The Positive Choice Weight Loss Program 🅱 🅻 🅾 🅶

The Positive Choice Weight Loss Program has two integrated components:

Prolonged absolute fasting, with the use of a supplement to support health and to prevent death from such fasting.

A lengthy and complex group program to explore the basis of each participant's unconscious compulsive use of food, as well as to explore the hidden benefits of obesity for that individual.

Given that the average weight loss of someone completing our 20-week program is 62 lb 28 kg and that approximately 5000 patients each have lost more than 100 lb 45 kg, we realize we have challenged the belief systems of some who assume either that such weight loss cannot commonly be achieved or that the process of supplemented absolute fasting must be dangerous.

In fact, the process has been notably safe, and major improvements in biomedical outcomes have been the norm. This article addresses four basic issues:

The safety of properly supplemented prolonged absolute fasting in obesity:

The observed origins of obesity, and their implications

The components of a relevant treatment program

Outcomes of the Program.

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Safety of Supplemented Fasting:

The nutritional supplement Optifast 70 was created by Sandoz Pharmaceuticals to supply electrolytes, amino acids, two essential fatty acids, and vitamins.

At 420 cal/d in five feedings, this superbly designed product allows a sufficiently morbidly obese individual to cease eating all food and caloric beverages for at least a full year. In our entire experience, no death or biomedical harm has occurred in any of these individuals.

During a year of supplemented absolute fasting, a weight loss of approximately 300 lb 136 kg will occur Figure 1. To the degree that this does not occur, it means that the patient is consuming food, regardless of denial.

Surprisingly, hunger is not a problem. However, the desire to eat is variable, ranging from minor to uncontrollable. Interestingly, this desire to eat is an issue separate from hunger.

Indeed, it attests to the profound psychoactive benefits of food, as illustrated by a commonplace observation that is even built into our language: “Sit down and have something to eat; you'll feel better.” There is truth for many in the phrase “comfort food.”

Take your health history. Your doctor may review your weight history, weight-loss efforts, physical activity, and exercise habits, eating patterns and appetite control, what other conditions you've had, medications, stress levels, and other issues about your health. Your doctor may also review your family's health history to see if you may be predisposed to certain conditions.

A general physical exam. This includes measuring your height; checking vital signs, such as heart rate, blood pressure, and temperature; listening to your heart and lungs, and examining your abdomen.

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Calculating your BMI. Your doctor will check your body mass index (BMI). A BMI of 30 or higher is considered obesity. Numbers higher than 30 increase health risks even more.

Your BMI should be checked at least once a year because it can help determine your overall health risks and what treatments may be appropriate.

Measuring your waist circumference. Fat stored around the waist, sometimes called visceral fat or abdominal fat, may further increase the risk of heart disease and diabetes.

Women with a waist measurement circumference of more than 35 inches 89 centimeters and men with a waist measurement of more than 40 inches 102 centimeters may have more health risks than do people with smaller waist measurements. Like the BMI measurement, waist circumference should be checked at least once a year.

Checking for other health problems. If you have known health problems, your doctor will evaluate them. Your doctor will also check for other possible health problems, such as high blood pressure, high cholesterol, underactive thyroid, liver problems, and diabetes.

For most adults, a BMI of:

18.5 to 24.9 means you're a healthy weight

25 to 29.9 means you're overweight

30 to 39.9 means you're obese

40 or above means you're severely obese.

ROLE OF THE FOOD INDUSTRY

The food industry should help the consumer make healthy food choices. Food manufacturers are sensitive to consumer tastes and expectations.

The industry should be committed to giving clear, consistent, and honest product claims, as well as working with retailers and restaurants to offer consumers relevant information about the products they purchase.

The industry should promote nutrition education at all levels, from public schools to medical schools, and enhance nutrition awareness at the consumer level.

Industry can create new products that meet individual nutritional needs, reformulate existing products to be healthier and provide controlled portion sizes.

In doing so, the industry faces the challenge of satisfying consumer expectations for taste, quality, and price. The hope is that the industry can develop healthier products by partnering with science-based communities and the government.