1. Office-Based Program - this is the most commonly used weight loss program, details below
2. An executive program - see details by clicking on "Executive Program"

Office-Based Program - Description

Introduction

Every patient has a particular reason, or reasons, which brought about the weight problem.

Your reason may be to do with an excess of calories consumed relative to calories burned up; or it may be a significant lack of calories burned up relative to intake of food.

And these factors may be influenced by genetics or circumstances in life such as surgery and muscle loss.

This weight loss program comprises individual consultations with Dr Neil Peace with the objective of creating a tailor-made weight-loss program for each individual.

Format

The first visit, of 1 ½ to 2 hours duration establishes the contributions to being overweight. In addition, this first visit includes an overall (broad-brush) description of the components needed for weight loss for that person plus specific recommendations for getting started.

Most patients are seen at 2 weekly intervals. At each visit progress is assessed. Adjustments are made or new techniques introduced depending on the results. As weight loss proceeds ideas are introduced to reduce the chance of weight regain.

Most patients attend 2 weekly until both doctor and patient are confident that weight loss is proceeding as planned. Individual need then determines the frequency of visits.

What Techniques Are Used?

A wide range of techniques are tailored to each overweight individual. Nothing is automatic. Patients vary markedly in the number of techniques that need to be applied in order to bring weight loss. The following are a few of the techniques used but in no particular order.

1. Variation in timing of meals
2. Variation in food choices
3. Aerobic exercise (walking, cycling etc.)
4. Calorie controlled diets
5. Dealing with drop in motivation (happens to everyone)
6. Resistance exercises (mostly use of weights)
7. Food diaries
8. Use of personal trainers
9. Medications for weight loss
10. Overcoming barriers to progress
11. Home delivered foods
12. Use of gyms and personal training studios
13. Blood tests to exclude medical causes for excess weight (thyroid etc.)
14. Dealing with plateau phases
15. The occasional use of holidays for weight loss
16. Role of alcohol
17. Anticipating problems
18. Creating structures for long-term weight control
19. Role of Very Low Calorie Diets (VLCD)
20. How to manage arthritic pain
21. How to deal with speed of eating
22. Weight maintenance techniques
23. How to deal with medical problems during weight loss
24. Role of depression in weight problems
25. Exercise diaries