• We focus on total healthy weight loss of 1-2 lb / week with a Total Caloric Deficit of 500-700/day which is very reasonable, non-depriving, realistic and achievable over 3-6 months, while also providing numerous health benefits – including lowering of blood sugar, blood pressure cholesterol, improvement in stamina, energy and endurance. This is what we call Medical Nutrition Therapy.
  In order for (TCR) to be meaningful and induce satiety, one of the options is to have a Meal Replacement (MR) instead. We offer the OPTIFAST Meal Replacement Program in which you can consume most of your calories from a Meal Replacement shake instead of food, while still being provided with satiety as it is balanced, nutritious, and fulfilling.OPTIFAST is a non-OHIP program and the only MR program that has been approved in Canada, and has been endorsed by the current Obesity guidelines issued in CMJA in August 2020.
  The studies have shown:
  → 14-20% average weight loss
  → 16% average decrease in waist circumference
  → 7-10% average decrease in blood pressure
  → Discontinuation of diabetes medicationsTo learn more about it, click here to download Optifast Brochure.

We offer behavioural and psychological interventions through active cognitive behavioural therapy, and the patient is encouraged to complete 46 modules (credit: Obesity Care Nova Nordisk and OPTIFAST program)

Basics – 10 Modules

1. Values
2. Obesity Facts
3. EOSS (Health Impact by Weight)
4. Calculate your calories
5. Weight Journey
6. Best Weight and Expectations
7. Motivators and Sabotagers
8. Age and Metabolism
9. Need Assessment Survey (NAS)
10. Personal History

Behaviour – 13 Modules 

1. Stimulus Control: Home and Work
2. Managing cues
3. Wanting
4. High Risk
5. Permission Thought
6. Restraint
7. Motivation to Change
8. Solving Problems
9. Setting SMART Goals
10. Time Management
11. Sleep
12. Taking the lead in your weight loss (Owning Responsibility)
13. Getting Support

Medical Nutrition Therapy and Physical Activity – 11 Modules 

1.  Knowing Nutrients
2. Eating Out
3. Eating Style
4. Mindful Eating
5. Eating to Ease Stress
6.  Meal Planning
7. Shopping Smart
8. Making the shift to nutrient rich food
9. Cooking Quick and Easy
10. Make Time To Move
11. Strength Training

Miscellaneous – 12 Modules 

1. Body Image
2. Body Sense
3. Body Talk
4. Hidden Benefits of Obesity
5. Special Occasions
6. Travelling
7. Be kind to Yourself
8. Building Confidence
9. Communication
10. Ongoing Weight Management
11. Changing Lifestyle Activity
12. Measuring Progress (Self Assessment)

In Canada, there are 3 AOM approved for Weight Loss and Weight Maintenance. All AOM help reduce weight from 3 to 12%. Your doctor will speak to you in further detail regarding the medications

1. 1. Liraglutide (Saxenda by Nova Nordisk) https://saxenda.ca/
   2. Naltrexone-Bupropion (Contrave by Bausch Health) https://contrave.ca/
   3. Orlistat

Bariatric surgery can be considered for people with BMI ≥ 40 kg/m2 or BMI ≥ 35 kg/m2 with at least 1 adiposity-related disease (Obesity Canada). Your doctor will discuss further with you.

Quotes From The Medical Community:

• “Overeating doesn’t cause Obesity, Obesity causes Overeating .” Dr. Lee Kaplan
• “Struggling with weight is a complex, biological, neuro-hormonal, primarily genetically conferred, powerfully environmentally influenced real medical condition” – Dr. David Macklan
• “Obesity is a chronic disease requiring enhanced research, treatment, and prevention efforts”. — Canadian Medical Association
• “Obesity is a chronic and often progressive condition not unlike diabetes or hypertension”. — Obesity Canada
• “Obesity is a chronic disease, prevalent in both developed and developing countries, and affecting children as well as adults”. — The World Health Organization

“Recognizing obesity as a disease will help change the way the medical community tackles this complex issue that affects approximately one in three Americans”. — The American Medical Association