I've never done Medifast (which is amazing cause I've done just about everything else) so I can't talk to that. But I can talk to Bistro. I think it depends on whether you want to drop a few extra pound fast, or change how you look at food in general. With Bistro, you eat regular food, regular portions with alot of variety that tastes really good (and you can be lazy like me, since they do all the prep). If you want to lose weight faster on it, you can do some exercise, and don't drink. Personally, I'm just enjoying having food around that's better tasting than any delivery (and faster), drinking a glass of wine while I type this, and not feeling like I'm on a diet, just eating better. For me (and most of the folks I've talked to) there's none of the deprivation/binge urge, so you don't do the yo-yo thing. I don't feel like I've given up doodly-squat. So if you're looking long term change, I'd definitely go Bistro. When you reach your goal weight, there won't be any adjustment to 'real life'. JMO
-Kathy
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