Abstract
Our program is divided into seven phases. Phase one is the free orientation visit and phase 2 includes the nutritional assessment by the dietitian. Phase 3 is the doctor’ s physical examination and evaluation for the very-low-calorie diet treatment. Phase 4 is the active weight-loss phase and can be time limited or open ended. If this phase is time limited, then the patient may choose to follow the very low-calorie diet for 12 or 16 wk and then begin transition. If a patient chooses an open-ended program, then the patient may follow the regimen until the desirable or healthy weight is reached. Phase 5 is refeeding or transition back to a regular low-calorie maintenance diet. In this phase, the patient can choose to enter a research protocol utilizing combination antiobesity medications which would continue throughout the final phase of the program. Phase 6 is lifestyle modification of maintenance. Phase 7 is long-term intervention which can continue for many years according to the needs of the patient. (Table 1)
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Loper, J., Lutes, R.A., O’Neil, P.M. (1999). Obesity Treatment. In: Goldstein, D.J. (eds) The Management of Eating Disorders and Obesity. Nutrition ◊ and ◊ Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-694-2_21
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DOI: https://doi.org/10.1007/978-1-59259-694-2_21
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