To Life! Weight Loss and Lifestyle Change, Dr. Lewis Pincus, Dallas, Texas

About To Life!™

The To Life!™ Lifesfyle Change and Weight Loss Program is a minimum one-year
multidisciplinary treatment for obesity and associated co-morbidities. To Life! is a program for
patients interested in non-surgical weight loss, and for those headed for surgery who must show
their insurance carrier they have participated in a comprehensive lifestyle change program. We
also treat an increasing number of post lap-band and gastric bypass patients who have lost weight and then regained much more than they ever suspected could happen. We can also customize a program for patients who need rapid, medically supervised weight loss to better prepare them for other surgical procedures (joint replacement, back surgery, etc.). The basic To Life! Program includes:

Initial office evaluation

Medical history
Cardiovascular/obesity focused physical examination
Laboratory and EKG
Body composition and resting energy expenditure calculations
Depression, binge eating disorder, and sleep apnea screening
Prescription medication option discussed, if appropriate (Meridia or Xenical)

To Life! Saturday Workshop (tuition includes repeating the workshop within the first year)

All day session taught by Dr. Pincus and staff
100 page proprietary workbook on nutrition, exercise, mind-body connections
Personal plan for 1 lb. per wk weight loss (balanced ADA-AHA type approach)
Great heart healthy food!
Hands on instruction and group work in label reading, healthy recipe substitutions,
supermarket product selection, pulse taking,target heart rate, weight training, pedometer
use, and keeping food records.
Written "promise sheets" re: goals for nutrition, exercise and motivation.

Follow-up monthly doctor visit

Weight and vital signs check. Support group attendance reviewed
One on one personal coaching
Referrals made as needed for additional nutritional andlor behavioral coaching
Workshop "promises" continually reviewed and updated
Weight loss medication refilled (if support group attendance requirements met)
Strong emphasis on record keeping and pedometer use as system development tools
critical for weight loss maintenance.

Follow-up one hour support group classes

Rotating topics (nutrition, exercise, behavior change, medical)
Morning and evening classes available, depending on location
Patients on Rx weight loss medication must affend, on average, 2 classes monthly to
qualify for Rx refills.
To Life! Lines monthly email newsletter

The To Life! Program offers treatment without judgment. There are no big promises made; there is, however, lots of hard work, good science, compassion, and motivation. We say that "small changes, over time, can produce big miracles," and we have demonstrated that.