Choosing a Weight Loss Plan

Choosing a Weight Loss Plan

I overheard a revealing father to son comment while eating out on vacation. The family of 3 was seated at the table right next to me. Sadly, both parents were overweight by 40+ pounds, as was the 20 year old son. The father, speaking wisdom, commented, “Son, be very careful to protect your health, or you will end up with problems. Just look at me…”

“I’ve just got to lose 40 pounds!”

Their family weight problem was apparent, as was the complete absence of an effective plan.

Everyone knows that losing weight and keeping it off can be difficult. But gaining weight is easy! Consider these 3 weight gain facts in America:

Fact #1) No one wants to be overweight, yet it is epidemic. That’s right. There are 226,000,000 adults in America who do not want to be overweight, and yet they are, against their will! Each year, fewer and fewer Americans are at a healthy weight. But why? Aren’t Americans among the most clever and knowledgeable people who have ever lived on planet Earth? Being overweight is very “unwanted”, but excessive weight gain continues to be typical and automatic in America!

Fact #2) “Self-diets” predict weight GAIN, not weight LOSS! Chronic overweight affects 2 out of 3 adults in America. Millions are trying to lose weight at any given time. However, few are successful. The International Journal of Obesity (Sept, 2000) reported that after 1 year of self-dieting, those trying to lose weight actually gained, on average, 1-½ lbs! The researchers concluded the following… “dieting to lose weight predicts weight GAIN, not weight loss…!”

Fact #3) More evidence Americans are gaining weight against their wishes! Excess weight is uncomfortable and unwanted. Yet average weight in America is increasing from 157 lbs at age 25 to 177 lbs by age 35 (CARDIA study). We are adding 20 lbs of unwanted weight during what should be our “healthiest” and most active 10 years of adulthood! And the rate of gain only gets worse after age 35!

“I’ve just got to lose 40 pounds!”

Here is my advice:

1. Don’t delay success by pursuing strategies that are not “40 pound strategies”:

  • Example #1: Self-diets (trying to eat less and exercise more), on average, result in 1-½ lbs of weight gain after 1 year. Eating less and exercising more are admirable goals (and a great way to get hungry and tired), but not typically effective for losing 40 lbs.
  • Example #2: Franchise diet chains. The journal JAMA (Jan 2005), reported a Tufts University study indicating that average weight loss at Weight Watchers in 1 year was 6.6 lbs (again, not 40 lbs, since participants started around 220 lbs and lost to around 213.4 lbs on average after one year). Note: Most diet franchises refuse to reveal any weight loss averages, for obvious reasons!
  • Example #3: Fad diet books. Whether Atkins (4.6 lbs), Zone Diet (7.0 lbs), or Ornish Diet (7.3 lbs), average weight loss after 1 year was closer to 4 lbs than 40 lbs, even though starting weight was around 220 lbs (JAMA, 2005).
(Note: Doing nothing is clearly not a solution! But if you HAVE to lose 20-40 lbs or more, choose your approach thoughtfully! Read on…)

2. If you really “need to lose 20, 40, 80, 100 or more lbs”, consider medical weight loss with a physician and professional team. Here’s why:

  • A physician trained and experienced in weight loss, metabolism, appetite issues, and nutrition can determine the medical causes of weight gain. For example, each week I have new patients enter my office on medications that cause weight gain! Thyroid disorders, nutrient deficiencies, stress and mood disorders, sleep impairment, hormone imbalances, metabolism disorders, appetite disorders, fatigue, physical limitations, and self-esteem issues can also be driving forces for weight gain. If weight gain causes are not identified and successfully managed, weight control is impossible! A thorough, focused, comprehensive medical evaluation, PRIOR to beginning weight loss, assures that unnecessary causes of weight gain have been revealed and can now be addressed. For our patients, this includes proper lab tests, body composition testing, and assessments of appetite, metabolism and nutrition status, as well as understanding the detailed history of how and why the weight gain occurred.
  • A medically based weight management plan can be developed only with an experienced and trained physician. Without insights into your appetite tendencies, metabolism issues, and body composition, it is impossible to know your nutritional and treatment needs. Someone needs to assess your medical history and your current status before appropriate personal goals can be developed. And without clear goals and individualized, powerful strategies, a weight loss attempt will never deliver a “40 lb” success. And let me be clear, medical strategies do exist that can commonly deliver, in a timely manner, 40 or more pounds of weight loss, depending on the patient’s needs.
  • Weight maintenance must be managed over time. After significant weight loss, weight maintenance requires excellent nutrition, as well as control of cravings, hunger, and a sluggish metabolism. The plan must be modified as things like stress level, health status, age and life circumstances change. A knowledgeable physician, as part of a professional team, is best suited to manage these future challenges.
  • A team of medical professionals provides multiple sources of support and wisdom. Having physicians, nurse practitioners, nutritionists, and nurses available allows for ongoing problem solvers who can address challenges from a variety of perspectives. Weight loss is difficult. Excellence from your support team is mandatory!
  • Weight loss is a good financial investment. Those who are overweight often end up on medications that are expensive and have side effects. There are also risks of early death, heart attack, stroke, and cancer with excess weight. Self-esteem, fatigue, and joint pain can rob you of life’s enjoyment. Obesity is a disease with many health costs. Weight loss can reap huge rewards through better quality of life, reduced medical expenses, increased productivity, and a significantly lower risk of catastrophic medical disasters. (See blog Obesity is a DiseaseCall or come in to our office for more information.)

Significant weight loss is VERY achievable. Consider our Center for Nutrition “Topeka Study” of 20 consecutive obese men and women coming to us for weight loss. Compare our results to the typical diet studies mentioned above, all with losses less than 7-1/2 lbs in one full year of weight loss. Our study resulted in the following among these obese dieters following their recommended personal, individualized treatment plans:

CFN Topeka Study: Average weight loss of 41 lbs in 12 weeks!

Indeed, medical weight loss, when individualized, can be highly successful. Obviously, these individuals, likely just like you, were motivated to lose weight! They were also thoughtfully evaluated and treated.

As you pursue health, remember that successful weight control and excellent nutrition are key factors. The unwanted weight gain trends in America are alarming. Unwanted weight gain is literally destroying the health of America! Let’s choose not to participate in these common trends. Instead, let’s:

  1. Identify our “Optimum Health” goals of weight loss and excellent nutrition.
  2. Identify an expert medical team to assess the causes of your weight gain.
  3. Work with a weight loss physician to develop successful weight loss strategies
  4. Embrace those strategies diligently, daily, and long term!

If you are struggling with unwanted weight gain, whether it is 20, 40, 60, or 100+ pounds, take charge now! Get the medical professional support you need for weight control! Time is ticking! Let this be your year for success!

For Optimum Health,

Rick R. Tague, M.D., M.P.H. & T.M.

P.S. If you need a personal “success” plan for chronic overweight, learn more at At the Center for Nutrition, we have had over 20 years of assisting overweight individuals in their pursuit of weight loss and optimum health. Let our experience with 20,000 patients losing well over 200,000 lbs go to work for you. Call us for a free educational private consultation to learn more.

Rick Tague, M.D., M.P.H. & T.M. is a nutrition & weight loss specialist and the Founder & Medical Director of the Center for Nutrition and Preventive Medicine, P.A.

Dr. Tague is an Alpha Omega Alpha honors graduate of Tulane University School of Medicine in New Orleans. He also holds a Masters Degree in Public Health from Tulane. Dr. Tague is board certified by the American Board of Obesity Medicine and the American Board of Family Medicine. His medical practice has focused on optimum health, nutrition, and weight loss since 1996.