Transcript of conference held at Nov 3, 2025 in room first_test@conference.miaiconvo.com Initial people present at 8:18:07 PM: Anastasia A - Patient Paul Hershberger Matthew Soliman - Doctor Transcript, started at 8:18:07 PM: ________________________________________________________________________________ <8:18:07 PM> Matthew Soliman - Doctor joined the conference <8:18:07 PM> Paul Hershberger joined the conference <8:18:07 PM> Anastasia A - Patient joined the conference <8:18:08 PM> Anastasia A - Patient: hello <8:18:21 PM> Matthew Soliman - Doctor: okay <8:18:24 PM> Matthew Soliman - Doctor: Asia <8:18:26 PM> Matthew Soliman - Doctor: what kind of <8:18:27 PM> Anastasia A - Patient: um I'm not really sure <8:18:28 PM> Matthew Soliman - Doctor: can I help you with today <8:18:35 PM> Anastasia A - Patient: I my mom kind of told me to come in and speak about things <8:18:40 PM> Matthew Soliman - Doctor: okay is there anything you think he was worried about <8:18:44 PM> Anastasia A - Patient: I think my way <8:18:49 PM> Matthew Soliman - Doctor: your weight okay <8:18:49 PM> Anastasia A - Patient: I think it's okay <8:18:51 PM> Matthew Soliman - Doctor: what are your thoughts about your weight <8:19:00 PM> Anastasia A - Patient: I feel a little heavy but <8:19:04 PM> Anastasia A - Patient: as bad as I used to <8:19:06 PM> Anastasia A - Patient: was very important yeah <8:19:08 PM> Matthew Soliman - Doctor: so you're saying you're used to weigh more now you you've lost some weight <8:19:10 PM> Anastasia A - Patient: yes <8:19:18 PM> Anastasia A - Patient: watching what I'm eating trying to be healthier <8:19:18 PM> Matthew Soliman - Doctor: how have you lost that way <8:19:22 PM> Matthew Soliman - Doctor: and what does that mean <8:19:27 PM> Anastasia A - Patient: so I don't need as much junk food or as many carbs anymore and I've started exercising <8:19:37 PM> Anastasia A - Patient: so <8:19:40 PM> Anastasia A - Patient: and yeah I'm just watching my way <8:19:42 PM> Matthew Soliman - Doctor: okay <8:19:44 PM> Matthew Soliman - Doctor: good that you're taking conscious decisions for your health what are your goals <8:19:48 PM> Anastasia A - Patient: my goals I have like excess fat I think on my body and my goal is to remove that <8:19:55 PM> Matthew Soliman - Doctor: okay so you wanted to remove excess fat <8:19:59 PM> Anastasia A - Patient: and to feel nicer about myself <8:20:03 PM> Anastasia A - Patient: because <8:20:07 PM> Matthew Soliman - Doctor: and <8:20:09 PM> Matthew Soliman - Doctor: what is it about that fat you don't like you said make you feel nicer <8:20:14 PM> Anastasia A - Patient: I'm sorry <8:20:15 PM> Matthew Soliman - Doctor: what is it about the fat you said that they were trying to lose what is it about that fat that you don't like <8:20:24 PM> Anastasia A - Patient: I mean it's fat I don't like the way it looks like on my body I look rounder I don't fit into clothes the way I want to <8:20:25 PM> Matthew Soliman - Doctor: okay so it's more of a how you see yourself see your body okay okay and so you've lost some weight you mind me asking how much have you lost <8:20:44 PM> Anastasia A - Patient: I think I lost about 20 25 pounds <8:20:45 PM> Matthew Soliman - Doctor: so okay so <8:20:49 PM> Anastasia A - Patient: assembly <8:20:55 PM> Matthew Soliman - Doctor: let's say you're 100 pounds now <8:21:00 PM> Matthew Soliman - Doctor: and we've lost about 20 25 pounds <8:21:04 PM> Matthew Soliman - Doctor: up with the measurement we lost we took today that put you at a BMI of 17.5 <8:21:13 PM> Matthew Soliman - Doctor: how do you feel with your weight now <8:21:17 PM> Anastasia A - Patient: I feel like it's on the right path <8:21:19 PM> Matthew Soliman - Doctor: okay and that's more with how you look at yourself <8:21:20 PM> Anastasia A - Patient: there's still room for improvement <8:21:23 PM> Anastasia A - Patient: yeah I think so like the way I fit into clothes <8:21:33 PM> Anastasia A - Patient: um yeah the way I see myself in the mirror also the weight number sometimes it fluctuates a lot <8:21:33 PM> Matthew Soliman - Doctor: okay and now you've lost this weight down 25 pounds <8:21:33 PM> Matthew Soliman - Doctor: and <8:21:43 PM> Anastasia A - Patient: mm-hmm <8:21:45 PM> Matthew Soliman - Doctor: with you know looking at the BMI you're on the low side of where you should be <8:21:46 PM> Anastasia A - Patient: mm-hmm <8:21:52 PM> Matthew Soliman - Doctor: but what kind of things are there any worries you have about losing weight like that <8:21:59 PM> Anastasia A - Patient: know I feel like I've always been on the heavier side all my life <8:22:06 PM> Anastasia A - Patient: um so I'm not worried about losing weight but I think I'm worried how much my mom is concerned <8:22:13 PM> Matthew Soliman - Doctor: okay <8:22:13 PM> Anastasia A - Patient: um so I'm trying to find a balance between <8:22:17 PM> Matthew Soliman - Doctor: he was saying you're worried about what your mom's concerns are what are your mom's concerns <8:22:17 PM> Anastasia A - Patient: I think she's concerned how fast I'm losing weight and how I look to her I look very skinny <8:22:27 PM> Matthew Soliman - Doctor: mmm <8:22:30 PM> Anastasia A - Patient: but to me I feel like I look healthier or better for my size <8:22:33 PM> Matthew Soliman - Doctor: okay but to her you look very skinny and I'm sure he's used to seeing you over the years <8:22:39 PM> Anastasia A - Patient: mm-hmm <8:22:43 PM> Matthew Soliman - Doctor: but for you you like the way you look <8:22:46 PM> Anastasia A - Patient: yes <8:22:46 PM> Matthew Soliman - Doctor: and you want to be healthy is that right <8:22:48 PM> Anastasia A - Patient: yes <8:22:51 PM> Matthew Soliman - Doctor: okay what is healthy means to you what kind of things with a healthy body do you want to be able to do <8:22:52 PM> Anastasia A - Patient: he answered the question um <8:23:02 PM> Anastasia A - Patient: I think I want to be but I wear any type of clothes I want and for them to fit well I want to be able to exercise <8:23:10 PM> Anastasia A - Patient: and I want to have energy I want to feel good <8:23:11 PM> Matthew Soliman - Doctor: okay <8:23:14 PM> Anastasia A - Patient: today <8:23:15 PM> Anastasia A - Patient: a lot lower <8:23:16 PM> Matthew Soliman - Doctor: and how has your energy been recently <8:23:19 PM> Matthew Soliman - Doctor: okay house bill <8:23:21 PM> Anastasia A - Patient: I don't know I just I require more coffee <8:23:21 PM> Anastasia A - Patient: every day <8:23:26 PM> Matthew Soliman - Doctor: okay <8:23:28 PM> Anastasia A - Patient: and I I sense that like lately I have to have an extra cup of coffee and like afternoon to give me through the day <8:23:37 PM> Matthew Soliman - Doctor: why do you think that might be <8:23:39 PM> Anastasia A - Patient: possibly from the weight loss <8:23:43 PM> Anastasia A - Patient: um <8:23:44 PM> Anastasia A - Patient: or maybe I'm just too tired I'm exercising now to so maybe that's just taking up a lot of my energy <8:23:48 PM> Matthew Soliman - Doctor: you know <8:23:51 PM> Anastasia A - Patient: mm-hmm <8:23:52 PM> Matthew Soliman - Doctor: and <8:23:54 PM> Matthew Soliman - Doctor: so you <8:23:56 PM> Matthew Soliman - Doctor: were your exercising a lot <8:24:00 PM> Matthew Soliman - Doctor: you're not eating as much <8:24:01 PM> Anastasia A - Patient: yeah I'm not eating as much purposely I mean I want to lose weight so I'm calorie restricting <8:24:08 PM> Matthew Soliman - Doctor: and you know how many calories you're at <8:24:10 PM> Anastasia A - Patient: I think I'm trying to be under a thousand a day <8:24:13 PM> Matthew Soliman - Doctor: okay <8:24:16 PM> Anastasia A - Patient: mm-hmm <8:24:18 PM> Matthew Soliman - Doctor: in that with a lot of exercise <8:24:21 PM> Matthew Soliman - Doctor: daily activities <8:24:23 PM> Matthew Soliman - Doctor: and you're feeling tired <8:24:24 PM> Anastasia A - Patient: yes <8:24:27 PM> Matthew Soliman - Doctor: of more coffee <8:24:28 PM> Anastasia A - Patient: yes <8:24:29 PM> Matthew Soliman - Doctor: would click like <8:24:30 PM> Anastasia A - Patient: um I would say disrupted especially since I'm drinking more coffee later in the day <8:24:36 PM> Matthew Soliman - Doctor: mm-hmm <8:24:39 PM> Anastasia A - Patient: so I can feel myself having a slight palpitations when I try to lay down and sleep <8:24:45 PM> Matthew Soliman - Doctor: okay <8:24:46 PM> Anastasia A - Patient: I struggled to fall asleep but then once I do fall asleep I'm okay <8:24:52 PM> Matthew Soliman - Doctor: now do these problems bother you is this something you'd want to improve <8:24:56 PM> Anastasia A - Patient: yeah I would like to have more energy <8:25:00 PM> Matthew Soliman - Doctor: okay <8:25:01 PM> Anastasia A - Patient: um but I don't want to go back to where I gain more weight <8:25:05 PM> Anastasia A - Patient: because it's such a household to lose it <8:25:13 PM> Matthew Soliman - Doctor: what do you think would be a good way to <8:25:17 PM> Matthew Soliman - Doctor: improve on those things like your energy like your sleep <8:25:21 PM> Matthew Soliman - Doctor: while maintaining the shape and form that you'd like <8:25:22 PM> Anastasia A - Patient: probably eat more nutrient-dense meals <8:25:33 PM> Anastasia A - Patient: I think that was your question I think yeah <8:25:36 PM> Matthew Soliman - Doctor: eating more nutrient-dense okay <8:25:40 PM> Matthew Soliman - Doctor: and what do you think about the amount of calories you're eating is about a 1000 a day <8:25:41 PM> Anastasia A - Patient: mm-hmm I think once I hit the target number of way to I want to be I would be open to increasing more my calorie intake so I can kind of maintain my weight <8:25:49 PM> Matthew Soliman - Doctor: mm-hmm <8:25:57 PM> Anastasia A - Patient: I read on a post um where if you're at a thousand you're losing and then if you go up like a 1500 or like a 1700 then you will maintain your weight <8:25:58 PM> Matthew Soliman - Doctor: there are certain number you're looking for <8:26:12 PM> Anastasia A - Patient: problems <8:26:12 PM> Matthew Soliman - Doctor: or I meant is there a weight you're looking guard doctor Heartbreaker <8:26:17 PM> Matthew Soliman - Doctor: is there a certain amount of weight you want to be <8:26:17 PM> Anastasia A - Patient: probably like 95 90 pounds 99 pounds <8:26:17 PM> Paul Hershberger: go ahead with that question <8:26:27 PM> Matthew Soliman - Doctor: okay <8:26:27 PM> Anastasia A - Patient: hopefully I wasn't too bad now <8:26:27 PM> Paul Hershberger: we'll stop here now <8:26:29 PM> Paul Hershberger: we do a couple point and clicks here <8:26:30 PM> Matthew Soliman - Doctor: all right ________________________________________________________________________________ End of transcript at Nov 3, 2025, 8:26:38 PM