“I know it’s not easy, but I can’t help you unless you’re willing to help yourself. And no matter how hard I try to stop eating after one serving, I just can’t seem to do it anymore.” Feeling defeated, he says “I don’t even know what’s the point of doing this anymore!”įrustrated, you remind him that he was able to do it just fine when he was losing weight initially, and he just needs to keep working hard at it. It feels like every moment of the day I can’t help but think about food – it was never like this before I lost the weight. I keep trying, but there must be something wrong. “I don’t know what to do…the weight keeps coming back on. You were excited to hear about his continued progress and see how much more he’s lost, but you felt immediately dejected to see that he had regained almost 60 pounds.
Today he comes in for his annual physical examination. He lost 85 pounds three years ago by carefully following your guidance to decrease his caloric intake to 1500 calories per day and exercise six days weekly. Robert is a 47 year old patient who initially weighed 270 pounds.
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