Metabolic Reset Program

MRP is designed to achieve:

sustainable weight loss that does not require medication after weight loss goals are met
improved blood sugar metabolism
the development of new eating and activity practices
prevention of chronic diseases like diabetes, obesity, and heart disease

We do not use Semiglutide, another GLP-1 medication, due to excessive adverse side effects. We use Tirzepatide, which is more effective. We provide you with all the information and guidance to succeed. This article has much more information about Tirzepatide if you continue reading.

This is not a weight loss program; it is a fat loss/muscle-building program based on transforming your daily lifestyle. It is moderate, manageable, and flexible.

Lose weight (20 to 40 lbs. - especially abdominal fat)
Reduction of pain (especially knee, low back, hips)
Reduction of Blood Pressure, if it is high
Reduced blood sugar and insulin levels
Reduced overall inflammation
Gastro-Intestinal improvement (gas, bloating, reflux, diarrhea)
Reduced cholesterol, LDL, triglycerides
Reduced Headaches (less often and less severe)
Reduced Food allergies
Muscle growth with fat loss

Underlying conditions and behaviors can cause weight gain. The improvement of the following conditions and behavior is the focus of the MRP:

Insulin resistance
Fatty Liver
Hypothyroidism
Dehydration
Chronic inflammation
Dysbiosis – depleted friendly bacteria in the gut and genito-urinary system
Mineral deficiency (iron, magnesium, calcium, selenium) Vitamin deficiency (Vit D, B complex)
Hypoglycemia – irregular eating, skipping meals (breakfast, lunch) eating too late
Driven behavior, impulsive eating, and cravings for sweets and sugar
Excess consumption of high glycemic carbohydrates

Insulin resistance is a cell survival adaptation to:

chronic elevated glucose
irregular glucose levels from practices such as skipping breakfast followed by high carbohydrate low protein meals

In order to stimulate cells to increase receptor sites and reduce blood sugar, it is necessary to develop a normalized consumption of carbohydrates and protein for months. The Metabolic Reset Program will reverse or reduce insulin resistance by critical improvement in your metabolization of carbohydrates. If you do not alter insulin resistance (IR) you have not changed a condition that causes weight gain. Insulin Resistance can be measured through a simple blood test.

Insulin is a digestive hormone secreted by the pancreas when glucose enters the blood. Insulin is essential for glucose to enter the cell. Excess insulin caused by excess blood sugar also causes fat to be stored in the abdomen and liver, leading to what is known as fatty liver. Step one to delivering glucose to the cell from the blood is to improve its attachment to a cell membrane receptor site. Insulin resistance (also known as downregulation of receptor sites) is a cause of elevated blood sugar.

elevated triglycerides from excessive release of fatty acids into the bloodstream
elevated blood sugar from increased glycogenolysis (breakdown of stored glucose in the liver)
exacerbated insulin resistance which raises blood sugar
increased Cholesterol and LDL
an enlarged abdomen
excess insulin
hypothyroidism (conversion of T4 to T3 occurs in the liver, which worsens with fatty liver and leads to low T3, a form of hypothyroidism)
elevated homocysteine – an inflammatory substance
elevated CRP (C-Reactive protein), an inflammatory substance

Thyroid hormones are essential to cell function, and every organ function. It is not advisable to participate in the Metabolic Reset Program unless the thyroid is tested thoroughly and treated. Weight gain is a hallmark sign of low thyroid function. Commonly, hypothyroidism is not diagnosed properly. Hypothyroidism must be diagnosed and treated, during the program.

Classic signs of hypothyroidism (infertility, weight gain, sluggishness, feeling cold, feeling depressed, dry skin). See the videos on this website for more information.

During the MRP program, you will receive numerous lists of non-inflammatory food and beverages that can replace inflammatory food and beverages. This is an amazing benefit and is somewhat unique to this program. My experience over the last 25 years is that patients are not aware of what foods can cause inflammation and therefore experience significant discomfort. Fat loss cannot be fully achieved until the consumption of inflammatory food and beverages is reduced. Inflammation reduction is one of the key components of the MRP. Many people are somewhat addicted to inflammatory foods as a form of comfort from chronic anxiety. It can be a slow steady weaning off, but ultimately it is necessary to reduce inflammatory food consumption. Do not underestimate this issue and find ways to do this!

Dysbiosis is the reduced levels of friendly bacteria, like lactobacillus, known as probiotics. These bacteria are essential for thyroid metabolism, immune system support and proper digestion. Many factors reduce these friendly probiotics, such as antibiotic use, chronic inflammation, chronic infections, lack of fiber, and excess consumption of processed food. The MRP includes daily consumption of fiber and non-inflammatory food. Gas, bloating, constipation, diarrhea, and abdominal pain will improve if dysbiosis is improved. Biome is defined as all your friendly bacteria in all parts of the body. Friendly bacteria are primarily found in the large intestine and genito-urinary tract. Females have substantial friendly bacteria in their vagina, cervix, and urethra.

We need minerals for normal function and our diets are often deficient of minerals. Learning to eat a balanced diet includes vegetables and whole foods that provide minerals like iron, calcium, magnesium, and selenium. Iron deficiency causes anemia. Processed food is deficient in minerals.

Vitamin B12, B6 , folate and Vit D are often not consumed and are needed for good function. Vitamins are associated with hundreds of metabolic functions. Vitamin deficiency has been associated with insulin resistance, fatty liver, obesity and anemia.

Irregular blood sugar is due to skipping meals or not combining protein and carbs. Eating late at night is also a cause of blood sugar dysregulation.

Lack of blood sugar or irregular blood sugar can deepen insulin resistance. If glucose is not in the blood, from any missed meals, cortisol from the adrenal glands will be secreted to help generate blood sugar. The excessive use of cortisol to provide blood sugar can lead to sleep issues. Cortisol is needed also for providing bloods sugar during sleep. If cortisol gets used up during the day, you might be waking up in the middle of the night and unable to get back to sleep.

Eating late at night is inadvisable, especially if many hours passed between lunch and late-night dinner.

Foods with carbohydrates that break down quickly during digestion and release glucose rapidly into the bloodstream have a high GI.  Foods with carbohydrates that break down more slowly, releasing glucose more gradually into the bloodstream tend to have a low GI.

GI index is a guide to determine which carbs to consume and which to minimize.

The GI of a specific food depends primarily on:
the quantity and type of carbohydrate it contains
the amount of entrapment of the carbohydrate molecules within the food
the fat and protein content of the food
whether it is cooked or raw, and how it is cooked

Note: Click this link to get information about carbs www.glycemicindex.com 

GI index scoring indicates how high blood sugar rises after a meal and how long it remains high. This is a measure of the quality of the carbohydrates and their effect on blood sugar levels.

Low GI foods have a GI value of less than 55 and are characterized by a small rise and fall in blood glucose.
Medium GI foods and drinks have a GI value between 56 and 69.
High GI foods and drinks have a GI value greater than 70 and are characterized by faster and higher peaks and troughs in blood glucose levels.

Produce the lowest satiety
Most likely to cause overeating
Cause major ups and downs of blood sugar
Most likely to lead to weight gain, obesity, diabetes, hypoglycemia
Digest quickly and produce an erratic stream of blood sugar
Tend to be more processed
Tend to have less fiber than low GI carbs

High GL foods are scored at 20 +
Medium GL foods are scored at 11 > 19
Low GL foods are  scored at 1 > 10

Tirzepatide is a medication that stimulates your body to increase GLP-1

GLP-1 is currently made when you eat. Tirzepatide is a GLP-1 receptor antagonist, which has several helpful effects:

Tirzepatide is the drug I prefer to work with. It was developed to treat diabetes. It has been used off-label for weight loss. It is a combination of GLP-1 receptor agonist/GIP receptor agonist drug that has the following effects:

Slows the time it takes for food to move through the stomach and intestines. This produces a sense of fullness and a feeling of satiety, while you consume the recommended foods and beverages.
Diminishes your appetite and craving for carbohydrates
Reduces the amount of glucose that gets into the blood after eating. This can help reduce Insulin Resistance and facilitate weight loss.
Stimulates  hormones that foster satiety like Leptin
Stimulates the pancreas to secrete insulin and inhibits glucagon,  which reduces blood sugar and supports weight loss.
it reduces abdominal fat, which is a source of inflammatory cytokines such as tumor necrosis factor-alpha (TNF-a), and Interleukins-1 and −6.  Inflammatory cytokines disrupt normal insulin action in fat and muscle cells and may be a major factor in causing the whole-body insulin resistance.

Minor common side effects

constipation
Diarrhea,  nausea or vomiting
Dehydration
Muscle wasting
Excess loss of subcutaneous fat

Some serious adverse issues can develop such as

Exacerbation of Crohn’s disease, Ulcerative Colitis, IBD
Swelling in the neck
Vision changes  
Thyroid cancer
Gallbladder inflammation

Personalization is needed to prevent serious side effects Overdosing of GLP-1 drugs can lead to many imbalances. Our program starts with low doses and does not increase the dose quickly.

Failure to be properly examined and tested before starting
Failure to get adequate protein and fiber that leads to muscle wasting
Excessive consumption of inflammatory food or high glycemic food
Overdosing of GLP-1
Failure to incorporate exercise that leads to muscle wasting
Failure to take needed vitamins, minerals, probiotics
Lack of treatment for co-morbidity
Losing weight too quickly
Failure to work on key metabolic functions and obsessing only on weight loss
Failure to acknowledge and work on an imbalanced life

Accepting the perspective that you need support to lose weight and change your life
Choosing food and beverages that are part of the Metabolic Reset Program
Developing behaviors and practices that are consistent with the MRP
Reframing negative assessments of your body and life.
Creating empowering points of view that are healthy.
Embracing moderate improvements to daily life, slowly, over 6 to 12 months
Becoming willing to make adjustments  to your lifestyle
Communicating honestly about your barriers and struggles
Becoming willing to try new foods and beverages
Becoming willing to learn and grow
Becoming willing to be coachable

Women wanting to lose weight	Men wanting to lose weight
1500 -1800 calories a day	1800- 2000 calories a day
200 max grams of carbohydrates daily	260 max grams of carbohydrates daily
50% should be low GL carbohydrates	50% should be low GL carbohydrates
Focus on losing  fat,  not weight	Focus on losing  fat, not weight
Preserving muscle  - some  weight bearing exercise is essential	Preserve muscle – some weight bearing exercise is essential
Eat 3 meals a day	Eat 3 meals a day
Do not skip breakfast or eat late at night	Do not skip breakfast or eat late night

DAILY PRACTICE	ENCORAGES WT LOSS	ENCOURAGES WT GAIN
Consumption of high GI foods	Minimizing  high GI food	Consuming  High GI foods
Consumption of protein	High protein diet	Low protein diet
Consumption of food containing fiber	Adequate fiber	low fiber
Consumption of calories	Appropriate calories	Excess calories
Consumption of water	Drink 6 to 8 glasses/day	Drinking less than 6 glasses a day
Consumption of highly processed food	Minimal consumption	Excess consumption
Being mindful about calories	Moderate   calorie diet	High calorie diet
Eating 3 meals a day	Eating breakfast, lunch and dinner	Skipping meals, eating late at nigh

Some people have FSA or HSA plans with their employer. It is very possible some or all of the costs can be paid using FSA or HAS. Please check with your health plan administrator.

Traditional Insurance coverage is possible; however payment is due in full at the time of services. Time spent responding to your insurance company will be charged at $100 per hour.

Metabolic Reset goes beyond traditional weight loss and may be looked at as “Not Medically Necessary” by your insurance company. It is unlikely insurance will cover the costs of the program. It is possible an initial consultation and labs could be covered by your insurance, but you will have to submit claims for reimbursement. I will provide coded bills for your submission to your health coverage plan.

Tirzepatide is being used for weight loss and some people using these GLP1 medications will lose weight but not work on their underlying habits, behavior, or dysfunction. If all you do is lose weight, it is often the case that the weight comes back once you stop using the medication. I call that dependence. It is not an addiction.

GLP-1 medications were designed to treat diabetes, and they are being used in a novel way to facilitate weight loss and reduce insulin resistance. Ultimately it is your lifestyle that determines your weight and blood sugar.

Developing a sensible way to  lose weight and keep it off using Tirzepatide and lifestyle changes.
Learning what food is composed of: calories, grams of protein, grams of carbohydrates, grams of fiber, grams of fat. Most people consume excess carbohydrates, insufficient protein or fiber, excess processed food, and insufficient water.
Finding new foods and beverages, recipes, new ways to cook, expanded awareness of what you are eating.
Slowly becoming more active  (adding strengthening, aerobics, and stretching) so it is part of your lifestyle. A sedentary lifestyle is often a big part of the constellation of factors that people with obesity, diabetes, and insulin resistance report.
Slowly rehydrate your body and figure out how to maintain hydration (avoid or minimize dehydrating foods and beverages and consume more fluids). Most people are dehydrated.
Slowly reduce chronic inflammation:  reducing consumption of inflammatory food and beverages, taking anti-inflammatory supplements and minimizing exposure to toxic substances. Most people consume excessive inflammatory food,
Balance Omega 6 and Omega 3 oil, which is one of the components of reducing inflammation.
Reversing insulin resistance; a major blood sugar health problem that can be very stubborn.
Balance thyroid hormones and adrenal hormones.
Balance steroid hormones (estrogen, progesterone, testosterone).
Management of stress will be discussed frequently as a component of implementing changes. If you consume excess alcohol or smoke, you will need additional support.
Asking for and accepting support is an important step. We all do better when we have support.
Every patient will prioritize all their concerns while they are losing weight. Metabolic Reset can be done in phases. We are now thinking about the rest of your life.

Activity is necessary. Activity is an important part of getting and staying well. Some effort will be needed, such as walking, to create and maintain balance. Our modern life has made us weak. Our bodies are designed to move. You can begin very slowly and create time and energy to become more active. It can be challenging. There are many tools, classes, videos, trainers, health clubs, and coaches to consider. This program takes a holistic approach to weight loss and creating healthy practices. It is my intention to empower you to create workable manageable solutions to every barrier. Exercise and activity are a mandatory aspect of this program, however humble you start.

I will provide a food list with detailed descriptions of protein, calories, and glycemic load fiber. Almost every food on the list is non-inflammatory. Exceptions are red color coded. Inflammatory food has been mostly excluded. Consuming excess inflammatory food is contra-indicated for a Metabolic Reset. I am aware that it is possible to minimize inflammatory food and it requires a commitment to do this. You will be supported to make this transition. It will take time and you can start slowly as long as you understand the importance of making this adjustment.

Food is nourishment, comfort, and enjoyment. Food is sometimes consumed like a drug to reduce anxiety and depression and as a form of entertainment. It is important to enjoy eating and the social aspect of meals with people and not stay overweight.

Finding your balance is the goal,  so that you are not sacrificing your health because of your food and beverage choices. This may be a significant modification to your daily life. If you have a significant relationship, children, or friends that you live with, they may not want to adhere to this program. This needs to be discussed so you can manage.

Sample Breakfast	Calories	Protein	Carbs	Fat	Fiber
Oatmeal Bobs Red Mill  cup cooked	140	6	23	0	4
Organic Pea Protein Powder 365 Whole Foods  1 scoop	70	15	2	0	5
Chia Seeds (add to smoothy)  1 oz	139	4	12	10	10
Almondbutter             2 tablespoon	200	7	6	17	4
Total	550	32	43	27	23

Sample Lunch	Calories	Protein	Carbs	Fat	Fiber
Chicken can 4 oz	70	9	1	9	1
Chicken w/skin Rotisseria 4oz	271	31	9	15	0
Salad
Lettuce	15	1	4	0	1
Celery (7)	6	3	2	0	2
Tomato 3oz	20	1	4	0	1
Onion ½ cup	30	1	6	0	2
Cucumber 3oz	10	1	2	0	1
Arugula	20	2	7	0	1
Total	101	9	25	9	8

Not exceed carbohydrate limits daily and avoid simple carbs that are high glycemic
Eat less than max calorie  limits daily – most people exceed calorie limits
Consume food with fiber daily &  regularly - most people do not
Consume  food with enough protein daily - most people do not
Drink enough water daily - most people are dehydrated
Avoid eating high glycemic foods – substitute with low glycemic foods
Getting enough exercise – weekly – strengthen muscles and cardiovascular
Limit consuming  alcohol – especially beer and red wine
Limit consumption of inflammatory foods
Limit  consumption of high-sodium food
Red meat  needs to be lean (grass-fed or organic if possible)

What food and beverages are inflammatory
The glycemic index of foods you consume
The fiber content of foods and find ways to include fiber
The protein content of foods and how to include protein
The carbohydrate content of foods and learn to minimize

The Metabolic Reset can transform your life, your weight, your self-esteem, your health, your lab results, and your level of wellness. It is very flexible and personalized. If this is a program you want to explore, contact me to arrange a consultation.

It is an amazing way to make changes in your life, slowly, over 6-12 months, and lose weight in the process. Your appetite and cravings will be reduced, and the guidelines are not difficult to follow. You can change the underlying causes of weight gain and chronic inflammation.

The Metabolic Reset Program (MRP)

Safe Sensible Weight Loss

Metabolic Reset is a comprehensive program that integrates the use of a Glucose Like Peptide-1 (GLP-1)medication called Tirzepatide, along with:

medical supervision, behavioral support, nutritional support, lab testing, lifestyle adjustments, education about glycemic index, and how to eat to correct underlying health issues. ﻿

Metabolic Reset Possibilities- (not guaranteed):

Insulin Resistance

How glucose enters the cell

What is insulin resistance

What is Glucose

Insulin

Insulin resistance (cell receptor site reduction) can cause:

Fatty Liver (an accumulation of fat in the liver) can cause:

Hypothyroidism – low thyroid function

Dehydration (insufficient hydration) is common and due to several factors:

Chronic Inflammation

Dysbiosis

Mineral Deficiency / Vitamin deficiency

Irregular eating causing low blood sugar

Compulsive behavior, impulsive eating, cravings for sweets and sugar

Excess consumption of high glycemic carbohydrates

Glycemic Index (GI)

GI scoring

Glycemic Load (GL) (distinct from glycemic index)

Low GL carbs have the following qualities:

High GL carbs have the following qualities:

High Glycemic carbohydrates

Tirzepatide – (Mounjaro)

Semiglutide (Ozempic) vs Tirzepatide (Mounjaro)

Is the Metabolic Reset suitable for people with other health conditions?

What are some of the side effects of Tirzepatide?

How can the side effects be minimized or prevented?

Causes of sagging skin, distortions to the face, and severe side effects are due to:

Losing weight on the Metabolic Reset Program (MRP) requires a shift in thinking to:

How often does a patient need to visit the office or talk to one of the health care providers?

General Guidelines:

Lifestyle practices that lead to insulin resistance include:

Sedentary Lifestyle

What daily practices lead to weight gain or weight loss?

How long does it take to get results on the Metabolic Reset?

What is highly processed food and why avoid them

During the program, the following is expected:

How does the Metabolic Reset differ from a typical Weight Loss program?

What is the approximate cost?

Is there Insurance Coverage for Metabolic Reset?

Dependence

Time Frame

Resignation

First Six Months

The following aspects of food choices, daily life, habits, behavior, and judgment will be addressed:

Is exercise a necessary part of the Metabolic Reset ?

Foods included in Food List

State of Mind

Alcohol

Smoking

Medication

Sample Breakfast

Sample Lunch

Successful Weight Loss Depends on learning:

During the program it is necessary to become aware of:

medical supervision,  behavioral support, nutritional support, lab testing, lifestyle adjustments, education about glycemic index, and how to eat to correct underlying health issues.

Glycemic Index  (GI)

Glycemic Load  (GL) (distinct from glycemic index)

Is there Insurance Coverage  for Metabolic Reset?

State of Mind 

During the program it is necessary to become  aware of: