weight loss

Weight Loss Counseling

By: Ashley Gesiewski
Published: December 31, 2019

How Prescription Weight Loss Medications Can Help Shed Stubborn Pounds

Did you know that a third of Americans are considered overweight? For many primary care physicians, obesity is becoming more and more prevalent. Anyone can diet and lose weight, but changing your lifestyle is the key to maintaining a healthier weight.

The National Institute of Health (NIH) states that more than two-thirds of adults and almost a third of children in the U.S. are overweight or obese. Obesity is defined as someone who has a BMI>30 and overweight for individuals with a BMI>27.weight loss counseling

There are two main ways to control your weight; daily physical activity and healthy eating habits. If these lifestyle changes are not enough to help you lose weight, your doctor may prescribe medications as part of a weight-control plan.

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What you need to know about hypertension

What You Need to Know About Hypertension

By: Meg Irish

According to the American Heart Association, more than 100 million Americans have hypertension, also known as high blood pressure. Hypertension puts you at greater risk for various cardiovascular diseases including heart disease, stroke, and sometimes death. High blood pressure occurs when the force of blood flowing through your blood vessels is consistently high. This contributes to hardening of the arteries because the heart is continuously working harder to pump blood around the body. What you need to know about hypertension

According to TPMG Osteopathic Family Medicine Physician, Matthew D. Fenlason, DO, “Hypertension is the most common condition treated by primary care physicians and is responsible for the greatest number of chronic prescriptions.”

Blood Pressure Guidelines (American Heart Association)

  • Normal Blood Pressure: under 120/<80 mm Hg (millimeters of mercury)
  • Elevated Blood Pressure: 120-129/<80 mm Hg
  • Stage 1 Hypertension: 130-139/80-89
  • Stage 2 Hypertension: <140/90
  • Hypertensive Urgency: >180/>120
  • Hypertensive Emergency: >180/>120 with organ failure (kidney, heart, etc.)

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Lori Palcic, FNP-C

Lori Palcic, FNP-C

Lori Palcic, FNP-C earned her undergraduate degree from Virginia Polytechnic Institute and State University in Blacksburg and continued her education at Northern Virginia Community College in Annandale where she earned her Associate of Applied Science in Nursing. Lori earned a Master of Science in Nursing, Family Nurse Practitioner from Old Dominion University in Norfolk.

First introduced to the medical field when working as a medical office receptionist after college, Lori continues to be fascinated by the human body and the ever-changing nature of medicine. She credits the most rewarding part of her career to the personal and professional satisfaction she feels knowing each day she has had the opportunity to help someone.

Prior to pursuing her graduate degree to become a Family Nurse Practitioner, Lori worked as a registered nurse in the Labor and Delivery unit of hospitals in Florida and Virginia for nearly 15 years. Although she greatly enjoyed the opportunity to provide women’s health services, she has loved practicing family medicine and providing the full spectrum of care that it allows.

Lori also enjoys the opportunity to provide education on a variety of medical conditions to help patients manage their conditions and risk factors to become the healthiest versions of themselves. In particular, diseases and disorders like diabetes, hypertension, and hyperlipidemia that affect a large portion of the population.

Outside of the office, Lori enjoys spending time with her family and friends, attending local concerts and festivals, and visiting the beach.  She joined TPMG Independence Family Medicine in 2018 and alongside Eric Byman, MD, ABFM and Mary Huntley-Wagner, FNP-BC, and Amanda Quinn, PA-C provides quality, compassionate care to the Virginia Beach community.

Angel Miller

Angel Miller, DO

Family Medicine Physician in Chesapeake, VA

Angel Miller, DO earned her undergraduate degree in Biomedical Sciences from the University of South Florida, graduating Summa Cum Laude. She earned her medical degree at the Philadelphia College of Osteopathic Medicine in Georgia and completed her residency training through Eastern Virginia Medical School at Portsmouth Family Medicine, where she was honored as Intern of the Year in 2016 and served as Administrative Chief.

As a family medicine physician, Dr. Miller offers a variety of services including sports physicals, general medical examinations, birth control management, joint injections, and minor skin procedures in-office. Her special medical interests include women’s health, adolescent health, diabetes management, hypertension, and contraception management.

Dr. Miller believes good health is dependent upon both treatment and the connection of the mind and body. As a family medicine physician, she is passionate about leading a healthy lifestyle and is devoted to building trusted relationships with her patients to help them achieve optimal health and their own personal wellness goals.

A member of the Gold Humanism Society, Dr. Miller is recognized as a leader in the medical community, as nominated by her peers, for exhibiting the qualities of excellent interpersonal skills and empathy to provide compassionate healthcare.  She is also a member of the American Academy of Family Practice, the Virginia Academy of Family Practice, and the Virginia Osteopathic Association.

Outside of the office, Dr. Miller volunteers her time with local organizations and is actively involved with her church. A former ballroom dance competitor, Dr. Miller continues to social dance for fun and enjoys participating in fitness classes to stay active.

Drawn to Hampton Roads due to the proximity to the coast and friendly community, Dr. Miller looks forward to building her practice at TPMG Coastal Internal Medicine and Tidewater Bariatrics in Chesapeake and welcomes new patients to schedule an appointment.

Dr. Katharine Van Slyke

Katharine M. Van Slyke, DO

Dr. Katharine Van Slyke completed her undergraduate degree in Biology from the University of Richmond in Virginia and earned her Doctor of Osteopathic Medicine degree from Philadelphia College of Osteopathic Medicine (PCOM) in Pennsylvania. She completed an internship and began her residency in Internal Medicine at PCOM, where she served as Chief Intern and was honored as Intern of the Year. Dr. Van Slyke completed her residency training at Eastern Virginia Medical School in Norfolk, Virginia and has been practicing in the Tidewater area ever since.

A board certified internal medicine physician, Dr. Van Slyke specializes in the care of patients 18 years of age and older, and has a special medical interest in the care of adults over the age of 55.  Dr. Van Slyke believes in a holistic approach to medicine and likes to incorporate preventive care and lifestyle medicine into every visit. She treats both acute and chronic medical conditions such as diabetes, hypertension, cholesterol issues, thyroid problems, and digestive issues. She also offers pre-operative clearance exams, annual physicals and women’s health exams.

Dr. Van Slyke is a member of the American Osteopathic Association and American College of Osteopathic Internists. She has also been named a Coastal Virginia Magazine “Top Doc” in Internal Medicine, as voted for by her peers in the Hampton Roads area.

Originally from Pittsburgh, Pennsylvania, Dr. Van Slyke is a dedicated Pittsburgh Steeler fan and an avid traveler–a passion developed during her undergraduate semester in London traveling throughout Europe in her spare time and on weekends.

Dr. Van Slyke is married to a United States Naval Officer, also a physician, and has two children. Outside of the office, Dr. Van Slyke is active in her church and enjoys going to the beach, reading novels, hiking, cooking healthy food, and spending time on the sidelines of her children’s sporting events.

Margaret M. Gaglione, MD, FACP

Margaret M. Gaglione, MD, FACP

Margaret M. Gaglione, MD, FACP,  received her Bachelor of Science degree, graduating Summa Cum Laude, from Le Moyne College, Syracuse, New York in 1988 and pursued her Medical Degree at Pennsylvania State University College of Medicine graduating in 1992.  Dr. Gaglione completed her residency in Internal Medicine at Naval Medical Center Portsmouth in 1995 and proudly served our country from 1992 through 1998 earning the rank of Lieutenant Commander.

During her military career, Dr. Gaglione received numerous honors and awards for her service including the Navy and Marine Corps Achievement Medal for Professional Achievement, Naval and Marine Corps Commendation Medal for Meritorious Achievement, Outstanding Service Medal from Uniformed Services University, Excellence in Teaching award, Clinician Educator of the Year award, and Entrepreneurial Excellence Award.

Currently, Dr. Gaglione is the Assistant Professor of Clinical Internal Medicine at Eastern Virginia School of Medicine, Bariatrician at Tidewater Bariatrics and Associate Professor of Medicine at Uniformed Services University of Health Sciences.  She continues to dedicate her time as an active member of several professional societies, as well as contributing to editorials, reviews, and presentations.

Dr. Gaglione is a Diplomate of the American Board of Internal Medicine as well as the American Board of Bariatric Medicine.  Her special interests include the treatment of obesity, diabetes, hypertension, and hyperlipidemia.

In addition to practicing at TPMG Coastal Internal Medicine, Dr. Gaglione treats patients at Tidewater Bariatrics, the only full in-clinic HMR®, Health Management Resources, program in the state of Virginia.  She and her staff are committed to helping you achieve your weight loss goals through education, treatment, and maintenance programs such as meal programs, grocery store food programs and the use of pharmaceutical therapeutics, as appropriate.  In 2014, Tidewater Bariatrics turned seven years old, and a total of 55,000 pounds were shed for 2,000 patients, with 496 medications dropped or discontinued.


Read more from Dr. Gaglione in Hampton Roads Physician Magazine.