Weight Management

Weight management at Life Medical is handled by Dr. Mirman.  Please read the following:

Message from Dr. Mirman:

Thank you for visiting my weight loss page. Here I will provide you with information to help you decide whether you would like me to help you lose weight. Weight loss is a difficult and often emotional endeavor for many people. Before deciding to let me help you, you should make sure you are comfortable with my views on the issue. Please be sure to read and understand this whole page.

We will discuss the following:
  • My philosophy on weight loss
  • Basics of our weight loss program
  • Our expectations of you in the program.

We follow the basic theory and methodology of weight loss developed by Marty Hinz, MD, a family practitioner from Duluth, MN. More information on the program, including its science, can be found on NeuroResearch Neurotransmitter Information site. The program and its protocols are very well researched, and I follow them closely.

The basic understanding of obesity and its treatment follow. To be successful in the program you should be in agreement with these principles. Some people, including some weight loss professionals, may feel some of these principles are wrong. If you feel any of these principles are wrong, the program will not work for you, and you should seek an alternate approach. If you like the approach and would like to start in the program, please call the office at 952-933-8900 and schedule an appointment. If you have any questions prior to coming in and would like to discuss them with me by phone, I will be more than happy to call you at no charge. I want you to be very comfortable with our process before starting the program.

Main principles of the NeuroReplete Weight Loss Program:

  • Weight loss is simple accounting:
    • Human fat is about 3500 cal. per pound of fat tissue.
    • A human needs about 11cal per pound of weight per day to maintain their weight. E.g. a 200lb person eats about 2200 cal of food per day. If they eat more, they gain weight. If they eat less, they lose weight.
    • Physical exertion will not help most people lose weight. Running a mile burns about 100cal. Running 5 miles a day for 7 days burns about a pound of weight. This amount of exercise is not practical for most obese people. Exercise is very good for your health, it will make you live longer, but it will not help you lose weight.
    • To lose weight you must starve your body, so it uses its fat deposits to maintain its functions, at 11 cal. per pound of your weight per day.
    • We feel your metabolism remains the same throughout the program, no matter how much you starve. Your body does not decrease its energy usage. We can predict exactly how long it will take you to lose any amount of weight based on your daily calorie allowance and your starting weight. No magic. Just simple math.

 

  • For most people weight loss is not possible without adequate appetite suppression.  Hunger is the most powerful drive we possess. It overrides all our other wants and desires. It may be different for different people: some can feel a physical sense of hunger, some get irritable when hungry, some get a headache, but no one can deny their body for a long time. We may exercise the force of will for some period of time and lose some weight, but in the end 98% of us fail and gain the weight back.
    • To ensure your success we suppress your appetite to the point where you can comfortably eat very little and lose weight as fast as is safely possible.
    • We use natural nutritional supplements as medicine. We feel there is nothing on the market as powerful as the combination of ingredients we use as appetite suppressant. For exact list of ingredients and science behind each one of them, visit NeuroResearch Neurotransmitter Information site. The individual ingredients are available on the open market and I will be happy to advise you on the doses. However, the combination is patented by NeuroResearch and is available only from participating physicians, trained in its use. The combination is less expensive than its individual ingredients on the open market.
    • We continue appetite suppression into the maintenance phase of the program. We consider obesity to be a chronic incurable condition, which requires constant maintenance for optimal control. The supplement doses are lower in maintenance, but most people will need to continue taking some of them to remain slim.

 

  • To be effective in your weight losing efforts you have to learn to figure out energy value of the food you eat and limit it to the agreed upon amount. In maintenance the calorie allowance is increased to 11 cal. per pound of weight per day plus the estimated burn (for people doing a lot of physical labor or exercise).
    • You have to weigh and measure all the food you put in your mouth.
    • You have to record the calorie amounts in a ledger, not to exceed the agreed upon allowance at the end of each day. We will teach you to be effective, but you have to do it. This is the one most common cause of failure in the program.
    • If you feel you already eat very little, and have no need to count calories, you are most likely wrong, and this program is not for you. We can tell you exactly how much you eat by tracking your weight. If you are not losing weight and feel you are sticking to the calorie allowance, we will confront you with the fact that you are being less than truthful with yourself. Many a patient has left after being confronted in this manner. Honesty with yourself and your doctor is very important. We don't want to see you waste your money on visits and supplements. If you are having difficulties, we will do our best to help you figure out where your counting is off. But we maintain that if you are not losing any weight, you are eating 11 cal. per pound of weight per day, not the amount suggested. Almost every patient in this predicament disagrees with this assessment. We feel that every one of them is deluding themselves. The alternative explanation is that the science this program is based on is faulty. Either way, it does not work for such a patient.
If all this works for you, let's do it and get you slimmed down!