Nassau, NY: What is offered

Most patients qualify if their body mass index (BMI) is ≥40, or ≥35 with weight-related medical conditions such as diabetes, high blood pressure, sleep apnea, or fatty liver disease (nonalcoholic steatohepatitis/NAFLD/NASH). We’ll do a full evaluation to confirm eligibility.

Many insurance plans cover bariatric procedures if medical criteria are met. Our office will verify your benefits, explain your coverage, and guide you through the approval process.

We perform several advanced procedures, including:

– Gastric sleeve (sleeve gastrectomy)
Removes about 80% of the stomach; best for steady, reliable weight loss with fewer long-term complications. Most gastric sleeve surgeries can be performed as outpatient procedures, meaning you can often go home the same day without the need for an overnight hospital stay.

– Gastric bypass (Roux-en-Y)
Creates a small stomach pouch and reroutes the intestine; best for patients with reflux or type 2 diabetes.

– SADI-S (single anastomosis duodeno-ileal bypass with sleeve gastrectomy)
Combines sleeve with a simplified bypass; best for greater weight loss and diabetes remission with fewer connections than traditional bypass.

– Duodenal switch
Sleeve plus extensive intestinal bypass; best for patients needing the most weight loss and strongest diabetes control, but requires strict vitamin follow-up.

Each option has different benefits, risks, and recovery times. During your consultation, we’ll review which is best for your health and long-term goals.

Yes. In addition to bariatric procedures, our surgeons are highly trained in general surgery. We commonly perform gallbladder removal, abdominal wall hernia repairs, and hiatal hernia surgery. This allows us to provide comprehensive care for patients who may have multiple surgical needs.

On average:

• Gastric sleeve: 60-70% of excess weight within 1-2 years
• Gastric bypass: 65-80% of excess weight within 1-2 years
• SADI-S/Duodenal switch: 70-85% of excess weight within 1-2 years

Individual results vary based on lifestyle, medical history, and adherence to follow-up care.

Most patients are able to return to normal activities in about one week. You’ll follow a staged diet, starting with liquids and progressing to solid foods under our nutrition team’s guidance.

As with any major surgery, there are risks including bleeding, infection, or leaks at surgical connections. Long-term, patients may develop vitamin deficiencies if supplements aren’t taken. We closely monitor and support you to minimize risks.

Yes. You’ll follow a structured eating plan:

• First weeks: liquids, then pureed foods
• Later: small, protein-focused meals for life

We provide ongoing nutrition counseling to help you succeed.

Many patients return to desk work in about 1 week. For exercise and heavy lifting, most patients wait 2–3 weeks, depending on healing and your doctor’s recommendations.

Bariatric surgery often leads to significant improvement, and sometimes remission, of conditions like type 2 diabetes, sleep apnea, hypertension, and fatty liver disease. Outcomes vary, but many patients reduce or eliminate medications after surgery.

Our program includes nutritionists, support groups, behavioral health specialists, and ongoing medical follow-up. Long-term support is key to maintaining your health and weight loss success.

Some insurance plans may cover skin removal (body contouring) surgery after significant weight loss, but coverage varies depending on the plan and medical necessity criteria. The good news is that our practice has a board-certified plastic surgeon who accepts insurance and works closely with our team. At around one year after your bariatric surgery, you can schedule a consultation to discuss your options for skin removal and body contouring.

If you have a BMI of 27+ with co-morbidities or 30+ without comorbidities, you may be a candidate for weight loss medications.

Coverage depends on your individual plan, your specific health conditions, and whether the medication is for an FDA-approved indication like diabetes or cardiovascular disease, not just weight management. To determine coverage, you must contact your insurance provider directly and, in most cases, your doctor will need to submit a prior authorization request.

Semaglutide (Wegovy)
Ozempic
Saxenda
Mounjaro
Qsymia
Orlistat
Contrave
Zepbound

Weight loss medications can have various risks, which vary depending on the specific medication and individual patient. Your care team can help you assess your personal risk level.

On average, newer and more powerful weight-loss medications like Zepbound and Wegovy can help people lose 15% to 20%+ of their body weight, when combined with diet and exercise. Older, oral medications typically offer more modest results, with an average of 5% to 10% weight loss. Individual results vary significantly depending on the specific medication, dosage, and lifestyle changes.

For most healthy women who begin treatment within 10 years of menopause, hormone therapy is considered safe and effective. Your doctor will review your health history to ensure therapy is right for you.

Hormone therapy can reduce hot flashes, night sweats, vaginal dryness, mood swings, and sleep disturbances. It can also help protect against osteoporosis. There are over 20 different symptoms that have been attributed to hormonal decline in midlife.

Like any treatment, hormone therapy may carry risks. The risks are lower when therapy is started closer to menopause and used for the shortest duration necessary. Your doctor will discuss your personal risk factors during your visit and decide if it’s right for you.

Your individual risk factors, including family history, are carefully considered when deciding if hormone therapy is right for you. We always prioritize your safety and explore alternative treatments if needed.

There is no absolute age when hormones must be stopped. We will assess the benefits and risks of your treatment plan continuously throughout your treatment. (Women can stay on hormones, especially local vaginal Estrogen, indefinitely.)

Hormone therapy is most beneficial and safest when it is started within 10 years of menopause. Starting later may increase risks, which is why individual evaluation is important.

Some women experience mild side effects such as vaginal spotting or bleeding, breast tenderness, bloating, and headaches. Most side effects improve over time. Let your doctor know if they persist or get worse.

Many women notice improvements in symptoms within a few weeks, but it can take up to two to three months to experience full results.

IV Hydration delivers fluids plus targeted vitamins and minerals directly into your bloodstream for fast, efficient absorption.

Most drips take 30-60 minutes. minutes to complete and are designed to help you feel revived in under an hour.

Choose based on your goal: B-LEAN for weight-loss support, REBOOT for hangover recovery, IMMUNITY for immune defense, and Recovery & Performance for post-op or workout recovery. We can help you select the right drip for your needs.

Yes, Recovery & Performance IV is designed to aid tissue repair and boost energy for post-operative healing.