Your home and work environment. If you are surrounded by people who consume a typical American diet at home and work, you may have a harder time sticking to this plan. Most common foods (starchy carbohydrates like bread, pasta, rice, baked goods) are not included in a ketogenic diet. Cravings for these foods may be difficult and even intolerable at times.
Fat cells are dispersed unevenly throughout the body, and their distribution differs from person to person. Some people have a greater number of fat cells around the waist and hips, while others have more around their thighs. This is why body shapes vary so much and why so many of us are likely to gain weight in “all the wrong places”. UltraShape™ can change our contours by reducing the number of fat cells in a problem area.
How much weight will I lose? : it really does depend on how much weight you have to lose in the first place and how well you stick with the programme.  I have seen 3-4 kg lost in the first two phases (2 weeks and 2 days) through to a staggering 10kg.  For most people the first two phases sees the most dramatic loss in weight after which point is does slow down a bit.  One lady on the plan at the moment has lost 7kg and she is a couple of weeks into phase 3 (more relaxed phase where one weekly treat meal is allowed) and is half way to her total weight loss goal.

Sustained weight loss for patients who are morbidly obese—usually defined as being 100 pounds or more over ideal body weight or having a body mass index of 40 or higher—is even harder to achieve. And serious health risks have been identified for people who move from diet to diet, subjecting their bodies to a severe and continuing cycle of weight loss and gain known as "yo-yo dieting."
Francine Joyce is a French nutritionist who graduated in Dietetics in Paris and is now on the French Embassy’s register in London. She has worked in hospitals in France (in oncology, geriatrics, surgery and endocrinology) and the UK (in intensive care, and gastroenterology at the Bupa Cromwell Hospital London) and for the Prader-Willi Association (for patients suffering from genetic obesity). She has also taken part in research studies in the food industry, in particular for the Danone Group.
Currently, she is a PhD researcher specialising in obesity and the prevention of diabetes in ethnic minority groups. As an associate lecturer, she enjoys delivering lectures in universities and engaging with her students. She is also an active member of Diabetes UK, regularly delivering presentations across Yorkshire. Simultaneously, she works for the NHS weight management service supporting patients through a 12-week programme.
The ReShape Duo, developed by California-based Reshape Medical, is the world’s only dual intra-gastric balloon. The dual balloon has 3 potential advantages over traditional single gastric balloons: the shape of the dual balloon fits the natural curvature of the stomach, allowing it to sit in a more comfortable position; the two balloons can hold up to 900ml of saline occupying more space in the stomach,; and as each balloon is filled and sealed independently, in the unlikely chance a balloon should deflate, the other balloon will hold the device in place until it can be removed.
Cara is a HCPC Registered Dietitian, specialising in obesity management and sports nutrition. She is passionate about using nutrition to help people achieve their health and weight loss along with enhancing sports performance. Cara gained a first class honours degree in Sport and Exercise Science at Strathclyde University and followed this with post graduate diplomas in Dietetics and most recently, Sports Nutrition.

The London Obesity Practice at the London Bridge Hospital is pleased to announce the launch of an innovative obesity therapy aimed at patients with a BMI of 30+. The therapy focuses on healthy eating habits and portion control and consists of 2 parts. Firstly, an intra-gastric balloon, known as the ReShape Duo, is inserted endoscopically in an outpatient procedure, and remains in the stomach for a 6 month period, occupying space in the stomach making the patient feel full. Secondly, the patient is supported by a dietician for the 6 months while the balloon is in place and given advice on portion control and support to develop healthy lifestyle habits.


For anyone that contacts me who is interested in the plan I always suggest arranging a phone call to discuss it in further detail.  It is important for you to find out a bit more about it from me and it is also important for me to find out a bit more about you.  This helps me judge whether it is right for you and your lifestyle. I just don’t see the point in persuading someone to do it if it isn’t a good fit.   I also suggest that we meet face to face to show you a copy of the plan so that you are 100% clear on how it works before you commit.  
He feels weight management is the core driver in the management for all modern illnesses. Weight management is complex as the reason for weight gain is multifactorial. Successful weight loss can only be achieved after ascertaining the underlying reasons for weight gain and providing a structured, personalised plan. Providing a personalised plan to 30% of the population, who are obese with the current available models is not possible and unrealistic.

If you think this programme could be right for you and you’re considering making an investment in ending your weight loss struggle once and for all – then we’d love to talk with you. We invite you to call us on 0333 200 2612, or click this link, and schedule a free no obligation ‘slim and fit for life’ exploratory call with one of our weight loss coaches to discuss the suitability of this programme for your needs. What have you got to lose – other than a few pounds?

Dr C.Rajeswaran (Raj) is a consultant physician in diabetes, obesity & endocrinology working in a large hospital within the National Health Service, United Kingdom. He has clinics across the country including several clinics in Nuffield hospitals and also runs the reputed ‘The London Obesity Clinic’ at 10, Harley Street, London. He is extremely passionate about weight management and more so for people with diabetes. His specialist interest includes complex severe obesity, diabetes and diabesity.
The IRS will allow people who are diagnosed by a physician as being obese to deduct the costs of the services in this program. The revenue ruling, IR 2002-19, approves the fees related to services (i.e. medical services and nutrition education meetings) when they are occurring for medically valid reasons. A person must be under the guidance of a physician in order to qualify. The ruling does not cover the cost for foods or Meal Replacements, which people would have to pay for regardless of their weight. Click here for further information concerning Medical Weight Loss Tax Deduction Information.
When it comes to overcoming weight problems, psychotherapies can help. It can increase one’s body-image, as well as improving motivation and confidence in being successful to achieve weight loss goals. Treatment can also help individuals find more effective coping strategies rather than binge-eating and provide the individual with a stress management kit.

Phase 2: Get in the zone: lasts for 14 days and is the strictest part of the programme.  Some people can get detox and withdrawal symptoms (headaches, cravings, etc).  I have other people who can feel hungry while they go through this adjustment phase.  It is best to avoid exercise during this phase.  At the end of this phase energy is increased and the weight loss results are usually very motivating.


Lastly, you enter the Wellness Phase when you have met your goal weight. Monthly visits help to keep you on track with your long-term weight maintenance plan, and additional testing and supplements may be suggested. During this phase, the dieter moves to a 40/30/30 eating plan where 40 percent of calories consumed come from carbohydrates, 30 percent come from fats and 30 percent come from protein.
I got a grim report on blood tests 3 months ago: liver dysfunction, high sugar & obesity. I had to ...have a seatbelt extension and wheelchair to make it through the airports. I was told to lose weight, which I tried to do for years. I needed help and God sent me here!! I feel like I have friends who care. Three months later I am down 31 lbs, 52 inches, liver enzymes are within normal limits, triglycerides lowered from 251 to 121 and I've started going to aerobics class!!! I still have a long way to go, but I am being successful a day at a time. THANK YOU from the bottom of my heart!! See More
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“It is great to be able to offer our patients a safe and effective non-invasive solution to fat loss that delivers impressive results without any downtime. The exciting development this device brings to the market is the ability to focus the ultrasound energy below the skin and destroy the fat cells without any harm to neighbouring tissues. The effect is permanent, so long as the patient maintains good diet and exercise.” Mr Christopher Inglefield

I have been helping clients to loose weight for over ten years now. My success has lead to employment in the film industry across dozens of films and I have also been employed to optimise the body composition of athletes to help improve their athletic performance. The majority of my work however, is with average, everyday people in my clinics in and around London.
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