Ivy Overweight and Obesity Medicine Program
Our Mission
Our mission is to provide a customized overweight and obesity treatment program, including weight loss (fat loss) and maintenance. Care will be provided in accordance to the standards set by Obesity Medicine Association.
Treating Our Overweight or Obesity Disease is at the forefront of our minds!
You are not alone if you have tried and failed multiple diets or exercise programs to treat your overweight and obesity.
You are not alone if one diet worked initially, only to have regained all the lost weight and then gained more. Treating our Overweight or Obesity disease remains at the forefront of our minds.
Despite multiple popular myths, obesity is not due to a lack of willpower, and it is not only caused by moving too little or eating too much.
Obesity is a disease, and it is currently defined as a multifactorial, relapsing and chronic disease.
The good news is that obesity is also defined as a treatable disease.
Ivy Obesity Medicine Program, treats your overweight and obesity disease. We have spent extensive hours studying the nutrition, pathophysiological and psychological drivers of obesity and overweight. We further want to share the basic knowledge and give you the personalized tools to help you treat and manage this chronic disease for life. The program is customized for you because one size does not fit all when it comes to treating your overweight and obesity.
We are excited to share our knowledge, empower you, encourage you, and help you succeed on this life long journey of managing the overweight and obesity disease!
We will also tirelessly work on combating the prevalent societal stigma associated with overweight and obesity!
Ivy Wellness Clinic Obesity Medicine Program Overview
This is a yearlong program customized for you! You will get encouragement, knowledge and most importantly, accountability!
The program starts with a 60-to-90-minute initial in person visit, dedicated to a comprehensive medical history, physical exam, discussion of your treatment goals, comprehensive and customized lab work, and body composition. Your second 60-minute visit will occur two weeks later. Your second visit will be dedicated to reviewing your labs, food journal, discussing appropriate medications, and reviewing other factors influencing obesity or overweight.
It is recommended that after the second visit, follow-up appointments should occur at least monthly, if not biweekly for the next 6 months, and then monthly for the rest of the year. The follow up appointments may be either virtual or in person and will continue to coach you on nutrition, exercise and the psychological components contributing to obesity and overweight.
The program follows the current scientifically based, peer reviewed guidelines from Obesity Medicine Association.
The cost of the first visit is $330.00, including labs and body composition scan. The follow up visits are $150.00.
* We do not take or bill insurance however a superbill may be available upon request. *
My Story
Like many of you, I have struggled for decades with overweight and obesity. I too have tried multiple diets and exercise programs. I realized that ultimately knowledge is one of the necessary steps in treating this disease and I embarked on a lifelong journey dedicated to obesity medicine. Now I can help you on your journey of managing this disease.
I graduated from University of Washington School of Medicine in 2012 and Family Medicine Residency in Vancouver, Washington in 2015.
I received my Board Certification in the Specialty of Obesity Medicine in 2017. Since 2017, I have passionately and relentlessly continued to study the multiple facets of this disease and I am currently a member of the Obesity Medicine Association and a Certified Health Coach.
I look forward to care for you and I am accepting patients from both Washington and Oregon.
USCIS-APPROVED CIVIL SURGEON FOR YOUR IMMIGRATION MEDICAL EXAMS
Nicolette Ileana Bembenek, MD, is a civil surgeon approved by the USCIS to perform Immigration Medical Exams for the completion of the I-693 form.
Upon the completion of the exam, you will receive a sealed envelope containing the original I-693 form to be provided to USCIS. An additional copy of the documents present in the envelope will be provided for your own records.
Please upload or bring the following at your first immigration exam:
- Your picture ID. This can be your current state ID, driver license, or passport.
- Any immunization records if available (we will advise you if additional immunizations are required at the time of the visit).
- Any medical records, if available.
- A debit or credit card, or cash payment (we do not accept checks).
- You can review the I-693 form on the website. However we will have the form available for you at the office.
The Fee for the I-693 Exam is $393
Included in the price of $393 are:
- Your evaluation, medical records and immunization history review for the preparation of the I693 form
- The USCIS required labwork/blood tests which will be completed at Quest labs.
- The sealed envelope of the completed I-693 forms for USCIS and the additional copy for your records.
What is not included:
- Additional lab work or other tests if needed. Most people will have normal results for the above initial lab work. There is always a small chance that some of these test reports may come back positive. If positive, more tests will be necessary, and this will be additional costs in time and money. The positive tests need to be reported to health department as required by state laws
- Vaccines, if needed, are not included in this price. Vaccines can be obtained from pharmacy or your own doctor’s office. These can be an out-of-pocket expense, or depending on availability or type, may be covered by your health insurance.
- One may consider additional lab work to test for immunity to measles, mumps, rubella, Hepatitis B or varicella. However, if the lab work will show insufficient antibody level, then the immunization will still be needed and this will incur the additional costs. One may choose to get the vaccine as advised without checking for antibodies as this may speed up the completion of the I-693 form.
To Learn More or to Schedule an Immigration Exam You Can:
Call: 360-334-2834
Email: [email protected]
or
Click the link bellow to schedule an appointment:
(Initial virtual appointments are recommended for patients living outside the Vancouver/Portland area in Washington or Oregon state. The second appointment to sign your form and receive your paperwork will have to be in person)
If you can't find a suitable appointment time, please reach out to us via phone or email, and we'll do our best to find a time that works for you.
Click Here to Schedule Your Initial Immigration AppointmentWelcome to Your Personalized Metabolic Care Program
Why Choose a Metabolic Care Program Over "Just Weight Loss"?
You are trying to lose weight and transform your health. However, weight is not what you are trying to lose, but rather excess fat. That is why Ivy Metabolic Care Program goes beyond weight loss to deliver sustainable, life-changing results. At Ivy Wellness Clinic we focus on optimizing your metabolism, and providing you with a holistic and science, evidence-based approach to achieve long-term wellness.
You will be helped by a board-certified obesity medicine physician and experienced health coach. With the use of cutting-edge technology and personalized care you will be helped to achieve your health goals. Whether you're searching for fat loss solutions, metabolic health improvements, or a comprehensive obesity treatment plan, this program is here to support YOU.
What Makes Our Program Stand Out?
- Breezing™: Resting Metabolic Rate (RMR) Testing
Curious about your metabolism? Your RMR is unique and determines how many calories your body burns at rest. Breezing™ technology provides precise data to customize your fat loss plan.
- Why it matters: As you have likely lost weight many times in the past, and gained it back, your RMR has likely decreased, and it may not have caught up with your current needs. By measuring your RMR, we ensure your program adapts to these changes for effective fat loss and metabolic health.
- How it empowers you: Understand your energy needs and take control of your fat loss journey with confidence.
- SECA Body Composition Analysis
Looking beyond the scale? SECA measures your body composition, including fat mass, muscle mass, and hydration levels, for a complete picture of your health.
- Why it matters: Unlike many other machines, the SECA body composition analyzer has been specifically studied and validated for individuals with obesity. This ensures accurate and reliable measurements tailored to your unique needs.
- How it empowers you: Fat loss, not just weight loss, is the true indicator of progress. Celebrate improvements like reduced visceral fat and increased muscle—even if the scale doesn’t budge.
- Comprehensive Lab Testing
Want to know what’s holding you back? Lab testing reveals metabolic markers, hormonal imbalances, and nutrient deficiencies that can impact your progress.
- Why it matters: Hidden issues like insulin resistance or thyroid imbalances or other hormonal changes can make fat loss harder.
- How it empowers you: Get targeted interventions to overcome barriers and optimize your health.
- Note: Labs are not included in the program price. However, we offer affordable cash pricing if needed, ensuring accessibility to these important insights.
- Evidence-Based Weight Loss Medications
Using weight loss medications is not a sign of failure—it’s an evidence-based tool for managing obesity, which is a chronic disease that can be treated but not cured. We provide access to FDA-approved medications to support your health journey.
- Why it matters: Obesity is a complex condition with biological barriers that can make fat loss challenging. Medications can help overcome these challenges. And we often say “Medication changes behavior!” Oh! So true!
- How it empowers you: Gain an effective and sustainable tool to enhance your progress and support your long-term health.
- Note: Weight loss medications are not included in the program price. We work with you to find the most affordable options available.
- Treatment for Other Metabolic Disorders
Our program also addresses other metabolic conditions such as hypertension, diabetes, insulin resistance and high cholesterol. These conditions often accompany obesity and require an integrated approach to improve overall health.
- Why it matters: Treating metabolic disorders holistically ensures better health outcomes and a higher quality of life.
- How it empowers you: Feel supported in managing all aspects of your metabolic health under one comprehensive program.
What You’ll Achieve with Our Program
- Sustainable Fat Loss: Move beyond fad diets with a science-backed program tailored to your metabolism.
- Enhanced Metabolic Health: Improve insulin sensitivity, reduce inflammation, and boost energy levels.
- Holistic Support: Work with a physician and health coach dedicated to your success.
- A Better You: Look and feel your best while building a foundation for long-term health.
Affordable, Accessible Care
Our comprehensive metabolic care program is just $97.
We truly believe everyone deserves access to high-quality obesity and metabolic care. We’ve set this price to ensure life-changing care is accessible to as many people as possible so you can transform your health without breaking the bank.
Ready to Take the First Step?
Your health journey starts today. Whether you're looking for fat loss, metabolic health improvements, or personalized care, we’re here to help you thrive.
Schedule your consultation now and start your transformation!
Spanish Version:
Bienvenido a su Programa Personalizado de Cuidado Metabólico
¿Por qué elegir un Programa de Cuidado Metabólico en lugar de solo “pérdida de peso”?
Usted está tratando de bajar de peso y transformar su salud. Sin embargo, lo que realmente desea perder no es “peso”, sino exceso de grasa. Por eso, el Programa Metabólico de Ivy Wellness Clinic va más allá de la pérdida de peso para ofrecer resultados sostenibles y transformadores. En Ivy Wellness Clinic nos enfocamos en optimizar su metabolismo y brindarle un enfoque integral, científico y basado en evidencia para lograr un bienestar duradero.
Usted recibirá atención de una médica certificada en medicina de la obesidad y una coach de salud experimentada. Con el uso de tecnología de vanguardia y atención personalizada, le ayudaremos a alcanzar sus metas de salud. Ya sea que esté buscando soluciones para reducir grasa corporal, mejorar su salud metabólica o seguir un tratamiento integral para la obesidad, este programa está diseñado para apoyarlo(a).
¿Qué hace único a nuestro programa?
- Breezing™: Prueba de Tasa Metabólica en Reposo (RMR)
¿Tiene curiosidad sobre su metabolismo? Su RMR es única y determina cuántas calorías quema su cuerpo en reposo. La tecnología Breezing™ proporciona datos precisos para personalizar su plan de pérdida de grasa.
• ¿Por qué es importante? Probablemente ha perdido peso varias veces y lo ha recuperado. Esto puede haber reducido su RMR, que tal vez ya no se ajusta a sus necesidades actuales. Al medir su RMR, adaptamos el programa a estos cambios para lograr una pérdida de grasa eficaz y una mejor salud metabólica.
• ¿Cómo le beneficia? Comprenda sus necesidades energéticas y tome el control de su proceso de pérdida de grasa con confianza. - Análisis de Composición Corporal SECA
¿Busca más allá del número en la báscula? SECA mide su composición corporal, incluyendo masa grasa, masa muscular y niveles de hidratación, para brindarle una visión completa de su salud.
• ¿Por qué es importante? A diferencia de muchas otras máquinas, el analizador de composición corporal SECA ha sido específicamente estudiado y validado para personas con obesidad, asegurando mediciones precisas y confiables adaptadas a sus necesidades.
• ¿Cómo le beneficia? La pérdida de grasa (no solo de peso) es el verdadero indicador de progreso. Celebre mejoras como la reducción de grasa visceral y el aumento de masa muscular, ¡aunque la báscula no se mueva! - Análisis de Laboratorio Integral
¿Quiere saber qué le está frenando? Los análisis de laboratorio revelan marcadores metabólicos, desequilibrios hormonales y deficiencias nutricionales que pueden afectar su progreso.
• ¿Por qué es importante? Problemas ocultos como la resistencia a la insulina o desequilibrios tiroideos pueden dificultar la pérdida de grasa.
• ¿Cómo le beneficia? Reciba intervenciones dirigidas para superar obstáculos y optimizar su salud.
• Nota: Los análisis de laboratorio no están incluidos en el precio del programa. Sin embargo, ofrecemos precios accesibles en efectivo para garantizar el acceso a esta información clave. - Medicamentos para la Obesidad Basados en Evidencia
Usar medicamentos para la pérdida de peso no es un signo de fracaso—es una herramienta respaldada por la ciencia para tratar la obesidad, una enfermedad crónica que puede ser controlada, aunque no curada. Ofrecemos acceso a medicamentos aprobados por la FDA para apoyar su proceso.
•¿Por qué es importante? La obesidad es una condición compleja con barreras biológicas que dificultan la pérdida de grasa. Los medicamentos pueden ayudar a superarlas. A menudo decimos: “¡La medicación cambia el comportamiento!” Y es cierto.
• ¿Cómo le beneficia? Obtenga una herramienta eficaz y sostenible para avanzar y cuidar su salud a largo plazo.
• Nota: Los medicamentos para la obesidad no están incluidos en el precio del programa. Trabajamos con usted para encontrar las opciones más accesibles. - Tratamiento para Otras Enfermedades Metabólicas
Nuestro programa también aborda condiciones metabólicas como hipertensión, diabetes, resistencia a la insulina y colesterol elevado. Estas condiciones a menudo acompañan a la obesidad y requieren un enfoque integral.
• ¿Por qué es importante? Tratar los trastornos metabólicos de forma holística mejora los resultados de salud y la calidad de vida.
•¿Cómo le beneficia? Siéntase apoyado(a) al manejar todos los aspectos de su salud metabólica en un solo programa completo.
¿Qué logrará con nuestro programa?
• Pérdida de grasa sostenible: Olvídese de las dietas de moda con un programa basado en ciencia y adaptado a su metabolismo.
• Mejora de la salud metabólica: Mejore su sensibilidad a la insulina, reduzca la inflamación y aumente sus niveles de energía.
• Apoyo integral: Trabaje junto a una doctora y coach de salud dedicada a su éxito.
• Una mejor versión de usted: Siéntase y véase mejor mientras construye una base sólida para su salud a largo plazo.
Atención accesible y asequible
Nuestro programa completo de cuidado metabólico cuesta solo $97.
Creemos sinceramente que todos merecen acceso a una atención de alta calidad para la obesidad y la salud metabólica. Establecimos este precio para que este tratamiento transformador de vidas esté al alcance de la mayor cantidad de personas posible y puedan mejorar su salud sin gastar de más.
¿Listo(a) para dar el primer paso?
Su camino hacia una mejor salud comienza hoy. Ya sea que busque perder grasa, mejorar su salud metabólica o recibir atención personalizada, estamos aquí para ayudarle a prosperar.
Agende su consulta ahora y comience su transformación.
