
You can find your own Body Mass Index (BMI) using this table here. Find your height in inches on the y axis and your weight in pounds on the x axis. A BMI below 20 is underweight; 20 to 25 is a normal BMI. 25-30 is considered Medically overweight. Obesity starts at a BMI of 30, and 40 is considered Extreme, or Morbid, obesity

This is a simple model of weight management. For many people, this model works well. If we consume more energy than we need, we gain weight, or make fat. If we burn off more energy than we use, we lose weight.

The reality iof what makes us want to eat is much more complicated than the preceedding slide suggests. While the Energy In/Energy Out model works for most people, it may not work all the time, because what makes us want to eat, and what happens after we eat, can be complicated.
This is why we may not be able to help all patients without seeing them in the office setting. However, we offer this “Virtual Weight Loss Site” as a substitute and we hope that you are one of the individuals that may fit the classic pattern.

There are many equations that can be used to predict how man calories per day that one should need to meet or most basic needs in the resting state. The easiest is to take our weight, in kg, and do as above. There are 2.2 pounds to every kg.
For example, a 220 pound man weighs exactly 100kg. The prediction is that he should need 24 x 100, or 2400 calories/day, to say the same weight, if he did not move at all. A 220 pound woman would be 90% of this, or 2160 calories.

Keep in mind that this is a prediction. If your metabolism is slower than predicted, you will need less than these numbers. If your metabolism is faster than predicted, you will need more than these predictions. In our offices, we use equipment to test your metabolism, because we have diagnosed many people with metabolic abnormalities who just can’t lose weight, and this equipment helps us.

Physical activity increases metabolic rate. This figure shows the energy expended by selected activities in a 75 kg man. The amount of energy expended depends on the intensity, muscle group involvement, and duration of the activity. The increase in energy consumption associated with an activity occurs primarily during the activity itself. Energy expenditure is also slightly increased after an exercise bout is completed, but the post-exercise increase in metabolic rate is usually short-lived and does not cause an increase in resting energy expenditure the following day.
Alpers DH. Undergraduate Teaching Project. Unit XIIIA. Nutrition: energy and protein. American Gastroenterological Association, 1978.
Levine J, Baukol P, Ioannis P. The energy expended in chewing gum. N Engl J Med 1999;341:2100.

![]() Here is one common stape of the American Diet--A Big Mac, and Large French Fry, and a large Coke. At 1450 calories, it wal already exceed the daily caloric limit of most people who are dieting. |
![]() By contrast, a 6 inch Turkey Sandwich, with a bag of chips and a diet soda, is only 380 calories. Not all Subway choices are this good, however. If you have a 12 inch meatball sandwich, it is worse than a Big Mac. |

You can use the Nutritional Information in the Web Site Provided to figure out how many calories your are consuming daily.

Rather than counting your calories, we find that our Meal Replacement Plans Work Better. In these plans, there is a lunch and A dinner. 4 times a day, people are eating our Meal Replacement Items, which are high protein, fiber fortified foods that keep your appetite down.