sleep apnea will make weight loss more difficult.
PLEASE WATCH! This video explains the physiology behind weight gain and the role of Obesity medications
Obesity medications in Canada:
In Ontario, coverage for obesity medications varies significantly depending on the type of insurance and the specific drug prescribed. Public coverage through the Ontario Drug Benefit (ODB) does not cover weight management medications when prescribed for obesity alone — including Wegovy (semaglutide), Saxenda (liraglutide), or Zepbound (tirzepatide).
Ozempic (semaglutide) may be covered under ODB only for patients with Type 2 diabetes who meet specific clinical criteria and have a Limited Use code from their prescriber; it is not covered for weight management alone.
Some private insurance plans (employer or group benefits) may offer coverage for obesity medications (Saxenda, Contrave, Wegovy, Zepbound), but coverage varies by provider, plan design, and whether prior authorization and documentation of medical necessity (e.g., BMI requirements) are submitted. Many plans impose annual caps, deductibles, and coinsurance, so patients often still face partial out-of-pocket costs.
Approximate out-of-pocket costs (without insurance) in Ontario (2025):
Ozempic:~$110 per month (prescribed off-label for weight loss, access ozempic.ca for manufacturer discount)
Wegovy:~$300 per month (access wegovy.ca for manufacturer discount)
Zepbound:~$300–$480+ per month (depending on the dose, discount card required from myzepbound.ca) - identical to Mounjaro
Saxenda:~$475 per month
Contrave: $199 per month
Actual costs can vary by pharmacy, dosage, and coverage details, so we recommend checking with your insurer or pharmacist for precise pricing and benefits eligibility. Our patients have told us that the most affordable pharmacies are Walmart and Costco.
Please click on the Handout below to learn more about each specific medication:
Frequently Asked Questions
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First—you’re not doing anything wrong, and you don’t need to push through feeling unwell.
GLP-1 medications (like Zepbound® and Mounjaro®) work by slowing digestion and changing appetite signals. For some people, especially early on or after a dose increase, this can lead to side effects such as nausea, stomach upset, reflux, fatigue, constipation, or diarrhea.
The good news: most side effects can be improved with simple adjustments.
Step 1: Do not increase your dose
If you’re feeling unwell:
Do not move up to the next dose
Stay at your current dose, or
If symptoms are significant, your provider may recommend dropping back to the previous dose
Many people do better by slowing down the dose progression.
Step 2: Adjust how, when and what you’re eating
Because digestion is slower on GLP-1 medications, portion size and food choice matter more than ever.
Helpful strategies include:
Eat smaller meals, more often if needed
Stop eating at the first sign of fullness
Avoid large, heavy, greasy, or very fatty meals
Limit alcohol (especially early on or after dose changes)
Eat slowly and chew well
Avoid eating late at night or within 2 hours of bedtime
Overeating—even unintentionally—can worsen nausea and discomfort.
Step 3: Support digestion
These small habits often help:
Stay well hydrated, but avoid chugging fluids with meals
Separate food and fluids when possible
Sit upright after eating
Gentle movement (like walking) can help digestion
For constipation: adequate fluids, fibre from food, and regular meals matter
Step 4: Give your body time
Side effects often improve:
Within a few days to a couple of weeks
As your body adapts to the medication
This is one reason we use slow, flexible dosing schedules—your body sets the pace.
When should I contact my care team?
Please reach out if:
Side effects are persistent, worsening, or interfering with daily life
You’re vomiting, unable to eat, or becoming dehydrated
You’re unsure whether to stay at your dose or go down
We can help adjust the plan—this may include holding the dose longer, reducing the dose, or pausing briefly if needed.
A final reminder
The goal is not to tolerate the highest dose.
The goal is to find the lowest dose that helps your appetite and metabolic health while still allowing you to feel well.Feeling miserable is not a requirement for success.
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Obesity medications:
Wegovy DIN 02528509
Saxenda DIN 02437899
Zepbound DINs all doses needed
02557509: Zepbound Kwikpen 2.5 mg
02557517: Zepbound Kwikpen 5 mg
02557525: Zepbound Kwikpen 7.5 mg
02557533: Zepbound Kwikpen 10 mg
02557541: Zepbound Kwikpen 15 mg
Diabetes medications:
Ozempic DIN 02471469
Mounjaro DINs all doses needed
02551950: Mounjaro KwikPen 2.5 mg
02541068: Mounjaro 5 mg
02541076: Mounjaro 7.5 mg
02541084: Mounjaro 10mg
02541092: Mounjaro 12.5 mg
02541106: Mounjaro 15 mg
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If you’re having side effects like nausea, reflux, fatigue, or appetite suppression that feels too strong, your provider may recommend temporarily lowering your dose using a method called click counting. This can help your body adjust more comfortably rather than stopping the medication altogether.
What is click counting?
Ozempic and Wegovy pens increase the dose in small increments (“clicks”) as you turn the dial. Each click delivers a tiny, consistent amount of medication. By stopping before the full dose, you can take a partial dose.
Approximate Dose - Number of Clicks - This applies to the Ozempic 1mg and Wegovy 1mg pens:
0.25 mg = 18 clicks
0.375 mg = 27 clicks
0.5 mg = 36 clicks
0.75 mg = 54 clicks
1.0 mg (full) = 72 clicks
Click charts are available online for Wegovy pens and can be found by searching on Google.
More instructions on HOW TO TAKE OZEMPIC are found here.
More instructions on HOW TO TAKE WEGOVY are found here.
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How Zepbound® and Mounjaro® Dosing Works
Zepbound® and Mounjaro® are injectable medications that come in fixed-dose pens. This means each pen delivers one specific dose—you can’t adjust the amount within the pen itself.
Starting Dose
Everyone starts at a low dose of 2.5 mg once weekly.
This starting dose is not meant for full effect—it’s designed to help your body adjust and reduce side effects.Dose Increases
If you’re tolerating the medication well, the dose can be increased:
Doses typically increase every 4 weeks
Each increase is by 2.5 mg at a time (for example: 2.5 → 5 → 7.5 → 10 mg, etc.)
This gradual approach helps balance effectiveness and tolerability.
Why Your Prescription Has Multiple Refills at the Same Dose
You may notice that your prescription is written with multiple refills at each dose level. This is intentional.
It gives you flexibility.
Rather than forcing you to increase the dose on a strict schedule, this approach allows you to:
Stay at your current dose longer if it’s working well
Delay increasing if you’re having side effects
Increase when ready, based on both symptom control and how you’re feeling
In other words, you are not required to increase the dose every 4 weeks.
How to Decide Whether to Increase or Stay the Same
When deciding whether to move up to the next dose, we consider two things:
Response
Appetite control
Reduction in food noise or cravings
Feeling satisfied with smaller amounts of food
Side Effects
Nausea, vomiting, diarrhea, constipation
Fatigue or other symptoms
If you’re getting good benefit and side effects are minimal, staying at the same dose may be the best option.
If benefits are wearing off and side effects are manageable, increasing the dose may help.The Goal Is the Lowest Effective Dose
More is not always better.
Our goal is to find the lowest dose that gives you meaningful benefit with tolerable or minimal side effects.Weight loss and metabolic improvement do not require reaching the highest dose for everyone.
Always Check In If You’re Unsure
If you’re uncertain about whether to increase your dose—or if side effects are concerning—please reach out to your care team reminding you don’t need to “push through” discomfort to be successful on this medication.
More instructions on HOW TO TAKE MOUNJARO are found here.
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One of the biggest misconceptions about GLP-1 medications is that everyone needs to keep increasing their dose.
The truth is that the best dose is not necessarily the highest dose—it's the lowest dose that effectively supports your goals while allowing you to feel well.
When we encourage patients to "own your dose," we mean paying attention to your body and working within the dosing range prescribed by your physician.
You may choose to:
✔ Stay at your current dose longer if your appetite, cravings, and weight are responding well.
✔ Reduce your dose if you're experiencing bothersome side effects such as nausea, bloating, constipation, or excessive appetite suppression.
✔ Return to a previously effective dose if you felt better there and were still achieving meaningful results.
✔ Increase your dose only when appropriate and only up to the maximum dose that has been prescribed for you.
Your medication should fit your life—not the other way around.
The goal is not to tolerate the most side effects possible. The goal is to find a dose that helps you improve your health, supports sustainable weight management, and allows you to feel like yourself.
Every body responds differently. Some people achieve excellent results at lower doses, while others require higher doses within their prescribed range. Neither approach is better or worse.
Listen to your body, monitor your symptoms, and remember: you are not failing if you stay at a lower dose. Finding your lowest effective dose is often a sign that the medication is working exactly as intended.
Important: Never exceed the maximum dose prescribed by your healthcare provider. If you have concerns about your response to treatment, speak with your medical team before making significant changes to your dosing plan.
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Approximate out-of-pocket costs (without insurance) in Ontario (2025):
Ozempic: ~$230 per month (prescribed off-label for weight loss, access ozempic.ca for manufacturer discount)
Wegovy: ~$450 per month
Zepbound: ~$300–$480+ per month (depending on the dose, discount card required from myzepbound.ca)
Saxenda: ~$475 per month
Contrave: $199 per month
Prices are subject to change. Generic semaglutide is expected to come to the Canadian market in mid-2026 which will add pricing pressure to other GLP1 medications.
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Tracking Body Composition in Your Care
In your care, we focus on metabolic health and body composition—not just the number on the scale. A standard scale cannot tell the difference between fat loss and muscle loss, which is especially important during weight-loss treatment and GLP-1 therapy.
Our Recommended Method: BIA Scales at Home
For regular tracking, we recommend using a BIA (bioelectrical impedance analysis) scale—a safe, affordable, and repeatable way to monitor meaningful changes over time.
Recommended At-Home Scale Options (Amazon.ca)
1. 8-electrode BIA scale (higher accuracy)
Measures arms, legs, and trunk separately for more precise data2. Standard foot-to-foot BIA scale (more affordable)
Still effective for tracking overall trendsBoth options are acceptable. The most important factor is consistency—using the same scale over time.
Important Notes
Do not follow calorie or nutrition advice from the scale’s app. Please rely on our Registered Dietitians for nutrition guidance.
Focus on trends over time, not single readings
Individual results can vary based on hydration, time of day, and recent activity
Our clinical team will interpret your results in the context of your overall health and treatment plan
Please be prepared to share weight, % body fat, and % muscle at each physician visit.
DEXA Scans (Optional)
If you would like a more detailed body composition assessment, you may choose to get a DEXA scan through a local fitness centre or private clinic that offers DEXA body composition testing in your city.
DEXA is a highly accurate method for measuring fat mass, lean mass, and bone density
These scans are typically not covered by OHIP
Availability and pricing vary by location
DEXA can be helpful for occasional baseline or progress checks, but is not required
The medical research gold standard for body composition is MRI, but this is generally used only in research settings and is not practical for routine clinical monitoring.
Our Goal
Our goal is healthy, sustainable fat loss while preserving muscle and supporting long-term metabolic health—not just weight loss.
HMC Policies
1. Appointment Rescheduling and Cancellation: We have a strict requirement of 2 business' days for appointment rescheduling or cancellations. Missed appointments or late cancellations will be subject to a Missed Appointment Fee as follows:
Medical CONSULTATION $200
Medical FOLLOW UP $110
Dietitian CONSULTATION $170
Dietitian FOLLOW UP $165
Psychotherapy CONSULTATION $250
Psychotherapy FOLLOW UP $165
2. No Shows: if you do not attend your medical appointment, you will be invoiced for the Missed Appointment according to the fees above.
3. Video Appointments: HMC is a telemedicine clinic. All appointments are conducted via video call. We do NOT offer phone appointments. Be sure to log on to your video call 5 minutes before the scheduled time to avoid any connection problems.
4. One-year: Our physicians follow patients for a period of 12 months to ensure stability on obesity treatment. After this time, you will be discharged back to your Family Doctor for ongoing care.
5. Referral Only: Medical consultations with our specialist physicians are by referral only.
6. Fees for Uninsured Services:
The following services are not covered by OHIP and therefore subject to a fee. All fees are payable by etransfer:
Insurance forms (pre-authorization paperwork required for some obesity medications) $80, Blue Cross insurance forms are very time-consuming and therefore the fee is $110
Doctor’s Letters (for travel, or any other purpose) $60.
Request for prescription renewal without an appointment (including pharmacy requests by fax or email)** $25.
Request for us to send you bloodwork or other medical records is $30.
7. Email: Our physicians do not answer any questions by email. Please ask your questions during your appointment.
8. Resources: In joining the High Metabolic Clinic, we ask you to commit to reviewing the podcasts and videos provided on this page. These serve as a launching pad for your successful weight management with our clinic.
9. Lifestyle & Nutrition: For women, Dr. High’s coaching program Best Weight is the best place to create healthy habits through cognitive training, overcome emotional eating, and develop consistency to show up as your best self. In addition, patients are encouraged to work 1:1 with a Registered Dietitian to develop a sustainable eating plan or Psychotherapist to address emotional eating, body dissatisfaction, mood disorders, ADHD.
**Effective December 2024 there will be a $25 fee to patients for prescriptions without a visit. This is due to the tremendous administrative burden of avoidable prescription requests. High Metabolic Clinic will no longer accept prescription requests from pharmacies. Patients must contact our office for renewals to pay the associated fee or book an appointment with their physician.
Here are the 3 Pillars of Weight Management:
Behavioural & psychological interventions
A great nutrition & exercise plan is only as effective as your ability to implement it. This pillar is all about "how do you stick with it?"
You've probably heard "eat less and exercise more". If only it were that simple. Your healthiest lifestyle is the result of learning behavioural and psychological skills like:
- cognitive reframing (to stop self-sabotage)
- problem solving (to overcome challenges)
- resilience in the face of setbacks
- overcoming all-or-nothing thinking
- fostering self-compassion
- developing intrinsic motivation
- building self-efficacy
- learning emotional regulation to stop self-soothing or rewarding with food
If you're a woman struggling to implement a healthy lifestyle, Dr. High’s coaching program is the leading brain-based coaching membership in Canada. Check out Best Weight HERE.
Bariatric surgery
Severe obesity may require surgical treatment to reduce longterm health risks and improve health, quality of life and wellbeing.
If bariatric surgery is an option for you, this may be discussed by your Obesity Physician. If you are interested in considering surgical treatment, we will refer you to the Ontario Bariatric Network. Bariatric surgery is covered by OHIP for eligible patients.
There are several different types of Bariatric Surgery available. The specific surgical procedure offered to you will be decided based on clinical decision-making by the Surgeon. Some options include:
- Vertical Sleeve Gastrectomy
- Roux-en-Y Gastric Bypass
- Duodenal Switch
Medical treatment (obesity medications)
In Ontario, the following medications may be considered by your physician:
- Xenical,
- Contrave,
- Saxenda,
- Wegovy/Ozempic,
- Mounjaro/Zepbound,
- or Metformin.
Medical treatment is always a clinical decision made in collaboration between the physician and the patient.
The High Metabolic Clinic is pleased to provide the medical treatment and supervision that is often required in the management of obesity.
Many patients will need additional behavioural and cognitive counselling.
If you are a woman struggling with emotional eating, all-or-nothing thinking, or a lack of consistency in your health behaviours, join Dr. High’s coaching membership, Best Weight, for all the support you need. Men can access the lessons and resources through our Best Weight Lifestyle Course.
Best Weight
cognitive behavioural weight loss coaching
Best Weight Coaching Membership for Women — $97/month
Exclusively for women who want to overcome emotional eating, mindless snacking, or disordered eating behaviours and level up their health habits. This is where we build the pillars of consistency, sustainability and resilience to lose weight for good.
Join our community for twice weekly live coaching with Sasha & team, a library of over 50+ video lessons, workbook, private podcast, resources, recipe guides, and a supportive community to ask all your questions.
Best Weight is our renowned, science-backed program that addresses the real root of your weight struggles and teaches you the cognitive behavioural tools to be successful.
Best Weight Course — $297 CAD
Available to both men and women. This self-paced course provides everything you need to develop your personalized eating plan, lifestyle goals, and overcome barriers like emotional eating and all-or-nothing thinking.
With 50+ video lessons and the Best Weight Workbook, plus recipe guides and meal plans, this course holds everything we teach inside the Coaching Membership, without the weekly live coaching.
Topics covered include:
Building your individualized eating plan
Mindset mastery (cognitive reframing)
Emotional regulation skills to overcome emotional eating
Healing your relationship with food and body
so much more…
Best Weight Lifestyle Course
Your complete guide to sustainable weight loss.
Self-paced, 6-month guided video course.
Best Weight Lifestyle Course includes:
Module 1: Weight loss basics (Nutrition, hunger and beyond)
Module 2: Stop overeating (mindless snacking, compulsive overeating, craving)
Module 3: Overcome Emotional Eating
Module 4: Mindset Mastery (ditch diet mentality)
Module 5: Body Image (learn to love and honour your body)
Module 6: Lock It All In (so the weight loss sticks)
TWO BONUS MODULES!
#1 MEAL PLANS & RECIPES
Does meal planning make you feel overwhelmed? No problem! Take the guess-work out of your diet with meal plans and recipes that have been tested by hundreds of clients inside our Best Weight coaching program.
#2 MINDFULNESS & MINDFUL EATING
Use our audio guides to learn easy mindfulness strategies to become present in the moment (an essential to stop mindless snacking and "screw it" eating!)
If you've tried every diet out there, then perhaps the solution to your weight struggle isn't found in the next fad diet.
Inside the Best Weight Course, Dr. High teaches you to address the root issues driving your overeating so you can be empowered to lose weight and keep it off for good.
You can have all the nutrition knowledge in the world, but if you don't address the "I'm-so-stressed-I-just-need-to-eat" eating, or the 9pm mindless snacking in front of Netflix, or the boredom eating that happens when you're procrastinating at work... you'll never be able to keep the weight off for good.
Here's the good news though: sustainable behaviour change is possible. With the right tools & skills (not more willpower) you can take small, daily steps toward your health and wellness goals.
FAQ
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You'll need to contact your insurance provider to ask about each medication. You will require the DIN number (which is on the medication handouts available above). Insurance provider do NOT cover off-label medications. For example, if you do not have Type 2 Diabetes, but choose to take Ozempic or Mounjaro, you will likely NOT have insurance coverage.
If you need Pre-Authorization Paperwork filled out by one of our physicians, you will be charged a fee of $40 CAD as this is an uninsured service.
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Obesity is a chronic medical condition - similar to heart disease, diabetes, rheumatoid arthritis or any other chronic disease. Treatment needs to be longterm.
Obesity medications will not continue to work if you are not taking them. Just like blood pressure medication will stop working if one is no longer taking it.
Studies show that patients who stop taking obesity medications will regain the weight they lost.
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If you had heart disease and your doctor recommended a blood thinner, would you say "that's cheating"?
No, you'd take the blood thinner!
The mentality that obesity medications are "cheating" is rooted in weight bias.
Obesity is a real medical condition. Yes, lifestyle and behaviours are important, but some patients will require medications to treat the underlying physiology causing weight dysregulation and overeating.
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Absolutely - we are so happy you want to prioritize your healthy lifestyle.
At the High Metabolic Clinic we offer 2 options for patients wanting to address lifestyle factors:
1) Best Weight Lifestyle Course: this self-paced video course guides you through everything you need to know from nutrition, to mindset, to how to stop emotional eating. You will have longterm access so you can come back to the material at any time. Purchase the whole course for just $297 CAD. Learn more at www.sashahighmd.com.
2) Work 1:1 with a Registered Dietitian: Our RDs are experts in nutrition for metabolic syndrome and insulin resistance, with additional skills in creating consistency and overcoming barriers to implementation. Tedi and Julie can provide the support and accountability you need to reach your health and wellness goals. Learn more here.