The Largest Network of Weight Loss Physicians in the Country

1. The Largest Network of Weight Loss Physicians in the Country

2. With over 450 centers in 46 states CMWL doctors make all the difference. • 99% of CMWL patients that follow the program lose weight* • 99% of patients keep off weight at 1 year* *Based on a stratified sample of 349 patients over a six-year period. Patients must have remained on the program for a minimum of 28 days and be monitored with at least two physician visits within first 31 days to be included in the study. A variety of nutritional meal replacements were used. 99% of the patients that followed the CMWL program, including a low calorie diet and individual counseling with CMWL physicians, from one month up to a year, weighed less at their last weigh-in than their starting weight.

3. Our physician-directed, non-surgical program offers strategies unavailable to commercial weight loss programs. Only a medical doctor can customize a plan based on your unique metabolism, hormonal disorders, medication and other physical weight loss issues.

4. Why do 99% of people who go through the program lose weight? Maybe its because of the personalized plan their doctor designs for them. Or could it be the motivational support they get from their doctors to achieve their goals? Each medical weight loss physician is committed to helping you lose weight quickly and safely but, most importantly, to helping you keep the weight off long term. Whether you want to lose 10 or 100 pounds, CMWL has a customized solution for you. *Based on a stratified sample of 349 patients over a six-year period. Patients must have remained on the program for a minimum of 28 days and be monitored with at least two physician visits within first 31 days to be included in the study. A variety of nutritional meal replacements were used. 99% of the patients that followed the CMWL program, including a low calorie diet and individual counseling with CMWL physicians, from one month up to a year, weighed less at their last weigh-in than their starting weight.

5. There are a host of factors that can contribute to unhealthy fat accumulation ranging from genetic factors, individual metabolism, diseases and medications to cultural influences and even stress and lack of sleep. • One tool that doctors use to classify weight is the body mass index (BMI). The BMI is the ratio of weight to the square of height (measured in kilos and meters). • A person is categorized as “obese” when the BMI hits 30 and over or is 30-40 pounds overweight.

6. *risk of other clinical problems increased

7. Waist circumference—an expanding phenomena in the U.S.—is another tool used to determine risk for disease. • A waistline larger than 40 inches for men and 35 inches for women is considered unhealthy and a risk factor for disease.

8. Obesity is the combination of genetics and environment contributing to dietary and exercise habits. • Consuming more calories than you burn causes an “energy imbalance” and the accumulation of fat is not always simply a behavioral issue. • Obesity is a disease in which excess body fat has accumulated to such an extent that health may be negatively affected.

9. Obesity generates more chronic health problems than smoking or heavy alcohol use.

10. Hypertension (high blood pressure) • Type 2 diabetes • Coronary heart disease • Stroke • Gallbladder disease • Cancer (endometrial, breast, esophagus, and colon) • Additional: sleep apnea, osteoarthritis, respiratory problems, infertility, pancreatitis, liver disease, etc. Source: American Obesity Association

11. Overweight and obesity are responsible for over 300,000 deaths/yr*. • Second only to smoking for deaths as most preventable cause of death in US. • 64% of adults are overweight or obese. • Obesity rates have tripled over the last 30 years. *Mokdad, AH, et al. Actual causes of death in the US 2000. JAMA 004;291: 1238-1245

12. In response to the dramatic increase in obesity, Americans are searching for effective, long-term remedies • An estimated 60 million Americans go on some form of diet each year • Over $50 billion a year is spent on diets, pills and other dietary products • Unfortunately, most weight loss programs are ineffective at generating long-term, sustainable results • Programs tend to be good at initial weight loss, but lack appropriate tools and counseling to generate sustainable results • Research has shown 95% of those who lose weight eventually gain it back within three years

13. Achieve early success and consistent healthy weight loss • The average weight loss is 10 pounds in the first 2 weeks. • The average weight loss is 31 pounds in 12 weeks. *Based on a random sample of 223 woman and 99 men on a medically prescribed diet and a random sample of 114 woman and 58 men on our medically prescribed diet respectively.

14. 59 lbs 19% 32 lbs 12% 15 lbs 6% 7 lbs 3% 1 week 1 month 3 months 6 months Six year study on CMWL Low Calorie Diet Program shows significant and progressive weight loss* Only 5% weight loss is shown to improve hypertension, diabetes & cholesterol level. *Based on 6 years of patient data from “Retrospective Study of The Center for Medical Weight Loss Liquid Diet” - study available on request

15. Our metabolism slows due to muscle loss: As we age, the body burns less calories. One reason for this is that our muscle mass tends to decrease due to hormonal changes as well as changes in exercise habits. Muscle cells burn 3X more calories than fat cells, therefore if we have less muscle mass, we burn fewer calories. If we continue to eat the same amount of calories as we have in the past, the body stores those excess calories as body fat. This decrease in burning calories is what we typically refer to as a slowdown in our metabolism.

16. Most women don’t realize that at menopause the body is preprogrammed to gain fat under the skin and around the organs in the abdomen, slowing down metabolism. The type of fat that collects around the belly and abdomen makes women more prone to diabetes, high blood pressure, high cholesterol, heart disease, stroke and certain types of cancer. Women who gain in excess of 20 lbs after menopause increase their breast cancer risk by nearly 20%. At the same time, women who lose weight after menopause may significantly reduce their risk.

17. Also, as the estrogen in a woman’s body decrease, the metabolism begins to further slow down. This happens at a rate of about 5% every ten years. If you were able to consume 2400 calories a day when you were 30 and not gain a pound, by the time you are 50 your daily calorie intake should drop down closer to 2100 to avoid weight gain. When our estrogen levels are normal, they act to suppress the appetite. During menopause, the declining estrogen can actually whet a woman’s appetite.

18. Average weight loss for women in CMWL We used advanced body composition technology to ensure and monitor that weight is being lost from fat, not just water and muscle, giving women the best chance of achieving long-term weight loss success. Our success rate speaks for itself: The average weight loss for women in our program is 8 pounds in two weeks. In addition, 100% of our patients lose 5% of their bodyweight in three weeks, thereby lowering their risk for diseases like cancer and diabetes.

19. Key Benefits • Physician supervised program ensures optimal health benefit • Holistic approach provides tools to treat obesity as a long-term disease • Regular advice and one-on-one counseling to meet established goals • Nutriceutical food only available through physicians helps maintain muscle while losing fat • Ability to receive prescribed medications (if necessary) to accelerate progress • Ability to discontinue other unnecessary prescription medications such as those used for hypertension & diabetes as weight loss progresses • Cost effective method for fighting obesity and improving overall health

20. Initial Examination • Provides physician with detailed information regarding a person’s health issues and weight loss preferences • Analysis of body composition and metabolic rate to determine optimal level of weight loss • Our proprietary BCA scale report provides predictive weight loss based on our range of programs

21. CMWL Body Composition Analysis HOW MUCH WEIGHT CAN I LOSE IN 6 WEEKS?

22. Personalized Weight Loss Program • Detailed testing determines if any pre-existing conditions or medications will effect weight loss • All weight loss programs are personalized based on an individual’s specific health requirements • Holistic treatment focuses on a combination of diet, exercise and general lifestyle habits • Promotes intensive weight loss at the outset, as well as long-term maintenance

23. Regular Monitoring • Physicians regularly monitor patients’ fat, muscle and water weight, as well as their metabolic rate. • Programs can be adjusted as necessary to promote more effective weight loss that maintains muscle mass while maximizing fat loss.

24. Food addiction is similar to any other addiction, such as alcoholism, except it is much more complicated to treat. You can’t live without food.

25. Ongoing Counseling and Support • Programs seek to treat obesity as a disease and are focused on long-term results • Key to the success of these programs is the ongoing counseling and advice that our physicians continue to provide to patients

26. *Based on a stratified sample of 349 patients over a six-year period. Patients must have remained on the program for a minimum of 28 days and be monitored with at least two physician visits within first 31 days to be included in the study. A variety of nutritional meal replacements were used. 99% of the patients that followed the CMWL program, including a low calorie diet and individual counseling with CMWL physicians, from one month up to a year, weighed less at their last weigh-in than their starting weight. **Appetite suppressants may or may not include meals.

27. Special Benefits • Discounted Initial consult • You will meet one-on-one with a physician • Body Composition Analysis • Sign up for six weeks – get a free week • All of the programs that you qualify for as well as your predicted weight loss on the different programs will be discussed at the initial consult