However, if you are one of the increasing numbers of people who don’t cook at all, this makes it much harder to be successful on the plan.  You need to be prepared to dedicate some time to buying groceries, food preparation and some basic cookery.  Yes you can use ready cooked salmon and lentils or bags of ready prepared veg but I would worry about your ability to stick with the plan over the longer term in this case.
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.  
The risk of an early death for an obese person is twice that of a non-obese person, according to recent studies. Morbid obesity can cause life-threatening health problems such as diabetes, heart disease, heart attack, high blood pressure and high cholesterol. Weight loss surgery decreases your chance for these and other conditions, including sleep apnea, gastric reflux, asthma, arthritis and migraines. Evidence suggests that weight loss also lowers the risk of some cancers that are increased with morbid obesity, including breast, endometrial, colon and prostate cancers.
Bariatric weight loss surgeries, such as gastric bypass, sleeve gastrectomy or laparoscopic adjustable gastric banding (LAGB), force patients to drastically reduce the amount of food they consume by surgically creating a small stomach pouch. Most gastric procedures reduce the stomach's holding capacity from about two quarts to two ounces. When eating, this pouch fills quickly. Because patients feel satisfied and full sooner, they eat less.
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.
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.
Phase 3: Relax: at this point you will receive a more extended food list allowing you to broaden your meal choices.  This is the time when a weekly 'treat' meal is added in.  Adding exercise at this point is extremely beneficial. This is when most people really start to see a difference in how they look and feel.  Hunger and craving diminish and you will notice how a small amount of food will leave you feeling satisfied.  Energy levels rise, skin looks glowing and all round wellbeing improves.
Secondly, our nutritional approach uses a method that has been shown to be much more user friendly than counting calories (calories on food packaging can be out by up to 25%!) and doesn’t rely on weighing every morsel of food that passes your lips. Our nutritional approach is about achieving optimal health while gradually increasing the quantity of food you are allowed while supporting muscle growth and fat loss. This is important as the industry ‘standard’ approach is to restrict/decrease food as time goes on which leads to muscle breakdown and a lower metabolism – both of which are disastrous as far as fat loss is concerned.
(Please note: Both the Fat Burn and the Cardio Program on the treadmill use an age related calculation to determine your training heart rate intensity. We do not recommend you to use these programs. This range is generally not an appropriate range for cardiac patients as most are on a beta-blocker which lowers heart rate. Please follow your heart rate guidelines (Training Heart Rate) prescribed for you by your kinesiologists as this is a more accurate range for you.)
The way we do this is through metabolic resistance training that is designed to increase lean muscle tissue (which is metabolically active). One of the biggest myths we hear is that women don’t want to ‘bulk up’ but the opposite will happen with this type of training. Muscle takes up less space than fat (per unit of weight) and so adding muscle will lead to a decrease in fat as metabolism is elevated. We also end each session with metabolic afterburner’s – exercises that are designed to keep metabolism elevated for 24-36 hours after each session.
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Rigorously structured: you will be given super clear guidelines on what you can and cannot eat.  Rules to stick to (3 meals no snacking, 5 hour gap between meals, no oil / fat for the first two weeks, etc etc).  A detailed meal structure that will show exactly how many grams of food you should eat at each meal (yes that means using a scale to weigh your food).

Don’t like counting calories? Don’t worry, we don’t either! simportion teaches the art of portion control . We call it an art because a healthy diet should be flexible and enjoyable. Our experts have derived a formula to calculate ideal portions based on your personal details. By self-managing your portions and understanding nutrition, you can enjoy your favourite foods with zero guilt.
As you get closer to your weight loss goal, you’ll move into the Short-term Maintenance phase. During this short stage, you can slowly increase your intake of carbohydrates and calories. You'll introduce servings of starch, dairy, and normally there is an increase in the servings of veggies, fruits, and fat. Protein calories may stay the same or change. Most patients continue weekly visits.
We don’t believe in extreme calorie restriction, cutting food groups completely from your diet, depletion protocols that look to dehydrate you so you look good for about a day (the day of your photoshoot!) or training you to the point of injury or exhaustion. Instead we take a much more measured yet highly effective method that will yield fantastic results that are still visible months later.

You will receive a customized weight loss program that includes personal medical counseling from a board certified physician and dietary counseling from a licensed, registered dietitian. We will monitor your progress and make the necessary adjustments that will allow you to best achieve your short and long term goals. Although our primary goal is to help you reach your target weight quickly and easily, the focus of care is to allow you to maintain your weight loss permanently so that you will not put the weight back on after you complete our medical weight loss program.
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Combining multiple procedures allows for one anesthesia and one recovery period. Each body is different, and Dr. Nimtz will tailor his approach to your needs, concentrating on your specific trouble spots, while keeping you safe throughout the procedure and your recovery. Commonly combined procedures include the lower and upper body lifts. The lower body lift tightens the abdomen, back, buttocks, hips, and thighs. An upper body lift may consist of an arm lift, breast lift, and possibly breast augmentation. For men, a male breast reduction procedure may also be included.
Read, watch and listen to some of the success stories from our inspiring members! We have kept our testimonials honest and raw to show that the road to weight loss isn’t always a straight one and that’s okay. Also we are absolutely against photo-shopping the body shapes of our clients as we are proud of all their achievements no matter what size! Please note that in some cases we use alternative names and images to preserve identities of clients who wish to remain private.

However, if your life is chaotic it can be really difficult to focus successfully on the plan.  People who work extremely long hours; never do grocery shopping; hardly cook or prepare food at home; travel every week for business; spend most of their meals out socialising or at work events…..these situations make it really hard to do the plan well (although I have had clients in very demanding jobs who have made it work)
You may already know this is right for you and be ready to sign on the dotted line, but if you still have some questions and want to find out more before you make that commitment then the process starts with a free no-obligation exploratory call. During this call you’ll spend some time talking in depth with a Move Beyond Weight Loss Coach about both your health and weight loss goals, and the challenges and obstacles that you are facing, to see if the life coaching programme we offer is right for you. We’ll answer any questions you have and support you in making the right decision.
For some reason I have been getting lots of interest lately in the Metabolic Balance weight loss programme.  These spikes of interest are usually down to some type of celebrity endorsement.  Sam Smith and Boy George have both helped to raise the profile of the programme in the past.  I am not sure quite sure who is behind it this time around, but I will put money on it some high profile person has attributed their dramatic weight loss to the Metabolic Balance.
Our free monthly support groups provide opportunities before and after surgery to learn and ask questions of our dietitian, psychologist and bariatric nurse, as well as patients who share their personal stories about the challenges and successes of weight loss surgery. Support groups are open to anyone who has had or is planning to have weight loss surgery.
Want to improve your self-esteem? Plastic surgery is a great way to reduce any excess skin and fat left behind after major weight loss. Its goal is to restore more perfect proportions. If you have experienced dramatic weight loss from bariatric surgery or diet and exercise, you’ll be able to get rid of loose skin so you can fit into your clothes better, in addition to getting rid of overhanging skin that might be causing painful chafing, rashes, and infections. If you have sagging skin in multiple areas, including the face, neck, breasts, arms, abdomen, back and thighs, then this program of procedures may be just right for you.
Psychology Today does not read or retain your email. However, a copy will be sent to you for your records. Please be aware that email is not a secure means of communication and spam filters may prevent your email from reaching the therapist. The therapist should respond to you by email, although we recommend that you follow up with a phone call. If you prefer corresponding via phone, leave your contact number.
You are given the freedom to enjoy all the services they have on offer from the comfort of their private room. By focusing on modern, innovative advances in cosmetic technology, they remove the need for costly procedures and provide a safe, easy to undergo experience for their clients. Targeting specific areas and addressing all of your needs, Silueta Aesthetics leave you feeling renewed and rejuvenated.
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