Why The True Diet Works so Well

Published on September 9, 2017
Wt Loss & ILI

Losing weight is a complex multifactorial process that must take into consideration eating correctly, changing your metabolism, keeping active, and multiple other concepts. Our diet program, The True Diet, which includes the HCG True Diet and the True Trim for Life programs, were designed to help you learn how to incorporate all these concepts into your life so you lose weight and become healthier while you do.

The most cost-effective, efficient and successful way to lose weight is by incorporating all these multifactorial concepts into your life. Only by doing so with successful nutritional changes can you achieve more long-term durable weight loss with realistic and sustainable goals. In so doing, you will save thousands of dollars in healthcare costs and improve or reverse obesity-related chronic diseases.[1]

To reverse obesity and overweight, the following concepts have been shown to lead to successful weight loss, all of which are included in The True Diet programs:

  • restore fat-burning metabolism
  • Initial 15% weight loss to restore β cell function
  • very-low-calorie diets (VLCDs)
  • restricted and appropriate diet after VLCD
  • exercise regularly and adequately
  • intensive behavior therapy
  • face to face program
  • supervised by health care professionals
  • medical care to ensure overall health
  • concepts to reduce the dropout rate
  • self-control & self-monitoring: recording daily weights and foods in a journal
  • transition of diet to Mediterranean diet to decrease risk for diabetes and CVD
  • long-term maintenance

All of the above concepts are included in The True Diet Program, making it a very effective and successful program for losing weight plus improving your health.

Restore fat-Burning Metabolism

When a person becomes overweight or obese, their metabolism changes. Most patients comment that it’s hard for them to lose the weight. The reasons for this are many, but one of them is a change in insulin metabolism that occurs when excess calories are consumed and not utilized through adequate muscle burning exercises.

Insulin is produced by the pancreas, specifically the Beta (β) cells within the pancreas. Excess calories, especially carbohydrate calories, stimulate production of insulin within these Beta cells. Insulin’s actions are: 1) pull the carb calories into the cells so the cells may utilize those calories, and 2) deposit those calories inside fat cells if you don’t burn them with activities.[2]

Thus, if you consume calories, particularly carb calories, and you don’t exercise enough to burn the calories, you’re literally feeding your fat cells and making them bigger. Once the fat cells become too saturated with carbs, they develop something called insulin resistance, and even more insulin is needed to force the carbs into the cells, resulting in a condition called insulin resistance.[3] Insulin resistance has been linked to an increase in inflammation in your body, [4]which can further increase risks of medical conditions such as heart disease, cancer, diabetes, dementia, and many others.

If all the above actions happens all over your body, then you become overweight, and when extreme, you become obese. Moreover your health suffers. Thus it is important to change this carbohydrate metabolism, not only so you can lose weight but also to improve your health. Changing the production of insulin from the Beta cells and insulin resistance, i.e. changing your metabolism, is thus imperative to getting you on your way to losing weight.

We use multiple concepts to help you restore your metabolism to a metabolism that burns the fat. One is a VLCD and another is the use of HCG. We have seen these concepts work over and over many times to help you get off that weight-loss plateau.

Very Low Calorie Diets

One of the best methods to change your metabolism is to use a very low calorie diet (VLCD).[5] Reducing your food intake to 400-500 calories per day has been shown to do this. VLCDs result in improved glucose control, Beta cell function[6] and insulin sensitivity. In turn, this results early rapid weight loss much better than if only a 1000 cal/day diet is done.[7]

Moreover, Beta cell function is improved with VLCDs[8] which makes the metabolism more in line with weight reduction rather than putting on weight. Calorie restriction plays a very important regulatory effect on your metabolism and thus is vital to a successful weight loss program. However, this method that the calorie restriction is done is very important. Just going on a liquid protein diet hasn’t been shown to be effective.[9] In The True Diet, we teach you to eat the right foods and modify your diet to help you eat in a healthy fashion plus lose weight.

HCG to change your metabolism

Our diets may use several medications to help you lose weight. One very effective one is HCG, the pregnancy hormone. We believe that when you “trick” your body into thinking that it is pregnant and then put you on a low calorie diet, you change your metabolism and force your body to get calories from your fat to “feed the baby”. But there’s no baby. The result is that you have calories coming into your body for you to use, so you feel fine yet you’re only eating 500 calories a day. The result is that you force your body to burn your fat, which results in weight loss.

There have been criticisms of using HCG for weight loss, but we have found that if you don’t use it or some other dieting aid, the opposite scenario happens. We believe this is because if you eat only 500 calories a day, most likely your body will go into a different type of metabolism called “conservation mode.” [10] Your body wants to conserve the food it has stored because it doesn’t know when you’re going to eat again. Using HCG changes this metabolism to a fat-burning mode so you feel fine while markedly restricting your diet.[11]

This works very well in men too, but men do even better on the program than some women. We believe this is at least partially due to the power of HCG to stimulate production of testosterone in a man. Testosterone builds muscle and more muscle burns more fat, which results in more weight loss. It’s a great program for those who want to lose weight.

Restricted but the right diet after VLCD

After a VLCD, it is important to continue a restricted diet but your metabolism does need an increase in nutrients for better health. At the same time, it is imperative that your metabolism continue to stay in a fat-burning mode so that you’ll continue to lose even more excess weight.

As mentioned, it’s important to maintain calorie restriction. In addition, when you add food you need to add the right foods, such as low carbohydrate foods[12] and foods with healthy fata and protein. In do so, you continue to keep your metabolism in a fat-burning mode instead of a carb-storing mode into your fat. The result is continued weight loss.[13]

During your visits with us, we teach you how to do this. We tell you exactly what to eat and how much to eat throughout the diet program. There’s no confusion regarding this the way we have the program set up. However, you do have lots of choices regarding the foods you eat during the programs, you just have guidelines to lead you along your path to better health.

Exercise regularly and adequately

Sustained weight loss is best maintained by not only a restriction in calorie intake, but also by persistent exercise.[14] The best is intensive exercise but shorter bouts of exercise that embrace interval type training may also accomplish this. Exercise interventions with proper diet can produce a 20% greater weight loss than just diet alone in one study.[15]

We encourage our patients to participate in some type of exercise activity regularly. Possibly the best type of exercise is the type that you like the best. After all, you won’t keep on doing it if you don’t like it. Thus, incorporating exercise into your daily life routine is the best. We recommend the PACE type routine that incorporated interval exercise training that you can fit into your daily lifestyle.[16]

Intensive behavior therapy

Another important component for successful weight loss is intensive behavior therapy. [17],[18]  The main concept of this includes seeing a weight loss counselor on a regular basis. This is defined as a minimum of a visit to see your support person twice a week.

Doing so accomplishes several goals, which includes the following. You learn to eat the appropriate foods. You become accountable to your counselor for what you’ve done. You have a weigh in and become cognizant of your success. You are monitored for any healthy concerns. You’re given strategies for further weight loss. You keep weight loss top of the mind.

Our program incorporates this strategy in an effective way. Combined with restricted diet, adequate exercise and long term maintenance ideas, these all have been proven to be successful strategies to help you lose weight and keep it off for the long run.[19]

Face to face program

Not only are intensive lifestyle interventions effective for weight loss, but the type of intervention is also important. Studies have shown that intensive interventions associated with face to face visits are better than just internet or self-monitored programs.

These types of interventions appear to produce the best outcomes because of many reasons. They provide better focused education and instruction. They help you lose your weight and the studies show that they result in better long term weight loss results. Plus other benefits. [20]

Our program requires face to face visit with you and our diet counselors to teach you how to eat right, to give you support, and monitor you to make sure you have no problems doing the program. These intensive visits are key to you losing weight and keeping it of long term.

Supervised by health care professionals

A multidisciplinary approach to losing weight has been shown to be the best method for weight loss success. [21] Weight loss is not just a matter of calories in must be less than calories out. It deals with multiple concepts of weight loss which we can help you address during our program. You may have an inflammatory condition that is causing problems, or perhaps a hormonal issue. Seeing a trained health professional to assist you in losing weight will help you identify some of these potential problems that hamper many people from losing weight.

In addition, adherence to a program, changes in physiologic parameters (e.g. blood pressure), side effects and risks should all be monitored to ensure your best success in weight loss while preventing potential unwanted side effects from getting in your way to losing weight. [22] Our trained staff can help identify these potential problems and help you to resolve them over time.

Medical care to ensure overall health

If we find that medical conditions may be contributing to you being overweight or obese, [23]

we can help evaluate your situation and recommend medical or surgical therapy options that may be available to you. Our physicians and nurses can assist you in getting your problems resolved.

For instance, high blood pressure or pre-diabetes (or even overt diabetes) many times accompanies being overweight or obese. These and many other conditions can improve with weight loss[24] and medical monitoring of these conditions is beneficial for the patient. We do blood work on everyone who starts the program in addition to an EKG. If indicated, hormone levels, thyroid function, and diabetes studies may need to be evaluated.  From these and other parameters, we can assess your situation more appropriately and lead you to resolving these issues to not only help you lose weight, but also to improve your weight too.

Reduce the dropout rate (with VLCD and HCG).

Dropout rates for weight loss programs historically have been very high. Our dropout rates are very low at least partly due to utilizing a multifactorial approach to helping you lose weight. [25], [26] We want you to lose some weight fast to help you see success with a VLCD, but we want you to feel good while you’re doing it.

One natural compound we use to help you tolerate a VLCD is HCG, the pregnancy hormone. We and others[27], have found that it helps change your metabolism to force your body to mobilize calories from your fat, thus bringing in calories into your blood stream to “feed a baby”. Of course, there is no baby so you get to use the calories and you feel fine yet you’re only eating 500 calories a day.

Some other studies using HCG in weight loss have not shown such effectiveness, but they used HCG differently than we do and at a different dose. Our program, the HCG True Diet was developed by Dr. Robert True and includes various concepts while other programs may not. The result is that most patients feel fine while doing the program and losing weight. We have seen this in our clinic and have heard patient’s testimonial confirming these aspects. We are proud to offer this program to help you in your endeavors to lose weight.

Self-control & self-monitoring: recording daily weightsand foods in a journal

Throughout the True Diet Programs, we instruct patients to do certain actions on a daily basis that will assist then in losing weight and maintaining a normal weight. These include daily weights,[28] food journals, and much more. Many studies have confirmed the effectiveness of these concepts. [29]

In addition, we impress the value of self-control on the patient’s success. Patients who practice self-control in eating and in performing daily actions for improving weight loss success are able to eat fewer calories overall, burn more calories by doing proper exercise, and lose more weight. [30] We emphasis these concepts during our regular biweekly visits.

Transition of diet to Mediterranean diet improves risk for diabetes and CVD

Once a patient has lost weight and needs to now convert to a healthy diet to maintain the weight, we help instruct patients to continue to eat a diet that emphasizes burning of fat as opposed to burning carbohydrate calories. This entails the concept of a very low carbohydrate diet. If you primarily eat fats and very few carbohydrates, your body will get used to burning fats and with calorie restriction, the excess fat on your body will continue to stay away.

We also recommend that patients embrace a Mediterranean type of diet, which is incorporated into our long-term diet protocol. Research has shown the benefit of weight loss with a Mediterranean diet and weight loss, plus such a diet has been shown to improve the risk profile for diabetes and cardiovascular disease. [31]

These health benefits of a Mediterranean diet with added fats were confirmed in the Predimed study showing how an increase in ingestion of good fats resulted in a 30% to 40% reduction in heart disease and diabetes.[32] In addition, breast cancer was reduced by 40% in a Dutch study.[33] These are just of few of the many benefits that such a diet can do for you.

Long-term maintenance program

Once you’ve lost the weight what do you do? You’ve lost the weight so now let’s keep it off. We recommend long-term weight loss support so you can maintain your weight loss success. Maintaining your weight after the initial True Diet programs should be a relatively easy thing to do if you continue to practice the concepts of our program on a regular basis.

One study demonstrated these concepts over time.[34] Essentially, we recommend you continue to restrict your calories, exercise regularly, and see us regularly for intensive lifestyle support,[35] usually every two weeks on a continued basis until you can do it on your own. These are “top of the mind” type visits so you continually remember about weight loss. The cost is low, just the cost of a Lipo-shot which will help you with energy and continued fat metabolism.

Helping reverse the obesity epidemic

Obesity and being overweight are now at epidemic proportions with around 70% of Americans being overweight, which includes around 38% considered obese, according to statistics up to 2014.[36]. Even worse, 17% of children and adolescents are considered obese, all of which can result in increased risks of multiple disease processes, including diabetes, cardiovascular disease, cancer, Alzheimer’s disease, orthopedic conditions, and much more.

The associated costs for these many health consequences of obesity are skyrocketing. In 2008, the cost of obesity-related health costs was estimated to be 147 billion, or around 9% of annual health care expenses. It is projected that if we can accomplish a 1% decrease in obesity over the next 2 decades, we will save America around $85 billion. However, if we as a nation continue the skyrocketing rise in obesity, by the year 2030, 51% of America will be obese and over 80% will be overweight. If project costs of obesity with these increases, the cost of obesity in the next 2 decades will be $550 billion if levels remain the same.[37]

By losing weight and keeping it off with our programs, you will not only improve your health, but you will be doing your part to decrease these skyrocketing costs of these problems. Many of the concepts within our diet program have been confirmed to help you lose weight and reduce your risks of developing many age-related disease.[38] Moreover, most people look and feel better when they are at a healthy weight. We encourage you to do a program, whether it is ours or another program, do a weight loss program so you too can improve your health and your quality of life.



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[2] DeFronzo RA, et al. The Effect of Insulin on the Disposal of Intravenous Glucose: Results from Indirect Calorimetry and Hepatic and Femoral Venous Catheterization. Diabetes 1981 Dec; 30(12): 1000-1007. https://doi.org/10.2337/diab.30.12.1000.

[3] Saltiel AR, Kahn CR. review article Insulin signalling and the regulation of glucose and lipid metabolism. Nature 414, 799-806 (13 December 2001) | doi:10.1038/414799a

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[14] Catanecci VA, Wyatt HR. The role of physical activity in producting and maintaining weight loss. Nat Clin Pract Endocrinol Metab. 2007 Jul; 3(7): 518–529. doi:  10.1038/ncpendmet0554

[15] Curioni CC, Lourenco PM. Long-term weight loss after diet and exercise: a systematic review. Int J Obes. 2005;29:1168–1174. [PubMed]

[16] Sears, Al. PACE: The 12-minute Fitness Revolution. Wellness Research & Consulting, 2010.

[17] Womble LG, Wang SS, Wadden TA. Commercial and self-help weight loss programs. In: Wadden TA, Stunkard AJ, eds. Handbook of obesity treatment. Vol. 19. New York, NY: Guilford Press, 2002;395–415. https://www.guilford.com/books/Handbook-of-Obesity-Treatment/Wadden-Stunkard/9781593850944/contents

[18] Wadden TA, Neiberg RH, Wing RR, Clark JM, Delahanty LM, Hill JO, Krakoff J, Otto A, Ryan DH, Vitolins MZ. Four-year weight losses in the Look AHEAD study: factors associated with long-term success. Obesity (Silver Spring) 2011;19:1987–98. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183129/

[19] IBID. Wadden TA,  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183129/

[20] Weng RR, et al. A Self-Regulation Program for Maintenance of Weight Loss. N Engl J Med 2006; 355:1563-1571. http://www.nejm.org/doi/full/10.1056/NEJMoa061883#t=article

[21]Op. Cit. Palgi A, Read JL, Greenberg I, Hoefer MA, Bistrian BR, Blackburn GL. Multidisciplinary treatment of obesity with a protein-sparing modified fast: results in 668 outpatients. Am J Public Health 1985;75:1190–4.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1646394/

[22] Op Cit. ,Womble LG, https://www.guilford.com/books/Handbook-of-Obesity-Treatment/Wadden-Stunkard/9781593850944/contents

[23] National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obes Res 1998;6(suppl 2):51S–209S. {Wiley}

[24] Op. Cit. Palgi, A, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1646394/pdf/amjph00286-0076.pdf

[25] Op Cit. Hemmingsson E.,  doi:  10.3945/ajcn.112.038265

[26] Sofer S, Stark AH, Madar Z. Nutrition Targeting by Food Timing: Time-Related Dietary Approaches to Combat Obesity and Metabolic Syndrome. Advances in Nutrition. 2015 Adv Nutr vol. 6: 214-223, 2015. http://advances.nutrition.org/content/6/2/214.short

[27] http://helenair.com/lifestyles/health-med-fit/weight-loss-and-well-being-with-hcg/article_f3bf9338-15ab-11e1-9066-001cc4c002e0.html

[28] Levitsky DA. Et al. Monitoring weight daily blocks the freshman weight gain: a model for combating the epidemic of obesity. International Journal of Obesity; London30.6 (Jun 2006): 1003-10. (Proquest)

[29] Burke LE, et al. Self-Monitoring in Weight Loss: A Systematic Review of the Literature. J of the Amer Dietetic Association, Volume 111, Issue 1, January 2011, Pages 92-102.  http://www.sciencedirect.com/science/article/pii/S0002822310016445

[30] Crescioni AW. Et al. High trait self-control predicts positive health behaviors and success in weight loss. J of Health Psych. 2011, 16(5). http://journals.sagepub.com/doi/abs/10.1177/1359105310390247

[31] Jabekk, et al. A VLC diet with gradual transition to Mediterranean low glycemic foods as a treatment of obesity – a pilot study. Mediterranean Journal of Nutrition and Metabolism, vol. 7, no. 3, pp. 185-192, 2014. DOI: 10.3233/MNM-140020

[32] Salas-Salvadó J, Estruch R, et al. Prevention of Dialbetes with Mediterranean Diets: A Supgroup Analysis of a Randomized Trial. Ann Int. Med. Jan 2014;160(1):1-10. DOI: 10.7326/M13-1725

[33] Van den Brandt P, Schulpen M. Mediterranean diet adherence and risk of postmenopausal breast cancer: results of a cohort study and meta-analysis. Intern J Cancer Mar 2017. doi: 10.1002/ijc.30654

[34] Op. Cit., Wadden TA, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183129/

[35] Op. Cit., Wadden TA, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183129/

[36] Overweight  Obesity Statistics. National Institute of Diabetes and Digestive and Kidney Diseases. 2014. https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity

[37] Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, Dietz W. Obesity and severe obesity forecasts through 2030. Am J Prev Med 2012;42:563–70. http://www.sciencedirect.com/science/article/pii/S0749379712001468

[38] Circulation, Nov. 12, 2013, Published by the American Heart Association.

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