The PATIENT X, I'm about to talk about is awesome. Why awesome? She is trying hard and calling or emailing when she has problems (she is getting her money's worth). One week after her visit she called and said she was getting hungry. Like all patients she had started on a half pill and had not moved up to one full pill. We instructed her to take one full pill. About a week later she responded to our check in survey and stated the pill was not working. We went through her diet over the phone and we discovered why.

Before we get into the response remember our philosophy. Controlling blood sugar (which controls insulin) through lower carbs and getting protein makes you lose weight. Diet pills help you controll your behavior to ease the change to the new dietary style and control binges.

Patient X was not eating enough food at breakfast and could make some small adjustment to her other meals to get a better protein to carb ratio. Take a look at the analysis we did with a program I have called DietPower (use fatsecret.com if you want to do this one your own its free).

BREAKFAST

Her breakfast is too small it's only 121 calories (even though we do not count calories we use it as a reasonableness check to determine if  you got enough fuel). At breakfast she needs to get more protein. Look at the circles for the carbs and protein at breakfast. The carbs are fine but the protein needs to be increased. PT X needs a minimum of 4 oz (25 gram equivalent) of protein. To get her additional protein she could add three more eggs (1oz of protein per egg), or add two pieces of deli meat, or half a chicken breast, or  a sausage, or a protein drink (try our shake shake snake drinks). If she wanted to lose weight faster give up the apple sauce. Even though its within her carb number,  because most of the carbs are sugar and there is very little fiber, it works but it's not ideal.

Mid morning - SNACKS

Watch the protein to carb ratio - but your one snack seems fine

Lets add another snack between breakfast and lunch. You will find you will be less hungry latter

LUNCH

Read the carbs on your wheat bread, it very easily could be 30 carbs per slice. See the photos below of some bread alternatives. Wheat, Whole grain and multi-grain bread are healthier than white but they are still bad carbs. You can find low carb bread or go even lower with some of the alternatives I listed (all are below 25 carbs for 2 slices). THE KEY IS READING FOOD LABELS.

DINNER  - Seems fine

OTHER NOTES

Her metabolic rate at rest is 1666 calories (meaning if she woke up and laid in bed all day she would burn 1666 calories) With activity (walking around) and exercise 4 days per week she burns 2291. Even though we don't count calories I use this as in indication of how much food someone should have. I believe she is hungry because she is not getting enough of the right type of food at breakfast.

This a very common issue, most of the time when the pill is not suppressing appetite is because you are eating too little. We are all different so if this does not work we will look at switching her to a different pil or increasing the dose. I'm happy for Patient X because 

WE ARE DISCONTINUING THE BOXES DRINKS AND MOVING TO THE SHAKE SHAKE VERSIONS OF EACH OF THESE SHAKE. WHILE SUPPLIES LAST THEY ARE $7.00 PER BOX. 

MEDIFAST MEAL REPLACEMENT BARS ARE $10.00 FOR A BOX OF 7. REGULAR PRICE IS $14.50 SUGGESTED RETAIL IS $16.50