Commercial Weight Loss Programs Heli J Roy Ph

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Commercial Weight Loss Programs Heli J. Roy, Ph. D, RD -Pennington Biomedical Research Center.

Commercial Weight Loss Programs Heli J. Roy, Ph. D, RD -Pennington Biomedical Research Center. Division of Education 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 1 -113

Overview of Programs: • • • 2009 Weight Watchers TOPS Overeaters Anonymous Nutri System

Overview of Programs: • • • 2009 Weight Watchers TOPS Overeaters Anonymous Nutri System Diet Center Health Management Resources Jenny Craig Optifast Medical Weight Loss Clinic LA Weight Loss Curves for Women Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 2 -113

Weight Watchers® Available at: http: //www. weightwatchers. com/index. aspx 2009 Pennington does not endorse

Weight Watchers® Available at: http: //www. weightwatchers. com/index. aspx 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 3 -113

Weight Watchers® Helps individuals along the way by: 1. Helping them make the positive

Weight Watchers® Helps individuals along the way by: 1. Helping them make the positive changes required to lose weight 2. Guiding them to make positive behavioral changes in their life 3. Inspiring them with our belief in the power to succeed 4. Motivating them every step of the way 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 4 -113

Weight Watchers® The Plan: You can choose between the: Flex Plan Or Core Plan

Weight Watchers® The Plan: You can choose between the: Flex Plan Or Core Plan 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 5 -113

Flex Plan • All foods are assigned point values. • Can choose any food

Flex Plan • All foods are assigned point values. • Can choose any food as long as the person stays within their total points. • A person can eat all of the foods they love on this plan. • The plan is dlexible. • Assumes that the participant can easily handle any food challenge, even when choices are limited. • Allows for weekly splurge to go out without going off the plan. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 6 -113

Core Plan (No Points Plan) • The focus is on wholesome foods that help

Core Plan (No Points Plan) • The focus is on wholesome foods that help a person feel full longer. • Able to eat wholesome foods from all of the food groups – Foods such as: fruits and vegetables, grains and starches, lean meats and poultry, eggs and dairy products • The Core Food List is based on energy density (energy value of foods) and contains foods that have low energy density (not high in calories). • Occasional treats are allowed in controlled amounts on this plan to splurge on special occasions, treats, and going out without going off the plan. Pennington does not endorse claims made by these programs. 2009 This is simply an overview of available programs. 7 -113

Weight Watchers® 1. Widely available On the website, enter zip code, and meeting locations

Weight Watchers® 1. Widely available On the website, enter zip code, and meeting locations and times are presented. 2. No commitments Can attend meetings once a week for less than an hour. There’s no contract, it is pay as you go. 3. Physician referral Children between the ages of 10 -17 need a doctor's note with a goal weight. Children under the age of 10 are unable to join. 4. Use behavioral components since 1974 Now offers online access and weigh-ins. Message boards are available online and members are encouraged to communicate with one another. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 8 -113

Weight Watchers® 5. Nutritionally sound exchange program Incorporates the exchange list into the program

Weight Watchers® 5. Nutritionally sound exchange program Incorporates the exchange list into the program for individuals choosing the flexible points plan. 6. Convenience Can meet one hour a week at the nearest location for meetings. 7. Exercise Incorporated into the plan for individuals cleared to exercise. Offers demonstrations, advice and plans. 8. Online access Offers recipes and information on foods and special dietary needs. The database contains over 15, 000 favorite recipes submitted by the Weight Watchers® community. Has message boards on various topics and e-tools to track progress. Participants are encouraged to share their own and view other success Pennington does not endorse claims made by these programs. 2009 stories. 9 -113 This is simply an overview of available programs.

The Meetings • Confidential weigh-ins weekly to track progress • New tips and program

The Meetings • Confidential weigh-ins weekly to track progress • New tips and program materials weekly to help along the way • Receive support from the meeting leader who is a trained expert in the program and is devoted to participant success • Benefit from attending meetings by the exchange of tips, recipes, and others’ practical experiences 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 10 -113

Weight Watchers® Cares about keeping the weight off after weight loss. Has “Four Pillars”

Weight Watchers® Cares about keeping the weight off after weight loss. Has “Four Pillars” of weight loss based on research that includes: 1. Behavior 2. Exercise 3. Support 4. Food. Each is an important component of a well rounded weight loss program that has lasting results. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 11 -113

Weight Watchers® The Weight Watchers® program is a multi-faceted, comprehensive approach based on the

Weight Watchers® The Weight Watchers® program is a multi-faceted, comprehensive approach based on the belief that to lose weight safely and sensibly, a person must learn to eat more healthfully, increase physical activity, and handle the challenges encountered in the process of behavior modification. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 12 -113

Weight Watchers® • Since its inception in 1963, Weight Watchers® has shown more than

Weight Watchers® • Since its inception in 1963, Weight Watchers® has shown more than 25 million members how to lose weight. • Currently, more than 1, 000 members attend 39, 000 weekly Weight Watchers® meetings in 30 countries worldwide. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 13 -113

Weight Watchers® The Weight Watchers® program is designed to promote a healthful rate of

Weight Watchers® The Weight Watchers® program is designed to promote a healthful rate of weight loss. Individual factors, including age, gender, and current weight, affect the rate of weight loss. In addition, rate of weight loss is controlled by how carefully one follows the program; therefore, how long it will take one to reach weight-loss goal is largely determined by the individual. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 14 -113

Weight Watchers® Members stay on the program as long as they desire. Regular attendance

Weight Watchers® Members stay on the program as long as they desire. Regular attendance is helpful in making lifestyle changes. To help one learn how to keep the weight off, continued attendance is recommended until weight goal is maintained for at least six weeks. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 15 -113

TOPS ® (Take Off Pounds Sensibly) Available at: http: //www. tops. org 2009 Pennington

TOPS ® (Take Off Pounds Sensibly) Available at: http: //www. tops. org 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 16 -113

® TOPS • TOPS®, the oldest, non-profit, non-commercial weight-loss support group, was founded in

® TOPS • TOPS®, the oldest, non-profit, non-commercial weight-loss support group, was founded in 1948 in Milwaukee, Wisconsin, by Esther S. Manz, a homemaker. • The program offers a healthy, caring, and supportive approach to weight loss in a group setting. • The first meeting is free and membership is $24. 00 annually in the US, $30. 00 in Canada. This includes regular issues of TOPS News well as other helpful materials. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 17 -113

About TOPS® • Currently, there are over 200, 000 members in 10, 000 chapters

About TOPS® • Currently, there are over 200, 000 members in 10, 000 chapters in the U. S. , Canada and other countries worldwide. • Weekly meetings include private weigh-ins and a program providing members with positive reinforcement and motivation to adhere to food and exercise plans. • Online database enables potential clients to search for a chapter nearest to them. If the individual chooses, there is an option to start a new chapter, through a consultation with a coordinator. • A new chapter can be begun by only 4 people. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 18 -113

TOPS® : Purpose • TOPS®’ philosophy is that desire to change comes from within

TOPS® : Purpose • TOPS®’ philosophy is that desire to change comes from within an individual and the most effective way to sustain change is to provide a supporting environment • Mission Statement: TOPS® mission is to support our members as they take and keep off pounds sensibly. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 19 -113

TOPS ® Program: New members are required to consult with their physician to obtain

TOPS ® Program: New members are required to consult with their physician to obtain a goal weight for themselves, and then report it to their chapter Weight Recorder. Members meet weekly in their local chapters. A private weighin is followed by a program. Programs vary, but all serve to provide members with positive reinforcement and motivation in adhering to their food and exercise plans. Chapters elect their volunteer Leaders from their membership. Other Features: • A system of competition and recognition to provide additional support • TOPS’ healthy lifestyle guide, The Choice is Mine, containing details about the exchange system for meal planning as well as motivational tips and practical advice • TOPS retreats, rallies, and recognition days • TOPS News – membership magazine included in TOPS’ annual membership fee 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 20 -113

TOPS® • Online membership is available if the individual wishes not to attend meetings.

TOPS® • Online membership is available if the individual wishes not to attend meetings. • Online members receive a membership card, the monthly magazine delivered to them, a member handbook, and eligibility to attend TOPS® retreats and local events. • TOPS® members are encouraged to communicate via internet chat rooms, message boards, and through sharing success stories with one another. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 21 -113

TOPS® • TOPS Tools area of the website offers many tools for managing dietary

TOPS® • TOPS Tools area of the website offers many tools for managing dietary intake and increasing activity: – BMI Calculator – – Information on the Exchange – System – – Sample Exchange List – – Exchange Calculator – – 28 Day Meal Planner – Food Exchange Cards – Printable Exchange Reminder 2009 Printable Exchange Recorder Exercise and Stretches The Plate Method Calorie Cash Recipe Substitutions Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 22 -113

TOPS® : Facts • In 2005, TOPS® total weight loss equaled 970, 824 pounds

TOPS® : Facts • In 2005, TOPS® total weight loss equaled 970, 824 pounds or 485. 41 tons. • The average loss per chapter was 100. 82 pounds • TOPS® has experts in the field of medical research, nutrition, fitness, and psychology. • TOPS® Ambassadors are real-life weight-loss experts who have achieved and maintained their goal weight and speak across the country “spreading the word” about TOPS®. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 23 -113

TOPS® : Other Features • A system of competition and recognition of achievement aids

TOPS® : Other Features • A system of competition and recognition of achievement aids in providing additional support. • The Choice Is Yours, a TOPS® sponsored book containing the exchange system for meal planning as well as practical advice on nutrition, exercise, lifestyle, and motivation. • TOPS® also offers: rallies and recognition days, retreats, TOPS® News (a membership magazine), and educational brochures for the public. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 24 -113

TOPS® • Since 1966, TOPS® has funded an obesity and metabolic research program at

TOPS® • Since 1966, TOPS® has funded an obesity and metabolic research program at the Medical College of Wisconsin in Milwaukee and supports ongoing research there. To date, 5. 4 million dollars from TOPS® earnings and member contributions have helped fund obesity research. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 25 -113

Medically Oriented Activities • Findings from the program have been published in over 140

Medically Oriented Activities • Findings from the program have been published in over 140 papers in medical journals. Volunteer TOPS® members are currently part of a landmark research project examining the role of genetics in obesity. The research is being conducted by Dr. Ahmed Kissebah, scientific advisor to TOPS® Club, Inc, and an internationally recognized expert on obesity. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 26 -113

TOPS® : Incentives • There are many perks that are awarded to those individuals

TOPS® : Incentives • There are many perks that are awarded to those individuals that reach their goal for weight loss. They are Royalty and receive special recognition. Others that have lost a lot of weight get similar special privileges. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 27 -113

Overeaters Anonymous Available at: http: //www. oa. org/index. htm 2009 Pennington does not endorse

Overeaters Anonymous Available at: http: //www. oa. org/index. htm 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 28 -113

Inception Three people met in January 1960, for the purpose of helping each other

Inception Three people met in January 1960, for the purpose of helping each other with their compulsive overeating. They patterned their program after the Alcoholics Anonymous program. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 29 -113

Overeaters Anonymous • The OA recovery program addresses physical, emotional, and spiritual recovery aspects

Overeaters Anonymous • The OA recovery program addresses physical, emotional, and spiritual recovery aspects of compulsive overeating. • OA is not a religious program. It is a program that uses spiritual principles, and leave it to the individual members to approach these principles with a Higher Power of their understanding. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 30 -113

Overeaters Anonymous • Meetings can range from 3 to 30 people, normally ~10 on

Overeaters Anonymous • Meetings can range from 3 to 30 people, normally ~10 on average. • Each meeting is begun with a speaker for the first 10 -15 minutes, discussing life before OA. • Meetings usually last from one to two hours. • Members are always encouraged to seek professional help for individual diet/nutrition plans and/or any emotional or physical difficulties. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 31 -113

Meetings • Based on membership list. • Newcomers introduce themselves. • Members share their

Meetings • Based on membership list. • Newcomers introduce themselves. • Members share their experiences, strengths, and hope. – Everything shared is confidential. • Sponsors are allowed. – Must be willing to help physically, emotionally, and spiritually. • Outside communication and motivation. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 32 -113

Meetings At the meetings, focus is on: • • • Acceptance of you. Understanding

Meetings At the meetings, focus is on: • • • Acceptance of you. Understanding of the problems you face. Communication - mutual understanding and acceptance. Achieving recovery. Power to enter a new way of life. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 33 -113

Service Opportunities • Individuals are encouraged to participate in the meetings. • Whether serving

Service Opportunities • Individuals are encouraged to participate in the meetings. • Whether serving the role of group secretary, treasurer, greeter, or stacking chairs at the meeting, or serving coffee, the organization believes that service is important for recovery and that it allows members to feel like they are “giving back” to the organization in which they belong. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 34 -113

Overeaters Anonymous Based on 1992 Gallup survey of the membership, the average OA member

Overeaters Anonymous Based on 1992 Gallup survey of the membership, the average OA member is a 44 year old woman who began eating compulsively at 14. She has been an OA member for over 4 years and has lost over 40 pounds. Her emotional and mental health is the aspect of her life that has most improved since joining OA. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 35 -113

The cost? • Overeaters Anonymous has no dues or fees for membership. It is

The cost? • Overeaters Anonymous has no dues or fees for membership. It is entirely self-supporting through contributions and sale of publications. • Most groups "pass the basket" at meetings to cover expenses. • OA does not solicit or accept outside contributions. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 36 -113

OA: Stats • Overeaters Anonymous has about 7, 000 groups that meet each week

OA: Stats • Overeaters Anonymous has about 7, 000 groups that meet each week in over 65 countries. With OA divided into 10 regions worldwide and nearly 400 inter -groups, it helps thousands of compulsive overeaters find themselves through a threefold recovery: physical, emotional, and spiritual. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 37 -113

The Magazine • Lifeline is the international monthly magazine of Overeaters Anonymous, Inc. The

The Magazine • Lifeline is the international monthly magazine of Overeaters Anonymous, Inc. The true stories in Lifeline, written by OA members, share the challenges and triumphs of recovery from compulsive overeating. Lifeline publishes a list of monthly topics and questions to encourage members to share their stories of experience, strength, and hope. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 38 -113

Nutrisystem® Available at: http: //www. nutrisystem. com 2009 Pennington does not endorse claims made

Nutrisystem® Available at: http: //www. nutrisystem. com 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 39 -113

Overall approach • Diet is based on Nutrisystem®'s prepackaged foods. The prepackaged meals are

Overall approach • Diet is based on Nutrisystem®'s prepackaged foods. The prepackaged meals are ordered on foods -line from the company website which are delivered to the client’s home. • The plan provides approximately 55% of calories from low glycemic index carbohydrates, 25% of calories from protein, and 20% of calories from fat. • There is no membership fee. Clients pay for the cost of foods. There are no face-to-face meetings with a counselor, individuals communicate with weight loss counselors via Pennington does not endorse claims made by these programs. 2009 telephone or online. 40 -113 This is simply an overview of available programs.

Types of Diet Plans • • Women's Program Men's Program Women's Silver Program Men's

Types of Diet Plans • • Women's Program Men's Program Women's Silver Program Men's Silver Program Women's Diabetic Program Men's Diabetic Program Vegetarian Program Each of these now comes in Advanced. TM form. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 41 -113

Diet Plans • What is Nutri. System® Advanced™? • • The NEW Nutri. System®

Diet Plans • What is Nutri. System® Advanced™? • • The NEW Nutri. System® Advanced™ program contains omega-3 fatty acids and soluble fiber to increase the feeling of fullness. The basic components of the new Nutri. System Advanced includes: Omega. Sol™ - a blend of omega-3 fatty acids and soluble fiber to increase the feeling of fullness and promote heart health Nutri. Sol™ - soluble fiber that promotes gastrointestinal health and helps control hunger Gylcemic Advantage™ - use of low glycemic index foods to help promote weight loss Pennington does not endorse claims made by these programs. 2009 42 -113 This is simply an overview of available programs.

How to enroll? • Clients log-on, decide on a recommended meal plan and order

How to enroll? • Clients log-on, decide on a recommended meal plan and order their food. Once the food arrives, they're ready to go. • The website is available 24 hours a day, 7 days a week. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 43 -113

Benefit of meal plan as stated by the program: 1. 2. 3. 4. Great

Benefit of meal plan as stated by the program: 1. 2. 3. 4. Great Nutrition Proper Balance Unbeatable Convenience Inexpensive Appropriate portion sizes, optimal amounts of proteins and fats, low glycemic index carbohydrates and delivered to client’s doorstep. Freezer to table in minutes. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 44 -113

What does the free membership include? Unlimited Counseling and Support Services • • 2009

What does the free membership include? Unlimited Counseling and Support Services • • 2009 New Nourish Catalog The Daily Dose Online Newsletter Online Classes Online Bulletin Boards and Chat Rooms Online Weight Loss Diary Member Profile Section Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 45 -113

Healthful lifestyle features • Clients determine weekly goals with consultants, often focusing on exercise.

Healthful lifestyle features • Clients determine weekly goals with consultants, often focusing on exercise. Brochures on health topics are also available with three-month and 12 month programs. Exercise video and audio tapes are available at extra cost. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 46 -113

Cost and results • Cost is about $330. 00 per month, or about $11

Cost and results • Cost is about $330. 00 per month, or about $11 per day for all meals. • Expected weight loss: no more than two pounds weekly. Program length varies according to weight-loss goals. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 47 -113

Included in the monthly supply: • 28 breakfasts 28 lunches 28 dinners and. .

Included in the monthly supply: • 28 breakfasts 28 lunches 28 dinners and. . . 28 snacks/desserts • There is the incentive of an extra week of food for free by ordering a months worth of meals online. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 48 -113

Analysis • Pros: – Portion control. – Convenience, meals are prepared or need very

Analysis • Pros: – Portion control. – Convenience, meals are prepared or need very little preparation. • Cons: 2009 – Expensive. – Weak on lifestyle education component. – No face-to-face contact with health professionals. – Not much group support. Members communicate via website by posting success Pennington does not endorse claims made by these programs. stories. 49 -113 This is simply an overview of available programs.

Diet center® Available at: http: //www. dietcenter. com/temps/index. cfm 2009 Pennington does not endorse

Diet center® Available at: http: //www. dietcenter. com/temps/index. cfm 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 50 -113

At the Diet. Center you will receive: • • 2009 Step-by-Step Dieting Guides Customized

At the Diet. Center you will receive: • • 2009 Step-by-Step Dieting Guides Customized Food Menus Daily weigh-ins Special One-on-One Counseling Reviews of Daily food lists Body Measurements (every 4 weeks) Body Composition Analysis (every 4 weeks) A week-by-week supply of our special Chewable Diet Supplement Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 51 -113

Overall approach Offers 2 different diet and weight loss programs designed for various lifestyles

Overall approach Offers 2 different diet and weight loss programs designed for various lifestyles and to maximize weight loss needs: 1. Exclusively You- Personalized Diet Plan 2. Instant Shape Up 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 52 -113

Exclusively You Personalized Diet Plan Provides client with: • • 2009 A personalized "Exclusively

Exclusively You Personalized Diet Plan Provides client with: • • 2009 A personalized "Exclusively You. TM" weight loss program Step-by-Step Dieting Guides Flexible, weekly meal plans Customized food menus Optional Essentials 1 week Supplement Kit so you can follow the program just as if you had a licensed center within your area! Weekly Weigh-Ins Weekly Weigh-In Progress Reports Pennington does not endorse claims made by these programs. 53 -113 Body Measurement Progress Reports This is simply an overview of available programs.

Exclusively You Personalized Diet Plan Provides the following: Continuous Support from the Online Information

Exclusively You Personalized Diet Plan Provides the following: Continuous Support from the Online Information Center, including: • Weight Loss Tips • Nutritional Tips • Behavioral Tips • Exercise Tips • These weekly tips are delivered through emails and posted on the member bulletin boards each week! 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 54 -113

Exclusively You Personalized Diet Plan • Exclusively You. TM Four Phase Weight Loss Plan

Exclusively You Personalized Diet Plan • Exclusively You. TM Four Phase Weight Loss Plan provides: • Conditioning • Reducing • Stabilization • Maintenance 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 55 -113

Exclusively You – Personalized Diet Plan • In the conditioning phase they suggest: Success

Exclusively You – Personalized Diet Plan • In the conditioning phase they suggest: Success to go. TM 7 Day Diet Kit, which includes: • 3 Days of Instant Shape Up Products for a fast, healthy start • Chewable Diet Supplement to help curb hunger and irritability and increase energy! • Antioxidant Formula to fight free radicals and promote good health! • Cal-Mag for strong bones, good health, and a successful diet! • Vitamin and Mineral Formula to keep you healthy and avoid illness! 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 56 -113

Exclusively you – Personalized Diet Plan • To continue with the plan, one must

Exclusively you – Personalized Diet Plan • To continue with the plan, one must purchase additional “One Week Essentials Kits. ” The essentials kit contains the chewable diet supplement plus the multi-vitamin, antioxidant and cal-mag Formulas. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 57 -113

Instant Shape-Up • • • An aggressive meal replacement program which has recently been

Instant Shape-Up • • • An aggressive meal replacement program which has recently been reformulated to be lower in carbohydrates and higher in protein Also designed to be versatile, it is used for the three day Conditioning Phase of Exclusively You™ to jump start weight loss or can be used for members who have reached a temporary plateau. Consists of three meal replacement meals per day followed by a wholesome meal in the evening from fresh, grocery store foods. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 58 -113

Instant Shape-up • • • 2009 A Personalized "Instant Shape Up. TM" weight loss

Instant Shape-up • • • 2009 A Personalized "Instant Shape Up. TM" weight loss program Step-by-Step Dieting Guides Customized Food Menus Daily weigh-ins Special One-on-One Counseling Reviews of Daily food lists Body Measurements (every 4 weeks) Body Composition Analysis(every 4 weeks) A week-by-week supply of Chewable Diet Supplement Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 59 -113

Components of the Program The Exclusively Me. TM Behavior Management Program, provides information on:

Components of the Program The Exclusively Me. TM Behavior Management Program, provides information on: • Nutrition - Making wise food selections • Behavior Modification - Learning good habits to change your life • Self Direction - Starting to trust your judgment • Stress Management - Using Relaxation/ Visualization techniques • Sensible Exercise - Activity tips for good health 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 60 -113

Diet Center Provides supplements that: • Help make losing weight easier • Help curb

Diet Center Provides supplements that: • Help make losing weight easier • Help curb hunger by helping stabilize blood sugar level • Have the ingredients which help metabolize proteins, fats, and carbohydrates most effectively • Provide needed energy during your diet • The program states that: for more than 30 years these supplements have been the foundation of Diet Center's® successful weight loss programs. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 61 -113

Analysis Pros: Convenient. Takes guesswork out of portion sizes. Cons: Plan tends to be

Analysis Pros: Convenient. Takes guesswork out of portion sizes. Cons: Plan tends to be heavily reliant on supplementation. Price information is difficult to find. No group support. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 62 -113

Health Management Resources® Available at: http: //www. yourbetterhealth. com 2009 Pennington does not endorse

Health Management Resources® Available at: http: //www. yourbetterhealth. com 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 63 -113

Overall approach • Makes use of a very low calorie diet (VLCD). VLCD •

Overall approach • Makes use of a very low calorie diet (VLCD). VLCD • Consists of meal replacers: low-calorie shakes or entrees. • Meal replacers are nutritious and filling with the capacity to save an individual hundreds of calories per day. • The specialization of HMR® is rapid and significant weight loss. • Weekly classes teach the specific "how to's" for successful weight management. Personal weight loss coaches provide support and encouragement. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 64 -113

Programs • HMR Clinic Programs – Decision-Free Program – Healthy Solutions Program – Support

Programs • HMR Clinic Programs – Decision-Free Program – Healthy Solutions Program – Support for Clinic Programs • HMR at Home Programs – Healthy Solutions Kit – HMR Healthy Shakes Kit 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 65 -113

Healthy Solutions Quick Start™ Diet Kit Contents A three-week supply of: • 44 assorted

Healthy Solutions Quick Start™ Diet Kit Contents A three-week supply of: • 44 assorted HMR® Entrees • 72 servings of HMR low-calorie shakes/pudding mix • Quick Start™ Guide –steps toward weight loss • Program Support Guide – a step-by-step guide to planning a Healthy Solutions Quick Start Diet Program • Weekly Progress Chart – for keeping track of progress, including exercise Pennington does not endorse claims made by these programs. 2009 This is simply an overview of available programs. 66 -113

Clinic Programs • HMR Decision Free Diet – HMR’s premier program for people with

Clinic Programs • HMR Decision Free Diet – HMR’s premier program for people with 40 pounds or more to lose. Lots of structure and support. No decisions. Rapid weight loss. Medical supervision is provided. • HMR Healthy Solutions Diet – Ideal for anyone who wants to achieve significant weight loss without the need for medical supervision. Structured Pennington does not endorse claims by these programs. while providing lots ofmade variety. 2009 67 -113 This is simply an overview of available programs.

HMR Decision Free Diet The Decision-Free Program includes: • A structured, easy-to-follow, and filling

HMR Decision Free Diet The Decision-Free Program includes: • A structured, easy-to-follow, and filling diet • Weekly group meetings at a local medical center • Lifestyle education with individual plans for building healthy eating habits and practicing doable levels of physical activity • Weekly coaching calls with a trained HMR Health Educator • Plus medical supervision and proven Pennington does not endorse claims made by these programs. 2009 68 -113 This is simply an overview of available programs. results!

HMR Healthy Solutions Diet • The Healthy Solutions Program includes: • A structured, easy-to-follow,

HMR Healthy Solutions Diet • The Healthy Solutions Program includes: • A structured, easy-to-follow, and filling diet with HMR foods and fruits and vegetables of your choice • Weekly group meetings at a local clinic/medical center • Lifestyle education with individual plans for building healthy eating habits and practicing doable levels of physical activity • Weekly coaching calls with a trained HMR Health Educator Pennington does not endorse claims made by these programs. 2009 69 -113 • And proven This results! is simply an overview of available programs.

Clinic Programs -Plan • Use Meal Replacements: HMR meal replacements are delicious, low-calorie shakes,

Clinic Programs -Plan • Use Meal Replacements: HMR meal replacements are delicious, low-calorie shakes, meals, nutrition bars, and multigrain hot cereal that are used in place of other meals and snacks. • Eat Fruits and Vegetables: Mix vegetables and fruits are mixed with HMR meal replacements, the result is a satisfying, filling, and extremely nutritious meal. • Do Physical Activity: Physical activity is essential for successful weight management, especially long-term. Additional weight-loss strategies: • Quick Start™: follow HMR program closely especially in the first weeks, lose more weight • More Is. Pennington Better™: more meal replacements, fruits, does not endorse claims made by these programs. 2009 70 -113 This is simply an overview of available programs. and vegetables

Healthful lifestyle features • Recommends burning minimum of 2, 000 calories/week in physical activity.

Healthful lifestyle features • Recommends burning minimum of 2, 000 calories/week in physical activity. • Addresses lifestyle issues in weekly classes and personal counseling. • Dieters assigned personal coaches for weekly meetings or calls. • Receive health risk appraisal. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 71 -113

Price of Food items 11 assorted entrees: $38. 50 plus $9. 95 in shipping

Price of Food items 11 assorted entrees: $38. 50 plus $9. 95 in shipping costs. The following are also available: 5 Shakes, 4 Bars, Hot Cereal, and Chicken Soup Prices for the other food items are not listed. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 72 -113

Website: • HMR® weight loss foods should not be used as a sole source

Website: • HMR® weight loss foods should not be used as a sole source of nutrition without medical approval. These products are not to be used without medical supervision if total daily calorie intake is less than 800 calories. These products are not intended for use by infants, children, or pregnant and lactating women. Consult a physician before starting any diet. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 73 -113

Analysis Pros: Few eating decisions Emphasizes exercise Supervised by health professionals Often covered by

Analysis Pros: Few eating decisions Emphasizes exercise Supervised by health professionals Often covered by insurance 2009 Cons: Expensive. Requires prepackaged food and strong commitment to exercise May be difficult to transition to regular foods Side effects of VLCD include: intolerance to cold, constipation, dizziness, dry skin, and headache Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 74 -113

Jenny Craig® Available at: http: //www. jennycraig. com/ 2009 Pennington does not endorse claims

Jenny Craig® Available at: http: //www. jennycraig. com/ 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 75 -113

Program Options 1. 2. 3. 4. • 2009 Jenny Craig Platinum Jenny Rewards Jenny

Program Options 1. 2. 3. 4. • 2009 Jenny Craig Platinum Jenny Rewards Jenny Tune-up Special Trial Offer Plans are based on what the individual wants out of the program, and each provides one-on-one support from weight loss consultant. Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 76 -113

Jenny Craig Platinum • Here's what you'll get: • • • Planned and Personalized

Jenny Craig Platinum • Here's what you'll get: • • • Planned and Personalized Menus Personalized Activity and Motivational Plans Product Discounts Your. Style™ personalized profile One-on-One Consultations Weight Loss Success Manuals/Guides Weight Maintenance Support Online Support at jennycraig. com 24/7 Customer Care Support 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 77 -113

Jenny Rewards • Here's what you'll get: • Food discounts that grow as you

Jenny Rewards • Here's what you'll get: • Food discounts that grow as you continue on this program, save up to 35%! • Planned and Personalized Menus • Personalized Activity and Motivational Plans • Product Discounts • Your. Style™ personalized profile • One-on-One Consultations • Weight Loss Success Manuals/Guides • Weight Maintenance Support • Online Support at jennycraig. com • 24/7 Customer Care Support 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 78 -113

Jenny Tune Up • Here's what you'll get: • • • Planned and Personalized

Jenny Tune Up • Here's what you'll get: • • • Planned and Personalized Menus Personalized Activity and Motivational Plans One-on-One Consultations Weight Loss Tools Online Support at jennycraig. com 24/7 Customer Care Support 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 79 -113

Jenny Trial • On-line sign in to receive a special offer along with a

Jenny Trial • On-line sign in to receive a special offer along with a free membership to my. Jenny, online tools and support to help in reaching individual weight loss goals. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 80 -113

Overall approach 1. Food (Eating Healthy) Choice, convenience, value, and nutrition are described as

Overall approach 1. Food (Eating Healthy) Choice, convenience, value, and nutrition are described as the benefits of Jenny Craig®’s frozen cuisines. Claims to take the guesswork out of calorie counting, portion control, and nutrient balance. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 81 -113

Overall Approach 2. Mind (self awareness) Work with Jenny Craig® consultant weekly to: –

Overall Approach 2. Mind (self awareness) Work with Jenny Craig® consultant weekly to: – Track progress and celebrate successes – Address any challenges and help stay motivated – Teach new skills and habits for lasting change The program states that “support makes all the difference. ” 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 82 -113

Overall Approach 3. Being active (body) Works with the individual to: • Break through

Overall Approach 3. Being active (body) Works with the individual to: • Break through barriers to increase physical activity. • Create a plan to boost energy and decrease stress. • Learn to make the most from as little as 30 minutes of activity a day. • Get fitness and health tips for maintaining an active, playful life style. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 83 -113

Analysis • Pros: Little food preparation required. Plans available for vegetarians, people with diabetes,

Analysis • Pros: Little food preparation required. Plans available for vegetarians, people with diabetes, breast-feeding moms, and those on kosher diets. • Cons: Must rely on prepackaged foods, which makes dining out and socializing difficult. Lacks professional guidance at client level. Limited maintenance options. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 84 -113

Optifast® Available at: http: //www. optifast. com/index. jsp 2009 Pennington does not endorse claims

Optifast® Available at: http: //www. optifast. com/index. jsp 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 85 -113

Optifast • OPTIFAST treats the whole person – not just weight. It combines support

Optifast • OPTIFAST treats the whole person – not just weight. It combines support and counseling, comprehensive lifestyle education and medical monitoring with a great-tasting meal replacement to help people lose weight and significantly reduce weight-related health risks. One study of 20, 000 patients showed: 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 86 -113

Optifast The benefits include: • High-quality, complete nutrition • Pre-portioned and calorie-controlled servings •

Optifast The benefits include: • High-quality, complete nutrition • Pre-portioned and calorie-controlled servings • Quick and simple preparation • Freedom from having to make food choices 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 87 -113

Optifast The OPTIFAST Program includes ongoing medical monitoring, adjustment of medication and caloric level

Optifast The OPTIFAST Program includes ongoing medical monitoring, adjustment of medication and caloric level with weight loss. Medical monitoring includes: • A thorough medical examination, lab tests. • A personalized weight loss plan. • Continued medical monitoring. • Communication with primary care physician, as necessary. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 88 -113

Optifast OPTIFAST personal support and lifestyle education include: • One-on-one counseling sessions with a

Optifast OPTIFAST personal support and lifestyle education include: • One-on-one counseling sessions with a physician, registered dietitian, or lifestyle counselor. • Small group discussions led by a health care professional. • Peer support from current and past OPTIFAST participants. • Educational materials created especially for OPTIFAST patients. Pennington does not endorse claims made by these programs. 2009 89 -113 • Customized activity plans appropriate to your This is simply an overview of available programs.

Overall approach • Medically supervised program of fortified liquid-meal replacements or prepackaged foods, eventually

Overall approach • Medically supervised program of fortified liquid-meal replacements or prepackaged foods, eventually including regular foods. • Designed for individuals who are 50 pounds or more overweight or who have a BMI of over 30. • The treatment is only offered by physicians trained in obesity management. • An initial medical and lifestyle evaluation plus ongoing medical monitoring is necessary to assure that participants remain in peak health while losing weight. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 90 -113

Cutting quality of diet? • The products cut calories not nutrients. When used as

Cutting quality of diet? • The products cut calories not nutrients. When used as directed, the 800 -1500 kcal/day protocols each provide complete, balanced nutrition including at least 100% of the recommended daily intake for protein and all essential vitamins and minerals. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 91 -113

Analysis Pros Close contact with health professionals Beneficial for people with serious health problems

Analysis Pros Close contact with health professionals Beneficial for people with serious health problems who need a low-calorie plan to promote quick weight loss Few eating decisions Often covered by insurance Cons Expensive Must rely on Optifast® products during much of reducing phase May be difficult to transition from liquid diet to regular food 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 92 -113

Medical Weight Loss Clinic http: //www. mwlc. com/ 2009 Pennington does not endorse claims

Medical Weight Loss Clinic http: //www. mwlc. com/ 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 93 -113

Medical Weight Loss Clinic • Medical Weight Loss Clinic is a Michiganbased company celebrating

Medical Weight Loss Clinic • Medical Weight Loss Clinic is a Michiganbased company celebrating 21 years of professional, clinical experience. • Thousands have joined and gained control of their weight. • This year alone clients will lose in excess of two million pounds. • There are 30 clinics, mainly in Michigan, but people can join a ‘virtual’ clinic. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 94 -113

Medical Weight Loss Clinic • The program involves the use of FDA approved medications.

Medical Weight Loss Clinic • The program involves the use of FDA approved medications. • They are fully endorsed medications. • Most people have little or no side effects. • They are not amphetamines and are nonaddictive. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 95 -113

Medical Weight Loss Clinic • The program is designed for people who have developed

Medical Weight Loss Clinic • The program is designed for people who have developed a subconscious food obsession and who have been unsuccessful at achieving and maintaining an ideal body weight. • The prescription therapy program will be administered as part of a whole program with three vital components: – – Counseling, which is the underlying success factor Moderate exercise Prescription therapy One-on-one visits three times per week, nutritional Pennington does not endorse claims made by these programs. 2009 96 -113 counseling. This is simply an overview of available programs.

Medical Weight Loss Clinic Virtual Clinic: • Personal Profiles • Individual Counseling • Daily

Medical Weight Loss Clinic Virtual Clinic: • Personal Profiles • Individual Counseling • Daily Advice • Weight Loss Charting • Body Mass Index Calculator • Weight Loss Chat Room • Support & Motivation • Interactive Bulletin Board • Nutritional Supplements Available in our Online Store • Recipes and Nutritional Guides • Herbal/Nutraceuticals Available Supplements • Administered by Board Certified Doctors • Internet Discounts • Behavior Modifications Lessons 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 97 -113

Cost Plans Initial Price Billing Method 1 Month Rate $30. 00 $30 (no products

Cost Plans Initial Price Billing Method 1 Month Rate $30. 00 $30 (no products included). $30. 00 per month billed after 1 month. 2 Month Rate $60. 00 $60 (receive free variety box of nutritional supplements and a free variety box of bars). $30. 00 per month billed after 2 months. 3 Month Rate $120. 00 $120 (receive your first week's supply of nutritional supplements and one free variety box of snack bars). $30 per month billed after 4 months. 4 Month Rate $180. 00 2009 $180– ENROLL FOR 6 MONTHS AND GET FREE MONTH! (limited time only) (receive free 30/d supply of our weight loss enhancing PLUS Pills, first week's supply of nutritional supplements, and variety box of Pennington bars). $30/mo billed after 6/mo does not endorse claims made by these programs. 98 -113 This is simply an overview of available programs.

Medical Weight Loss Clinic • • • Pros Several programs In-person consultation Real food

Medical Weight Loss Clinic • • • Pros Several programs In-person consultation Real food On-line version Healthy diet 2009 • Cons • In-person only in Michigan • Expensive Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 99 -113

LA Weight Loss http: //www. la-weightloss. com/ 2009 Pennington does not endorse claims made

LA Weight Loss http: //www. la-weightloss. com/ 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 100 -113

LA Weight Loss • Over 450 locations worldwide, including centers in the US, Canada,

LA Weight Loss • Over 450 locations worldwide, including centers in the US, Canada, Costa Rica, and Puerto-Rico, LA Weight Loss is one of the fastest growing center-based Weight Loss Company in the world! • Exclusively designed combination of healthy, well-balanced real foods, customized menu plans, and weekly one-on -one counseling, makes the program one of the most sought-after programs in the weight loss industry today. Pennington does not endorse claims made by these programs. 2009 101 -113 This is simply an overview of available programs.

LA Weight Loss • LA Weight Loss is not a diet but a weight

LA Weight Loss • LA Weight Loss is not a diet but a weight loss program. • LA Weight Loss offers: – motivational one-on-one counseling – a healthy menu plan – tips for unique special occasions like vacations and dining out – customized menus – weekly meeting with a weight loss counselor, providing nutrition education, assistance in planning meals, a strategy for leading a more active lifestyle and, of course, Pennington does not endorse claims made by these programs. plenty of healthy eating habits. 2009 102 -113 This is simply an overview of available programs.

LA Weight Loss What the program offers: • Balance: balanced meal plans consisting of

LA Weight Loss What the program offers: • Balance: balanced meal plans consisting of protein, starches, fats, fruits, and snacks. • Personalization: series of programs based on lifestyle, personal preference, medical and weight loss factors. Customized menu’s. • Accountability: one-on-one counseling throughout. Weekly visits to the center to review diaries with your counselor, weigh-in. • Flexibility/Variety: regular foods you can buy at the grocery store or eat at restaurants. • Easy-To-Follow: no calorie or point counting. LA Lite Cookbook with quick, simple recipes that are easy to prepare. • Satiety: LA Weight Loss is not a starvation diet. Plenty of variety and calories. • Maintenance: LA Weight Loss features a full maintenance program including weekly visits for one-on-one counseling. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 103 -113

Programs available Corporate Program* • LA Weight Loss Corporate Program is for employer and

Programs available Corporate Program* • LA Weight Loss Corporate Program is for employer and employees. The program completely free to employers and providing an exclusive discount offer to employees. Physician Alliance Program* • The Physician Alliance Program is a professional partnership formed by LA Weight Loss between medical and weight loss professionals as a practical solution for doctors to offer patients struggling with obesity and weight related ailments. Slim-Ed* • Teachers and school staff can take the special 10 -week summer program – Slim-Ed. On the Slim-Ed program, teachers learn a variety of healthy eating habits and new behaviors Healthy Heroes* • LA Weight Loss has developed a program specifically for the public service workforce where they enjoy all the benefits of the Free-to-Live program, at a discounted rate. It’s our way of showing our appreciation for keeping our communities safe and thriving. Pennington does not endorse claims made by these programs. 2009 This is simply an overview of available programs. 104 -113

LA Weight Loss Pros: Cons: • Specialized diets • Similar to many other programs

LA Weight Loss Pros: Cons: • Specialized diets • Similar to many other programs • No points to count • Expensive • Eat regular foods • Eat out • Prepared foods available • No appointment needed • Recipes Pennington does not endorse claims made by these programs. 2009 This is simply an overview of available programs. 105 -113

Curves for Women http: //www. curves. com/ 2009 Pennington does not endorse claims made

Curves for Women http: //www. curves. com/ 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 106 -113

Curves for Women • Curves is the largest fitness franchise in the world with

Curves for Women • Curves is the largest fitness franchise in the world with 10, 000 locations worldwide. • Curves Clubs can be found in 55 countries, including the United States, Canada, Europe, South America, The Caribbean, Mexico, Australia, New Zealand, South Africa, and Japan. • A fitness and weight loss facility dedicated to providing affordable, one-stop exercise and nutritional information for women. • Includes Curves Complete, an online companion to Curves gym membership. With round-the-clock access to tons of delicious, healthy recipes, a personalized exercise plan and weight loss tips. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 107 -113

Curves for Women • Curves 6 Week Solution. Six weeks of small, intimate classes

Curves for Women • Curves 6 Week Solution. Six weeks of small, intimate classes where you'll learn how to lose weight and keep it off for good. – It Revs Your Metabolism It Allows You to Eat - five small meals rather than three large ones. – It Offers a Wide Variety of Food – high protein or high carbohydrate. The protein intake ranges from 30% to 45% depending on the solution that you choose. No foods are off-limits. – It's Healthful – It's a Diet You Can Stick With – Permanent Results Without Dieting Pennington does not endorse claims Permanent made by these programs. 2009 108 -113 – It Works This is simply an overview of available programs.

Curves for Women • Gym membership – Well rounded exercise program with aerobic and

Curves for Women • Gym membership – Well rounded exercise program with aerobic and strength training • Members receive Diane magazine • Nutrition and diet information • Free on-line membership with gym membership 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 109 -113

Curves for Women Great benefits of on-line membership include: Delicious Meal Plans • Complete

Curves for Women Great benefits of on-line membership include: Delicious Meal Plans • Complete with printable shopping lists • Enjoyable and easy-to-make substitutions • Zero point counting! Nutritional Expertise • Advice designed for women • Answers for all your questions • A database of 30, 000 healthy foods Fitness Logs • Workouts to choose from • Tools to track your progress • Recommendations as your fitness needs change Robust Community • Other members to connect with 24/7 • Safe space to give and receive motivational support • Success stories to keep you going! 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 110 -113

Curves for Women Pros: • Includes exercise and diet information • Free on-line membership

Curves for Women Pros: • Includes exercise and diet information • Free on-line membership • Widely available 2009 • Cons: • Expensive • Membership required to access on-line information Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 111 -113

Sites visited: • • http: //www. weightwatchers. com/index. aspx http: //www. tops. org http:

Sites visited: • • http: //www. weightwatchers. com/index. aspx http: //www. tops. org http: //www. oa. org/index. htm http: //www. nutrisystem. com http: //www. dietcenter. com/temps/index. cfm http: //www. yourbetterhealth. com http: //www. jennycraig. com/ http: //www. optifast. com/index. jsp 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 112 -113

Pennington Biomedical Research Center Heli Roy, Ph. D, RD Beth Kalicki Division of Education

Pennington Biomedical Research Center Heli Roy, Ph. D, RD Beth Kalicki Division of Education Phillip Brantley, Ph. D, Director Pennington Biomedical Research Center Claude Bouchard, Ph. D, Executive Director Edited: October 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 113 -113

About Our Company • • • • • • The Pennington Biomedical Research Center

About Our Company • • • • • • The Pennington Biomedical Research Center is a world-renowned nutrition research center. Mission: To promote healthier lives through research and education in nutrition and preventive medicine. The Pennington Center has several research areas, including: Clinical Obesity Research Experimental Obesity Functional Foods Health and Performance Enhancement Nutrition and Chronic Diseases Nutrition and the Brain Dementia, Alzheimer’s and healthy aging Diet, exercise, weight loss and weight loss maintenance The research fostered in these areas can have a profound impact on healthy living and on the prevention of common chronic diseases, such as heart disease, cancer, diabetes, hypertension and osteoporosis. The Division of Education provides education and information to the scientific community and the public about research findings, training programs and research areas, and coordinates educational events for the public on various health issues. We invite people of all ages and backgrounds to participate in the exciting research studies being conducted at the Pennington Center in Baton Rouge, Louisiana. If you would like to take part, visit the clinical trials web page at www. pbrc. edu or call (225) 763 -3000. 2009 Pennington does not endorse claims made by these programs. This is simply an overview of available programs. 114 -113