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Integrate SlimSmart with your Existing Weight-Management Program

If you are a physician, dietitian, nutritionist, physical therapist, or any other wellness professional that deals with the ever-present problem of overweight, then read on. This page is intended specifically for you to understand how you can easily integrate SlimSmart with your existing program so your patient AND your practice can benefit.

SlimSmart is takes a different approach from other aspects of your program, so you will generally find that it doesn't compete or replace those aspects of your program that are already working well. Yet, one of the most important areas that is frequently missed in many programs is long-term maintenance -- something that SlimSmart is particularly good since it's focus is behavior modification and change of habits.

The table below provides a view of how SlimSmart can be added to almost any existing program. Obesity is a multi-faceted problem and no single program is perfect for everyone. Yet, we feel that SlimSmart is risk free, and therefore can be added to any weight management program. Here's how:

Example 1: Low-calorie Diet with Supplementation

In this example, we have an existing program consisting of a baseline week of no eating changes, but with the start of supplementation, followed by a period of low-calorie diet based on grocery-store foods with supplementation. The original plan did not have a long-term maintenance program.

PhaseExisting ProgramOption 1Option 2
Week 1:
Baseline
  • Supplements
  • No Food Choice or Portion Restriction
  • Supplements
  • No Food Choice or Portion Restriction
  • Use SlimSmart in Basic plan to pace eating rate only.
Week 2+:
Low-cal diet
  • Supplements
  • Food Choice and Portion Restriction: High-protein, low fat, low CHO diet
  • Weigh once per week
  • No prescribed exercise
  • Supplements
  • General food choice guidelines
  • Weigh 2x per week or daily and enter data in SlimSmart.
  • Light exercise regimen, such as walking 20 minutes each day.
  • Use SlimSmart in Auto plan to slow eating rate and limit portion size
  • Download SlimSmart data for review.
  • Provide report to Patient.
Same as Option 1 except:
  • Food Choice and portion restrictions per Existing Program.
Weeks n+
Maintenance
Undefined!
  • Reduced or Modified Supplements
  • General food choice guidelines
  • Weigh 2x per week or daily and enter data in SlimSmart (if using Auto Plan) or no weighing (Avg plan).
  • Light exercise regimen, such as walking 20 minutes each day.
  • Use SlimSmart in Auto plan or Avg Plan
  • Occasional office visits and/or remote download of SlimSmart data.
  • Provide report to Patient.

In option 1, we do not use the aggressive low-calorie diet, instead only restricting the types of foods in general (according to the general guidelines in the Existing Program), but not the portion size. SlimSmart will adapt to the correct portion for each individual to achieve weight loss.

In Option 2, SlimSmart is used in conjunction with the exact diet regimen used in the Existing Program, using SlimSmart to slow the eating rate and give the user an idea of how many bites "should" be taken. By using it in FIXED plan, you have the benefit of monitoring the number of bites and weight, without changing the portion size automatically. It may be a good idea to split each meal into two parts, protein and bulk by using two different meal settings on SlimSmart. For example, if for dinner, the patient eats "bulk" items first (i.e. salad) then this would be meal setting "d" (dinner) and the protein portion would be meal setting "Ad" (After Dinner).

The two options could be dynamically interchanged at the direction of the clinician, so that if a patient is making good progress on Option 1, then don't further restrict food choices or portions. If not, then use the more aggressive Option 2. On the other hand, if the patient can't stand the austere diet in Option 2, then switch to Option 1 for a while.

In this example, the Existing Program did not specifically include a Maintenance phase. SlimSmart lets the clinician continue to monitor the patient for a much longer period of time, probably with fewer supplements and perhaps less rigor in weighing. Consider this a 6 month to two year interval (or longer).

Supplements are used identically in all program options. (We can provide sources of good supplements if you need a supplier.) Physician makes additional revenue by providing computer-aided feedback reports to the patient.


Example 2: Multiple Smaller Meals, Restricted Food Choices, Exercise

In this example, we are reviewing an existing program which emphasizes eating 6 smaller meals per day of restricted food choices, but all foods are available in a typical grocery store. Again, we offer two alternatives for integration into this existing plan, as follows

PhaseExisting ProgramOption 1: Early Introduction of SlimSmartOption 2: Later introduction of SlimSmart
Visit 1
  • questionnaire
  • exam & measurements (weight, bmi, lab for blood-work and EKG)
Same as Existing Plan
Week 1-2
  • Food Program (6 meals per day)
  • Supplements
  • No weighing required
  • Fill out daily food-log
  • Food Program (6 meals per day)
  • Supplements
  • Weigh occasionally at home and enter weight into SlimSmart (to establish baseline)
  • Use Fixed plan to pace eating rate only and capture eating events and portion sizes
  • Optionally use Alert mode to signal time of next meal such as (2 hour interval)
Same as Existing Program
Visit 2
  • exercise readiness questionnaire
  • revisit food plan & food diary
  • Exercise readiness questionnaire
  • Download SlimSmart data for review
  • Provide computer-aided report to Patient.
Same as Existing Program
Interim n
2-4 weeks
  • Perform food program
  • Supplements
  • Perform exercise plan
  • No weighing
  • Food Program (6m/d)
  • Supplements
  • Perform exercise plan
  • Weigh 2x per week or daily and enter data in SlimSmart
  • Use SlimSmart in Auto plan to slow eating rate and limit portion size
Introduce Fixed Plan and then Auto Plan when patient has started to lose interest in the Existing Plan, or is having trouble keeping on 6-meal program, instead of resorting to appetite suppressant drugs
Visit n, every 2-4 weeks: (16 weeks)
  • Review progress with food and exercise plan
  • Hold off on medication at least for 3 months if possible.
  • Download SlimSmart data for review
  • Provide computer-aided report to Patient.
Initially, same as current program, and then phase into downloading and computer reporting
Weeks 17-100
Maintenance
Continue behaviors learned without monitoring
  • Reduced or Modified Supplements
  • General food choice guidelines
  • Weigh 2x per week or daily and enter data in SlimSmart (if using Auto Plan) or no weighing (Avg plan).
  • Continue exercise regimen
  • Use SlimSmart in Auto plan or Avg Plan
  • Occasional office visits and/or remote download of SlimSmart data.
  • Provide report to Patient.
  • Note: possible "virtual visits" where patient does not need to visit clinic but you have contact each week, and report is mailed, faxed, or emailed to patient, with telephone calls as well. This level of contact is less expensive, and does not require as much overhead from clinic

In option 1, SlimSmart is introduced early to start to change the way your patient eats from the first week. At first, your patient only uses it in Fixed Plan with the SIZE of the meal set to a high number so the patient will not receive the end-of-meal indication, but the patient will be able to set the meal and capture her weight and number of bites. Sometime later (probably at the second visit) use Auto Plan to allow SlimSmart to automatically adapt to the portion size appropriate for your patient. The Alert Mode may be useful to remind the patient to eat a meal (set to perhaps every two hours) or to drink water regularly (set to perhaps every 30 minutes).

In Option 2, wait for the patient to become accustomed to your basic regimen before introducing SlimSmart. This introduction would be handled in the same way as described above, but would be added once the patient has made the initial behavior changes in the existing program, and perhaps as she tires of the diet and may request appetite-suppressant drugs.


We can help you integrate SlimSmart into your existing program

Need help integrating SlimSmart into your existing program? Just give us details on your program like those above and we will give you some options to improve your results and bottomline.

 

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