Weight Loss Programs

A program here starts with a consultation long enough to be useful. Dr. Curtis reviews your weight history, the approaches you have already tried, the medications you take, your sleep, your relationship with food, and the medical conditions that move alongside weight — blood pressure, blood sugar, joint pain, sleep quality. Where labs would answer a question, they are ordered.

What comes out of that is a plan with a rationale you can follow: this is what appears to be driving it, this is what we are going to do about it first, and this is how we will know whether it is working.

What a program includes

Programs are assembled from the same components in different proportions, depending on what your assessment showed.

• A full initial assessment, including relevant labs and a review of your current medications
• A nutrition approach built for your household and your schedule, not an ideal one
• Medication management where your assessment supports it and your history allows it
• Scheduled follow-up visits, with measurements taken the same way each time
• Adjustment when progress stalls — a plateau is information, and it is treated as such

The part most programs leave out

Weight regain after a successful effort is the norm rather than the exception, and it is a physiological response, not a character flaw — the body defends its previous weight with measurable changes in hunger signalling and energy expenditure.

A program designed to end on a target date ignores that. Yours will include what happens after, because that is the part that determines whether any of it holds.