This content is taken from the IAPAM’s Medically Supervised Weight Loss training program. The program is designed to help physicians incorporate a medical weight loss program into their medical practice.
The rate of success in patients that are not supervised during treatment is considerably lower than those who are supervised by a physician that adheres strictly to the protocol.
Part of the physicians responsibility is to supervise, advise, guide and control weight loss patients health before, during and after treatment. The physician needs to be able to establish which patients are good candidates for treatment with injections, and together with their patient set realistic expectations that will give them a successful outcome.
Medical supervision is key in order for patients to obtain optimal results using the injections. In 1973 Dr. W.L. Asher and Dr. Harold W. Harper published the results of a double blind study aimed to evaluate the effects of supervised weight loss, hunger and feeling of well being in the American Journal of Clinical Nutrition.
The results obtained described an increased weight loss in patients undergoing treatment. More importantly, there were significant differences in terms of lack of hunger and increased feelings of wellbeing. Patients were more consistent in their adherence to the diet and were able to complete the course of treatment more successfully. These double blind studies were performed under supervision of physicians strictly following indications as set out in the Simeons protocol.
Dr. Asher and Dr. Harper then replicated the same study, this time on patients that were supervised by physicians, but using Simeons’ programs modified to varying degrees. The physicians had little or no experience with the protocol, and none of the programs considered the rigidness of the original plan. One physician allowed patients to self administer weight loss injections at home, and diets, although respecting the caloric intake, were not strict as to the ingredients allowed.
Results of this experience were surprisingly negative. Drop out rate was significantly higher than those experienced in the previous study. Weight loss showed no difference between treated patients, and in some cases were even below those achieved by placebo treated patients under strict supervision.
It is clear that the success of supervised weight loss is strictly linked to medical supervision and strict adherence to the medical protocol designed by Dr. Simeons.