Weight Loss Program

Updated: Feb 8, 2019

Let’s face it, losing fat is difficult. It is relatively easy to know what we should eat, more  vegetables and lean meats. And we know what we are not supposed to eat, processed starches, junk food, alcohol. It can also be easy to maintain our weight. But when we try to lose, we are in a constant state of hunger which can actually develop into food obsession and increased cravings!

But don't despair! Dr. Michelle Parsons can assist you with your endeavor to lose body fat and develop increased lean muscle mass, and to give you the tools to know which diet approach is best for you as an individual. The latest fad diet, whether it be the Paleo diet, the Bulletproof diet or the Grapefruit diet, though one of these plan might work well for some of us, especially the authors of the plans, they might not work as well for you. Genetically speaking, we are all different, and we respond better to different dietary approaches. This is where APO E genotyping can help. Knowing your APO E genotype will help guide you whether you could benefit from a higher fat diet, such as the Bulletproof diet, or whether such a high or moderate fat diet would be disastrous for you, and you would benefit from a higher carbohydrate, low fat diet. Changing the types of foods you eat, could be all that it takes to help your body burn the food you consume for pleasure and burn it for fuel, and not for fat storage.

Though changing the food we eat will help us feel better, often when we are attempting to lose long standing stored fat, we need to go into a caloric deficit, where we consume less calories than we need to maintain our weight. Often this is an uncomfortable scenario, leaving us feeling hungry for most of the day. In the short term, to get you started on your weight loss journey, if you qualify, Dr. Parsons can prescribe the safe and very effective prescription appetite suppressant, known as phentermine, or Adipex. Prescription phentermine helps to markedly decrease appetite so that while you are cutting down on calories, you do not have to combat the constant annoying symptoms of hunger. You are able to effortlessly cut back on what you eat and not give food a second thought. Weight loss for most clients begins within one week and continues on for as long as you take the phentermine for up to 3 months.

If you are interested in learning more about this program, please make an appointment with Dr. Parsons, at Renove Medical Spa, Rehoboth Beach, Delaware, to discuss your specific weight loss goals. Dr. Parsons will perform a physical exam, go over your medical history, to determine that you are a good candidate for phentermine. People who are typically not good candidates have uncontrolled high blood pressure, a history of heart disease including structural abnormalities of the heart or palpitations, and uncontrolled thyroid disease. If you are over the age of forty, Dr. Parsons will order basic lab work and a 12 lead EKG.


Phentermine is a prescription appetite suppressant  of the amphetamine and phenethylamine class. Phentermine, in doses clinically used, works on the hypothalamus portion of the brain to release norepinephrine, a neurotransmitter or chemical messenger that signals a fight or flight response, reducing hunger. Phentermine works outside the brain as well to release epinephrine or adrenaline causing fat cells to break down stored fat, but the principal basis of efficacy is hunger-reduction.  It is recommended by the Food And Drug Administration (FDA) that phentermine should be used short-term (usually interpreted as ‘up to 12 weeks’), while following nonpharmacological approaches to weight loss such as healthy dieting and exercise.


  • Are also taking dexfenfluramine, fenfluramine, furazolidone, guanadrel, guanethidine, or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last 14 days.

  • Have severe high blood pressure, an overactive thyroid, glaucoma, heart or blood vessel disease, or severe narrowing of the blood vessels.

  • Are in an agitated state, or have a history of substance abuse.

  • Some medical conditions may interact with Phentermine, patients with the following should consult with their doctor before using phentermine: Are pregnant, planning to become pregnant, or are breast feeding.

Vitamin B12

Cobalamin or as it is better known, vitamin B12, is one of the vital nutrients our bodies need in order to work properly. It is necessary to perform many of the body’s more important tasks, including the making of DNA during cell division and the healthy formation of red blood cells.

Vitamin b12 is known as the “energy vitamin” because it gives a real energy boost. It is used to remedy fatigue and it speeds up the metabolism. B12 shots give a tremendous boost of energy. This generally helps people to maintain their diets, and motivates them to exercise and increase physical activity. Vitamin b12 also helps to fight stress and depression, symptoms which are sometimes associated with weight gain.

Lipotropic Injections

Lipotropic compounds are those that help catalyse the breakdown of fat during metabolism in the body.A lipotropic injection is a combination of methionine, inositol, choline, (amino acids) and methylcobalamin (B12).  It is given once weekly to once every 2 weeks.  It is helps “release” fat from the liver and from the fat stores in the body, speed up metabolism, and reduce appetite.

Exercise Recommendations

We are individuals, and what exercise type may benefit some of us, may not be the best choice for a healthy body and brain for you. With APO Genotyping, we can again identify what exercise type you may benefit most from, whether it be short burst of high intensity, anaerobic exercise, or a longer sustained aerobic type of exercise. Strength training to build muscle tissue will be beneficial for most of us as muscle burns calories at rest more than fat. Exercise before breakfast to gain control of your weight. A morning workout before the first meal of the day shows positive metabolic adaptions. A recent study published in The Journal of Physiology involved young, healthy volunteers who were fed a fat-rich diet for six weeks. Some of them performed endurance exercise training (four days per week) in the fasted state, while the others exercised after eating. A third control group did not train.

The group that worked out before eating gained virtually no weight. Those who exercised after breakfast gained an average of 3 pounds each, while the non-exercising bunch put on on average of 6 pounds.

Dr. Parsons’ Dietary Recommendations

"I recommend to my clients that while you are using phentermine prescription appetite suppressant that you use this time to initiate a healthy and appropriate calorie diet. Our goal is that you continue this diet after discontinuing phentermine so that you may continue to maintain the fat loss that you achieved while taking phentermine.

Diets I have studied and personally followed include Weight Watchers and the Zone Diet. These two diets in particular have be proven in clinical trials to be the two most effective for weight loss. Any diet plan that includes a wide variety foods, including a healthy intake of fruits and vegetable, avoiding heavily processed foods and limiting excess calories, is appropriate for long term health and weight maintenance. If you are interested in following higher fat diets such as the Atkins diet or the Bulletproof diet, I highly recommend that you obtain your Apolipoprotein genotype testing, a simple blood test, to be sure you won’t be causing more harm than good to your body following such an approach.

Include protein in every meal. Protein will make you feel fuller and more satisfied longer than fats or carbohydrates. It also takes your body more energy to digest protein." Dr. Michelle Parsons.

Helpful Tips

Consume 30 grams of fiber daily. Fiber will also give you a feeling of satiation longer and also takes more energy for your body to process.

Thirst pangs are often misinterpreted as hunger pangs. Drink a glass of water before you eat.

Weigh yourself every morning after urinating. If you have gained any weight, do not eat breakfast or lunch that day. Do not wait until the next day to comply with this.  This may seem harsh, but short periods of fasting are not harmful and are beneficial to maintaining normal weight.

Consume spicy foods. A study by UCLA has shown that eating foods containing capsaicin, a chemical naturally present in hot peppers, can help burn calories by speeding up your metabolism. Scientists tested the amount of energy expended after a meal by people who had taken capsaicin supplements and those who received a placebo. The capsaicin group far surpassed the placebo group, and the effect continued for at least several hours.

Clean Eating

Clean eating has no official definition, but it’s usually described as avoiding processed foods, chemicals, preservatives and artificial ingredients. Instead, clean eaters choose natural foods, the way they came out of the ground or as close to their natural form as possible. Vegetables, rice, sweet potatoes, yams, egg, wild caught fish, and pastured chickens are clean eating staples.


Anything you want to improve should be measured, and everything related to your nutrition, training and even lifestyle (hours and quality of sleep, etc) should be tracked in writing (or electronically). A great app is My Fitness Pal to enter the foods you consume and Sleep Cycle to monitor your sleep quality.

Accountability is a massive leverage factor in achieving any kind of success, whether in business or in a fitness program, and here’s where it starts:

With yourself.

Self-accountability, also known as internal accountability, means you set a goal, map out a plan, make a commitment to it and then “keep score.”

You can become accountable to yourself by:

1. Setting written goals 2. Weighing yourself 3. Measuring body composition 4. Taking body (circumference) measurements 5. Tracking results on a weekly progress chart 6. Taking photographs 7. Creating menu plans or tracking nutritional intake in a journal 8. Creating workout schedules and tracking training performance in a journal

Remember, “Performance is improved when performance is measured.”  Train hard and expect success!

The HCG Diet – Medical HCG also available by consultation.

HCG Diet in a nutshell:  The below diet is to be used in conjunction with medically supervised HCG administration only. Without using HCG this is a dangerously low in calorie diet and can lead to lean muscle mass wasting.

The HCG program is not for the feint of heart and will take enormous commitment. We recommend starting this plan with a partner as you will need support and accountability. We will plan to meet with you weekly. You will be started on a multivitamin, daily B-complex, and weekly B12 injections. Most people will do 1 cycle. Two cycles may be done back to back or a break may be taken for 1 month on the maintenance plan in between.

The first step will include a comprehensive medical questionnaire, blood work to include thyroid, hormone, nutrional and adrenal gland functioning. We may also recommend food sensitivity testing.

Causes of Abnormal weight gain may be: Hormone imbalance, thyroid imbalance, adrenal imbalance, food sensitivity, genetic predisposition, medical conditions, poor eating habits, and lack of exercise. These will all need to be evaluated by your primary care physician and addressed if you are to be successful in achieving weight loss results.

We can’t improve what we can’t measure. At the start and during the program we will measure your weight, chest, waist, flanks, hips, thighs and arms sizes. Body composition analysis is also recommended.

HCG program last 40 days.

Phase 1

Calorie loading days 1-3

Phase 2 days 4-40

Begin the Very Low Calorie Diet (VLCD). Expect to lose 1/2 to 1 pound per day. Weigh yourself daily. 30 minutes minimum of daily low impact exercise. 3.5 ounces of protein twice daily. 3.5 ounces of vegetable twice daily. 2 servings of fruit daily.

Breakfast – Tea or coffee in any quantity without sugar. Only one tablespoonful of milk allowed in 24 hours. Saccharin or Stevia may be used.


1.  100 grams or 3.5 ounces of veal, beef (only once weekly), skinless chicken breast, fresh white fish, lobster, crab, or shrimp. All visible fat must be carefully removed before cooking, and the meat must be weighed raw. It must be boiled or grilled without additional fat. Salmon, eel, tuna, herring, dried or pickled fish are not allowed. The skin must be removed from the bird.

2.  3.5 ounces of one