Weight Loss!

Diets do not work, manage weight loss by adjusting lifestyle

A Modern Approach to Weight Loss

It's a fact: Diets don't work! Research has proven that the only way to manage your weight is to adjust your lifestyle. The National Institutes of Health and The American Dietetic Association agree that a weight loss approach combining diet, physical activity, and stress management is the most effective way to treat chronic diseases even before they start. Lifestyle changes are now recommended as the "first line therapy" for the major chronic diseases in our society today.

According to the Centers for Disease Control and Prevention (CDC), chronic diseases are the leading causes of death and disability in the U.S. These illnesses are responsible for 7 of every 10 deaths, affect the quality of life of 90 million Americans, and consume 78% of all health care expenditures. Because a wide variety of these conditions are caused by unhealthy lifestyle habits, national clinical guidelines for their management advocate a multidimensional lifestyle approach designated "Therapeutic Lifestyle Changes" or "TLC."

lose weight by making healthier choices in your everyday routine.Follow any of the major brand-name weight loss programs and you will lose some weight just to gain it back and then some later. But what did you actually lose in that weight? Was it water? Was it fat or muscle? Most weight loss programs are only focused on one thing, the scale. But the scale only tells you how much pressure your exerting on the earth (or the scale) at that moment. Wouldn't it be nice to know what was lost? That's one thing that is so powerful about our program, we test your body composition each visit to monitor what you are losing. We succeed where other programs fail because we empower you to make healthier simple choices in your everyday routine. We will help you create a personalized plan that leads you to change your life forever.

Check your Body Mass Index (BMI) by clicking here

Weight Loss Frequently Asked Questions

Click on question below to read the answers.

1. How much weight can I expect to lose?

Healthy weight loss for our patients is considered to be one to two pounds each week. The National Institutes of Health and the U.S. Center for Disease Control support this estimation. If you are losing more than that, there is a good chance muscle is being lost, so we monitor your progress very carefully. Research has shown that it takes three times longer to get your muscle back than it does to lose it. Of course, your results will depend on many factors, including your starting weight, medical conditions, and individual program design.

2. What type of patients do you have?

Typically, we work with men and women seeking to lose 10 pounds or more. Some have struggled with weight their entire lives; others come to us after major life changes, such as career transitions, childbirth or menopause. Some of our patients are looking to correct medical conditions such as hypertension or diabetes. Many simply want to lose weight quickly and safely. Our patients range in age, from teenagers to seniors. Research has proven that it is never too late to change your lifestyle and achieve the weight you desire.

3. Do you treat adolescents?

Yes. We treat patients as young as 9 years of age with parental consent. However, often this is family problem that has to be addressed as such. Therefore, the rest of the family needs to be 100% involved in making hard, but necessary changes for the good of the entire family to achieve desired results.

4. Can you help me even if I've already tried every diet imaginable?

Yes, but you must be 100% committed to change! Our comprehensive program is not a diet; it's a change of lifestyle. We provide you the knowledge and resources to transform your lifestyle in order to lose weight and keep it off. We do this by providing the ongoing personalized support you need to stay on track. This doctor supervised, scientifically-based approach uses proven weight loss strategies. Most importantly, our program is designed to address the challenges of the real world including fast food. We empower you to overcome obstacles with time-tested techniques and smart, effective strategies. Unlike a diet, our program produces comprehensive behavioral change built to last a lifetime.

5. How many calories will I be eating everyday?

That depends. After we test you to determine your caloric needs to support your current body weight, we will calculate, based on your activity level, how many calories you will need to eat to see a 1-2 pound loss at the end of the week. We will then help you design a customized meal plan that provides never less than 1000 calories a day. Which in our plan is a lot of food. This type of plan follows the guidelines of the National Institutes of Health for the treatment of overweight and obese adults. (Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults: Evidence Report, 2008).

6. Do you provide meals for me?

Yes and no. Initially, we have chefs available that will come into your home and prepare meals according to your lunch and dinner menu plan. They will clearly label the container contents and preparation instructions. However, in order to sustain your weight loss, you will need to develop healthy kitchen habits that extend beyond your initial weight loss phase. We teach you how to shop, order, read labels, avoid over eating, portion sizes, how often to eat, what to drink and how to prepare healthy food for yourself, with an emphasis on strategies for eating in real-world settings. We do not sell or encourage any chemically processed, pre-packaged meals.

7. What will I be eating?

Organic is always best! We are inundated with toxins in the form of pesticides, GMO's and pollutants today, so the less toxins in your food, the easier your weight loss will be. You also will continue to enjoy many of the same delicious, fresh foods that you already love. We teach you moderation and some elimination of the bad stuff like soft drinks and artificial sweeteners. We will also teach you how to order food in social settings and provide shopping lists of great whole foods.

8. Will I have to start exercising right away?

No. Some people can't walk or move very well when we see them. So, when you are ready we will be ready. Typically after 3 - 4 weeks your body will feel like its ready for the next step, which is some light exercise to your ability. Over time, we will increase the amount of exercise and introduce resistance training. A regular program of aerobic, strength training, and flexibility exercises has been shown to reverse insulin resistance (diabetes), increase vitality, help with depression or anxiety and reduce the risk of disease.

9. Why weekly sessions?

Numerous studies, including the NIH 2008 report, suggest that long-term weight loss success is greatest when supported by consistent and frequent visits. In these meetings, we support your progress by fine-tuning your program, adjusting your supplements and developing strategies to cope with your unique challenges. This gives you an opportunity to ask questions and raise any concerns as you educate yourself to keep you on track for life.

10. Who will I meet with each week?

On your initial visit, you will meet with Dr. Guerreso and the lifestyle educator. On subsequent visits, you may meet with the doctor and/or one of our lifestyle educators, who are experts in nutrition, medicine, biochemistry, emotional eating and physical fitness. They have struggled with weight themselves, and understand the challenges that you are facing. Our experts collaborate to give you the benefit of multiple areas of expertise.

11. Are appetite suppressants or other prescription medications necessary?

No. According to the National Institutes of Health's Executive Guidelines for the Treatment of Overweight and Obesity, "Weight loss medication can serve a useful purpose as part of a comprehensive weight loss program involving nutrition education, exercise recommendations, and behavioral changes." Most of our patients do not take medication at all.

12. Do you accept insurance?

No, however you may use your FSA card. Insurance companies tend to pay for disease maintenance and the related medications not for disease elimination. They tend to be of the belief that a person diagnosed with a disease will die with the disease. That is very unfortunate because we have experienced just the opposite. Eventually, insurance companies will recognize that eliminating your disease is much more cost effective.

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Best of Gwinnett Georgia for the past six years


TLC Center of Excellence