What is Medically Supervised Weight Loss?

In the past, weight loss programs were based on one metric and one metric alone: pounds lost. Pounds lost could have been from exercise, proper nutrition, or both. And it still is today; however, what we look at today, from a clinical standpoint, is vastly changing as we move into the future. Rejuv Medical continues to forge ahead and blaze the trail as we set new standards in the Medical Fitness Industry. In the past, we looked at a food journal and cross compared calorie consumption with a metabolic test, which was a calories in vs. calories out system.

But now, with the introduction of Clinical Bio-Metrics, we can examine the full picture, both internally and externally, as each individual moves through a personalized weight loss and overall health journey.


Additionally, we make the data easy for patients to comprehend!

It is not important that you understand the factors that we measure; that is why we have designed the new Bio-Score system!

Fitness Bio-Scores are averages taken from your Bio-Metric Measurments that make it easier for you to see progress without having to dissect all the complicated numbers.

Notice how this graphic shows progression and results.

Rejuv Medical Weight Loss Bio-Score Example


What determines the External Bio-Metric Score?

We measure height, weight and BMI – This has not changed.

We measure tobacco use status – This has not changed.

We measure the hips and then the waistline giving this a ratio. – Again, same as before.

We measure blood pressure, this has been tracked before, but we are putting a higher focus on this moving forward.


What determines the Internal Bio-Metric Score?

Internal Bio-Metrics are the newest addition to the medically supervised weight loss program at Rejuv Medical! These metrics are looking deep into your health and into the future of your health.


Here is what we measure with the Internal Bio-Metrics:

Total Cholesterol: This is a total measurement of the several lipoproteins of the blood. Those being LDL’s (low-density lipoproteins) or the “bad cholesterol” HDL’s (high-density lipoprotein) or “good cholesterol” and VLDL’s (very low low-density lipoproteins) another form of “bad cholesterol” in the blood stream. VLDL’s contain the highest amount of triglyceride and are difficult to measure directly, so are often estimated from the TC level.


HDL: Also known as a high-density lipoprotein, this is often referred to as, “good cholesterol.”  HDL particles are responsible for transporting fat molecules out of the artery walls and to reduce accumulation of fats in the blood.  We want to see HDL’s go up throughout the program.


LDL: Also known as a Low-density lipoprotein, this is often referred to as, “bad cholesterol.” LDL particles are responsible for depositing cholesterol on the vessel walls, increasing the risk of cardiovascular disease, particularly atherosclerosis. We want to see LDL’s go down throughout the program.


TC/HDL ratio: This shows the relationship of HDL and total Cholesterol, a predictor of atherosclerosis.


LDL/HDL ratio: a mathematical relationship of “bad” to “good” cholesterol. A more proven predictor of atherosclerosis than TC/HDL.


Triglycerides: This is a floating fatty acid found in the blood-stream. High levels of triglycerides have been linked to common heart diseases and have been known to lead to strokes. These are also the molecules that become stored as body fat.


Glucose: Glucose is the primary energy molecule for most cells of the body. It is broken down and used for energy in the body. By measuring blood glucose we can gauge the body’s ability or inability to provide energy to the cells. Excessive glucose (not broken down for energy) is eventually stored as fat. An increase in long-term glucose metrics could expose evidence of the onset of diabetes.


HbA1c: Here we are measuring the glycated hemoglobin. This measures the average plasma glucose concentration over prolonged periods of time. In other words, we can predict your body’s natural ability to control the glucose levels in the blood.


Where will the Bio-Scores take healthcare and the way we view medical weight loss?

By implementing the Bio-Score and a well documented history, you will be able to see first-hand results! We can graph these results and predict future outcomes, so long as you stay the course.


Can I lose fat, but not lose weight? How do I know?

The answer is yes, because fat weighs less than muscle it is possible to gain weight and lose fat. So how do we determine the ratio of fat loss to muscle gain?


The Advanced Bioimpedance Analysis

This test is not new to Rejuv Medical, however our understanding of what we can measure with it has certainly improved and has given life to the importance of utilizing the metrics behind the exam. The advanced bioimpedance test measures body composition, and in particular body fat. It also measures the composition of Fat Free Mass (FFM).  The FFM value represents everything added up in your body, except for the fat. FFM can also be referred to as Lean Body Mass. This value is a great indicator of an increase or decrease in muscle mass.

Let’s take a look at a real-life patient from Rejuv Medical. This will help explain the outcome of results.


Testing and retesting is important for tracking clinical results.

How to review the information given in a Bioimpedience Analysis History Report:

The Above Chart: These are the results of a 185 pound female at age 59. She wanted to lose 30 pounds to hit her goal weight of 155 pounds. If we were to look at sheer weight over one year we would notice that she went from 185 lbs to 174.4 lbs by the end of the year. Did she hit her goal weight? In past results, we would say no. She lost 10.6 lbs.

This is far from the truth! Let’s use the rest of the test results to pin down the real weight loss results.

Result of “Fat” in January of 2014 was = 84.1 pounds.
Results of “Fat” in December of 2014 was = 57.4 pounds.
This female subject lost a total of 26.7 pounds of body fat! ß Nearly hitting her goal!


Compare this to the pounds of FFM / muscle mass gained:
FFM result in January of 2014 was = 100.9 pounds lean body mass
FFM results in December of 2014 = 117.0 pounds lean body mass
This female subject gained a total of 16.1 pounds of lean body mass

Starting weight of 185lbs – 26.7 lbs of fat = 158.3 pounds +16.1 pounds of lean body mass = 174.4 lbs!


Without these clinical measurements, this individual would be inclined to feel that the weight loss efforts were all for nothing! From month 6 to month 12, this client would have proclaimed that she hit a plateau! In reality, it was during this time that she saw the greatest change in body fat! However, this individual also saw a dramatic influx of muscle composition.



Metabolic Testing takes the guess work out of eating!

This exciting technology measures resting metabolic rate. After adding in your lifestyle and exercise calories burned, we can pinpoint the most calories you can safely consume and still lose weight. This technology is very important and is a huge asset for the success of your program. We want you eating more! Yup, the Metabolic Test will give us your resting metabolic rate and will allow us to measure an exact number of calories your body can consume in a day and still maintain your weight. Then we also can determine how many calories your body can burn with 30 minutes of exercise. No more guessing how many calories you should consume!

Example: If your test results come back as 3,000 calorie limit to maintain your weight, we would expect that you consume 6 meals in a day at roughly 500 calories each. If your 30-minute expenditure is 300 calories and you have a 1-hour workout in a day. you could consume an additional 600 calories and maintain your current weight. Or, if you do not consume that additional 600 calories, you would give your body the opportunity to lose weight! See how it pays to know your number?


The Functional Movement Screening with a Medical Fitness Specialist

The Functional Movement System is a neural-based approach to movement assessment intended to: assess and identify pain in fundamental patterns, identify fundamental movement pattern dysfunction to avoid injury, provide a baseline of exercise pattern competency for future training progression, and provide a standard for movement re-evaluation after corrective training has been implemented (if needed). Movement corrections strategies are integrated into functional patterns to maximize a joint’s mobility while maintaining stability.


What is a Medical Fitness Specialist? 

A Medical Fitness Specialist is a Highly Trained Certified Personal Trainer with an ACSM Accreditation who has under-gone an intense 6-month certification program.


Personal Training is a one-on-one individualized workout program suited to your fitness goals. Your medical fitness specialist will also work with you on how to maintain your results through healthy lifestyle habits. Each training session includes dietary guidance, motivation and accountability.


There are also semi-private training sessions available too! These small groups are made up of 4 to 5 other training clients that are at the same level of fitness as you. These small groups can also be medically supervised programs.


Boot Camps can also be medically supervised programs. However, they do require more self-motivation and personal accountability.


Appointments with our Nurse Practitioner

During a medical appointment, your practitioner will asses factors in your lifestyle and health history that may have led to weight gain. These include medical history, family and social history, symptom review, and vital signs. A physical exam will be done and lab tests ordered to assess blood or saliva levels of hormones, metabolic and vitamin levels. Based on the results, hormones can be balanced, optimizing levels are optimized for improved health, function, and weight loss. 


Appointments with our Physicians

Patients that have limited movement or pain related joint dysfunction should be seen by one of our physicians first, or be cleared by their own family physician before starting an exercise program. Each patient is screened and evaluated. Non-Surgical Orthopedic Treatments or Physical Therapy are available if necessary. Medical accommodations are made and arranged for the patient based on their medical situation. Our Medical Fitness Specialists are trained to work through and around each medical condition.


Appointments with our Registered Dietitian / LEAP Therapist

No two people are alike, and no one diet is the best for everyone. Our dietitian takes a full assessment of lifestyle factors, eating patterns, and health history to develop a personalized eating plan.

Do you have chronic headaches, joint pain, or digestion complications?

Our RD also specializes in food sensitivities, offering the latest technology and guidance in finding foods that negatively impact the immune system that cause systemic inflammation.  Eliminating trigger foods and eating your specific anti-inflammatory foods leads to relief from chronic suffering and pain.


The Rejuv4Life Meal Plan

The Rejuv4Life Meal Plan is a dual phase approach to clinical weight loss. There are seven key elements one must understand to achieve their ideal weight. Have you hit a plateau? Are you not seeing the results you have been hoping for? Get the Rejuv4Life Meal Plan!


Rejuv University and the Levels of Education

The University is here to educate our clients on Fitness, Nutrition, Psychology, Anatomy, Endocrinology and Physiology to ensure a complete understanding of the lifestyle transformation they are experiencing. Knowledge is power. Here at Rejuv Medical, we want to empower our clients with the best tools possible to ensure long-term success.

Clients are encouraged to watch and test out of each level. As they do, their achievement status is earned as seen in the hexagon chart above.


Grocery Shopping Tour

  • Cruising the aisles to find all the healthy foods and saying goodbye to the bad ones
  • Comparing your favorite products and finding the healthiest options
  • Learning how to read labels
  • Learning to calculate serving size and calories
  • Learning to make healthy balanced meals


Healthy Cooking Classes

Rejuv Medical believes in teaching each patient sustainable life skills to be successful long-term. Once a month, a Medical Fitness Specialist takes time to meet with a group of clients to educate in the kitchen. A three course meal is made as patients watch. Nutritional topics are discussed during this time as well. Everyone present gets to enjoy each course.


Lifetime Health & Fitness Guidebook

This book is designed to give you the knowledge to help keep
you fit and healthy for the rest of your life. It will contain all the
information you have learned while training at Rejuv.

  • Nutrition Guidelines
  • Individualized Meal Plans
  • Food Journaling Pages
  • Tips for Success & Personal Success Stories
  • All Previous Exercises Performed While Training
  • Body Composition Measurements and Assessments from Training Sessions
  • 200+ Healthy, Balanced and Delicious Recipes


So our medical approach to weight loss continues to pioneer and pave the way for the future of medicine!

With evidence such as this, we are able to grasp a better understanding of your body’s ability to lose weight and sustain health! Healthcare is beginning to transform. Never before, has such an approach been taken to reverse chronic disease and obesity.

Get started today.


Do you still need one more reason to get started?

Rejuv Medical offers a 30-day, no questions asked, MONEY BACK GUARANTEE! If you do not lose weight in the first 30 days, write us a letter and get your money back. Any investment spent on personal training or semi-private training will be refunded in full! We will help you lose weight! That is our promise to you!



The information on this site is solely for purposes of general patient education, and may not be relied upon as a substitute for professional medical care. Consult your own physician for evaluation and treatment of your specific condition.

Rejuv Medical Clinic is in close proximity to Central Minnesota's surrounding cities that include Saint Cloud, Sartell, Waite Park, Sauk Rapids, Rice, Saint Augusta, Luxemburg, Clearwater, Clear Lake, Becker, Big Lake, Elk River, Monticello, Buffalo, Annandale, Kimball, Hutchinson, Rockville, Cold Spring, Richmond, Saint Joseph, Avon, Albany, Melrose, Foley, Milaca, Princeton, Pierz, Little Falls, and Brainerd.


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