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Children's Hospital at Dartmouth Hitchcock (CHad)
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Clinical Programs

LiviNHealthy Clinic

The goal of our LiviNHealthy Clinic is to improve a child's health and wellness through sustainable changes in eating habits, fitness, self-esteem and healthy weight. We also work to identify and manage underlying causes of obesity as well as obesity-related complications such as diabetes, fatty liver disease, abnormal cholesterol, high blood pressure and metabolic syndrome. We partner closely with children and their families to develop a tailored approach that meets their particular medical issues, health and wellness goals and lifestyle challenges.

The primary treatment approach is lifestyle modification as advocated by the American Lipid Association, the American Heart Association and the American Academy of Pediatrics. This involves a healthy nutrition and physical activity plan, with intensification of treatment as needed. Additional interventions, including pharmacotherapy, may be recommended as well to address medical issues. Our team is positive and encouraging in its approach and recognizes that making changes in a busy life can be challenging.

Lipid Clinic

The goal of our lipid clinic is to diagnose and treat children and families with Familial Hyperlipidemia and other lipid disorders. The program focuses on therapeutic lifestyle modification, structured diet and activity recommendations, and lipid-lowering medications as indicated to create a treatment plan that is appropriate to a child’s diagnosis and family health goals.

What to expect

Initial visit

An initial visit with our multidisciplinary team will include a comprehensive medical and lifestyle (nutrition and activity) assessment, including laboratory work to assess your child's metabolic status. We will work to create an individualized medical plan that works for each family. We will coordinate care with your child’s primary care provider.

Ongoing care

Monthly visits are recommended, but we will try to create an individualized medical plan that works for each family. Our intensive lifestyle program includes group or individual dietitian and health coach visits in combination with medical management by our physician team. We will periodically reassess your child’s progress towards his or her health goals. Our team will make a plan for ongoing treatment in partnership with you and your child. This may include ongoing medical management and lifestyle counseling with our team and/or your child’s primary care physician. Patients can use our free, secure, confidential web service called myD-H, for weekly updates and guidance from their care team. We work closely with primary care physicians and your child’s other health care providers to assure that his or her care is coordinated.

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