Review of online weight loss programs




















Medifast Official Site "Medifast is a medically designed meal replacement, weight loss system that used to be available only through a doctor. Things have changed and now it is available to anyone without a doctors orders. Read my comments in the review. With the many real-life examples of clients who successfully changed their lives as told in their own words, this book is also a good read.

There is a pretty good reason why Oprah chose him as her personal trainer. Phil's Ultimate Weight Solution "Dr. Phil's weight loss diet with the "7 Keys to Weight Loss Freedom" became a bestseller a couple of years ago mostly because of his own promotion on the Dr. Journal of Medicinal Food A pilot study of the Spanish ketogenic Mediterranean diet: an effective therapy for the metabolic syndrome [weak evidence].

Archives of Internal Medicine A randomized trial of a low-carbohydrate diet vs orlistat plus a low-fat diet for weight loss [moderate evidence]. At Diet Doctor, we define a low-carb diet as one that provides up to grams of net carbs total carbs minus fiber per day.

However, researchers often define a low-carb diet as one that provides up to grams of total carbs per day. However, this is self-reported data, and people often under-report the amounts of food they eat:. The low-carb group also had greater improvements in high-density lipoprotein HDL cholesterol, triglycerides TG , and other cardiovascular disease risk factors than the other group:. Journal of the American Medical Association Effects of dietary composition during weight loss maintenance: a controlled feeding study [randomized trial; moderate evidence].

A systematic review of nine trials found that in addition to reducing weight, diets providing between 20 grams and grams of total carbs per day led to significant improvements in HbA1c, blood sugar, and triglyceride levels:. Diabetes Research and Clinical Practice Efficacy of low carbohydrate diet for type 2 diabetes mellitus management: A systematic review and meta-analysis of randomized controlled trials [strong evidence]. More recently, an month trial demonstrated that people with poorly controlled type 2 diabetes who consumed 90 grams of carbs per day decreased their HbA1c by 1.

Two recent systematic reviews have concluded that low-carb diets reduced triglycerides and blood pressure in overweight adults:. PloS One The effects of low-carbohydrate diets on cardiovascular risk factors: A meta-analysis [systematic review of randomized trials; strong evidence].

In this study, researchers tracked signs of carotid atherosclerosis fatty deposits in the carotid arteries over two years in participants who ate either a low-carb diet, a Mediterranean diet, or a low-fat diet. By the end of the trial, there was significant regression of measurable carotid artery wall volume in all three diet groups, implying a reduction of atherosclerosis.

According to the researchers, the improvement was likely due to loss of weight and reduced blood pressure resulting from the dietary changes:. In a review of 18 RCTs lasting between eight and 52 weeks, participants who practiced intermittent fasting lost between 3.

Canadian Family Physician Intermittent fasting and weight loss: Systematic review [strong evidence]. The following review also showed similar weight loss for the continuous calorie restriction and intermittent fasting groups:. Other systematic reviews of RCTs suggest that intermittent fasting may lead to slightly greater decreases in fat and waist circumference compared to chronic calorie restriction and control diets:.

JBI Database of Systematic Reviews and Implementation Reports Intermittent fasting interventions for treatment of overweight and obesity in adults: a systematic review and meta-analysis [strong evidence]. People randomized to a Mediterranean diet lost an average of In an month trial, people with abdominal obesity were assigned to eat either a low-fat diet or a low-carb Mediterranean diet up to 70 grams of carbs per day.

By the end of the study, those in the low-carb Mediterranean diet group lost 3. Journal of Hepatology The beneficial effects of Mediterranean diet over low-fat diet may be mediated by decreasing hepatic fat content [randomized trial; moderate evidence].

In another trial, overweight people with diabetes followed either a low-carb Mediterranean diet, a traditional Mediterranean diet, or a low-fat diet based on American Diabetes Association ADA recommendations for one year. At the end of the study, people in the low-carb Mediterranean diet group lost an average of 22 pounds In this study, researchers tracked signs of carotid atherosclerosis fatty deposits in the carotid arteries over two years in participants who ate either a Mediterranean diet, a low-carb diet, or a low-fat diet.

Circulation Dietary intervention to reverse carotid atherosclerosis [randomized trial; moderate evidence]. However, another team of researchers who conducted a recent systematic review of 30 RCTs concluded that it is still unclear whether eating a Mediterranean diet helps prevent heart disease:.

Diet Doctor will not benefit from your purchases. We do not show ads, use any affiliate links, sell products or take money from industry. In a randomized trial of 70 postmenopausal women lasting two years, women who ate a non-calorie-restricted paleo diet lost significantly more body fat than women who ate a diet based on Nordic Nations dietary recommendations after six months.

However, after two years, changes in fat loss between the two groups were less dramatic: The paleo group lost 10 pounds 4. European Journal of Clinical Nutrition Long-term effects of a Palaeolithic-type diet in obese postmenopausal women: a 2-year randomized trial [moderate evidence].

In a small trial, people with type 2 diabetes who ate a Paleo diet lost about 5 pounds 2. In a pilot study, people who consumed a paleo diet were found to be at higher risk of inadequate calcium intake because of the lack of dairy products in their diet:. In a systematic review of RCTs comparing a low-fat vegan diet to an omnivore diet, vegan diets resulted in greater or equal weight loss, although results varied due to different dietary protocols in the trials:.

Diabetes, Metabolic Syndrome and Obesity Effects of plant-based diets on weight status: A systematic review [strong evidence].

In one study, overweight postmenopausal women who followed a vegan diet for two years lost an average of 11 pounds 4. However, the women in the vegan group regained some weight during the second year, completing the trial at 7 pounds 3. Obesity Silver Spring A two-year randomized weight loss trial comparing a vegan diet to a more moderate low-fat diet [randomized trial; moderate evidence]. In another trial, adults with type 2 diabetes followed either a non-calorie-restricted low-fat vegan diet or a calorie-restricted diet based on conventional American Diabetes Association ADA guidelines for 74 weeks.

By the end of the trial, those in the vegan group had lost 10 pounds 4. The vegan group also achieved slightly greater reductions in HbA1c about 0. The American Journal of Clinical Nutrition A low-fat vegan diet and a conventional diabetes diet in the treatment of type 2 diabetes: a randomized, controlled, wk clinical trial [randomized trial; moderate evidence]. In a week trial, overweight postmenopausal women who ate a non-calorie-restricted vegan diet lost 13 pounds 5.

The women in the vegan diet group also experienced a slightly greater increase in insulin sensitivity compared to the control group:. For instance, in a week trial, people with type 2 diabetes who followed a non-calorie-restricted vegan diet lost 14 pounds 6.

At six months, the vegan group had lost an average of 7. In a two-part trial, 47 overweight people with high cholesterol levels were randomly assigned to follow either a calorie-restricted lower-carb vegan diet or a calorie-restricted higher carb vegetarian diet that included eggs and dairy.

Although weight loss was similar in both groups, the low-carb vegan group had greater reductions in markers of heart disease risk.

Additionally, people in the lower-carb vegan group seemed happier with their diet:. For the second part of the study, each group was allowed to eat as much of the permitted foods as they wanted.

At the end of six months, the lower-carb vegan group lost slightly more weight, raised their HDL cholesterol levels, and lowered their LDL cholesterol and triglyceride levels more than the other group:.

A systematic review of RCTs found that in five out of nine studies, a vegan diet significantly improved markers of blood glucose control, whereas in the other four it did not improve glycemic control significantly:. Diabetes, Metabolic Syndrome and Obesity Effects of plant-based diets on outcomes related to glucose metabolism: A systematic review [strong evidence]. Diabetes Care A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes [randomized trial; moderate evidence].

However, in another trial testing a vegan diet against an ADA diet in people with type 2 diabetes, the vegan diet did not lead to significant changes in HbA1c or other measures of blood sugar control:. Journal of Nutrition Decreases in dietary glycemic index are related to weight loss among individuals following therapeutic diets for type 2 diabetes [randomized trial; moderate evidence].

A trial tested a vegan diet against a diet recommended by the American Heart Association for reducing c-reactive protein CRP , a marker of inflammation linked to increased heart disease risk. Journal of the International Society of Sports Nutrition Vegan diets: practical advice for athletes and exercisers [overview article; ungraded]. Nutrients: Comparison of nutritional quality of the vegan, vegetarian, semi-vegetarian, pesco-vegetarian and omnivorous diet [review article; ungraded].

Journal of General Internal Medicine Vegetarian diets and weight reduction: a meta-analysis of randomized controlled trials [strong evidence]. Overall people lost an average of 3 pounds 1. In August of , WW launched Kurbo, a nutrition and weight loss app for children and teens, which we at Diet Doctor do not condone.

The WW program also provides group support via weekly meetings. Does it interact with my other medications? GLP-1s can be safely taken with other common prescription medications—including those for blood pressure, thyroid, and diabetes—and have no contraindications with other prescription or over-the-counter medications. Why does Calibrate prescribe GLP-1s? Calibrate doctors virtually prescribe GLP-1s glucagon-like peptide-1s because research shows that, in combination with accountability coaching, they are the most effective and safe long-term medication for weight loss.

GLP-1s prescribed through the Calibrate program include semaglutide, liraglutide, and dulaglutide. They have been widely used since and are generally very well tolerated, with minimal side effects. For anyone with a personal or family history that might put them at a slightly higher risk for extremely rare side effects, we always err on the side of caution and recommend other medications. They are generally very well tolerated, with limited side effects. However, for those who do, nausea is the most common, and this typically resolves over the first few weeks.

With direct access to your Medical Team for help with titrating and managing side effects through secure messaging, we expect even less difficulty with side effects. Your Medical Team is available throughout the program for any questions about medication side effects or other medical concerns. One study published in compared an aerobic exercise program to a weight loss program in overweight men at risk for cardiovascular disease. The men who lost weight had a greater improvement in their risk factors for cardiovascular disease such as their cholesterol levels and blood sugar levels than the aerobic exercise group 7.

This should underscore the importance of sticking to a weight loss program. You need to lose the weight, too. Weight loss can help improve mental health. Most people think of weight loss as primarily oriented at improving physical health. However, improvements in mental health are a perhaps lesser-known benefit of successful weight loss.

A study published in that analyzed the first phase of an experimental trial for weight loss in nearly obese people was able to demonstrate a significant correlation between weight loss and improvements in symptoms of depression 8. A study on a weight loss program in overweight and obese men in Australia analyzed men who had depression at baseline and tracked their progress across the course of the study 9.

These findings suggest that weight loss, even in moderate amounts, can be a powerful way to improve mental health. One advantage of a commercial weight loss program is that you mitigate your risk of side effects when compared with a diet cobbled together yourself. When you restrict your caloric intake, or cut out specific food groups, you do run the risk of having nutritional deficiencies, especially when it comes to micronutrients.

Cutting out fatty foods, for example, could have the inadvertent effect of causing your omega-3 fatty acid intake to plummet, which could increase your long-term risk for cardiovascular disease More acute nutritional deficiencies can be a problem as well.

Considerable wisdom can be gained in this regard from extreme cases—patients who have had gastric bypass surgery and lost large amounts of weight as a result of their substantial decrease in caloric intake. According to a medical report by Dr. Jacqueline Alvarez-Leite, nutritional deficiencies in iron, calcium , vitamin D , and vitamin B12 are all commonly encountered in bariatric surgery patients, and the deficiency is often proportional to the amount of weight lost Fortunately, reputable weight loss programs have nutritionists on staff to ensure that the diets that they recommend contain the necessary micronutrients you need.

A daily multivitamin, or a targeted supplementation plan that includes these nutrients, should be sufficient to combat this problem. A: To lose weight quickly, whether you want to drop several pounds in a week or much more over the course of a month, very low energy diets are the best way to accomplish this goal. One study found they were twice as effective as a standard behavioral intervention, even after one year of follow-up A: Women tend to have more success than men when it comes to losing weight and maintaining it.

One study published in the Annals of Internal Medicine suggests a possible explanation The study tested the effects of no intervention, an exercise-only intervention, and a diet-only intervention. Interestingly, only the diet was effective: working out had no benefit on weight loss. Men might be more inclined to think that working out alone will help them lose weight, without changing their dietary patterns. As such, a weight loss program that takes a more realistic examination of dietary patterns, like the Mayo Clinic Diet or the Atkins Diet, might be good choices for men looking to lose weight.

A: Based on the latest assessment of the scientific research, Jenny Craig is the most successful weight loss program in terms of the percentage of weight lost compared to a control intervention. It leads to nearly five percent more weight lost as a percentage of body weight than control interventions.

The advantage over programs like Weight Watchers 2. Pretty much any good commercial weight loss program is going to have better success than going it alone if you stick to it, though. A: We based our rankings on some of the best scientific work on what diet programs work. A review published in portrays the current state of research on weight loss programs Across 45 studies, WW weight watchers and Jenny Craig are consistently top performers, with the Atkins Diet, Nutrisystem, and Zone Diet also having research supporting their efficacy, though not to quite the same degree as Nutrisystem our top pick and WW.

Despite this possible limitation, these rankings still represent the best modern science has to say on what weight loss programs actually work. A: Most weight loss programs make it extremely easy to sign up and begin. A: Healthy weight loss programs can incorporate a wide range of dietary patterns, but they all tend to be high in the foods you already know are healthy.

Surprisingly, the popular wisdom that aggressive low-calorie diets are less healthy is not supported by the scientific research—very low calorie diets actually tend to fare better in the long run, compared to more moderate diets with slight energy deficits A: Given the very high rate of attrition i.

From the research done so far, a few factors stick out. Self efficacy is the degree to which you believe you can be successful: a more colloquial interpretation might be your level of optimism about your prospects for weight loss.



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