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Dr. Guillermo Elias Pi, MD is an adolescent medicine doctor in New York, NY specializing in adolescent medicine. He graduated from University of Florida College of Medicine in 2016 and has 10 years of experience. Dr. Guillermo Elias Pi, MD is affiliated with NYU Langone Health and NYU General Pediatrics Associates.
NYU Langone Health
Bulimia
Bulimia nervosa, typically called bulimia, is a disorder where people binge (eat large quantities of food) and purge the food that they just consumed by vomiting, laxative abuse, fasting, or excessive exercise. This behavior is usually motivated by a feeling of powerlessness over eating and a fear of weight gain or desire for weight loss. Bulimia can occur in underweight, normal weight, and overweight people. Common symptoms of bulimia include:
Some people with bulimia may have swollen parotid glands (salivary glands near the cheeks) that give their face a puffy "chipmunk" appearance. Their skin may look dehydrated and dull from repeated purging. Red scars and marks on the backs of the knuckles are prevalent in those with bulimia. Eating disorder experts may refer to these as "Russel's sign," named after a well-known psychologist.
However, others with bulimia may not show any outward signs of having an eating disorder. They may deliberately hide their eating habits or conceal their purging after a meal. It is important that family members and friends help loved ones with bulimia seek treatment. While many people with bulimia are still able to lead outwardly successful and active lifestyles, bulimia may have lasting and severe consequences to one's health. Electrolyte imbalance from bulimia is particularly dangerous and may lead to heart attack or stroke. Similarly, continued dehydration and disturbances in electrolyte levels can cause kidney damage and reduced kidney function.
Treatment for bulimia typically includes therapy and nutrition counseling. Eating disorder support groups, both online and in person, are often beneficial to recovery. Medical professionals may also look to treat the mental health problems that frequently accompany bulimia, which are body dysmorphia, post-traumatic stress disorder (PTSD), and depression. Dietary specialists can assist patients with reintegrating foods into their diet and increasing consumed calories. Some patients may attend inpatient rehabilitation or eating disorder clinics, which provide all of the above treatments in a residential facility.
Fortunately, many people recover from bulimia and are able to fully restore their health.
Eating Disorders
Eating disorders are mental and physical illnesses that impact behavior, emotions, and thoughts about eating, food, body appearance, and weight. These disorders are characterized by preoccupations with food and physical size, resulting in dramatic lifestyle changes and adverse health effects. In the past, eating disorders were often diagnosed using BMI (body mass index), or by assessing someone's weight. Eating disorders specialists now recognize that eating disorders may occur in people of all sizes. The most common eating disorders are anorexia nervosa, bulimia nervosa, and binge-eating disorder (BED).
Anorexia nervosa, frequently referred to as anorexia, is a disorder where people severely restrict the types and quantity of food they eat. Those with anorexia have an extreme fear of eating and gaining weight and may repeatedly weigh themselves or engage in harmful behaviors such as excessive exercise or starvation. Those with anorexia often find themselves preoccupied with food, but unable to consume a healthy amount of it. This results in symptoms such as abnormally low BMI, vitamin deficiency, fatigue, fainting, and amenorrhea (lack of menstruation in women). Anorexia may cause bluish discoloration of the hands, brittle and falling out hair, yellowish skin, and lanugo (fine, downy hair). Left untreated, anorexia can lead to organ failure, brain damage, and even death.
Bulimia nervosa, typically called bulimia, is a disorder where people binge (eat large quantities of food) and purge the food that they just consumed by vomiting, laxative abuse, fasting, or excessive exercise. This behavior is usually motivated by a feeling of powerlessness over eating and a fear of weight gain or desire for weight loss. Bulimia can occur in underweight, normal weight, and overweight people. Symptoms of bulimia include acid reflux, intestinal distress, dehydration from purging, amenorrhea, and dental erosion from vomiting. Some people with bulimia have swollen parotid glands (salivary glands near the cheeks) and red scars and marks on the backs of their knuckles. Electrolyte imbalance from bulimia can be particularly severe and may lead to heart attack or stroke.
Binge eating disorder (BED) is the most common eating disorder. People with BED feel that they are unable to control the amount of food they eat and may continue to binge after reaching a point of fullness. BED binges (consuming large amounts of food) are often accompanied by feelings of sadness, guilt, and shame. Symptoms of BED include obesity, acid reflux, weight gain, and dissatisfaction with one's body. People with BED tend to experience cycles of negative emotions and binges. Binges or BED episodes can be provoked by stress, boredom, restrictive dieting, depression, and other triggers.
Other common eating disorders include:
Many people with eating disorders do not consciously develop them, and have difficulty seeking treatment. For this reason, it's important to detect and treat eating disorders as early as possible. Treatment for eating disorders can vary from therapy visits to inpatient treatment, depending on the disorder and its severity. Treatment aims to not only restore physical health and correct negative behaviors, but to also promote psychological well-being and self-confidence.
Polycystic Ovary Syndrome (PCOS)
Polycystic ovarian syndrome is a common endocrine disorder that causes symptoms such as acne, facial hair, and weight gain. It is often diagnosed when patients experience problems getting pregnant, because PCOS can interfere with ovulation. There is no cure for PCOS, but there are effective treatments that can lessen the severity of the symptoms.
Despite the name, not everyone with polycystic ovarian syndrome develops cysts on their ovaries. It is also possible to have ovarian cysts without having PCOS. The symptoms of polycystic ovarian syndrome are actually related to insulin resistance, a condition where the insulin made by the body is not effectively recognized by the cells. This causes the pancreas to release higher levels of insulin in order to keep blood sugar levels stable, and the excess insulin interferes with hormone production in the pituitary and ovaries, causing the PCOS symptoms.
The symptoms of PCOS include:
PCOS is a syndrome, which means that if patients have PCOS, they might not have each and every symptom. Even a few of them might be enough to have physicians check for polycystic ovarian syndrome. A doctor might perform an exam and order blood tests to measure hormone levels.
Treatment for PCOS may include:
Polycystic ovarian syndrome is one of the most common endocrine disorders affecting women. Left untreated, it can increase the risk of diabetes, heart disease, and certain cancers. Fortunately there are many good treatment options available.
Dr. Guillermo Elias Pi, MD graduated from University of Florida College of Medicine in 2016. He completed residency at New York University (NYU) Affiliated Hospitals. He is certified by the American Board of Pediatrics - Pediatrics and has a state license in New York.
Medical School: University of Florida College of Medicine (2016)
Residency: New York University (NYU) Affiliated Hospitals (2019)
Board Certification: American Board of Pediatrics - Pediatrics (2019)
Licensed In: New York
Dr. Guillermo Elias Pi, MD appears to accept the following insurance providers: Aetna HMO, Local 1199 - NYU Hospital Member Choice, Aetna Medicare, Aetna Indemnity, Local 1199 PPO, Molina Healthcare, HIP EPO, First Health, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, United Healthcare Medicare HMO, AARP, WellCare Medicare, WellCare, United Healthcare Medicare, Medicare Part B, Medicare Advantage, United Healthcare, Medicaid, Cigna, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, HIP Child Health Plus, MultiPlan PPO, MultiPlan, United Healthcare Navigate, Aetna POS, Great-West Healthcare HMO, Great-West Healthcare, Golden Rule, Community Care Network (CCN), Trustmark , Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), EmblemHealth, CIGNA HMO, CIGNA Indemnity, Healthfirst Child Health Plus, Elderplan, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, HealthSpring, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO (NYU Langone Suffolk Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Surest, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, MetroPlusHealth Medicare, Qualcare Inc, Oscar Platinum Edge Exchange, Hotel Trades Council, Insurance Design Administrators, Healthfirst Essential Plan 1 & 2, Aetna EPO (American Express employer), Health Net of California, Oscar Bronze Edge Exchange, Global Excel, NYC Employees PPO Plan, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, MetroPlusHealth Gold, American Plan Administrators, BCBS Local 32BJ Employees, Healthfirst Platinum Leaf Exchange, AXA Assistance USA, Healthfirst Gold Total, Pro, Plus EPO, Aetna Medicare Signature Care HMO, Nippon Life-Aetna, Fiserv Health, UMR GEHA, Mutual of Omaha, UMR, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, Screen Actors Guild, MetroPlusHealth Medplus Plan Exchange, Aetna Open Access NYU Langone Care Plan (NY University Employees), Meritain Health, HIP VIP Medicare Bold, Administrative Concepts, Healthfirst Silver Total, Pro, Plus EPO, Oscar Gold Edge Exchange, Aetna Advantage Choice POS I & II Plan (NY University Employees), BCBS Healthplus NY Child Health Plus NY, BCBS EPO (NYU Langone Suffolk Employees), NY Fire Department - WTC, Aetna POS (American Express Employer), Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, AETNA EPO (NYULH Employees), BCBS Healthplus Mediblue Advantage, MetroPlusHealth Child Health Plus, MetroPlusHealth Essential Plan 3 and 4, Aetna Signature Administrators PPO, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, MetroPlusHealth Goldcare, MetroPlusHealth Gold Plus Plan Exchange, MetroPlusHealth Essential Plan 1 and 2, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, Global Health, Oscar Secure, Healthfirst Bronze Leaf Exchange, Nippon Life of America-Aetna, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, World Trade Center - Sedgwick, Aetna Value Choice POS I & II Plan (NY University Employees), US Life Insurance Company, BCBS Blue Access PPO Large Group, Oxford Health Plans Liberty, Wlny-TV Inc., HIP Optum Health, Oscar Silver Edge Exchange, Aetna International, Hamaspik Choice Medicare DSNP, Medicare Part A and B, MetroPlusHealth Bronze Plus Plan Exchange, Healthfirst Gold Leaf Exchange, MVP Preferred EPO, BCBS PPO (BlackRock Employees), BCBS Out of State or Region, Aetna Meritain Health, Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Aetna Student Plan, BCBS EPO (BlackRock Employees), Health And Recovery Plan (Harp), Allied, MetroPlusHealth Platinum Plus Plan Exchange, Empire Mediblue Healthplus Dual, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, MetroPlusHealth Silver Plus Plan Exchange, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, Aetna NY University Retiree Medical Plan, AETNA EPO (Sunset Park Employees), BCBS Blue Access EPO Large Group, WTC Health Program and BCBS Federal Program.
According to our sources, Dr. Guillermo Elias Pi, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Guillermo Elias Pi, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| MAYNE PHARMA COMMERCIAL LLC |
$97
$97 |
|---|---|
| Organon LLC |
$73
NEXPLANON $73 |
| Endo USA, Inc. |
$25
SUPPRELIN $25 |
| Food and Beverage | $196 |
|---|
Meet Guillermo E. Pi, MD, an adolescent medicine specialist, and learn about conditions, training, and research at NYU Langone.