SHAKE: Social Health Awareness through Knowledge & Exercise.

The SHAKE Program was created by Dr. Pierre-Louis to address obesity as a disease—not simply a number on the scale. Obesity affects more than 2 in 5 American adults and contributes to chronic disease, diminished quality of life, and premature death.

In dermatology, we often see the consequences of obesity on the outside before patients recognize what may be happening within. Excess adiposity can alter metabolism, hormones, and inflammatory and immune pathways, contributing to the development or worsening of conditions affecting the skin, hair, and nails.

But the impact does not stop at the skin. Over time, obesity can contribute to cardiovascular disease, type 2 diabetes, stroke, kidney disease, certain cancers, and other serious health conditions that can shorten life expectancy.

SHAKE helps patients treat obesity, improve obesity-associated conditions, reduce long-term health risks, and build a healthier life that can be sustained. Because successful weight management isn't simply about losing weight. It's about gaining health—and protecting it to maintain Visible Wellness.

SHAKE Program: Treating More Than Weight

MAKE AN APPOINTMENT TO LEARN MORE ABOUT OUR SHAKE PROGRAM TO HELP FIGHT OBESITY!

Infographic titled "Ten Reasons to Lose Weight". Lists benefits including living longer, looking better, feeling healthier, healing faster, more energy, preventing disease, reducing inflammation, slowing down aging, protecting the body, and sharing your story. Includes "Shake Obesity" logo and tagline "Visible wellness for all".

Obesity-associated dermatology disorders

  • Obesity aggravates psoriasis and further increases the risk of heart disease. The number one cause of death for psoriasis and obese patients is heart disease.

  • Obesity disrupts numerous body organs in this condition to cause mild to severe inflammation in the body folds in the form of painful boils and cysts.

  • Obesity causes the rubbing, irritation, and infection of skin and hair follicles to form painful boils and cysts that may leave scars.

  • Obesity causes inflammation and hormone shifts that can cause deep cystic and inflammatory acne of the face and body in males and females.

  • Stress from chronic inflammation and systemic illness can flare rosacea to cause facial redness, swelling, and painful pimples.

  • Obesity affects the pancreas over time to cause insulin resistance and diabetes. As the pancreas malfunctions, hyperpigmentation occurs on the face, extremities, and in body folds due to excess peptide production.

  • Numerous hair problems occur in obesity. The hormonal and inflammatory stressors on the body cause shock and accelerated aging of hair follicles to cause premature androgenic alopecia in addition to potential telogen effluvium and scarring alopecia. Excess facial hair, hirsutism, may occur in women from hormone disruptions due to obesity.

  • Obesity disrupts the immune system and increases the risk of all skin cancers, especially melanoma in those with a personal or family history of the skin cancer.

  • The unhealthy state of obesity can exacerbate vitiligo, prurigo nodularis, yeast intertrigo, keloids, seborrheic dermatitis, other eczemas, dry skin, and skin infections.

Infographic titled 'Shake Obesity' featuring a colorful pie chart. Sections include: Nutrition, emphasizing natural foods and avoiding high fat, salt, and sugar; Fit Mindset, adopting a lifestyle commitment; Physical Activity, advocating daily exercise; Community, highlighting accountability and support; Medicine, noting the role in weight loss but not as a cure. Background is dark blue with white text. Source: twincitiesderm.com.

LET’S SHAKE OBESITY WITH A FIT MINDSET!

  • Open-faced sandwich with sliced eggs, tomatoes, cucumbers, and greens, accompanied by cheese with walnuts, grapes, apple slices, strawberries, and blueberries on a plate.

    NUTRITION

    Poor nutrition causes obesity. Foods with high fat, sugar, and salt content create addictive cravings and dependency on toxic foods that slowly cause organ damage. Our bodies stop processing these sugars, fats, and salts and develop diabetes, high cholesterol, and metabolic dysfunction. A nutrition reset is essential to SHAKE Obesity.

  • Fitness equipment including blue running shoes, various dumbbells, weightlifting gloves, and an exercise ball on a wooden surface.

    PHYSICAL ACTIVITY

    Physical activity and routine exercise is a critical component for successful weight loss and to keep it off. Lack of physical activity causes obesity and will limit your ability to lose weight. You must work off the weight to lose it. Engage in an exercise plan to lose weight, keep it off, tone excess skin, and prevent future illness.

  • Silhouette of six people posing energetically inside a large metallic pipe structure, with a lake and mountains in the background.

    COMMUNITY

    Obesity is a public health challenge. It reflects the poor health of many in our communities. Obesity will not go away without community support to SHAKE Obesity. Friends, family, and loved ones need support to take action and treat obesity.

  • Syringe with two vaccine vials on a white background.

    MEDICINE

    Advancements in science and medical drug development have identified specific targets to help patients lose weight, prevent organ failure, and restore health. No one is beyond help if they want it. We offer systemic medications to support your weight loss goals.