Frequently Asked Questions

Weight Management

Why is it hard to loose weight?


What is weight loss resistance?

What works for others doesn’t for me. Why?


How is your program different?

What should I eat?

Why resistance exercise?



Why is it hard to loose weight?
Weight gain can be a lifelong problem, most Americans will gain about one pound a year from age 21 onward. But even if weight were never an issue, women approaching menopause can often see an additional 10-15 pounds added onto a previously normal physique.
The issue of weight gain is multifactorial and complex. Sadly, no two individuals are the same. Many of us can manage weight control with an occasional diet; however, it is the weight–loss resistant individual who has the real problem.
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What is weight loss resistance?
This has been an interest and a passion of Dr. Paoletti for more that 30 years. She has had experience with just about all of the different diets over the years. At present, she uses a combination of good nutrition, regular meals, and exercise, supplements, vitamins, and occasionally medications to help women achieve their goal weights.
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What works for others doesn’t for me. Why?
Every person’s weight resistance issues are different and to solve the problem is never easy. We find that one visit never works and instead a program of weight loss is the only proven and successful method of achieving and sustaining healthy weight reduction.
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How is your program different?

In our program patient’s pay for a monthly rate and there is a two month minimum. With this program, they are provided with an initial lengthy visit of 90 minutes and subsequent 3 visits during the month to help track the weight loss. Each month will include 4 visits which will include an assessment of your diet trends, supplement usage, exercise, and frequent weighing on our professional Tanita scale which will help you track your lean weight gain by measuring your fat mass, lean mass and total body water. The body water is particularly important because it must be in the normal range to render the other numbers – the fat mass and the lean mass accurate.
The program is very exciting. It is the best way yet to reduce your weight and to learn about the most up to date methodology used in this process today.
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What should I eat?
This may seem counterintuitive, but the fewer meals you eat, the more you will gain weight. You will be training your body to conserve energy and fat with only one or two meals a day. They have done studies and compared two groups who both eat the same amount of daily calories but who differ in the number of meals. They found that those who ate two or less meals had less weight loss or more weight gain than those who ate at least three meals a day.

Suma wrestlers who are extremely heavy train all day and eat only one large meal at night. During the day, they are training their bodies to conserve energy and fat as well as exercise.

Thus, the first step in weight loss strategy is to eat well-balanced, smaller meals three or five times a day. The content of the meals needs to designed carefully so that your carbohydrate and protein rations are correct and that the total amounts are also correct. This takes individual counseling and will require a substantial amount of time. It is important to not exclude the carbohydrates completely because your body will crave them and produce too much cortisol, a stress hormone that will reduce muscle and help store fat in the long run.

Part of the goal of losing weight will be to replace the fat with some muscle. You cannot maintain a lean muscle body which is both healthy and thin without a good muscle mass. With good muscle mass, your metabolic rate will be higher and you will be able to maintain you weight when you are done dieting. If you lose weight without exercise (weight bearing exercising), you will eventually reach a plateau and will not be able to change your weight any further. This is because weight is based on relative muscle mass. If you do not have enough muscle mass, you will only loose weight by starving and this is not practical and will not produce permanent weight loss. People who have a good muscle mass and are overweight due to overeating, can loose weight easily by reducing their intake, however, eventually they will loose too much muscle as well as fat and will plateau unless they couple their improved eating life style with good resistance exercises.
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Why resistance exercise?
I state resistance exercise because aerobic and strenuous exercise will burn muscle as well as fat. Only resistance exercise will increase your muscle mass. In addition to this type of exercise, you will need to eat balanced meals with real carbohydrate in each meal and snack. The carbohydrate portion will promote insulin, which will promote muscle synthesis. You need just enough carbohydrate to do this and not any more. Good real carbohydrates along with the healthy vegetables will accomplish this.
If you are going to do the aerobic exercise, you will need to do so alone on days separate from the resistance exercises and strive not to keep your heart rate up too high. Resistance exercise 5- 4 times a week with aerobic 2- 3 times a week is a good ratio
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