Weight Loss Management
Physician Supervised Weight Loss Program
Our goal is to make you look and feel great! We are here to help you reach your goal weight and help you improve how you feel about yourself!
Weight loss is a personal issue; everyone has different goals for weight loss and percent of body fat they want to achieve. Remember you are losing weight for you and no one else!
Soon you will be on your way to making small lifestyle changes that will provide big rewards in return. You will notice changes will occur quickly if you commit to the program and adhere to the guidelines established.
Remember Dr. Blake is working in conjunction with your clinical director to help you celebrate the continued success of your weight loss.
About the Program:
At your initial consultation you will meet with our weight loss specialist to define your goals. Together, we will formulate a written plan outlining how these goals will be achieved. Your medical health is our foremost concern.
- Complete blood work, including cholesterol levels, liver enzymes, kidney function & electrolytes. (Pregnancy test for females)
- EKG for candidates of prescription appetite suppressants.
- Blood pressure /Pulse
- Exercise Recommendations
- Nutritional Analysis
- Body fat percentage/Body Mass Index on our Tanita scale
* Regular pricing is $300 for the initiation fee and bi-weekly follow ups at $65.
"I cannot say enough about Dr Blake and his program. It has changed my life, and I will be happy to talk to anyone about my experience. The Contour Weight Loss Program is a lifestyle change and an educational program, and I will never be overweight again."
"I cannot begin to explain how extremely pleased I am with my overall results using the Contour Weight Loss program. When on other weight loss programs, I never felt comfortable with their approach nor have I achieved my maximum potential and always felt unsuccessful in my efforts."
Frequently Asked Questions
1. What is a reasonable weight loss goal?
Dr. Blake will work with you to set a goal that is both attainable and healthy. In general we are more concerned about the fat mass and fat percentage than actual weight and BMI. Losing 10 pounds of fat is far better than losing 10 pounds of water.
2. How long will I have to stay on a limited calorie and low carbohydrate diet?
Everyone is different. Each program is tailored to each individual. However, the first three days are the most intense. After that the nutritional values will be significantly adjusted to ensure a safe and effective weight loss; more importantly, fat loss.
3. What are the side effects of low carbohydrate diets?
An increase in the level of ketones in the body results in a larger than normal excretion of sodium and water loss. During ketosis, many people tend to feel sluggish and tired and will experience low levels of energy. Other, less severe side effects include constipation, gas, and excess protein in the body
4. Is it safe for me?
Low carbohydrate diets not only help in weight loss, but also in lowering triglycerides and improving HDL: total cholesterol ratio. Due to the low glycemic index, there is also a significant improvement in glucose management in diabetics
5. Will the pounds come right back if I stop?
This program is not just a diet. It is a lifestyle change. There is no magic wand. Our purpose is to educate and support a healthy lifestyle so that when you reach your goal, you are able to maintain your weight on your own. If you go back to old habits you will regain weight.
6. I am not hungry, but sometimes I feel nauseated, is this normal?
Nausea or upset stomach is one side effect of vitamins. Usually this is relieved by taking medication and multi-vitamins after eating. Occasionally people do not tolerate certain medications and need to be taken off or switched to a different medication if needed.
I just wanted to thank you and your staff for the interest and encouragement you showed us each week in regard to our weight loss.
I would never have believed the results, in just 4 months,unless it happened to us, AND THEY DID!
Bruce is happy and healthier, I am happy and healthier and our hearts are happy and healthier
Rosa Marie Froemming
7. I am having constipation with the diet. Is there something safe I can take?
Constipation is one side effect of a low carbohydrate diet. It is important that you eat a high amount of fiber (e.g. broccoli, spinach). It is also very important to drink plenty of water. Exercise will also increase your bowel activity. If constipation persists, there are alternatives such as “The Perfect Food” and Colace which can be taken after discussing this with your doctor.
8. I dine out a lot, what is a safe thing to order on a menu?
Dining out is tough because restaurants use lots of butter, oil and salt to make sure their food tastes good. Even “Healthy Meals” can be prepared in an unhealthy manner. It is always safest to prepare your own meals. However, if you find yourself at a restaurant ask if they have a “Lighter Fare” menu or if they can recommend low carb items. In general the safest things will be a grilled or baked fish, chicken (skinless) with a steamed vegetable (not potatoes or corn). If you have a salad, ask for them to put the dressing on the side or bring your own. They often will have Balsamic Vinegar, olive oil or lemon juice. Just keep track of what you use.
9. How much exercise per week do I need to do in order to lose the maximum amount of weight?
Everyone’s body responds differently. Our recommendation is to get a personal trainer. We work closely with a few personal trainers who we know and trust. They know our program and will be best able to optimize a fitness regimen for you. Also, they are willing to come to your home or your gym. So no excuses!
10. What precautions can I take to keep skin from hanging as I lose weight?
The most important thing to do is stay hydrated and ensure a safe amount of weight loss. A safe amount is generally 1-4 pounds per week. Beyond that, you are at risk of water and muscle loss. There is also a great deal of research involved with skin care. Your doctor will recommend a treatment plan with one of their aestheticians to optimize skin care. This will help to maximally restore your skins elasticity.
11. Help! What happened to my breasts?
Many women lose weight in their breasts. Breasts are made of glandular tissue and fat. As you lose weight, the fat begins to disappear and the glandular tissue remains. The skin which was filled out also begins to deflate and the breasts descend; similar in appearance to the phenomenon that occurs after breast feeding. This can sometimes be treated with a surgery called a mastopexy (or “Breast Lift”). Your doctors are plastic surgeons who routinely perform these surgeries and can answer any questions you may have regarding this matter.
12. Is it common to have a dry mouth and bad breath on this diet?
Again, it is very important to drink plenty of water. The decrease in carbohydrates will cause the body to excrete ketones and water. Keeping sugar free chewing gum and mouthwash on hand can help.
13. What do the shots do? Are they safe?
The shots contain vitamins which have not been found to have overdose toxicity levels. Any amount which is not absorbed will be excreted from the body as waste. The vitamins and amino acids in the injections have been shown in research to increase fat and cholesterol metabolism, improve energy, mood and prevent fatigue.
14. Is the diet pill the same one that was taken off the market a few years ago (FEN-PHEN)?
NO. Fen-Phen was an appetite suppressant also known as Dexafenfluramine. Dexafenfluramine is sold under the name Redux. It increases serotonin levels in your brain. Serotonin is a brain chemical, which is associated with improved mood and plays a role in your appetite. The prescription drug has been removed from the market.
Phentermine is an appetite suppressant which has been on the market for many years and has not been taken off of the market. It is approved as an appetite suppressant to help reduce weight in obese patients when used short-term and combined with exercise, diet, and behavioral modification. It is typically prescribed for individuals who are at increased medical risk because of their weight and works by helping to release certain chemicals in the brain that control appetite.
Generally, phentermine appears to be relatively well tolerated. It can produce side effects such as a rapid heart rate and elevated blood pressure. However, the incidence of these appears to be less than with amphetamines. It may also cause palpitations, restlessness, and insomnia. Additionally, phentermine has the potential to cause physical and psychological dependence.
15. I’ve hit a plateau and have stopped losing weight, what can I do?
There will be times throughout various points of the program where you hit a road block. This is why frequent follow-up is so important. If there is a reason for this, we are committed to help resolve these issues. Sometimes it can be as easy as thinking a food was healthy, when in actuality it was slowing you down.
It is also important to realize that we do not look just at weight. Even though weight may stay the same, your fat mass may go down and fat free mass may increase, thus balancing out your weight. This is better than losing 10 pounds of muscle. The biggest mistake is to just concentrate on weight. Remember you may be 200 pounds with a 28 inch waist or a 38 inch waist.
Remember that it is easier to lose weight in the beginning and weight loss will slow down with time. The important thing is to keep your goal in mind and focus on month to month or week to week instead of day to day.
16. Is there anything I can do to make my face tighter while losing weight?
It is very important to drink plenty of water to avoid becoming dehydrated. Your doctor will work closely with a skin care specialist to formulate a plan based on your needs. There are several options available. As with most health concerns prevention is the key.
17. With this diet what is a reasonable amount of time to lose 30 pounds?
The amount of weight loss is dependent upon what you start out with. Obviously it will be easier for someone who weighs 400 pounds to lose 20 pounds than someone who weighs 150 pounds. However, on average most people lose between 2-8 pounds in the first week and 1-4 pounds each additional week. Again, the amount of weight loss from week to week will vary. Remember we want you to think in turns of fat loss not weight loss!
18. Are there any shakes or bars available with low carbohydrates to keep on hand in case it is difficult to eat within a 3 hour period?
The idea of meal replacement is big in dieting. While we do offer some nutritional replacements such as snacks and shakes, we do not advertise them as a daily use item. They can be very helpful in certain situations, however. Please, ask us for a list of available items.