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Ichange

About ICHANGE

The Innovative Center for Health and Nutrition in Gastroenterology (ICHANGE) delivers a comprehensive, multidisciplinary model of care for individuals with digestive, liver, obesity and other metabolic-related health conditions. Our mission is to integrate clinical excellence, cutting-edge research, and individualized treatment planning to improve patient outcomes across a spectrum of digestive and metabolic disorders.

What Sets ICHANGE Apart

ICHANGE brings together specialists from gastroenterology, hepatology, endocrinology, cardiology, bariatric surgery, and nutrition to function as a coordinated care team. Rather than managing isolated symptoms, we address underlying metabolic drivers of disease and design treatment pathways that consider the whole patient. Our collaborative model enables seamless consultation with multiple experts and streamlines care planning.

Personalized, Research-Driven Care

Every patient at ICHANGE receives a tailored evaluation that incorporates medical history, lifestyle factors, diagnostic data, and personal health goals. We provide advanced assessments such as body composition analysis and metabolic profiling to precisely characterize health status and guide decision-making. Treatment plans may include lifestyle interventions, medical management, nutritional therapy, procedural options, and ongoing monitoring — selected to best support sustained health improvement.

Multidisciplinary Therapeutic Options

Our clinical team offers a wide range of evidence-based interventions, including:

  • Personalized nutrition and lifestyle counseling coordinated with registered dietitians.
  • Medical therapies targeting metabolic and digestive disease processes.
  • Endobariatric and procedural approaches, such as endoscopic sleeve gastroplasty, for appropriate candidates.
  • Integrated management of coexisting conditions such as gastroesophageal reflux disease (GERD) or metabolic-dysfunction associated steatotic liver disease (MASLD) and obesity and other cardiometabolic risk factors.

Research and Innovation in Care

Our clinical trials and investigative initiatives expand treatment possibilities and translate emerging science directly into patient care. Patients may have access to novel therapies and opportunities to participate in studies aimed at advancing the understanding of obesity, metabolic dysfunction, and digestive health.

Coordinated and Accessible Care

To optimize clinical efficiency and patient experience, ICHANGE offers coordinated appointments with multiple specialists, comprehensive follow-up support including telemedicine and remote monitoring, and care navigation by a dedicated clinical coordinator. This structured approach enhances engagement, facilitates continuity of care, and supports measurable progress toward health goals.

Who Benefits from ICHANGE

The center serves adults with digestive and metabolic conditions influenced by excess weight, metabolic imbalance, or complex disease interactions. Conditions commonly managed include:

  • Gastrointestinal symptoms such as heartburn, bloating, and changes in bowel habits.
  • Metabolic dysfunction associated steatotic liver disease and other liver disorders.
  • Weight-related gastrointestinal health concerns.

Our Commitment

At ICHANGE, we are committed to delivering high-quality, personalized care that reflects the latest advances in medical science. Our goal is to empower patients through thoughtful clinical guidance, rigorous research, and a multidisciplinary treatment strategy designed to support long-term health and vitality.

Dr. Adam Buckholz uses a scope during an endoscopy.  ICHANGE team members discuss patient data.