Fit & Trim Study

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This is a 12-month Clinical Study (trial) supervised by a Principal Investigator (Lead Physician) and his qualified medical staff, currently enrolling up to 10 (ten) qualified residents of New Providence, Nassau.

The Study is indicated for people with obesity with a Body Mass Index of 35 kg/m2 to 55 kg/m2 and one obesity-related comorbidity (disease). (If you do not know your BMI, just fill out the information below and we will calculate your BMI.)
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In addition to an eligible BMI, you must be self-mobile, able to exercise, have reliable transportation, and, above all, be highly motivated to change your eating and exercise habits.

This treatment is a minimally invasive medical procedure requiring a small 1 1/2inch incision in your thigh.

The AVOS medical device may cause early satiety (an early sensation of fullness from a limited amount of food), leading you to lose weight. Ten (10) patients have been treated with the device here in the Bahamas with good results.
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You will be required to attend clinic visits at 1, 3, 6, 9, and 12 months. This will allow us to observe your progress and provide personal support during the 12-month study.

Note: There is no compensation for your participation; however, the study’s medically related costs are covered by the US Sponsor of the Study.

This form requires all open questions to be filled in to the best of your knowledge. Unanswered questions may lead to disqualification.
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I agree to be contacted about this study* This field is required.
I agree to be contacted about this study
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First Name* This field is required.
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Gender* This field is required.
Male
Female
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Age* This field is required.
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Height (feet)* This field is required.
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Height (Inches)* This field is required.inches
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Weight (pounds)* This field is required.
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Have you been diagnosed with any of the following?
Type 2 Diabetes
High Blood Pressure
Sleep Apnea
Arthritis/Joint, Back, Leg Pain
Kidney or Liver Disease
Heart Disease
None of the above
Other
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Current Medication that you are taking
Name
Dose
Reason
Medication 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Medication 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Medication 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Medication 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Medication 5
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Medication 1
Medication 2
Medication 3
Medication 4
Medication 5
Name
Row 0, Column 0
Dose
Row 0, Column 1
Reason
Row 0, Column 2
Name
Row 1, Column 0
Dose
Row 1, Column 1
Reason
Row 1, Column 2
Name
Row 2, Column 0
Dose
Row 2, Column 1
Reason
Row 2, Column 2
Name
Row 3, Column 0
Dose
Row 3, Column 1
Reason
Row 3, Column 2
Name
Row 4, Column 0
Dose
Row 4, Column 1
Reason
Row 4, Column 2
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How long have you been Obese?* This field is required.
Since childhood
Adulthood
Teen years
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Score
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Please explain why you feel you are obese and have not been able to lose weight* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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How often do you eat in a day?* This field is required.
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Do you snack in-between meals? If yes, what do you snack on?* This field is required.
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What time in the evening is your last meal, typically?* This field is required.
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How often do you frequent fast food restaurants in a week?* This field is required.
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What weight loss methods have you tried?
GLP Drugs
Diet programs
Exercise programs
Bariatric Surgery
None
Other
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Are you able to attend outpatient visits in the Bahamas if selected?
Yes
No
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Are you currently on GLP-1RA drugs?* This field is required.
YESNO
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How long ago did you discontinue GLP treatment and why did you discontinue?* This field is required.
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Do you have reliable transportation to attend outpatient visits in Nassau if selected?* This field is required.
Yes
No
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Do you exercise each week?* This field is required.
YESNO
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How many times per week do you exercise, and for how many minutes?* This field is required.
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What is your exercise of preference?* This field is required.
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Why do you not exercise?* This field is required.
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Immediate family/partner support is crucial. Do you worry that people around you/family/friends will not support your lifestyle changes with food/exercise?* This field is required.
YESNO
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If yes, how will you handle it proactively?* This field is required.
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Finally, why should you be one of the ten individuals chosen for this opportunity?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Email* This field is required.
example@example.com
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Phone* This field is required.
Area Code
Phone Number
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Priority
Should be Empty: