Supervised Weight Loss Rewarding Program Agreement

CareSalus Internal Medicine has launched a SUPERVISED WEIGHT LOSS REWARDING PROGRAM. The goal of the program is to help patients to lose weight.  It is the collaboration between patients and the providers as well as staff members of CareSalus Internal Medicine. The program is the combination of reducing diet/calories intake, increasing exercise or physical activity, taking weight loss medications, and or referring for gastric banding or by- pass surgery. Any patient with BMI>30 (with or without any co-morbidities) can participate the program. The program Duration is 1 year, which is divided to 4 periods by each three months. At each 3-month visit (each period) and/or at the end of the program, the patient will be rewarded for $2 of each pound lost. For example, at the end of the program, if the patient lost total 100 pounds, the CareSalus Internal Medicine will award patient for total $200.

Patient’s Commitments include:

1.       Agree to participate the program

2.       Must have monthly visit for evaluation and document the weight change

3.       Cut down 1/3 or more portion of diet intake

4.       Exercise at least 30 min a day

5.       Follow recommendations of supervising staff

6.       Take medications for weight loss if indicated

7.       May follow the recommendation for weight control surgery

CareSalus Internal Medicine Commitments include:

1.       Evaluate, document, and supervise the weight loss program

2.       As PCP, continue treating the patient underlying medical conditions as treating any other none participating patients

3.       Continue doing age appropriate preventive medicines such as disease screening, smoking cessation counseling, vaccination,

4.       Continue doing disease and age appropriate procedures such as ECG, ABI, Spirometry

5.       Referral for gastric procedures as per patient desire

6.       Give reward to patient who lost weight by writing a check based on how much lost

Weigh Loss Mathematics

Diet --> Calorie --> Energy --> Fat --> OverWeight --> Obesity --> Diseases --> Poor Life Function --> Death

Diet = EnergyIn                Exercise = EnergyOut

EnergyIn > EnergyOut --> GainWeight

EnergyIn = EnergyOut --> SameWeight

EnergyIn < EnergyOut --> LoseWeight

Weight Loss = Reduce EnergyIn + Increase EnergyOut = Reduce Diet + Increase Exercise

Weight Loss Key Words

Healthy foods: fruits, veggies, whole grains, lean protein and low-fat dairy (olive oil, nuts, fish and fresh produce)

Unhealthy foods: red meats, butter and stick margarine, cheeses, pastries and sweets, and fried or fast food.

High Salt & Unhealthy foods: any pre-made foods, microwave foods, canned foods, and smoked foods

Unhealthy Drinks: any soft drinks except water, tea, natural juice, and milk

Alcohols: If you never drink, don’t start. If you drink, no more than 2 a day for male, no more than 1 a day fore female

Weight Loss Medications: Many available but no magic pills 

Weight Loss Surgeries: Gastric banding and by-pass, indicated for BMI > 35 and or with co-morbidities

It is not hard to lose weight; it is hard to keep losing weight

Eat health, eat less. Keep active, increase exercise

Weight Loss Diets (you do not need spent extra money for any special diet)

DASH - Dietary Approaches to Stop Hypertension Diet: (https://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf)

Mediterranean-Diet: (https://www.eatingwell.com/recipes/18314/cuisines-regions/mediterranean-food)

MIND - Mediterranean-DASH Intervention for Neurodegenerative Delay Diet: (https://health.usnews.com/best-diet/mind-diet)

Flexitarian - Flexible and Vegetarian Diet: (https://health.usnews.com/best-diet/flexitarian-diet)

Mayo Clinic Diet: (https://health.usnews.com/best-diet/mayo-clinic-diet)

TLC - Therapeutic Lifestyle Changes Diet: (https://health.usnews.com/best-diet/tlc-diet)

Weight-Watchers-Diet: (https://health.usnews.com/best-diet/weight-watchers-diet)

Biggest Loser Diet: (https://health.usnews.com/best-diet/biggest-loser-diet)

Atkins Diet: (https://health.usnews.com/best-diet/atkins-diet)

HMR-Health Management Resources Diet: (https://health.usnews.com/best-diet/hmr-diet)