The True Diet

Information & FAQ’s
The True Diet

Whether you want to lose weight or just maintain a good healthy weight and eat the healthier diet, The True Diet and the TrueMD Weight Management program can help you. We believe that the best way to health is to change your metabolism to burning the right fuel for the best health. In addition, to lose weight you must change your metabolism to force your body to burn fat. It’s not just your fault that you are overweight; it’s all about your metabolism and we will help you change your metabolism to burn fat. At the same time, you become healthier.

You may be like so many other people who say they are trying to lose weight by reducing your calorie intake, eating what you’ve been told is “right”, exercising, and all kinds of ancillary gimmicks like fast weight-loss pills. However, you’ve found that the weight just doesn’t seem to come off. It’s like you’re stuck at that weight-loss plateau and can’t seem to get off it. You’re not alone. A lot of people have the same dilemma.

But this is exactly the situation where our program shines: we get you off that weight-loss plateau and onto losing weight to improve your health and your good looks. While we are changing your metabolism, we are teaching you the right way, the healthier way to eat, and the excess weight just sheds off. It’s not just about lifestyle changes. It’s about changing your metabolism. It’s also about making sure your body stays in that fat-burning mode.

Losing Weight is a Complex Process

Losing weight is a complex multifactorial process that must take into consideration changing your metabolism to burning fat, staying active, eating correctly, integrating fasting-like concepts, putting you into ketosis, creating autophagy, seeing your diet counselor regularly, and multiple other concepts that have been shown to work. Our diet programs, The True Diet, incorporates all these actions.

Once the excess weight’s off, our maintenance program, the TrueMD Weight-Management Program keeps them off with these concepts. It’s also great for those who need to do a healthier diet for it incorporates many health improving aspects into your lifestyle. It was designed to help you learn how to put all these concepts into your lifestyle so you lose weight while you become healthier.

The most cost-effective, efficient and successful way to lose weight is by incorporating all these multifactorial concepts into your life. By doing them you can achieve 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]

FAQs about the TrueMD Weight-loss Programs

To reverse obesity or just the state of being 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 fast weight-loss to get your metabolism burning fat
  • A very-low-calorie diets (VLCD) with A Special Medication to start the process going
  • Creating a fat-burning (or ketogenic) metabolism after the VLCD
  • Combining ketogenic diet with Mediterranean diet concepts
  • Incorporating long-term modified fasting principals
  • Forcing your body to undergo autophagy
  • Burning fat with reparative and restorative actions
  • Exercising regularly and adequately
  • Changing your behavior therapy
  • Face to face program
  • Supervision by health care professionals
  • Medically supervised for optimal overall health
  • Concepts to reduce the dropout rate
  • Self-control & self-monitoring
  • Transition of diet to our Keto-Medi diet long term
  • Decrease risk for chronic diseases, like diabetes and CVD
  • Long-term maintenance

All 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.

If you look at the history of us becoming a “fat” nation in the United States, the epidemic started in the mid-20th century. That is when we all started eating more carbohydrates, drinking more sugary beverages, more wheat and corn products (breads, pastas, etc.). Comparing the graphs of these items with the rise in obesity, the rise in diabetes, and the rise in so many chronic medical illnesses, the graphs are almost all identical. They follow the same rising pattern. The correlation is amazing.

We have gone to being a culture that ingests carbs more and more, while eating less and less fat. In fact, fat has been demonized by many, including those in the agricultural department and marketers whose intent is to market and sell more low-fat foods. Unfortunately, with low fat the carbs increase, which actually feeds your fat, as we will explain.

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 carbohydrate calories are consumed yet not utilized through adequate muscle burning exercises. The result is the carbs become stored in your fat cells.

Insulin is produced by the pancreas, specifically the Beta (β) cells within the pancreas. Excess calories, particularly 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 excess carb calories, and you don’t exercise enough to burn those carb calories, you’re literally feeding your fat cells and making them bigger. When they get bigger, of course so do you and the fat just keeps on growing resulting in you being overweight. In order to reverse this trend, you must stop this cycle. You must not produce all that insulin that forces the carbs more into your fat cells to feed the fat more.

In order to start you on a fat-burning cycle, you must change your metabolism. You need to turn off the production of insulin from the pancreas and lower the amount of insulin it produces. In so doing, the amount of insulin in your blood decreases, resulting in less deposition of carbs into fat and feeding the fat. Since the pancreatic cells that produce the insulin are called Beta cells, this is also called improving Beta-cell functioning.

In addition, without a lot of carbs, your body can then convert into utilizing those stored fat calories because your body turns the switch in the other direction, i.e. utilizing the stored fat by burning them. To make this happen, you must first go on a very low-calorie diet, but this is difficult for most people to do. However, there are methods that help so you can reduce your carb calorie intake while melting the fat.

Sadly, this is exactly what happens and is probably the main reason why we have such a huge epidemic of diabetes in America. Unfortunately, once you develop diabetes, you will suffer from the sequelae of this disease. But it normally starts with excessive carb calorie consumption and resultant obesity or at least becoming overweight.

The excess carbs feed the fat. 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 [3] Insulin resistance is the hallmark of the development of diabetes. Once it happens, it 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. And this is why diabetes is so bad for you.

The answer is a most likely YES. And this is not necessarily your fault due to our society that eats such large quantities of carbohydrate foods. If you eat too many carbs, they feed all the fat cells in your body and the result is you become overweight. When this is extreme, you become obese. Next your health suffers due to many reasons, which increases your risks for poor health. We all want to live longer and healthier, but we must pay attention to our metabolism and eat right so we can live actively to a ripe old age with better health.

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 back to burning fat and prevent the storage of fat into your fat cells through several changes. We teach you how to do these and give you support all through our programs by instructing you how to eat right to lose the weight and how to keep it off while improving your health.

First, we put you on a very low-calorie diet, also called a VLCD. Not only are the total calories low, hut so is your carbohydrate intake. This results in a type of fast called a modified recurring fast. Most people can’t tolerate this well, but our patients do because of a secret medicine we use: the pregnancy hormone (A Special Medication).

We have seen this works time and time again and is a no brainer to those who have done our program. It works, and most patients shed from 15 to 20 pounds through the program. It’s the best method we have seen to get off that weight-loss plateau, yet you feel fine despite you eating only 500 calories a day for 6 weeks. It is truly amazing, and we are amazed at not only the successful weight lost, but also at how people tolerate such a low-calorie diet and feel fine, many times with more energy than they had ever thought.

One of the best methods to change your metabolism and get you into a fat-burning mode is to use a special very low-calorie diet (VLCD).[5] Reducing your food intake to 400-500 calories per day has been shown to do this, particularly when you reduce the carbs. VLCDs result in improved glucose control, Beta cell function [6] and insulin sensitivity. Many medical associations, including the American Society of Cardiology endorse use of VLCDs as a necessary action to lose weight adequately.

The result of VLCDs is early rapid weight loss much better than if only a 1000 cal/day diet is done.[7] As you do this VLCD, we teach you about using food as a way to keep you in a fat burning mode. You use food as your medicine to get healthier and to lose the extra weight. And with the use of A Special Medication, you feel fine while you’re doing it.

Moreover, Beta cell function is improved with VLCDs [8]. Remember, the Beta cells are the ones that produce the insulin in the pancreas. This in turn forces the metabolism more in line with weight reduction rather than putting on weight. Your body needs the calories for daily fuel, so it finds these in your stored fat. Changing to a fat-burning mode is imperative for weight loss.

Calorie restriction plays a very important regulatory effect on your metabolism and thus is vital for a successful weight loss program. However, the 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.

Our diet programs utilize many different medications to help you lose weight. One very effective one is A Special Medication, the pregnancy hormone. We believe that when you “trick” your body into thinking that it is pregnant and then put you on a very low-calorie diet you change your metabolism and force your body to get calories from your fat.

This is a natural process that one sees regularly in pregnancy. When mom’s not eating well, the baby still survives. The A Special Medication literally forces the stored fat to give up the cals to “feed the baby”. But there’s no baby on board when you do our programs. The result is that you have calories coming into your blood for you to use, so you feel fine yet you’re only eating 500 calories a day. The cals from the fat reduce the fat significantly by forcing your body to burn your fat, which results in weight loss.

There have been criticisms of using A Special Medication for weight loss due to studies that had been performed in the 1960s and 970s. However, we have learned a lot since then and A Special Medication continues to be around for this purpose because it works! If some drug doesn’t work, it wouldn’t stand the test of time.

But we have found that if you don’t use it or some other dieting aid, most people don’t tolerate a VLCD well. 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 A Special Medication changes this metabolism to a fat-burning mode, so you feel fine while markedly restricting your diet.[11] [27]

The prior studies that were criticized used A Special Medication differently than we do at TrueMD. We have markedly modified the old program and use an entirely different dosage regime. Our proprietary program, The True Diet was developed by Dr. Robert True and includes various unique concepts not used in most other programs. The result is that most patients feel fine while doing the program and lose a lot of weight. We have seen this in our clinic and have heard hundreds of patient’s testimonials confirming its success. TrueMD is proud to offer this program, even though it is not endorsed by the FDA. We keep doing it because it works!

The answer to this is absolutely YES! In fact, many times men lose more weight on this diet program than women over a course of the diet program (three months). A Special Medication works very well in men and men do even better on the program than some women. This may be at least partially because A Special Medication can also stimulate production of testosterone from a man’s testicles. Testosterone builds muscle. When you exercise and/or just move your muscles, and more muscle burns more fat, which results in more weight loss. It’s a great program for those who want to lose weight.

It’s hard to believe a man’s body “thinking” that it’s pregnant, but physiologically in the face of a VLDL, the man’s body may respond in a similar fashion. After all, we all have similar DNA and the habits and reactions within our DNA are very similar to our physiology, whether we are man or woman.

Unfortunately, the FDA had only evaluated diets using A Special Medication in old data primarily from the 1970s. These were older programs that were quite different than our program. Thus, those older programs should not be compared to ours.

The FDA has not evaluated our updated and modern weight-loss program using A Special Medication as developed by TrueMD. Our programs incorporated a multitude of other concepts within it in addition to A Special Medication to help people tolerate a VLCD. But we always tell our patients that A Special Medication use in a weight loss program is not an approved indication of the use of A Special Medication by the FDA. However, we use it because it works well with our program as an “off-label” use of A Special Medication.

The True Diet utilizes A Special Medication with a VLCD for the first six weeks of the three-month course of the diet program. During the next six weeks, we keep you in a fat-burning mode by introducing another important fat-burning metabolism natural to the human body called ketosis.

During the second six weeks, we increase the amount of food you eat. That’s right, we don’t keep you eating just 500 calories a day, and we don’t have to because of this next concept. We keep you burning the fat by you eating more food that has more fat to it. Most people feel this results in more delicious meals too. You eat fat to burn fat. We get you up to around 1200 calories a day, which is still restricted, but your body will continue to burn the fat due to the special diet we put you on.

After a VLCD, it is important to continue a moderately restricted diet, but your metabolism does need an increase in nutrients for better health, which is done by increasing fatty foods. 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.

It’s important to maintain calorie restriction but not as low as during the first 6 weeks. In addition, when you add foods you need to add the right foods, and these are healthy low carbohydrate foods [12] and foods with healthy fats 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 or at least maintenance of the weight you’ve lost.[13]

During your visits with us, we teach you how to do all of this, why and how you use your diet to burn fat. We tell you exactly what to eat and how much to eat throughout the diet program. The initial visit to discuss this may take up to an hour to do. You meet with one of our staff members who will explain how to do everything, so don’t worry. We give you the knowledge to do our program. These discussions are vital for you to do The True Diet.

There’s no confusion regarding how you do the program because of the way we have the program set up. Although it sounds very restrictive, we give you lots of choices regarding the foods you eat during the programs. We explain the guidelines to you, which sets you on the path to learning the best diet for losing weight. In addition, the guidelines will also lead you along your path to better health.

We see you every two weeks during the program. We give you support and continued guidance. We discuss your concerns and answer your questions. But the best part is meeting with our trained counselors who will help you to stay accountable to yourself and who can continually guide you to losing weight, feeling better, and improving your self-esteem. All consequences proven to occur when people lose a significant amount of weight.

Losing weight can be achieved without extensive exercise. In fact, exercise alone has not been shown to be a great weight loss program. However, we believe is a necessary part of losing weight and is part of a healthy lifestyle. In fact, sustained weight loss is best maintained by not only a restriction in calorie intake, but also by persistent exercise.[14]

We believe that the best type of exercise is intensive exercise periods alternating with slower bouts where you are able to catch your breath. Vigorous exercise done in intervals has been shown to give you great heart health. Both aerobic and weight training exercises should be done. By doing these interval types of exercises, you may also shorten the amount of time you need to do them from 30 minutes a day to almost half that amount. 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. Do them in an interval training method, such as the PACE type routine that incorporated interval exercise training that you can fit into your daily lifestyle.[16]

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 month. Studies have confirmed the improved success using this type of therapy.

Intensive behavior training accomplishes several goals, including the following. You learn to eat the appropriate foods. You become accountable to your counselor for what you’ve done. You weigh-in each visit and force yourself to become aware of your weight-loss success, which is good. 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]

The answer to this is YES, and we believe this is a vital part of the 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]

Thus, we require patient to come in at least every two weeks. Our program requires face to face visits with you and our diet counselors continue 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.

Again, the answer is YES. 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 gain and weight loss, as discussed above.

We can help you address other problems during our program visits if you like. 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. These evaluations and treatments are not included in the diet program’s initial costs.

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.

We at TrueMD are passionate about wanting to help you become healthier and living a better quality of life. We thus offer many other concepts to achieve these goals. If we find that medical conditions may be contributing to you being overweight or obese, [23] then 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. These evaluations are not included in the costs of the TrueMD Weight-Loss program and are treated as a medical office visit, just like seeing your doctor for medical consultation.

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.

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. Using A Special Medication during this time works to help you tolerate the VLCD and even feel fine while doing it. Since most people are happy with doing the program, dropout rates are very low.

After the initial 3 month program, we offer a maintenance program that works very well, and patients love this too. Studies have proven that continued monitoring and visits with your counselor every two weeks are vital for weight-loss success long term. We incorporate a unique long-term weight management system with our True Diet system we call the TrueMD Weight Management program. It incorporates many other concepts into the program that have been proven to help you lose the weight and keep it off long term.

We always recommend that you record your weight daily, and you record the foods you eat in a journal. These actions have been proven to improve the success for losing weight. In addition, they help in keeping the weight off long term. Many patients are amazed at how much they had been eating and how little they can eat during the program yet feel fine. Self-monitoring does work.

Throughout the True Diet Programs, we instruct patients to do certain actions on a daily basis that will assist them in losing weight and maintaining a normal weight. These include weighing yourself every day,[28] doing food journals, exercising 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.

Many people ask about what happens after the 3 months of the program, after they have lost the weight and now what? How do they keep the weight off? The answer is, it depends. If you want to lose another 20 to 30 pounds, redo the diet program again for another 3 months and this will do it. Keep doing this until you have lost all the weight you want to lose. Then you can transition into the next phase.

If you have lost all the weight you want, then you can transition into doing the TrueMD Weight-Management program, which is a successful method to keeping the weight off long-term. Many people want to do this program to just learn about a healthier way to eat correctly.

Some people want to lose just a few pounds and want to learn about the new concepts in eating correctly to improve your health. Eating right improves your quality of life too. Whether you’ve done The True Diet or you’re just wanting to lose a few pounds, we transition everyone off the diet into a maintenance diet program we call the TrueMD Weight Management program. It is a combination of a ketogenic and Mediterranean diet, periods of modified fasting, and continued supervision by our trained staff.

We also offer some of the newer medications for long-term weight maintenance. These include Belviq, Qsymia, Contrave, and Phentermine. Each has its own upside and downside, and we can pick the one that would most likely work best for you. Long-term studies have shown that all these may be beneficial.

We provide instruction for patients on how to continue to eat a diet that emphasizes burning of fat as opposed to just less food. A restricted diet is good but eating more fats and very few carbohydrates will keep your body burning fats and with calorie restriction, the excess fat on your body will continue to stay away. In doing this, you s

Some people have stated that the traditional ketogenic diet is not a very healthy diet. That is because in the past people tended to eat the wrong fats and not healthy fats. TrueMD has created its own type of ketogenic diet and made it healthier by combining the best parts of a ketogenic diet with a Mediterranean type of diet. Moreover, we utilize this for our long-term diet protocol.

Long term weight maintenance is multifactorial too but being too restrictive in the amount of food you eat can be a problem. In addition, everyone cheats once and a while. Our diet allows you to eat more food than you think, to cheat a little, yet still allows you to keep the weight off through our recommended system. Most people are pleased about doing this long term.

A Mediterranean diet has been shown to improve your health. It can decrease your risk of developing diabetes and cardiovascular disease. [31] These benefits are boosted even more when you add more healthy fats into this diet, which is what TrueMD has done. A Mediterranean diet emphasizes eating more fish and less beef, eating a lot of vegetables and some fruits. Combining it with a ketogenic diet is even better for your health.

These improved health benefits from a Mediterranean diet with added fats were confirmed in a recent study call the Predimed study. It showed 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 follow-up Dutch study.[33] These are just of few of the many benefits that such a diet can do for you.

Many people have a hard time keeping the weight off long term after losing the weight on The True Diet. In fact, many studies have suggested that only around 4% of people can maintain a significant weight loss over five years after they had lost a significant loss of weight. We at TrueMD believe that our odds are much better than this due to our programs, especially our TrueMD Weight Management program

Maintaining your weight after the initial True Diet program can be a relatively easy thing to do if you continue to practice the concepts of our TrueMD Weight-Management program. Studies have demonstrated that these concepts do work over time.[34] During the maintenance program, you continue our keto-medi diet, which keeps the fat burning. You do “relatively” restrictive diet, but mostly you restrict your carb intake. You exercise regularly, and you continue to see us regularly for intensive lifestyle support,[35] usually every two weeks on a continued basis as long as you can. You tend to develop a “top of the mind” attitude doing these visits so you continually remember about your need to maintain a good weight.

Staying in ketosis is important, but so is eating the right healthy foods. Remember, too may carbs go directly into your fat. You feed your fat with carbs, but fats don’t do this if you stay in ketosis. You end up eating almost as much as you want because of this physiology. It is truly amazing.

We combine this with modified fasting concepts that compliments the program. Most patients state that it is one of the easiest systems they’ve done that really works to maintain their weight with minimal effort. And don’t forget, you continue doing Lipo-shots which will help you with energy and continued fat metabolism.

Fasting has been shown to be very effective in weight management for centuries, but it is difficult for many people to do. Periods of fasting for 5 days or more in a row can be pretty rough. But a modified fast, with eating some foods, plus medications we prescribe, allows people to tolerate these episodes easily. In addition, we also maintain something called an intermittent fasting every day, which also helps to maintain the weight loss. Moreover, these techniques have been shown to improve ones’ health too. The entire system works, and we guide you through the entire program.

Obesity and being overweight are now at epidemic proportions with around 70% of Americans being overweight, which includes around 40% 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 chronic medical diseases. If you’re overweight or obese, you should be concerned for your health as part of this epidemic. If you want to stay active, have a sharp mind, and be able to stay social as you grow older, you should be concerned.

By losing weight and keeping it off with our programs, you will not only improve your health, but you’ll be doing your part to staying active. In addition, you’ll help decrease the skyrocketing healthcare costs attributable to obesity. 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 diseases.[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, but do a weight loss program so you too can improve your health and your quality of life.

Obesity and being overweight increases the costs for many medical acute and chronic medical problems 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 these attributable to being obese or overweight 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 the healthcare 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] However, it could reach into the trillions!

In essence, the cost to provide healthcare to a nation of obese people is essentially unsustainable. There is not enough money to help all those people since so many of them will be debilitated with either heart disease, cancers or Alzheimer’s disease. Yet this situation can be reversed if everyone did their part to decrease their weight as we recommend at TrueMD.

Here are some references, research papers and articles that are evidence which supports our concepts of weight loss and why we at TrueMD have created our weight-loss programs to help you with weight management, improve your health, and live a better quality of life. Each refers to a particular concept discuss in this webpage and supports the statements and the concepts within.

  1.  Blackburn GL. Weight of the nation: moving forward, reversing the trend using medical care. The American Journal of Clinical Nutrition. 2012;96(5):949-950. doi:10.3945/ajcn.112.049643.
  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.
  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
  4. Shoelson SE, Lee J, Goldfine AB. Inflammation and insulin resistance. J Clin Invest. 2006 Jul 3; 116(7): 1793–1801.doi: 10.1172/JCI29069
  5. Hemmingsson E. et al. Weight loss and dropout during a commercial weight-loss program including a very-low-calorie diet, a low-calorie diet, or restricted normal food: observational cohort study. Am J Clin Nutr. 2012 Nov; 96(5): 953–961. doi: 10.3945/ajcn.112.038265 (Pubmed)
  6. Malandrucco I, Pasqualetti P, Giordani I, Manfellotto D, De Marco F, Alegiani F, Sidoti AM, Picconi F, Di Flaviani A, Frajese G, et al. Very-low-calorie diet: a quick therapeutic tool to improve beta cell function in morbidly obese patients with type 2 diabetes. Am J Clin Nutr 2012;95:609–13.
  7. Wing RR, Blair EH, Bononi P, Marcus MD, Watanabe R, Bergman RN. Caloric restriction per se is a significant factor in improvements in glycemic control and insulin sensitivity during weight loss in obese NIDDM patients. Diabetes Care 1994;17:30
  8. Kelley DE, Wing R, Buonocore C, Sturis J, Polonsky K, Fitzsimmons M. Relative effects of calorie restriction and weight loss in noninsulin-dependent diabetes mellitus. J Clin Endocrinol Metab 1993;77:1287–93.
  9. Bistrian BR. Clinical use of a protein-sparing modified fast. JAMA 1978;240:2299–302.
  10. Pothos EN, Creese I, Hoebel BG. Restricted eating with weight loss selectively decreases extracellular dopamine in the nucleus accumbens and alters dopamine response to amphetamine, morphine, and food intake. Journal of Neuroscience 1 October 1995, 15 (10) 6640-6650.
  11. Asher, WL, Harper, HHW. Effect of human chorionic gonadotrophin on weight loss, hunger, and feeling of well-being. Am J Clin Nutr February 1973, vol. 26 no. 2 211-218.
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It is with much sorrow we must share with you our wonderful physician, Dr. Robert True, passed away. Because his death was not anticipated, we are in the process of finding a physician to care for our patients and have a temporary physician and nurse practitioner in place. If you are in urgent need of your medical records, please contact us at 817-399-8783 so we may send you the legal medical records request form. We appreciate your patience as we work through this situation to try and maintain our practice.