Weight Loss Programs

 
All of the reasons for gaining or not being able to lose weight have some validity, as they all make it harder for you to accomplish your weight loss goals. It is in your best interest to see how you can effectively mitigate them as much as you can; most often, the real cause of weight gain is eating too much food. If you are having problems with hunger control please call us at (702) 878-8888 for a free diet consultation. You need to re-learn how to eat. This will be hard. Your brain has been wired to feel that what you are doing is normal. It is not. The only way to break the addiction or habit, is to stop doing it. We can’t stop eating, but we can learn to eat normally. This will take time and effort. Slow and steady lifestyle changes that are sustainable are your best hope. If you insist on returning to the way you had been eating before your new habits are established, in all likelihood, you will fail in your attempt to recover normalcy.
We offer a free diet consultation call (702) 878-8888. After the free evaluation you will be given an outline of the diet best suited for you and fee for those services; required to meet your goals. Pricing ranges based on specific medications prescribed and anticipated duration of the program to achieve your target weight.
The TRIMCARE™ program utilizes alternative medicines as an adjunct to enhance natural weight loss. These vitamins, minerals, enzymes and other natural ingredients occurring in the human body are necessary for proper conversion of fat into energy and for maintaining healthy balanced body functions. Your health care provider will discuss your individual health risks and specific levels of these alternative medications for your success on the TRIMCARE™ program.

 

 

 

 

Hormone Testosterone Replacement

Hormone Testosterone Replacement Pellet Therapy Tired? Irritable? Low on Energy? Loss of Sex Drive? Dry Skin? Depressed? TrimCare Hormone Testosterone Replacement Pellet Therapy can help you get your life life back in the following ways: Physically: Overcoming the symptoms associated with hormonal imbalance and insufficiencies are the the first priority. These problems are typically physical in nature and most can be remedied through the use of hormone testosterone pellet therapy. Mentally: You no longer have to live with the fuzzy thinking and poor memory! Testosterone Pellet therapy helps restore the sharpness you once possessed. Emotionally: You no longer have to ride the emotional roller coaster caused by hormonal imbalance or insufficiencies. Pellet therapy creates greater emotional stability, calmness, enthusiasm and an elevated sex drive.
Why do women and men need hormone replacement? TrimCare’s Hormone Testosterone Replacement Pellet Therapy (HRPT) is a system of medical treatment for surgically menopausal, peri-menopausal and post menopausal women. It is based on the idea that the treatment may prevent discomfort caused by diminished circulating estrogen, testosterone and progesterone hormones. Estrogen is a woman’s most important hormone. Without hormone replacement therapy in the early stages of ovarian failure, osteoporosis, heart disease, colon cancer, Alzheimer’s disease, tooth loss, impaired vision, Parkinson’s disease, diabetes. The longer a woman is without protection of her own estrogen, the greater the risk for serious health consequences of these conditions. however, after three years of estrogen deprivation, replacement may not prevent and may actually increase the risk of heart disease and stroke. These are estrogen receptors in a variety of organs throughout the body and brain. That’s why hormonal imbalance produces different symptoms such as a loss of skin elasticity, bone shrinkage, mood and cognitive decline. On the other hand, when estrogen levels rise as they do in the first week of menses, their overall effect is to increase the amount of serotonin available in the spaces between the brain’s nerve cells, which improves mood. Within the brain, estrogen may in fact act as a natural antidepressant and mood stabilizer. It is therefore essential that a woman suffering from premature ovary failure or surgical menopause receive treatment from a HRT physician who both understands the many ramifications of the disease and is willing and able to meet her endocrine and emotional needs.
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Cosmetic Procedures

Please click on the procedures below to find out more information.

Before and After Gallery


Benefits
✔ Destruction Mechanism of action- induces lipolysis or breakdown of fat.
✔ Diminishes areas that cannot be lost from diet/exercise!
-Stretch marks, fat & cellulite at injection site, tightens skin.
✔  Permanent with sensible lifestyle upkeep
✔  Effective One treatment shrinks area 2-3 inches in as little as 10-14 days, results vary by location treated   
and amount of fat present.
✔  Real Loss Lose inches & pounds of FAT!
-Biospace full body composition scan taken before & after procedure to accurately measure loss.
✔  Real Gain Increases muscle mass and tone, more energy, decreases whole body fat percentage.
✔  Quick and Painless liposuction alternative, non-surgical, safe. Requires no anesthesia and no downtime.

 

How does it work?
The medications used, work by increasing the production of a natural substance that diminishes fat. It is extremely effective and also boasts significantly less side effects than other medications used, with the most common being skin irritation and mild bruising at the injection site. The technique of using several small injections, increases the microcirculation of the area and stimulates new cell growth.

Why diet and exercise sometimes won’t work?
The development of some fat pockets can be both frustrating when you look in the mirror and hazardous to your health! You risk developing dangerous visceral fat that builds up around your organs. There is no way to lose weight in only one area of your body through diet and exercise. With diet and exercise, you lose weight throughout your entire body and cannot pinpoint areas, this process is called spot reduction. This treatment in no way replaces a sensible diet and exercise plan. It does work extremely well to eliminate those stubborn fat pockets that cannot be lost otherwise and when optimal body composition is already achieved and there are only areas of concern.

How fast will I see results?

Results are seen relatively quickly. Drastic results have been seen in patients after one treatment, in as little as seven days. Of course, time will vary by the area and amount of fat being treated.

Will the results last?
The results will last as long as sensible lifestyle upkeep is maintained. If you lead a sedentary lifestyle and have a poor diet following the procedure, you will gain weight and be subject to fat build up, cellulite as you would with any method chosen for losing the initial weight.

How long is the down time and recovery time?
There is usually no down time or recovery time for this procedure. Most patients can resume regular activities immediately.

Is the treatment painful?
The majority of patients experience minimal discomfort. Ice is applied prior to the procedure and is often described as the most uncomfortable part of the entire process.

What Happens during the treatment?

  • Your measurements and a BIOSPACE total body composition analysis will be taken. Pictures are also taken upon request.
  • The treatment area is numbed and prepped.
  • The medication is injected using a fine needle (size of an eyelash).
  • The time spent injecting is very short and there is little to no down time. Regular activity can usually be resumed immediately.
  • A follow up will be scheduled 7-10 days from the original treatment date.

TRIMCARE’S philosophy has always been to utilize the best practices of both allopathic and alternative or complementary medicine. Countless hours of research and innovation enables us to offer the latest in medical breakthroughs arising from cutting edge research. At TRIMCARE, our mission has always been to enhance wellness,  life expectancy and quality of life through product offerings that encourage patients to participate with us on this journey!

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Unretouched photos taken of maximum frown before treatment with BOTOX® Cosmetic and taken at maximum frown after treatment with BOTOX® Cosmetic at days 2 and 14. The photos featured here are of an actual BOTOX® Cosmetic patient. Individual results may vary.

In clinical trials at day 7, 74% of patients demonstrated none or mild glabellar line severity at maximum frown as compared to 6% in placebo; at day 30, 80% of patients demonstrated the same as compared to 3% in placebo.

Overview 

Mesotherapy is a technique pioneered in 1952 by the French physician, Dr. Michel Pistor. Misotherapy is a non-surgical injection technique with a broad range of applications. Mesotherapy promotes the body’s circulatory, lymphatic, and immune system to create a biological response and reverse abnormal physiology. When combined with a weight loss program it produces superior results.Mesotherapy is safe and effective. No Downtime and No significant side effects.*
·Safe and non-surgical
·Natural soy-lecithin enzyme base
·Dissolves fat gradually
·Reduces and even removes cellulite

Results
·Lose two to three inches in two weeks
·Permanently eliminates dimpling and misshapen fat under the skin
Fast Fact: 90% of women have cellulite regardless of shape,size or age!
Unlike surgery, mesotherapy is virtually painless, requires no post-operative recovery time, requires no heavy bandages or girdles, and no anesthesia is necessary. While many surgical procedures require one to two weeks of recovery, patients undergoing mesotherapy have no interruptions in their daily life.

*Individual results may vary

Who can have Mesotherapy? Healthy adults between the ages of 18-75. The physician will discuss your medical situation/medications during your consultation.
 
How does it work? Using a fine needle (size of an eyelash) the medication is injected into the mesoderm. Just a drop of solution is used at each injection site. The medications destroy the connective tissue bands and melt the trapped fat, creating a smooth, dimple-free appearance.
 
What is the investment? It varies by number of treatments necessary for the individual to achieve results. You can expect between $250 to $400 per area per visit, however purchasing a package in advance will significantly reduce the cost.

Mesotherapy vs. Liposuction

MESOTHERAPY
·Non-invasive procedure
·Removes fat from fat cells
·Used where there is cellulite
·No downtime
·Wear loose clothing after treatment
·Weight gain back where it was lost
·Minimal Bruising and pain
LIPOSUCTION
·Surgical Procedure
·Removes Fat Cell
·Cannot be used where there is cellulite
·Down for 2 weeks or more
·Wear restrictive garments for week
·Weight gain back in abnormal places.
·Significant bruising and pain

Acne is a common skin disease that affects people of all ages, especially young adults. Most individuals experience facial acne; however the back, chest, shoulders and neck may also be affected. Although there are many types of acne, acne vulgaris is the most common form, affecting an estimated 85 percent of the population at some time in their life. Acne accounts for more than 2 million visits to office-based physicians each year for 15- to 19-year-olds, but the average age at presentation for treatment is 24 years old. Ten percent of visits are for those 35 to 44 years old.

Acne is formed when an excess amount of dead skin and oil block follicles on the skin. The follicle becomes inflamed which may be seen in the form of whiteheads and blackheads. At certain times of life, this process may become very troublesome, and may be hard to control. But there are ways to treat, control and manage acne.

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Not exclusive to teenagers, many young adults, people in their 20′s and 30′s, have trouble with acne that is hard to control. We know there are many acne treatments out there for you to try and it can be overwhelming. If you have moderate acne and are uncomfortable taking antibiotics or are unhappy with your current topical treatment results, BLU-U® blue light therapy – using light without drugs or antibiotics – may be something for you to try.

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The BLU-U is a unique blue light that kills the P. acnes bacteria in your skin. Treatments are simple – you sit with your face close to the light for a short time at a schedule set up by your doctor, approximately a 17-minute session about once or twice per week. The treatments may go on for five weeks or so. It’s safe, it’s not hot, it’s not painful. After some weeks, the blue light can help control your acne.

Is the BLU-U a laser?  The BLU-U is not a laser. The BLU-U delivers fluorescent light scattered over a larger area. It also does not emit UV light.

How long is a BLU-U light therapy session? The doctor will prescribe the most appropriate time frame for your acne, but typical sessions last roughly 17 minutes.

AKs – often called “sun spots”— are rough-textured, dry, scaly patches on the skin caused by excessive exposure to ultraviolet light (UV) such as sunlight. They occur most often on sun exposed areas such as the face, scalp or ears, and can range in color from skin toned to reddish brown.  They can be as small as a pinhead or larger than a quarter. They generally begin as rough spots of skin that may be easier felt than seen. Common complaints include a lesion that has increased in size or one that is raised, bleeding, poor in healing, discolored, or associated with discomfort such as pain or itching. While a lesion may initially appear skin colored to pink, red, or brown, lesions on darker skin may be more pigmented. AKs may feel soft, rough, or “gritty,” but in any case, they feel different from the surrounding healthy skin.
AKs are seen primarily in Caucasians with pale skin living in sunny climates. Areas of the skin with the most sun exposure, such as the head, neck, forearms, and hands account for more than 80 percent of AKs.

Actinic Keratoses develop as the result of years of sun exposure. Because the effect of sun exposure is cumulative, it is your lifetime exposure that increases your risk. Even if you didn’t suntan much, years of just doing simple tasks outside can add up to significant amount of sun exposures. For example:

  • Going out to the mailbox
  • Playing an outdoor sport
  • Walking the dog

Because AKs take a long time to develop, they generally appear after the age of 40. The American Academy of Dermatology estimates that 60 percent of persons apt to get Actinic Keratoses will indeed get at least one AK in their lifetime.

Your risk of developing AKs increases if you have one or more of the risk factors:

  • A history of cumulative sun exposure
  • Fair skin
  • Blond or red hair, in particular if combined with blue, hazel or green eyes
  • A tendency to freckle or burn after sun exposure
  • A weakened immune system

Since there are many clinical variants of AKs, it is best to consult a dermatologist if you suspect a lesion.

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Nothing is quite as beautiful as smooth, wrinkle-free skin. Unfortunately, as we age our skin begins to show the effects of the sun, wind, and time.  Fine lines, wrinkles and blemishes begin to show. Portrait Skin Regeneration now a dramatically different, safe, new treatment called Portrait skin regeneration is available in our practice.  It is unlike any other treatment, available anywhere, performed to reverse the signs of aging.  Portrait is the first and only treatment to be clinically proven to truly regenerate the skin. Portrait results are comparable to more aggressive laser treatments, but with much less down time.  The Portrait treatment continues to stimulate collagen production that has a unique matrix and improves elastin for up to one year, with continued improvement to the skin texture and tone.

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Latisse-1LATISSE® is the first and only FDA-approved product indicated to treat hypotrichosis of the eyelashes by increasing their growth, including length, thickness, and darkness. Hear from real LATISSE® patients Watch

Question: How is LATISSE® solution different from other eyelash growth products?

Answer: Only LATISSE® has been approved by the FDA as a prescription treatment to grow eyelashes in people with inadequate or not enough eyelashes.

Question: How does it work?

Answer: LATISSE® is believed to prolong the anagen (active growth) phase 1 The exact way it works is unknown.

Question: How do patients apply the product?

Answer: Patients should be informed that LATISSE® should be applied every night using only the accompanying sterile applicators. They should start by ensuring their face is clean, all makeup is removed, and their contact lenses removed (if applicable). Then carefully place one drop of LATISSE® solution on the disposable sterile applicator and brush cautiously along the skin of the upper eyelid margin at the base of the eyelashes. If any LATISSE® solution gets into the eye proper, it will not cause harm. The eye should not be rinsed. Patients should be informed not to apply to the lower eyelash line. Any excess solution outside the upper eyelid margin should be blotted with a tissue or other absorbent material.

Question: How should patients handle the bottle and applicators?

Answer: Patients should be instructed that the LATISSE® bottle must be maintained intact and to avoid allowing the tip of the bottle or applicator to contact surrounding structures, fingers, or any other unintended surface in order to avoid contamination of the bottle or applicator by common bacteria known to cause ocular infections. Patients should also be instructed to only use the applicator supplied with the product once and then discard since reuse could result in using a contaminated applicator. Serious infections may result from using contaminated solutions or applicators.

Question: What is hypotrichosis of the eyelashes?

Answer: Hypotrichosis is another name for having inadequate or not enough eyelashes.

Question: Who should not use LATISSE® solution?

Answer: Patients should not use LATISSE® solution if they are allergic to one of its ingredients.

Question: Whom should patients tell if they’re using LATISSE®?

Answer: Patients should tell their physician they are using LATISSE® especially if they have a history of eye pressure problems. They should also tell anyone conducting an eye pressure screening that they are using LATISSE® solution.

Question: Are there any special warnings associated with LATISSE® use?

Answer: LATISSE® solution is intended for use on the skin of the upper eyelid margins at the base of the eyelashes. DO NOT APPLY to the lower lid. If patients are using LUMIGAN® or other products in the same class for elevated intraocular pressure (IOP), or if they have a history of abnormal IOP, they should only use LATISSE® under the close supervision of their physician.

LATISSE® use may cause darkening of the eyelid skin, which may be reversible. LATISSE® use may also cause increased brown pigmentation of the colored part of the eye, which is likely to permanent.

It is possible for hair growth to occur in other areas of the skin that LATISSE® frequently touches. Any excess solution outside the upper eyelid margin should be blotted with a tissue or other absorbent material to reduce the chance of this from happening. It is also possible for a difference in eyelash length, thickness, fullness, pigmentation, number of eyelash hairs, and/or direction of eyelash growth to occur between eyes. These differences, should they occur, will usually go away if the patient stops using LATISSE® solution.

Question. What are the most common side effects of LATISSE®?

Answer: The most frequently reported adverse events were eye pruritus, conjunctival hyperemia, skin hyperpigmentation, ocular irritation, dry eye symptoms, and erythema of the eyelid. These events occurred in less than 4% of patients.

Question: Is there potential for iris darkening?

Answer: Increased iris pigmentation has occurred when bimatoprost solution was administered. Patients should be advised about the potential for increased brown iris pigmentation, which is likely to be permanent.

Question: What if patients stop using LATISSE®?

Answer: Patients’ lashes are expected to return to their previous appearance over several weeks to months.

Question: Where is LATISSE® available?

Answer: LATISSE® solution is available by prescription only and is distributed by Allergan to healthcare professionals’ offices and retail pharmacies.

Question: Why do contact lenses need to be removed before applying?

Answer: It’s recommended that patients remove their contact lenses because LATISSE® contains benzalkonium chloride (BAK), and this may be absorbed by soft contact lenses. Contacts may be reinserted 15 minutes following LATISSE® administration.

Question: Can patients continue to use mascara while using LATISSE®?

Answer: Yes, patients can use mascara in addition to LATISSE® solution.

Question: How soon can patients expect results?

Answer: It’s important for patients to remember that LATISSE® solution works gradually. While they may start seeing longer lashes after 4 weeks, to reach maximum fullness and darkness, they must use LATISSE®every day for 16 weeks. They should not reduce or stop daily application of LATISSE® when they first notice results, as they have yet to achieve full, dramatic effects. After 16 weeks, they should talk to their doctor about ongoing use. Individual results may vary.

Question: Can patients use cotton swabs or other cosmetic brushes to apply LATISSE®?

Answer: No, LATISSE® should only be used with its FDA-approved sterile applicators, designed to help patients properly apply the product.

Question: What if LATISSE® gets in a patient’s eye?

Answer: It is not expected to cause harm. Patients don’t need to rinse their eye. Reinforce the proper application instructions.

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The Restylane Regimen gives you a look that lasts.

What is the Restylane Regimen?It’s a way to help you get the most out of your Restylane treatments. The Restylane Regimen is a treatment plan that involves an initial treatment and a follow-up treatment 4.5 or nine months later. On average, only half the amount of Restylane injectable gel used at the initial treatment was needed to achieve full correction at the follow-up treatment.

Restylane is the only hyaluronic acid dermal filler approved to last up to 18 months from initial treatment of moderate to severe nasolabial folds (lines from the nose to the corners of the mouth) when patients followed the RestylaneRegimen.

With Restylane injectable gel, time is on your side.  At least 95% of patients saw results for up to 18 months when they followed the Restylane Regimen.

In a clinical study treating the lines from the nose to the corners of the mouth (laugh lines), Restylane continued to provide improvement for up to 18 months after initial treatment, when each line received a follow-up treatment at 4.5 or nine months.

Using the Restylane Regimen, patients showed similar improvement, on average, at 18 months compared to their Week 2 Wrinkle Severity Rating Scale (WSRS) score.

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Smoking Cessation

The Treatment Process

Prior to undergoing treatment you will meet a physician who will discuss your quit plan and perform a physical examination.

Treatment Components

  • Your concerns and fears of quitting.
  • The nature of nicotine addiction.
  • The physical, psychological and behavioral aspects of smoking.
  • Withdrawal symptoms and what you can do to cope with them.
  • Your smoking patterns to understand and monitor in order to anticipate and avoid temptation triggers.
  • Stress management strategies like relaxation exercises and positive thinking.
  • Quitting requires attention to both the biology and psychology of smoking.
  • Medically supervised intervention is safe and effective.
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Click on the tabs below to see more information.

The initial physical and psychological examination will include:
You will need to be driven by someone. The physician will give you oral anti-anxiety medication and perform the injectable treatment. Once home, you will apply the skin patch behind the ear and leave on for three days.
You will be given a prescription for three medications. This helps inhibit the desire for nicotine and minimizes the physical effects of nicotine withdrawal. Buspar and Wellbutrin Skin patch which will need to be filled before you receive the injection Oral anti-anxiety medication for the injectable treatment
You may be asked to return for follow-ups with the physician who will monitor your progress and quit plan.
We will assist you in helping you set a quit date and provide resources on requesting the support of family, friends and colleagues. Tobacco dependence is a chronic condition that often requires repeated intervention to avoid relapse from a physical, social and psychological aspect. These areas will be discussed when developing your quit plan.
The introduction of buproprion (Wellbutrin) and busirone (Buspar) as an aid in smoking cessation is probably a sign of things to come. Better understanding of how smoking influences the brain will probably lead to better drugs to help smokers quit. Buproprion (Wellbutrin) and buspirone (Buspar) illustrate the fact that quitting smoking requires a lot of attention to both the biology and psychology of smoking. As with all options available for quitting, but they have to take the first step and continue to work to keep temptations from undermining their efforts.
Withdrawal symptoms are the physical and mental changes that occur following interruption or termination of drug use. We have prescribed medications to assist in minimizing withdrawal symptoms. Symptoms are normally temporary and are a product of the physical or psychological adaptation to long-term nicotine or drug use, requiring a period of re-adjustment when the drug is no longer ingested. In the case of smoking may include irritability, depression, restlessness, poor concentration and increased appetite.

Contact TrimCare Today and Stop Smoking! 702-878-888 Now!!!

Concierge

 

Mission

 Innovative Care Physicians and Dr. Ivan Goldsmith are committed to providing the highest level of overall health and wellness. With medicine in reverse, a program that helps you get healthy on the inside by also improving the outside, we are here for you every step of the way.

 Program Highlights

  •  An annual comprehensive physical evaluation focused on disease prevention by determining your potential health risks.
  •   Guaranteed same or next day appointments. You will always see Dr. Goldsmith when he is in town. When he is away, his assistants will grant you the same level of access.
  •   No wait time for appointments. When you arrive, we will have a room ready for you.
  •   Appointments will take as long as you need. Stay until all of your concerns are addressed.
  •   The personal cell phone number of Dr. Goldsmith will be given to you when the Agreement is executed. Important medical questions no longer have to wait for an appointment time.
  •   Up to 5 times a year, Dr. Goldsmith will arrive early or stay late to accommodate you at his office.
  •   Prompt and thorough follow-up calls for test results, prescription refills, referrals or any other concern.
  •   Complimentary body fat analysis anytime you request it during a visit.

 

Program Description

 The Concierge Program is limited to 250 patients. This allows Dr. Goldsmith more time to provide personalized service and convenience. Our comprehensive program emphasizes early detection to prevent major medical conditions before they arise. Some insurance companies cover basic annual physicals but do not cover preventive health programs that provide additional specialized services that last the entire year.

 The perks we’ve added into this program are not covered by any insurance.

 Program Services

 Comprehensive Physical Evaluation

 Each patient will receive an annual physical examination that includes: an individualized health screening, a body fat analysis, disease assessment, health risk factor assessment and have all necessary tests ordered to facilitate the exam. To ensure that overall health is achieved, this examination will be extremely thorough. This examination is included with the program and will not incur any additional costs. The tests and follow up appointments are not included with the examination and will be billed to the patient’s insurance or paid in cash at the time of service.

VIP Access to Your Doctor

 Superior service and immediate access are top priorities. Members will receive appointments for the day they call or the next business day in every case. A room will be waiting for them when they arrive at the office, so there is no wait time. The appointment will not end until you say it is over. You are the VIP, and the Dr. will not rush out to see the next patient. Up to five times a year, Dr. Goldsmith will come in early or stay late to accommodate your schedule. Office hours no longer define available business hours for Concierge patients. If you have a medical question that cannot wait for an appointment, you can call Dr. Goldsmith on his private cell phone number you receive after you sign the Agreement and payment has cleared.

Front of the Line Access

 If you need a referral or a prior authorization for a medication or service, your request is moved to the front of the line. Your wait will only be as long as the insurance takes to make the determination. One of our staff members will coordinate everything for you and reach out to you with the details. We will always consider any request you have including the prescription refills you need a top priority. As soon as we receive the results to any labs or procedures you were sent out for, a member of our staff will call to let you know if a follow-up appointment is needed.

 Weight Loss, Fitness Assessment and Nutritional Analysis

Your covered physical will include a dietary analysis, education on necessary lifestyle changes and dietary modification to optimize your health regime. A body fat analysis will be given when your physical is received. The body fat analysis will be available to you upon request, free of charge (a $20 value), any time you have an appointment. If you book a follow up appointment to the covered physical, we will provide a detailed fitness program designed to meet your individual needs. Although the weight loss program requires paid visits every eight weeks (and cannot be billed to insurance), your added benefits of a complimentary body fat analysis and detailed fitness program will be included with any appointment you request it at.

Medical Insurance Suggestions

 Many services we provide are billable to insurance, with the exception of the diet, anti aging and wellness products and services. We are providers for most of the Major Medical Plans in town. The Program only covers services described in the Program Agreement. Any additional diagnoses, non-program medical services, specialty care, laboratory, imaging, prescriptions, hospital services and more are not covered. They are the sole responsibility of the patient. This program is not designed to take the place of an insurance company. Membership fees cannot be billed to any insurance, but many of the items not covered in the membership can be. All follow up visits to the one covered physical examination will be billed to insurance or the patient if no insurance is provided. Therefore, patients are encouraged to maintain health care insurance. All items that are insurance billable will be provided at a cash discount to those without insurance.

 Membership Fee Options

Dr. Ivan Goldsmith, through Innovative Care Physicians, offers several programs and payment options for Concierge Program members.

 

Annual Plans

 Individual $2,000.00

Two Family Members $3,500.00

Three Family Members $4,500.00 + $1,000.00 per additional member after three

 

Quarterly Plans

Individual $550.00

 Two Family Members $925.00

 Three Family Members $1175.00 + $250 per additional member after three

Family members must be from the same immediate family. Children qualify under a parent’s plan if they are between the ages of 15-26. We do not see anyone younger than 15. Patients over 26 must purchase their own plan or may share a plan with a spouse.

 Your plan is effective either three months or one year (depending on the payment option you select) from the date the Agreement is executed. It will remain in effect as long as the next payment is received before the expiration date. If payment is not received by the expiration date or is reversed for any reason, your current Agreement will terminate. A new Agreement must be executed if you wish to continue on the program.

 These prices are guaranteed to remain the same upon renewal for the life of the Agreement as long as the next payment is received before the current period expires. If payment is late, you will be charged the prevailing rate of a new Program member and will need to execute a new Agreement. Space is limited to 250 Patients. Your spot is only guaranteed as long as your Agreement does not expire. Once an Agreement expires, we cannot guarantee your space will still be available when you choose to renew.

 If a family member moves from your plan to an individual plan without a lapse, an individual Agreement will need to be executed. The Program spot will be guaranteed, and the prevailing individual rate at the time the original Agreement was executed will be granted. This also applies to anyone moving from an individual plan to a family plan assuming space is available for the family member being added. Any time a member is added or dropped from a plan, a new Agreement needs to be executed. We will always honor the rate of the Original Agreement as long as there was no lapse in payment or membership.

 As long as payment or membership does not lapse, you can alternate between the annual plan and the quarterly plan as you choose. A new Agreement is not necessary to change the payment plan. We will know which plan you are selecting by the amount you send in.

 For more information regarding payment arrangement or to order a Patient Agreement, please call the Administration office at 702-646-9444 option 4.

Frequently Asked Questions

How does Dr. Goldsmith’s Concierge Program differ from other practices?

 Dr. Goldsmith’s philosophy emphasizes prevention and extends beyond symptom oriented medicine.

The Program is limited to 250 patients (unlike other programs who have 650 or more). He is able to offer special benefits and more quality time than providers in typical practices. Program members will receive priority appointments and overall care whether inside our outside of the office. There are not any other programs offered that include an overall wellness approach with VIP service available from a primary care physician, who holds Board Certification in Internal Medicine, Anti Aging and Bariatric Medicine.

 

Why does Dr. Goldsmith limit the number of Concierge Patients?

 Patients and physicians are frustrated with the current crisis affecting the US healthcare system. Physicians are extremely rushed, since they often see 25-35 patients a day. The average patient must schedule appointments weeks or months in advance only to see the provider for 10-15 minutes after a long in office wait. By limiting the number of Concierge Patients, we are assuring that each member gets the exceptional service we are offering.

Can I bill the membership fee to my insurance?

 The Concierge Program is not covered by medical insurance. While some insurances cover a basic physical, we are providing a comprehensive physical (with items that are more complete than any insurance would cover). It is a covered benefit of the overall program and will never be billed to insurance or the patient (if no medical insurance is on file). All of the other program perks are not benefits of having insurance. Members are encouraged to check with their employer concerning their personal benefits. Some employers have been known to cover programs like this as an executive benefit, since it includes a comprehensive physical. The membership fee(s) may also be reimbursable by cafeteria plans, health savings accounts, flexible spending accounts and/or health reimbursement accounts.

Does Dr. Goldsmith accept insurance for additional services?

 There are a number of products and services we carry that are billable to insurance. We do not bill cash only items to any insurance but will provide billing records to any patient upon request for self submission. Any insurance billable item will be submitted on your behalf as long as we are providers for your medical insurance. The office staff can assist you in determining if we take your plan or if an item is billable to insurance. Please call 702-367-0808 option 0 for more details.

 How do I reserve my spot in the Concierge Program?

 Availability is limited to the first 250 patients who obtain membership. Once these spots have been filled, your name can be placed on a waiting list. Current members have the first right to renewal spots unless their membership lapses. Patients on the waiting list will be contacted in order once members leave their guaranteed spaces. Please contact the Administration office at 702-646-9444 option 4 to discuss possible enrollment.

What happens if my physician is out of town?

 For acute medical conditions, patients are asked to be seen by the Physician’s Assistant. The same level of benefits will be given by the replacement provider. He/she will coordinate your healthcare with your provider.

 

New Patient Forms

Attention All New patients

Save Time By Printing And Filling Out Our New Patient Forms!!!

Medical Patients Please Click This Link Below, Print And Fill Out

New Patient Form

 

Diet Patients Please Click The Link, Print And Fill Out

New Diet Patient Form

 

Testimonials

Want to see more check out all the testimonials here!!!

 

RaulC
28th July 2014

Dr. Goldsmith and Dr. Wayne really helped me out , understanding people like me, everything was very professional , blood work , drug testing, even my heart was checked, lungs, I can’t take them and the staff for finally making me feel like myself , is not a 3 hour wait wich I hate, and everyone is so kind and took my problems way to the root , I feel healthy, no more pain , I have no words to say how happy I am, most doctors just care about sucking off your insurance card! I have no insurance ! And they cared about my health, thabks to Obama my meds are not coverared on insurance so must get a private intelligent , very stricked Dr. To check what’s the bottom of your problems… They take time and listen , test you, screen you , if you are a druggy don’t bother this clinic is real, because they CARE!
Dr.blonde

RaulCLas Vegas
Anonymous
26 July 2014

Your office is always accommodating and the staff is very friendly.

AnonymousLas Vegas
Phillip BS

26th July 2014

Dr, Goldsmith and his staff have great expertise and knowledge in the maintenance of fundamental health and in lowering body weight to keep within acceptable, norms and limits. More importantly, however, they have compassion for their patient’s shortcomings and his or her struggles to maintain it. importantly, they have basic technology and supplements to facilitate weight maintenance within acceptable parameters. Assistants have looks and patience to boot, but the doctor’s expertise and knowledge in the science of aging is valued beyond measure by this patient.

Phillip BSLas Vegas
Raye TB

Still No.1

22nd July 2014

Staff was friendly and helpful. The person I saw for my consultation was knowledgeable and professional , very helpful.

 

Raye TBLas Vegas

 

Team

We believe in a diverse range of personel to bring creative skills, thoughts, and ideas to the table.

Travis James Zipper

Travis James Zipper

Coach View Details
Travis James Zipper

Travis James Zipper

Coach

Travis James Zipper specializes in guiding clients on a path to a healthier lifestyle based on real food and proper exercise. TrimCare is proud to have Travis on our Las Vegas Diet team!

(702) 878-8888

EDUCATION AND CERTIFICATIONS:

Bachelors of Computer Engineering Technology from Arizona State University

I.S.S.A. Personal Trainer Certification
I.S.S.A. Nutritionist Specialist
I.S.S.A. Fitness/Exercise Therapist
Crossfit Level I Trainer

SPECIALIZATION:

Travis’s back to basics approach to health, nutrition and wellness is one that is founded on educating others about how to best care for themselves on a daily basis by eating real, unprocessed foods and incorporating exercise into their daily lives.

Travis can help you to identify your DNA Diet Type, Metabolic Type, provide a detailed meal plan based on the above by first educating you on what foods are optimal for your body and mind and by giving you the ideas and recipes to make the process of creating a new healthy lifestyle that you can stick with.

GOAL:

Whether it is losing weight or getting ready for a fitness competition. My goal is to help you choose the best foods, in the correct portions at the optimal time for obtaining personal wellness. I am here to figure out what works best for you!

EXERCISE:

Getting started with an exercise program for the first time can be overwhelming, so it is important to listen to your body and stay within your prescribed fitness limitations and most importantly enjoy what you are doing. So designing the proper program, should be custom tailored with the one goal of helping you meet your fitness goals.

PERSONAL:

“I love the feeling that the gym brings, seeing people’s faces, watching their efforts, seeing their progressions and being in contact with everyone.” ‘When you don’t feel 100%, exercising can be the one thing that can turn the day around.”

I would love to design a program for you, so come in and talk to me about your goals and we will put you on a path to make it happen. If you are willing to put in the work? Call me at (702) 878-8888 ask for Travis!

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Real Doctors. Real People. Real Weight Loss.