Lifestyle Medicine

& Sustainable Weight Loss

Where science-based medicine meets everyday habits—so the weight comes off and stays off

At Lamorinda Gynecology & Surgery, weight management is never a crash diet or a one-size-fits-all pill. We treat excess weight as a metabolic, hormonal, and lifestyle issue—then pair proven medical therapies with the daily practices that actually move the scale long-term.

Our 360° Metabolic Method

1. Comprehensive Baseline Work-Up

  • Advanced labs (A1c, fasting insulin, lipids, thyroid, vitamin D)

  • Medication & hormone review

2. Lifestyle Pillars—Personalized for You

  • Nutrition: Whole-food, anti-inflammatory eating that preserves muscle while trimming fat (plant-forward Mediterranean, low-carb, or high-protein vegetarian—whichever fits you)

  • Movement: Strength + zone-2 cardio plans that boost resting metabolism and pelvic health

  • Sleep: Practical fixes for circadian rhythm, perimenopausal insomnia, and screen overload

  • Stress & Mindset: Mindfulness tools, breathwork, and referral to CBT or coaching as needed

  • Environmental Detox: Simple swaps to cut endocrine-disrupting plastics, pesticides, and PFAS

3. Cutting-Edge Pharmacotherapy (When Needed)

  • FDA-approved GLP-1 receptor agonists—semaglutide (Wegovy®) and tirzepatide (Zepbound™)

  • Initiation only after full medical evaluation; titrated dosing to minimize nausea and preserve lean mass

  • Monthly in-office or telemedicine check-ins and nutrient optimization to prevent rebound

4. Accountability & Coaching

  • Same-week access to your care team

Why Women Trust Lamorinda for Weight Loss

  • Advanced expertise: Dr. Cheruba Prabakar and Dr. Lee Christianson are both fellowship-trained minimally invasive surgeons and certified in Lifestyle Medicine—rare dual training that links hormones, metabolism, and surgery under one roof.

  • Rapid access: Same-week consult slots and telehealth visits mean you start your program— or your GLP-1—without a months-long wait.

  • Whole-person lens: We consider fertility goals, menopause symptoms, pelvic floor health, and mental well-being in every plan.

  • Data-driven, not fad-driven: Objective metrics (DEXA, CGM, lab panels) guide every adjustment, so progress is measurable and sustainable.

  • Direct specialty care model: Transparent fees, no rushed 10-minute visits, and unlimited secure messaging with your physician.

Ready to begin? Lasting change starts with a single conversation.