Medical Weight Loss program
What is the root cause of obesity?
"All roads lead to Rome." Every person has their own unique journey in life but the roads to obesity converge on the same path. In a nutshell, the cause of obesity is hormonal and the main hormone responsible is insulin. Overeating and excess calories are NOT the cause but rather the consequence of high insulin state. High insulin directly causes weight gain. Obesity is, in a way, a protective mechanism to remove toxic sugar from the blood and organs by storing it into fat. It's not possible that more than 70% of the population suddenly lost their willpower and became sloths in the past 30-40 years causing the obesity epidemic. Our highly processed food is something that we've never been exposed to during millions of years of evolution. It hacked our genetic code and metabolism. It turned insulin, which is crucial for life in small bursts, into a signal that is on all the time. Persistently high insulin shuts off fat burning machinery and revs up fat storage. Do that for years and obesity results. Let us reverse it together.
Together we will address the physical, mental and emotional aspects of health and give you the tools to conquer the obstacles as they arise. It will center around nutrition and permanent lifestyle changes. This is not a diet you do for a month and stop. It is a lifelong journey. The below program will be tailored to each individual stage in readiness and prior experiences. I will not be selling you any supplements or products. There will be NO calorie counting. By fixing your metabolism, hormonal signals, and satiety, you will reach your optimal weight. Some of the dietary approaches we'll accommodate include low carb, paleo, Ketogenic, Carnivore, and fasting.
Initial Visit - Comprehensive Evaluation and Diagnostics
The initial visit is all about you. We will spend 90 minutes digging deep into your medical, social and family history from before you were born until now, then hone in on the main problems. We will do it remotely using encrypted and HIPAA compliant video-conferencing technology using your phone or computer from the comfort of your home. Prior to our virtual visit, you will receive electronic forms and questionnaires to complete, which will save us a lot of time gathering information and allow us to go in-depth quickly. We will create a custom dietary plan for you and decide which blood work is needed. We will address the broad strokes about the dietary plan and set expectations and give you "homework" to start your journey towards fixing your satiety and metabolism to allow the doctor inside of you to do the work of healing.
Weeks 1-4 - Adaptation Phase
Transitioning from a highly processed food diet where the body depends on sugar burning for energy to a whole foods diet where the body is adapted to burning fat takes 2 to 4 weeks. That period is where most people give up because if not done correctly can lead to uncomfortable side effects. The process is called fat adaptation, a process during which the different genetic machinery that your body naturally possesses but has been dormant for years are turned on slowly. In the process your body will learn to handle and utilize all forms of energy to power your body. Your brain will adapt too. As your body adapts you will notice increased mental clarity, decreased hunger and initial rapid weight loss. I will support you during this transition period with weekly online visits and unlimited email/text support.
Weeks 5-8 - Cruising Phase
We will continue to meet weekly to monitor your progress and address any obstacles. We will focus on hunger and satiety. I will continue to track your metrics and you just focus on yourself. I will remain available with unlimited email/text access. This is the time where you learn more about yourself. You may experiment with different food groups and see what works for you more. During this time habits start to form. You may need new clothes by now.
Weeks 9-12 - Fine Tuning Phase
We will repeat some blood work if needed to confirm improved metabolic health. We start to focus on other aspects of your life that have a huge impact on your weight such as sleep hygiene, emotional well-being and stress management. If ready, we'll introduce intermittent fasting to your lifestyle and start addressing physical fitness.
Weeks 13-16 Troubleshooting and Optimization Phase
Inevitably you will encounter road blocks and your weight loss may stall despite your best efforts. This is normal. There is always a way to break through a plateau that might require more advanced methods that is highly personalized. The focus now is on optimization and building lifelong habits and self-accountability that you will take with you beyond this program.
16-Week Coaching Program
$500/month x 4 payments
Includes an initial 90-minute deep dive consultation followed by 16 weeks of 1-on-1 coaching and weekly check-ins with Dr. Jarrouge
Option for extending intensive program
Option for maintenance program afterwards
Discounted family plans available upon request