MEDICAL WEIGHT LOSS
2 out of 3 people in the country are actively trying to lose weight or maintain weight.
2 out of 10 people in the country are eating fewer calories and meeting the exercise requirement of 150 minutes of exercise per week.
All the research done in the field reports that the most effective therapy for this is Comprehensive Lifestyle Intervention. This includes a combination of diet, exercise, and behavioral modification. Behavioral modification includes counseling on diet, exercise, and weight loss goals.
Diet: goal is to tailor a diet that reduces energy intake below energy expenditure without focusing on the macronutrient component of the diet
- Dietary modification- we will start with low-calorie diet of fewer than 1000 calories. Options include a ketosis diet or HCG diet
- Patients who are concerned about being “metabolically resistant” will lose weight with very low-calorie diets in addition to HCG
Exercise: It is less potent than Dietary restriction in promoting weight loss. Increased energy expenditure is, however, a strong predictor of WEIGHT LOSS MAINTENANCE.
- Initially, we want GUESTS to exercise for 30 or more minutes 5 or more times per week for a minimum of 150 minutes per week
- Dose-effect for Physical Activity:- Greater amounts of exercise are necessary to produce significant weight loss in the absence of a calorically restricted diet. If your goal is weight loss then diet should ALWAYS be combined with physical activity AND physical activity should be increased gradually over time as tolerated by the guest.
- A multicomponent program that includes aerobics and weights/ resistance training is preferred.
Behavioral intervention: the Goal is to make long term changes
- This is the most important component to help patients MAINTAIN weight in the long term
- Modifying eating behavior, monitoring intake, modifying physical activity, knowing your controlling cues and stimuli control in the environment that trigger eating
- FDA approved drugs
- Complementary and alternative therapies including dietary supplements and acupuncture
- The best diet is the one that you can stick to.
- Schwarzbein Principle
- Balanced Diet
- No skipped meals
- Low Glycemic foods
- Protein is the main nutrient
- No processed foods
- Moderate caffeine and NO artificial sweeteners
- Heal the adrenal glands and insulin resistance first – You need to be healthy to lose weight before you can lose weight to be healthy
- Laboratory tests for “Metabolically resistant” patients
We all know that weight loss programs need to be customized for every individual. What works for one person does not work for another. That is why our plans are DYNAMIC. This means that the program is constantly monitored and customized every week for you if it is not working. We can pivot the program in the middle of it is not working for a guest.
Many people achieve or hit a plateau. When this happens, we can get around this by increasing carbs to help break through this phase.
This is our most comprehensive approach to building a Customized Dynamic program for you.
Phase 1: Weight loss phase
- We begin with a complete Physical exam including labs and if necessary an EKG.
- We obtain an overall health history and get a body composition analysis
- This is followed by nutritional plans and education, Diet diary, exercise diary
- Recommended supplements and nutraceutical products
- Medication if this is the right approach for you
- Weekly visits including body composition analysis and weekly goals for diet, exercise, and behavioral modification.
- Comprehensive assessment of sleep if needed.
Phase 2: Transition phase- This begins when you are close to your weight loss goals.
- Education about starting to increase your calories and concurrently maintain weight.
- Continued education about diet and continued body composition analysis.
Phase 3: Surveillance phase
- Continued surveillance with body composition analysis and
- Continued surveillance through dietary, exercise intervention and behavioral modification.
Medication Assistant Program:
Many people do not want a very comprehensive program and can manage with minimal help. Medication will be provided based on an individualized plan.