THIS PROGRAM WILL CHANGE YOUR LIFE

Our weight loss program will change your life.
You will not only go on a diet, or food program as we call it. You will go on a food program that is specific to you.
We will not only design your customized diet, we will design it based on a comprehensive blood work.
At your visits, you will not only discuss what you are eating, you will discuss what works and what does not work for you.
You will not only get a list of foods you can eat, you will get suggestions of how to make and eat these foods in interesting and delicious ways.
You will not only discuss why you went off program, you will discuss how you can overcome your problem.
You will not only get weighed, you will get an evaluation of your total body composition, to see where you are losing weight and that you are losing weight correctly, that is losing fat, not muscle.
You will not only learn how to lose weight, you will learn the many other factors that impact weight loss.
You will not only lose weight, you will learn to manage the complexity of weight maintenance.
You will not only learn the correct food program for you, you will get an entire education about weight loss.
You will not only be able to talk to the doctor at your office visits, you will be able to talk to the doctor outside of your visit, by email, 7 days per week, to get immediate answers to questions you may have.

We have a holistic view of weight loss. We do not just discuss food. We discuss everything in your life that affects how you eat.

Our Program will change your life.
Are you ready?

Some Facts You Should Know

Here are some great tips of information:
1. Everyone always thinks they can lose weight on their own. They always think this. They never do. If this is you, draw a red line, and after a certain amount of time, decide its time to get professional help.
2. Many weight loss programs are scientifically incorrect. The diet they give you is generic, or just plain wrong. How do you know if this is true of the program you are on now? You are not losing weight.
3. If your program does not look at your blood work, it is probably not scientifically correct.
4. Weight Loss is not simple, even though it appears to be so.
5. There is no formula for weight loss that will work for everyone. Two women or men, of the exact same age, at the exact same weight can go on the same diet, and one will lose weight and the other will not.
6. Losing weight is not about will power. You cannot willpower your blood pressure to go down. You cannot willpower your hunger hormones to go down.
7. If your program does not teach you how to do maintenance, please do not go on that program.
8. If your program cannot get you out of a weight loss plateau, then your coach does not understand the physiology of fat metabolism/weight loss.

Statistically in our program;
100% of our patients lose weight. 95% maintain their weight at the five year mark.
The time block from January 1 to March 31 is the time of year when patients statistically lose the most weight in our clinic.

Ready to lose weight? Ready to really learn how to slim down permanently? This is the place to do it. We would be happy to help you.

WHY SEE A DOCTOR FOR WEIGHT LOSS

why see a doctor?
The answer is, in a few words, that losing weight is not simple. Many think it is just about eating less calories. But this is not correct. Because all calories are not the same, eating 400 calories of ice cream is not the same as eating 400 calories of grilled fish. They do not trigger the same hormones and they do not affect your weight the same way. We can put together 10 different weight loss program, each of which adds up to 1400 calories. On some of these you will lose weight, on some maintain, and on some, even gain weight. So counting calories will never work.

If you are overweight, something in your body is out of balance, and needs to get back into balance.The problem is most likely not that you are eating too much food. The problem is that you are eating the wrong foods, in the wrong combinations, at the wrong time of day.
This imbalance in your diet creates an imbalance in internal hormones. But to say that your hormones are out of balance, would be greatly oversimplifying the problem. What hormones, and how are they out of balance? This is why you need to see a true doctor, to diagnose the problem. To begin, blood tests need to be done, and interpreted by someone who really understands how to put the “puzzle” together. (If you have entered a program which does not begin by ordering a blood test, this program is never going to work.)
In our clinic, we look much deeper than the blood test you get in your internist, or family practice’s office. We want to look at your leptin level for example. What is this? It is your hunger hormone. Most doctors do not need to know how hungry you feel, but as a weight loss doctor, we do want this information.
Then we put you on a machine that measures your total body composition. A weight scale gives you a number, your weight. But where is the weight distributed? Do you have too much fat, not enough muscle, not enough hydration? We will examine your make up by having you stand on a total body composition machine, where we can see exactly what is going on internally.(for example, Fat around your organs is not the same as fat in your abdomen.)
As you go through our program, we will monitor your weight loss as you lose weight, not only on the scale, but on the total body composition machine. We want to make sure you are losing fat, and not muscle.
Designing diets is also complicated. Why? Because there is no one size fits all formula for weight loss. Programs all over America are looking for simplistic formulas. Algorithms are created. Everyone who needs to lose 50 lbs go on program A, everyone who needs to lose 40 lbs go on program B, and so on. This is never going to work. Each person is unique and needs to be evaluated individually. In our office, we will design a program that is specifically for you, based on this medical information, your blood test, your total body composition, and the history you give us.
And then you hit a plateau in your weight loss. Why? because the program that works for you in the beginning of your weight loss journey, will not work straight to the end, because your body adapts. Again, you need professional help. A weight loss doctor understands how the body works, and why you hit plateaus, and how to get the weight to start coming off again.
IF you have tried other programs and not succeeded, or if you are really ready to lose weight permanently, we invite you to enroll in our program. The average weight loss here is 75 lbs, but we have many patients who want to lose 10 lbs and want to learn what they should be eating to be healthy and slim, and of course we have patients who need to lose 200 lbs or more.
It is up to you, consider all of this carefully, because your health really is your most precious asset, you will never regret entering a safe, scientifically correct weight loss program, monitored by a doctor. Now it is up to you; when you are ready, please call us.
We look forward to hearing from you.

LET FAT PEOPLE DIE; THE ARE WEAK WILLED, INDULGENT AND LAZY, NOT SICK

No, these are not my words; they are from a broadcast done today, by a man named Mr.Michael Buerk who is a BBC news anchor. He goes on to say that obese people are weak willed and lazy, not ill, and that they should be allowed to die from the complications of obesity. Decent people such as himself and other thin English people should not have to pay for the obese. Diseases caused by obesity are costing the country billions of dollars which would be better used elsewhere.
I find these words and attitude amazing. What are Mr. Buerk’s credentials that empower him to make these judgements and comments on national television? Is he a medical doctor (no), a scientist (no), has he every been obese himself (no, again)? What then does he know about the disease of obesity?
As a physician who has treated hundreds of overweight and obese patients, the first thing I can assure Mr. Buerk is that I have never met a weak willed or lazy obese person.
Secondly, obesity is indeed a disease. It is caused by two major medical imbalances. The first is insulin resistance. Healthy cells are not able to take up sugars and carbohydrates, and so this energy goes directly into the fat cells. Think of eating cake, in an obese person, a good analogy is that there is path that goes directly from the mouth to the fat cell. When the obese person eats cake, he will always gain weight. In a healthy thin person, this same cake gets distributed by the blood to other cells, like muscle and brain cells. Because all the sugar gets taken up by healthy cells, there is none left to go into the fat cell. Thin people therefore do not gain weight when they eat carbs.
So, Mr. Buerk might answer me, the obese should just stop being so weak willed and just don’t eat cake (or other carbs.). But here is what he really does not understand. Being obese is also a neurological imbalance where the brain sends incorrect signals. Obese people crave the very food that poisons them.
Are we surprised that a heroin addict craves heroin? Would we ask a heroin addict to live in a room full of heroin and never touch it? But this is exactly what is going on in the brain of an obese or overweight person. They have powerful and constant cravings, hunger, the munchies for foods like cake, bread, alcohol, cookies and the like. These cravings are very very powerful. And with unhealthy food everywhere, it is a matter of time before an obese person will break down and eat something he or she should not. This inner struggle is real and it is strong, and a constant presence. If Mr. Buerk had ever been obese, he would know this.
Can this be treated and fixed. Yes! I do this every day all day long. I have hundreds of patients who have lost weight and kept it off permanently.
Obesity is indeed a disease. It is caused by imbalance in the fat cells as well as powerful and incorrect signals in the brain. It can be treated by professionals like myself who understand the disease. And, Mr. Buerk, it is not absolutely not due to indulgent people who are weak willed and lazy.

Just Married!

Always so great to hear from our patients. Here is an email I just received. This is why I love doing what I do. I think I have the greatest job in the world. I get to make people happy! (she lost 75 lbs).

Dear Dr. Constable,
Thank you so much for all you did to help me take control of my health and nutrition. Entering my fifth season as a triathlete, I’m feeling strong, eating better and changing habits. At 55 years old, I had the wedding of my dreams in rural Wisconsin, spending four action packed days with our family and closest friends. On our wedding day, I danced until the band packed up! Thank you for taking so much time with me and for never giving up.
Sincerely,
M.
(name removed for privacy)