Best practices for corporate wellness & personal wellness
•Télécharger en tant que PPTX, PDF•
2 j'aime•756 vues
Heal and Cure is a physician supervised medical wellness & primary care center. We offer Insurance Covered medical services for wellness and healthy living, weight loss or weight management, and primary care – all under the supervision of Board Certified, Award Winning physicians. Since 2003, Heal n Cure has been mirroring the recommendations of the U.S. Preventive Services Task Force* (USPSTF) for the screening and management of obesity and diabetes. Over the years, we have aligned our weight management program – “Inspire Core Wellness”, based off the Task Force’s findings. The program has delivered impressive results in reversing all modifiable health risk factors. The USPSTF recommends that overweight and obese patients should be referred to a comprehensive, multicomponent weight loss program with 12 to 26 sessions in the first year. The Inspire Core Wellness program implements the USPSTF recommendations and has delivered impressive outcomes.
Recommandé
Recommandé
Contenu connexe
Tendances
Tendances (17)
Similaire à Best practices for corporate wellness & personal wellness
Similaire à Best practices for corporate wellness & personal wellness (20)
Dernier
Dernier (20)
Best practices for corporate wellness & personal wellness
- 2. An Overview of Heal n Cure
- 3. We are Heal n Cure “Focusing on prevention first and treating the underlying cause is the future of modern medical care” • Medical wellness center. • Primary care doctors office. • Supervision of Board Certified, Award Winning physicians. • In-network for Grainger’s PPO insurance plans. • We have helped dozens of Grainger employees.
- 4. We are Heal n Cure
- 5. We are Heal n Cure
- 6. Affiliations
- 7. Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX Overcoming Obesity Conference - September 10-13, Austin The Overcoming Obesity conference is held once a year by the American Society of Bariatric Physicians. Obesity medicine experts will discuss the latest thinking about our tools to prevent and manage obesity. Topics will cover adiposopathy and fat mass disease and range from pediatric obesity, digital-care delivery and patient-centered physical activity to long-term use of anorectic medications.
- 8. Affiliations American Society of Bariatric Physicians (Non-surgical) National medical society of licensed physicians offering specialized programs in the medical treatment of obesity (bariatrics) and associated conditions. American Board of Obesity Medicine Obesity medicine Diplomats are committed to providing effective, evidence-based therapy for patients who are overweight or obese. They recognize the need for a comprehensive approach that considers the multiple factors contributing to obesity.
- 9. Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX Abstract: Corporations in the US are deploying 'Corporate Wellness Programs' to reduce their healthcare expenses. However, those programs have failed to deliver the ROI, because they do not address the medical needs of employees who are high health care utilizers.
- 10. Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX Abstract Continued: Studies have shown that these high health care utilizers lead to 70% of the health care expenses, resulting from Urgent Care visits, ER visits, subspecialist visits, imaging diagnostics, and invasive interventions. Obesity, Type 2 diabetes, Ischemic Heart Disease, Chronic Kidney Disease, Sleep Apnea and associated co-morbidities are highly prevalent in this population. Also, they are at risk for high cost conditions like Stroke, Heart Attack and many different kinds of Cancers (endometrial, breast, colon), leading to high health care utilization. We present a solution that can help save healthcare costs by enhancing existing corporate wellness programs to identify and serve high health care utilizers. Further, we discuss the specific clinical outcomes achieved by a Bariatrician led care team which provides comprehensive, evidence-based, personalized care for high health care utilizers.
- 11. Mentoring and training physicians at the Nation’s Top Ten Health System We have been honored by being selected to mentor Physicians – “Mentor for physicians joining Advocate Physician Partners because of your outstanding performance in the Clinical Integration program, your cost-effective practice and your leadership characteristics. You are one of the elite leaders within APP and we hope you will agree to mentor new physicians joining APP so that they, too, can achieve outstanding performance.”
- 12. Cigna – Recognition for Cost Efficient Quality Care
- 13. United Healthcare recognition for quality of care and cost efficiency • UnitedHealth Premium® Designation • Recognizing physicians for meeting guidelines for quality and cost efficiency. • The UnitedHealth Premium® designation program recognizes physicians and specialty centers that meet or exceed quality of care and cost efficiency standards. • Evaluations are based on industry standards, evidence-based and medical society standards and guidelines from medical organizations and governmental agencies such as the Ambulatory Care Quality Alliance, the National Committee for Quality Assurance (NCQA), and the American College of Cardiology, plus scientific advisory boards.
- 14. Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for quality of care and cost efficiency. • Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0 indicate higher resource use. • Heal n Cure scored a .73 efficiency score placing us in the Top Tier for Blue Cross Blue Shield. • Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above 1.0 indicate patient panel with high severity. • Heal n Cure scored a 3.86 in Case Mix.
- 15. Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for cost efficiency and quality of care. Efficiency Score – Cost Savings Case Mix/Risk Factors
- 16. Heal n Cure is the Center of Excellence for Metabolic Syndrome Based on quality of results, Heal n Cure is recognized as Center of Excellence for Metabolic Syndrome.
- 17. Clinical aspects of comprehensive weight loss
- 18. Reversal of the following Medical Conditions & Health Risks • Coronary Heart Disease • Certain Types of Cancers • Type 2 Diabetes • Hypertension • Obstructive Sleep Apnea • Stroke • Metabolic Syndrome • Fatigue • High Triglycerides • High Cholesterol • Fatty Liver Disease • Erectile Dysfunction • Obesity • Overweight • Pre-Diabetic • Pre-Hypertension • Dyslipidemia • Insulin Resistance
- 19. Percent of Chronic Diseases That Are Caused by an Unhealthy Lifestyle
- 20. Where is the road block? • Is it your hormones ? • Is your liver not doing the job ? • Is your body in fat-storing mode? • Are you addicted to food ? Mentally or physically • Are your cells not getting right signals ?
- 21. Solving problems at the roots
- 22. Focus on prevention & discover root cause Causes of weight issues Symptoms • Medications • Lifestyle – Stress – Nutrition – Social support • General Physical Factors • Disease and Illness • High blood pressure • Depression • Type 2 Diabetes • Fatigue
- 23. Why Focus on Metabolic Syndrome
- 24. Who are the high-risk individuals? Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA, Biometric Screenings, using the Heal n Cure criteria. Body Mass Index > 30 or > 25 with 2 comorbidities Low Density Lipoprotein > 160 mg/dL Triglycerides > 150 mg/dL Fasting Blood Sugar > 100 Blood Pressure > 120/80 Waist to hip ratio > 0.8
- 25. Patients in danger of developing type 2 diabetes don’t believe they are at risk
- 26. How visceral fat affects you
- 27. Visceral fat strongly associated with metabolic risk factors
- 28. Visceral fat strongly associated with metabolic risk factors
- 30. Why is Women’s Heart Disease Misdiagnosed?
- 31. Do Heart Stents Make The Problem Go Away? • After 5-7 years, 30-50% of vessels used to bypass blocked arteries are now blocked. • After 4-6 months, 30-50% of ballooned arteries re-close. • 20-30% of arteries propped open by stents re-close.
- 33. Individualization & Personalization • Symptoms
- 34. Fat Loss vs Weight loss • Symptoms
- 35. BMI: how accurate is it? BMI: 34 • SympBtoMmI:s 34
- 36. Body Composition Test and Analysis Achieve a healthy body composition by knowing: • The total percentages of fat and muscle throughout the body. • How your body composition compares to healthy ranges. • How many calories you burn.
- 37. Cardiopulmonary Exercise Testing Performance markers • Symptoms • from CPET test • Peak VO2 (VO2max) • Peak HR • Peak Watts • Anaerobic Threshold (AT) • HR at AT • Watts at AT
- 38. Recommendations of USPSTF for High Risk Individuals Multi-component Behavioral and Medical Wellness Care Coordination Support & Intervention Building Trust Patient Education Designing Personalized Plan Diagnosis & Prognosis Making Decisions Self Management Tools Physician Assistant – Lifestyle Educator Medical Assistant Exercise Physiologist
- 40. Personal Wellness Patient Results Look Your Best, Live Your Fullest
- 41. Heal n Cure Success Stories - Dennis
- 42. Heal n Cure Success Stories - Karen
- 43. Heal n Cure Success Stories - Manuel
- 44. Results of INSPIRE Our Core Wellness Program Actual INSPIRE Core Wellness Program Results for Heal n Cure Patient. 44% drop in body fat in 3 weeks, 17.7 lbs of fat lost in 3 weeks. Got off diabetes medicine by the 3rd appointment! Patient’s Hypertiglyceridemia resolved in 3 weeks! Triglycerides fell from 1202 to 154, more than 1000 points!
- 45. Results of INSPIRE Our Core Wellness Program Diabetes Reversed, years of suffering aches and pain gone, Dropped 38 lbs, anxiety, dizziness, chest pain also resolved, longer considered a risk for diabetic.
- 46. Results of INSPIRE Our Core Wellness Program Dropped 38.5 lbs, from size 16 to size 10. Feels proud that Heal n Cure worked with the patient diligently on every visit to ensure successful clinical outcome.
- 47. Tracking The Fat Loss • Symptoms Loss in Body Weight = 324.5 – 235.7 = 88.8 lbs (191.1 - 183.4) + (133.4 - 52.2) = 88.8 Total weight loss
- 48. Tracking The Fat Loss • Symptoms
- 49. Tracking The Fat Loss • Symptoms
- 50. Patient Results • Symptoms “DROPPED 25 LBS AFTER ATTEMPTING POPULAR DIET PLANS”
- 51. Patient Results • Symptoms “I HAVE LOST ALMOST 70 LBS IN ABOUT 7 MONTHS”
- 52. Patient Results • Symptoms “I HAVE LOST OVER 50 LBS IN ABOUT A 6 MONTHS SPAN”
- 53. Patient Results • Symptoms “IT SAVED MY LIFE I NO LONGER HAVE DIABETES”
- 54. Patient Results • Symptoms
- 55. See more results at healncure.com/success-stories • Symptoms
- 56. Best Practices for Corporate Wellness Personalized Medical Wellness to tackle Runaway Healthcare Costs
- 57. Medical Costs and Savings
- 58. Medical Costs and Savings Potential Savings The program reduces urgent care and ER visits, and the need for costly, invasive interventions. Annual direct cost per medical condition for high needs employees:
- 59. Medical Costs and Savings According to another independent study3 by the National Institute for Health Care Management Foundation, the average annual healthcare expenses for the high-needs employees was $26,767 in 2009.
- 60. Cost Avoidance and Results An analysis of medical and claims data for 103 clinically obese high-risk patients referred to our program proved that their obesity, diabetes, and heart disease conditions were reversed. This correlates to potential savings of $1,477,175 per year. These high-risk patients were enrolled in our personalized Medical Wellness Program for an average of 21.7 weeks in 2011-2012. High quality care is less costly.
- 61. Heal n Cure’s Recommendations for Employers • Effectively communicate what is offered at the workplace, what employees are doing in company programs and share clinical data from biometric screenings. This allows our physician to highlight and support employer efforts during visits with the employee. • Focus chronic disease management programs on lifestyle change and health improvement activities; not on the chronic condition itself. • Offer an incentive tied to obtaining an annual physical. Consider additional incentives for developing individualized goals based on the results of the physical. Employees will see it as an opportunity to work with their physician and the results can lead to healthy behavior changes.
- 62. Key Research Findings • A significant event that involves a family member or loved one can serve as a major trigger to encourage healthy behavior change • Employees need the confidence to take action and the conviction, along with tools, resources and support, to get started and keep going • Employees prefer activities that are personalized, targeted to their specific needs and support work/life balance. • Employees believe the most credible source for health information is their doctor. • Physicians believe it takes an entire spectrum of support – the patient’s health care team, including the physician, family, friends, employer, health plan and health coach – to help employees improve and manage their health. It also takes effective communications and solutions that involve the entire family.
- 65. Who to refer - some suggestions Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA, Biometric Screenings, using the Heal n Cure criteria. Body Mass Index > 30 or > 25 with 2 comorbidities Low Density Lipoprotein > 160 mg/dL Triglycerides > 150 mg/dL Fasting Blood Sugar > 100 Blood Pressure > 120/80 Waist to hip ratio > 0.8
- 66. How to refer – some suggestions Let patients know: • Located in Northbrook, IL • Have helped dozens of Grainger employees • We are a doctor’s office • We are in-network for Grainger’s PPO insurance plans Provide patients with: 1. Heal n Cure brochure, card 2. Website address, healncure.com book free consultation or Dr appt online
- 67. How patients can schedule • Book appointments 24/7 online at healncure.com • schedule a free consultation with a Inspire professional • All medical visits are covered by insurance • We are conveniently open 6 days. Free Consultation Appointment with Physician Family Practice Physician Appointment with PA Same Day Appointments
- 68. Helping Grainger associates get started They can Schedule a FREE consultation. Body Composition Test and Analysis (Free if referred by Grainger staff).
- 69. Takeaways Personal Wellness • Clinical aspects of comprehensive weight loss • Why Focus on Metabolic Syndrome INSPIRE Program - healncure.com/programs/inspire • Patient education, patient engagement • Tracking results and Providing explanations Corporate Wellness • Leverage results from screenings and health risk assessments • Help them with personalized medical program per USPSTF guidelines Thank You, Any Questions? Visit www.healncure.com or email us at info@healncure.com for more information
Notes de l'éditeur
- We have done health fairs at multiple Grainger locations over the past 4 years. We have helped dozens of Grainger employees with their wellness & weight loss needs.
- Obesity medicine experts will discuss the latest thinking about our tools to prevent and manage obesity. Topics will cover adiposopathy and fat mass disease and range from pediatric obesity, digital-care delivery and patient-centered physical activity to long-term use of anorectic medications.
- Obesity medicine experts will discuss the latest thinking about our tools to prevent and manage obesity. Topics will cover adiposopathy and fat mass disease and range from pediatric obesity, digital-care delivery and patient-centered physical activity to long-term use of anorectic medications.
- Obesity medicine experts will discuss the latest thinking about our tools to prevent and manage obesity. Topics will cover adiposopathy and fat mass disease and range from pediatric obesity, digital-care delivery and patient-centered physical activity to long-term use of anorectic medications.
- We have been honored by being selected to mentor Physicians – “Mentor for physicians joining Advocate Physician Partners because of your outstanding performance in the Clinical Integration program, your cost-effective practice and your leadership characteristics. You are one of the elite leaders within APP and we hope you will agree to mentor new physicians joining APP so that they, too, can achieve outstanding performance.”
- We have been honored by being selected to mentor Physicians – “Mentor for physicians joining Advocate Physician Partners because of your outstanding performance in the Clinical Integration program, your cost-effective practice and your leadership characteristics. You are one of the elite leaders within APP and we hope you will agree to mentor new physicians joining APP so that they, too, can achieve outstanding performance.”
- Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0 indicate higher resource use. Heal n Cure scored a .73 efficiency score placing us in the Top Tier for Blue Cross Blue Shield. Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above 1.0 indicate patient panel with high severity. Heal n Cure scored a 3.86 in Case Mix.
- Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0 indicate higher resource use. Heal n Cure scored a .73 efficiency score placing us in the Top Tier for Blue Cross Blue Shield. Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above 1.0 indicate patient panel with high severity. Heal n Cure scored a 3.86 in Case Mix.
- It’s really a matter of targeting the root cause as to why someone is unable to lose weight, such as medication, a sluggish liver, thyroid issues, insulin resistance, etc. Once this cause is recognized, it is then that the appropriate and personalized plan for them, in order to lose the weight can be established, including coordinated nutrition for repair at the cellular level.
- There are a host of causes of weight gain, and the inability to get the weight off. Medications: diabetes, antidepressants These causes present themselves as debilitating symptoms, that are too often than not, treated with medication as the first line of therapy. prevention is the best option
- When taking the preventive outlook to addressing weight problems, strategies need to be individualized and personalized. A person needs to be looked at as a whole. Their past, present, chemical makeup and body composition all need to be taken into consideration. What medications are they taking? Are their kidney and liver functioning normally? Are they able to process fat effectively? Do they have normal thyroid function? With all of these factors and more needing to be taken into consideration, it’s obvious that what works for one person will not necessarily work for the next. Which helps make sense of popular programs, that yield short-term success, for only a fraction of the population. Take these women for example, the young woman on the left may have a nutrient deficiency, another may be experiencing hormonal imbalances, yet another may be experiencing sleep disturbances, which do not allow her to experience the restorative phases of sleep.
- The focus of weight loss success or failure needs to be redirected from the scale, to body composition. The goal of lifestyle change should be fat loss not weight loss. The number on the scale does not reflect body composition (fat & fat free mass the body contains). Body composition can be measured several different ways, with the gold standard being under-water weighing, which is not functional for everyday life. Another is BIA, or bio-impedance analysis, where an electrical current is sent through the body measuring the difference in fat and fat free mass. (hands/feet, hands, feet) It is possible that the number on the scale will stay the same or increase, if you lose fat and increase muscle. (upper lower) It is possible for the scale to go down, but to lose no fat pounds and only muscle. If that is the case, you will probably feel the same and you are in worse shape than when you began addressing your weight problems. If the scale is your gauge of success or failure, you may seriously do yourself a disservice.
- BMI (Body Mass index): a biological marker of health used in most health settings does not take into account body composition. As seen two individuals of completely different health status can be measured at the same BMI. 5 pounds of muscle is more dense and compact than 5 pounds. Without knowing an individual’s body composition, one could be told they are at a “healthy” or “unhealthy” weight and be greatly mislead. Now I’d like to talk a little about the foods that have helped facilitate America’s obesity epidemic
- Achieve a healthy body composition by knowing: The total percentages of fat and muscle throughout the body. How your body composition compares to healthy ranges. How many calories you burn.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- Loss in Body Weight = 324.5 – 235.7 = 88.8 lbs (191.1 - 183.4) + (133.4 - 52.2) = 88.8 Total weight loss 7.7 lbs Muscle Loss ( It is acceptable for patients to lose 1lb of muscle for every 2 lbs of fat they loose) 81.2 lbs Fat Loss We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- Latest additional to 100+ weight loss club. We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.
- We closely monitor your bodies fat mass and focus on reducing the fat mass while maintaining the muscle mass. This is a very different approach from calorie counting where people starve themselves to loose weight. The bodies metabolism decreases, they loose muscle, the result is a lack of energy and poorer body composition. As a result, these approaches fail and people develop cravings, hunger pangs, and they give up and start binging on goodies. Ultimately, after a month or so, people using popular calorie counting plans or guides end up with poorer body composition. In contrast, as shown in this graph, we strive to loose body fat mass while maintaining lean body mass. For example from the above graph, this patient has loss overall 84.5 lbs. out of which 74 lbs. was pure fat.