First, congratulations!  You receive satisfaction, self esteem, and the self confidence for the hard work you have displayed. Second you receive the congratulations of your family, friends, all of the Cudmore clinic staff, and from your private doctor. Third, you have obtained the physical health, mental health, and social benefits of the weight loss.

Stage 1 was losing weight

Stage 2 is transition

That involves a weaning program. A typical weaning program may begin by taking the medicine two days then skipping a day.  Return to the clinic in six weeks.  Then the medicine is given one day on one day off.  Return to the clinic in two months.  Then we take the meds every third day or two times a week. The pills then last for three months.  We have an accelerated transition available if there is a reason to get of the medicines in a hurry, for example planning on pregnancy

Stage 3 is weight maintenance

Dr. Rader and the staff work with each patient to develop an individual maintenance program. It always includes continuing good nutrition, exercise, and physical activity.  It often includes medications. All patients are encouraged to wean the medicines down. When medicines are used long term; they are not used daily, but in a lowest dose or intermittent dosing plan.

All patients are given a CAP plan weights.

C = control, your disease is doing fine

A = action, your disease is backsliding try to control it with actions

P = PANIC. You are having a fat attack like an asthma patient has an asthma attack.  Call the office for an appointment to resume weight loss program including medicines.

Beginning weight 200 pounds and lost to 154.  this persons CAP plan would be:C less than 159

A if scales hits 160 some extra focus on the disease is needed

P if the scale hits 168, that person is having a fat attack, call the office for help.

Our goal therefore is to never let this person hit the 170’s again. If he/she doesn’t reach 170 they can never hit 180, 190, or 200.