Nurse Practitioners Debra Roberts and Annie-Claude Sanchis Available in December 2020; Dr. Shebani Sethi Dalai becomes our Supervisory Physician; Telehealth.


I am so excited!  Not only are Annie-Claude and Debra starting soon, but we have a new supervisory physician who is a dynamo in the field of weight management. I’ve been happiest professionally when I get to work with others who share my goals so I’m looking forward to what’s ahead.

Annie-Claude Sanchis, MPH, WNP, FNP-C, and Debra Roberts, MSN, FNP-C both fit that description.  Both nurse practitioners have experience in the field of weight management on the Centra Coast.  Having spent time with each of them, I can see that we are all on the same wavelength: our role is to help you improve your health by giving you the tools you need to make the changes you’re trying to accomplish.  Often, that includes appetite suppressants.  But almost always, we’re providing education on how to make dietary and lifestyle changes that can lead to weight loss and maintenance.  We’re never going to tell you that you MUST do something.  Our goal is to give you the knowledge and power to make the changes YOU CHOOSE. It’s your life and your choices.  If you come in for a follow-up appointment and things haven’t been going the way you want, we’ll help you troubleshoot to see what changes are needed. Maybe a change in medications, eating habits, or stress management.  Or maybe there were a lot of things going on, and this just wasn’t the time that success was possible (remember – You’re human and life is not a straight line).

We’re here to support you in trying to become a healthier you.  We’d all like it to be a straight path with a certain amount of weight loss per week, but we all know that life has bumps in the road.  So, if you’re looking for help to turn this around, come to Comprehensive Weight Management and start working with our compassionate team on your side.

And our new supervisory physician is Dr. Shebani Sethi Dalai.  While Dr. William Franklin was immensely helpful filling in until we could make this work, you can see from Dr. Sethi Dalai’s background why I’m thrilled about her taking on this role.  Dr. Sethi Dalai is board certified in both Psychiatry and Obesity medicine. She received her MD from Duke University School of Medicine and National University of Singapore, and a master’s degree in Biotechnology from Johns Hopkins University. She completed her residency in psychiatry at Stanford University and is now an Attending Psychiatrist in Stanford’s Department of Psychiatry and Behavioral Sciences as well as Director of Metabolic Psychiatry.  She’s currently involved in research on the effectiveness of a low carbohydrate dietary intervention in patients with obesity and bipolar illness or schizophrenia.

Given the pandemic, we have moved to a totally telehealth model.  Carol is in Rhode Island, while Debra and Annie are on the Central Coast.



Annie-Claude Sanchis.jpeg
Annie-Claude Sanchis
Debra Roberts.jpeg
Debra Roberts
Nurse Practitioners Debra Roberts and Annie-Claude Sanchis join Practice
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Weight loss
Thyroid disorders
Eating disorders
Medication Management

Carol's Plans

Life is change. Growth is optional.

                       - Karen Kaiser Clark

As some of you know, I had been commuting between my new home in Rhode Island and the Central Coast every other month to see patients in person for the past year.  Due to the pandemic, I no longer feel safe flying.  So, I will be joining many of my colleagues who specialize in weight management by going to a telehealth model.  I’ve gotten advice from experts in the field and while it has its limitations, there are also advantages. When the pandemic is better controlled and flying feels safe, I plan to return twice a year for live patient visits.

Carol Rowesmitt.jpg

​I look around me and see people my age retiring. And I say, “Huh? Why are they doing that?” I love what I do. Why would I want to stop doing this??? I have NO plans to retire. I love working with my patients and plan to continue doing so for many years. However, on the opposite side of the country is my only child and a group of cousins and other close friends. So how do I work out this conflict as the years go on? I’m now a resident of Rhode Island and I’m loving it!

I keep wondering why my neighbors talk so funny until I hear my native Bostonian accent slip out of my own mouth. You’re welcome to tease me when you hear me speaking my native tongue.

I’ll still be available by phone in the usual ways. I’ll just be in a different time zone. (Sounds like an insult: Hey, that one’s in a different time zone, isn’t she?) So, I’ll be 3 hours ahead of you. I’ll be there as usual to discuss any new symptoms or problems at the same phone number. If you have any questions about the new plans, call either Terri at the office 805-748-0954 or me on my cell. Terri will still be booking both new and follow up patient appointments.


Carol Rowsemitt may be just the weight loss solution you are looking for.

Just eat less and exercise more!! Tired of hearing that? So am I. If you have trouble losing weight and keeping it off, then you’re in the right place. You know it’s more complicated than that. You succeed at many other things, but this just isn’t working. Maybe you’ve lost 10 or 20 pounds. Then the system seems to put on the brakes. You keep doing the same behaviors that helped you lose that weight, but now the scale doesn’t budge. And you seem to be thinking about food even more than usual. The starchy, fatty foods are calling your name.

Many of us know these things and we think it’s just lack of will power. But the body of scientific evidence grows weekly. Here’s the truth:
Primitive parts of your brain can tell when there’s not enough food coming in. The brain says, “Hey, if we can’t find more food, we’re going to die!” So changes in brain chemistry and hormones cause several things:

  • Increased interest in food.

  • More food in the stomach is needed to feel full.

  • Resets your body’s metabolism to burn fewer calories at rest.

  • The lowered metabolism makes you tired, and possibly depressed, so you become less active.

  • Makes your muscles become more efficient, so when you do work out, you burn fewer calories for the same amount of work.

  • These changes have been studied as far out as one year after weight loss. And guess what? These changes still haven’t returned to normal.


So now you know what you’re up against. It’s not weakness – it’s your primitive body doing what it’s supposed to do to keep you alive when there’s not enough food coming into your stomach. It’s going to take superhuman will power to continue to lose weight and to keep it off. That’s why this is such a challenge.

Getting help for these problems involves using medications that decrease appetite and interest in food. For some people, getting the metabolism back to normal is also part of the process.


While most people accept the idea that we should treat type 2 diabetes, high blood pressure, and cholesterol problems with medications, some people continue to think that we should not use medications to help with weight loss and maintenance. But problems such as high blood pressure, diabetes, etc., generally improve with weight loss. And there’s a very long list of other things that improve with weight loss including liver problems, weight-related arthritis pain, sleep apnea, and many more. Weight loss also can decrease the risk of developing cancer.


A variety of prescription medications can be used alone or in combinations to help you lose weight and keep it off. Some of these medications are approved by the FDA for weight loss, others are approved for other problems but have decreased appetite as a side effect.


Working with Dr. Thomas Najarian in Los Osos, CA, for seven years, I learned and contributed to the evolution of his approaches to helping people lose weight and keep it off. San Luis Obispo weight loss is my specialty and my experience can help make a difference in the way you feel about yourself and give you confidence.

Many people have found my philosophy and style to be very helpful for supporting them in their weight loss efforts over the long-term as well as to keep that weight off. Take a look around the website; you will find information about my experience and philosophy. If you are looking for a great program for weight loss in the San Luis Obispo area or anywhere else in California, know that we’re just a tele-visit away.


New Patient Visit: $200,  1-hour appointment

A deposit of $100 is required to hold the appointment time. The deposit will be applied to your first visit.


Follow-up Visit: $110,  30-min appointment.

Follow-up visits for weight management are every 6-8 weeks.

Once you reach your goal, maintenance visits are approximately 3-4 months.

For thyroid-only patients, follow-up visits vary from 3- 6 months.


Restart Visit: $185: 45-60-min appointment.

If your health insurance is a PPO, I will provide a receipt/superbill so that you can submit a claim to your insurance company. It’s easy to do.  In many cases, they will provide some level of reimbursement directly to you. You may want a superbill for tax purposes or a health savings account.


I also work with people who have thyroid disorders with or without weight issues. Many providers pay more attention to thyroid stimulating hormone (TSH) than to any other factor when evaluating thyroid. 

I assess a variety of lab values as well as listening to your report of symptoms to determine how to evaluate and treat thyroid problems.

Call today for help losing weight and keeping it off. (805) 748-0954