Maybe see a weight-loss clinic doctor who has experience in treating morbid obesity? Keep your PC doc for everything else...
I say this because I have struggled with my weight all of my life. My ONLY success in taking weight off (and keeping it off for 10 years) was doing Optifast under a doctor's supervision and with behavior modification, back in the very early 1980s. I gained the weight back when I started going to school full time at night and working full time and had a baby at the same time! I stopped weighing myself and watching my food choices and exercising.
Here's the thing. All my doctors have always cluck-clucked at me and told me to eat less and exercise more. I have done all the diets. Lowfat alone doesn't work for me; and I'm now diabetic. The ADA diet doesn't work because it is too high in carbs. I'm a vegetarian now (for the past 2 years) and I lost 25 lbs and my fat cells shrunk. But I can't seem to break the 238 glass floor.
I have a new doctor. He is a D.O., not an M.D., which I think makes a difference.
Both DOs and MDs attend four years of medical school and take comparable state licensing exams. Osteopathic doctors, however, have additional training in the musculoskeletal system and focus more on the whole person, as well as on preventive care. (from urmc.rochester.edu/primary-care)
He has been very compassionate to me; he recommended a medifast/optifast -type clinic to me that other patients have used and have been successful. He urged me to do this - to use it as a tool to get the weight off because it is too hard the "conventional" way, and the conventional way does not work for most people. I have been able to be healthy being veg; and my weight has been stable. I have no doubt that once I get the weight off I will be able to maintain it because I already changed my eating habits.
So, because I have a long journey with 100+ lbs to loose, I am choosing to be doctor-supervised. They will take a EKG once a month, do regular lab work (very important that you have enough potassium), you see the exercise trainer for personalized exercise instruction, get behavior modification classes, and learn nutrition. Their program is 18 months; average 6 months to lose, then a year of behavior mod. They are an evidence-based program and keep statistics on the success of their patients.
I changed my insurance to a PPO for this. They are in-network so my office visits should be $20, and then I have to pay for the product - between $11-15 per day, depending on the program chosen (which is similar to medifast etal).
I know that many people on here are very successful without a doctor; but some of us need that accountability to someone else to succeed. I tried New Lifestyle and being accountable to my hubby but that just was not fair to him to be my food police. I'm looking forward to starting the clinic soon!
I also look at the cost this way; is my life worth $3k? Yes, it is!
Lyn is right: VLCD is usually 800-1000 cals/day and needs to be doctor supervised. The online stuff is usually LCD of 100-1200 cals/day.
So do what works best for you - I just wanted to give you another take on it

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