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How to lose weight in New York City – Best weight loss options reviewed by a weight loss doctor

What scientists call What scientists call “Overweight” changes with our knowledge of human health (Photo credit: Wikipedia)

If you are a bit overweigtht or obese, you probably know that losing weight is never easy. While most people over simplify this and say “eat less, and exercise more”, you know that it is not as simple as that and if it is – 70 percent of the entire population would not be dealing with this issue of obesity or being overweight?

As a physician trained in the new field of obesity medicine and founder of W8MD medical weight loss centers of America, I want to review the best weight loss options for safe, and effective weight loss.

Before we discuss the weight loss options – these are the questions to consider

  • How does my weight affect my health?
  • Do I have a health problem that is causing me to be overweight?
  • How will losing weight help me?
  • What is a healthy weight for me?
  • How much weight do I need to lose?
  • How long should it take me to lose weight?
  • What are healthy ways to lose weight and keep it off?
  • How do I change my eating habits?
  • What kinds of physical activity do I need to do?
  • Could a weight-loss program help me?

How is obesity treated?

Despite a million products, there are about 6 proven strategies to treat obesity:

  • a diet low in calories
  • increased physical activity
  • behavior therapy
  • prescription medications
  • weight-loss surgery
  • correction of metabolic factors leading to weight gain such as insulin resistance, sleep problems etc.

‘What does your doctor offer for weight loss?

Most physicians have nothing to offer their overweight patients other than simply say“Lose Weight!” or hand out a diet sheet. This is not useful for most patients as obesity needs a more thorough and structured approach!

Insurance coverage for weight loss

Affordable Care Act of 2010 mandates all insurances, including Medicare, to provide full insurance coverage for obesity!  Depending on your insurance plan, you may be able to get these services at no cost to you. Talk to your insurance provider to learn more as this is mandated by the 2010 Affordable Care Act.

Related articles 

W8MD’s insurance covered physician weight loss is unique in many ways with a comprehensive multidisciplinary approach to weight loss that addresses all the complex issues leading to weight gain, both in adults and children. Since its inception in 2011, W8MD has successfully helped thousands of patients succeed in not only losing weight but also keep it off with an ongoing maintenance plan.

W8MD Weight loss centers that accept insurance for visits

Philadelphia Weight Loss, Sleep & MedSpa

1718, Welsh Rd, Philadelphia, PA, 19115 Ph: 1-215-676-2334 

King Of Prussia Weight Loss

: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 215-676-2334 

New York City Weight Loss, Sleep & MedSpa

2632 E 21st St Brooklyn New York 11235

Ph: 1-718-946-5500. 

W8MD’s New Jersey Weight Loss, Sleep & MedSpa

W8MD weight loss, sleep and medical aesthetics

140 E Evesham Rd Cherry Hill New Jersey 08003



The role of the failed food pyramid in causing obesity, insulin resistance and diabetes

Hawaiian woman Hawaiian woman (Photo credit: Wikipedia)

Fast Facts On Obesity„„


Since the early 1960s, the prevalence of obesity among adults more than doubled, increasing from 13.4 to 35.7 percent in U.S. adults age 20 and older. Currently, 68.8% of all adults in the United States are either overweight or obese!

The rate of rise of obesity, unfortunately, correlates with the misguided recommendations from the USDA in the form of the now withdrawn and failed food pyramid. Although the intention of the food pyramid was to promote healthy eating and weight loss, it in fact, did the opposite of what it intended to do by contributing to a new problem – insulin resistance or metabolic syndrome.  Before we look at how this happened, let’s take a look at the staggering Obesity Numbers.

Alarming Statistics Of Obesity

More than 2 in 3 adults are considered to be overweight or

    „„More than 1 in 3 adults are considered to be obese„„
    More than 1 in 20 adults are considered to have extreme obesity
    „„About one-third of children and adolescents ages 6 to 19 are considered to be overweight or obese„„
    More than 1 in 6 children and adolescents ages 6 to 19 are considered to be obese.
    More than two-thirds (68.8 percent) of adults are considered to be overweight or obese.„„
    More than one-third (35.7 percent) of adults are considered to be obese.„„
    More than 1 in 20 (6.3 percent) have extreme obesity.„„Almost 3 in 4 men (74 percent) are considered to be overweight or obese.„„
    The prevalence of obesity is similar for both men and women (about 36 percent)   „„
    About 8 percent of women are considered to have extreme obesity.
    Source: Data from the National Health and Nutrition Examination Survey, 2009–2010 2,3


What really caused this enormous rise of Obesity?

While the Government might want to make you believe it is your fault you are overweight or obese, as a physician trained in Obesity Medicine, I will show you the contribution by the Government to this problem. Obviously, there are multiple reasons for Obesity but here are the most important in my opinion.

In 1992, The USDA made a nice looking food Pyramid. old-and-failed-food-pyramid-from-usda

In May 2011, the USDA released a graphic called “My Plate” to help people choose what foods to eat. This new guideline is meant to replace the old “Food Pyramid” that many people grew up with. Remember the triangle shape with the bread, cereal, and rice at the bottom and the fats and oils to be “used sparingly” at the top? This useless and misleading food pyramid, which has been confusing consumers for over 25 years, has advocated a philosophy of eating more grains and other less “fatty” foods.

What the Food Pyramid failed to do was to differentiate simple versus complex sugars. It also placed undue importance on grain-based products. Grain-based “simple carbohydrates” such as breads, potatoes, rice, cereal and pasta, although often low in fat, also rate high on the glycemic index. That means that they break down quickly in the body, overwhelming the blood with sugars and potentially leading to a phenomenon called “insulin resistance.” 

Affecting up to one in every three Americans, insulin resistance is very common and can lead to difficulty losing weight, pre-diabetes, or type II diabetes, heart disease and other long-term health problems associated with obesity. With the new “My Plate” guidelines and some other tips, more Americans may be able to avoid these unhealthy complications.

What is Insulin Resistance? adam

Insulin resistance is a condition in which the body produces insulin, but does not use it properly. Insulin, a hormone made by the pancreas, helps the body use glucose (natural sugar) for energy. When people are insulin resistant, their muscle, fat, and liver cells do not respond properly to insulin. As a result, their bodies need more insulin to help glucose enter cells.

The pancreas tries to keep up with this increased demand for insulin by producing more. Eventually, it becomes overworked and may no longer be able to meet that demand. Excess glucose builds up in the bloodstream, setting the stage for diabetes.

Many people with insulin resistance have high levels of both glucose and insulin circulating in their blood at the same time. Learning about insulin resistance is the first step toward making lifestyle changes that can help prevent diabetes and other health problems.

Read this related and well written article on why the new MyPlate from the USDA is a ‘”Lipstick On A Pig

By advocating a grain based, low fatty diet, over a protein based hunter gatherer diet that we evolved on, the USDA’s food pyramid contributed to insulin resistance. Unfortunately, up to 71 percent of the population has insulin resistance that leads to compensatory increase in the production of this hormone in order to keep the blood sugars under control.

This compensation is what makes you gain weight especially in the belly and upper part of the body as insulin is an “anabolic” or body building hormone. It also leads to a new problem called metabolic syndrome that one in three adults have. Thanks to USDA, all our understanding about healthy foods was skewed as we look at fat as unhealthy although there are many people groups such as those in the polar regions that eat up to 80 percent of their diet as fat and they do not get the cardiovascular diseases we do. This is because, although fat can make you gain weight, it would not lead to insulin resistance or metabolic syndrome.

Why I think the food pyramid contributed to your increased weight gain? obesity graph bySex

By advocating foods high in carbohydrates in the name of “low fat” foods, it directly contributed to our misguided views about fat which does not cause the problems they accuse it does. For example, our views about cholesterol and fat were heavily influenced by this food pyramid but the truth is that up to 70 percent of the body’s cholesterol is made in the liver and only 30 percent comes from the diet. By going “low fat”, low cholesterol in the diet, we were steered to a more grain based diets that cause insulin resistance over time. Since insulin resistance means we compensate by increasing the production of this hormone called insulin, we not only gain weight due to the anabolic effects of insulin, but it can also make our cholesterol profiles worse.

Why high insulin levels leads to cholesterol problems?

Insulin is an inducer of the enzyme in the liver called HMG coA reductase, which is a key enzyme in the production of cholesterol in the liver. Since up to 70 percent of the body’s cholesterol is manufactured in the liver while only about 30 percent comes from the diet, high levels of insulin induce this key enzyme called HMG CoA reductase leading to worsening of the cholesterols – this happens despite the patient eating a low fat, low cholesterol, so called “healthy diet”. (The popular cholesterol medications such as Lipitor inhibit this enzyme HMG C0A Reductase.)

How we evolved as Hunters and Gatherers

We were hunter and gatherers used to a diet rich in lean meats, eggs, vegetables, nuts, fruits, roots, and other naturally grown foods without the grain based agriculture products.  Agriculture is only about 5,000-10,000 years old it is a relatively short period for us to adapt to this type of diet that is poor in nutritional quality and has many deficiencies.

Read this excellent paper titled “Cereal Grains: Humanity’s Double-Edged Sword” by Loren Cordain, PhD

In this paper, the author points out that cereal grains lack a number of nutrients which are essential for human health and well-being; additionally they contain numerous vitamins and minerals with low biological availability. Furthermore, the inability of humans to physiologically overcome cereal grain antinutrients (phytates, alkylresorcinols, protease inhibitors, lectins, etc.) is indicative of the evolutionary novelty of this food for our species. This genetic maladaptation between human nutrient quirements and those nutrients found in cereal grains manifests itself as vitamin and mineral deficiencies and other nutritionally related disorders, particularly when cereal grains are consumed in excessive quantity.

More disturbing is the ability of cereal grain proteins (protease inhibitors, lectins, opioids and storage peptides) to interact with and alter human physiology. These interactions likely occur because of physiological similarities (resultant from phylogenetic commonalities) shared between humans and many herbivores which have traditionally preyed upon the gramineae family.

W8MD’s Three Things That Caused Obesity, Inflammation and Disease

More insulin resistant you are, more insulin the pancreas has to produce to keep the blood sugars under control. Most people are able to compensate well to insulin resistance by increasing the production of insulin so that their blood sugars are kept under control.  Unfortunately, Insulin is an anabolic(body building) hormone. Therefore, more insulin resistant one is, the more body building happens.

Insulin also builds the body in the wrong areas such as intra-abdominal fat and upper body fat, two areas of fat accumulation that are associated with metabolic syndrome. Studies have shown that belly fat leads to increased inflammation in the body thereby increasing the risk of cardiovascular disease, diabetes and other conditions. In fact, waist circumference of over 40 inches in men and 36 inches in women(lower in Asian Populations), is one of the five criteria for metabolic syndrome. As the metabolic syndrome increases production of harmful chemicals such as cytokines thereby increasing the body’s inflammation levels increasing the risk of disease.

Lack of Antioxidants

Second thing that happened to our diet that increases inflammation is lack of polyphenols and other antioxidants in the diet. Before the modern food processing era, our diet used to have more than 50 percent unprocessed and uncooked food items such as colored fruits, vegetables, and other natural ingredients that are high in antioxidants such as polyphenols. Studies have shown that lack of polyphenols leads to increased inflammation in the body. Read this article on an overview of oxidative stress to gain an insight in this important paradigm.

Omega 3 to Omega 6 Ratio

Third thing that leads to increased inflammation is the ratio of Omega 3 to Omega 6 fatty acids used to be 1:1 but is now at 1:16 which also increases inflammation. Learn more. With the above 3 factors, the inflammation levels rise significantly thereby increasing the risk of many health problems including cardiovascular diseases, diabetes and even increased risk of certain types of cancers! in this context, it is important to remember that most human diseases start with inflammation.

Tips for Reducing Insulin Resistance

  • Get enough protein. If the body gets carbohydrates without enough protein, it goes into insulin resistance. Most people need about 30 grams of protein at each meal. One egg is about 7 grams. As we evolved as hunters and gatherers, we are designed to eat a non-grain based diet rich in protein, fruits, nuts and vegetables.
  • Try to work more physical activity into your day. Both exercise and resistance training can help reduce your risk of diabetes, and also helps to control it once you have it.
  • Eat more fiber. Fiber helps reduce your risk of diabetes by improving your blood sugar control. Try more fruits, vegetables, beans, whole grains, nuts, and seeds.
  • Choose whole grains. When you do eat grains, look for the word “whole” in the ingredient list. Whole wheat, stone-ground whole wheat, brown rice, and oats are all whole-grain ingredients.
  • Eat fewer simple carbohydrates. These foods, with high glycemic index, break down quickly in the body, and can lead to rapid fluctuations in blood sugar levels. Go easy on foods like white rice, white bread, white pasta, refined flours, candy, fruit juice, soda pop, and baked goods made with white flour. The key is to understand glycemic Index of foods and focus on low glycemic foods.
  • Get enough sleep. When you’re sleep deprived, your body drives you to eat more simple carbohydrates. Get at least 7-8 hours a night.
  • Get help from Obesity Medicine physicians. You probably tried them all and still cannot lose weight! You might want to get help from physicians trained in Obesity Medicine that can help deal with the complex issues leading to weight gain.

An obesity medicine physician specializing in the medical management of obesity and insulin resistance might be able to help. Call Prab R. Tumpati, M.D., an obesity medicine physician with specialized training in managing insulin resistance and medical weight loss and founder of W8MD Medical Weight Loss Centers of America can help.

Weight loss centers that accept insurance

Tired of being overweight?

W8MD weight loss can help

W8MD Weight loss centers that accept insurance for visits

Philadelphia Weight Loss

1718, Welsh Rd, Philadelphia, PA, 19115 Ph: 1-215-676-2334 

King Of Prussia Weight Loss

: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 215-676-2334 

NYC Weight Loss

2632 E 21st St Brooklyn New York 11235

Ph: 1-718-946-5500. 

W8MD weight loss program New Jersey.

W8MD weight loss, sleep and medical aesthetics

140 E Evesham Rd Cherry Hill New Jersey 08003


What is body mass index?

What is BMI or Body Mass Index?

Body Mass Index (BMI) is a number calculated from a person’s weight and height. BMI provides a reliable indicator of body fatness for most people and is used to screen for weight categories that may lead to health problems.

Does BMI measure body fat?

BMI does not measure body fat directly, but research has shown that BMI correlates to direct measures of body fat, such as underwater weighing and dual energy x-ray absorptiometry (DXA).1, 2 BMI can be considered an alternative for direct measures of body fat. Additionally, BMI is an inexpensive and easy-to-perform method of screening for weight categories that may lead to health problems.

How is BMI used?
BMI is used as a screening tool to identify possible weight problems for adults. However, BMI is not a diagnostic tool. For example, a person may have a high BMI. However, to determine if excess weight is a health risk, a healthcare provider would need to perform further assessments. These assessments might include skinfold thickness measurements, evaluations of diet, physical activity, family history, and other appropriate health screenings

What should be my ideal BMI?

  • Underweight = BMI less than 18.5
  • Normal weight = BMI of 18.5 – 24.9
  • Overweight = BMI of 25 – 29.9
  • Obesity = BMI of 30 or greater

How about body composition analysis?

Other methods to measure body fatness include skinfold thickness measurements (with calipers), underwater weighing, bioelectrical impedance(body composition analysers), dual-energy x-ray absorptiometry (DXA), and isotope dilution. However, these methods are not always readily available, and they are either expensive or need highly trained personnel. Furthermore, many of these methods can be difficult to standardize across observers or machines, complicating comparisons across studies and time periods.

If I am a bit orverweight or obese, how can W8MD Medical Weight Loss Program Help?

How can W8MD help? fbcover2

W8MD Medical Weight Loss Program is for people who are serious about losing weight and gaining control of their health. We understand that losing weight and keeping it off is a challenge for many people and a physician trained in the new field of Obesity Medicine can help. That is why we are committed to our proven approach to medical weight loss using evidence based non surgical methods. We want to give you all the tools you need to succeed in losing weight fast and safe in New York City.

If you are a bit overweight or obese and would like to lose weight safely and effectively using proven and evidence based methods instead of fad and unhealthy diets, W8MD’s unqiue insurance physician weight loss and wellness program might be right for you. Since acceptance is limited to only about 10 new patients a week at this time, call W8MD today at 718-946-5500 to see if you can be accepted in the W8MD’s insurance medical weight loss program.

Under the direction of Dr. Prab Tumpati, W8MD Weight Loss Centers unique insurance physician weight loss program can make a difference. Dr. Tumpati has passed a written board examination in the field of Bariatric Medicine and is also Board Certified in Sleep Medicine and Internal Medicine. The doctor’s of W8MD partner with each patient to develop a custom weight management program to best meet their individual needs taking into account their medical history, lifestyle and goals.

Sleep disorders and weight gain!

patient reviews of w8md(weightmd) weight loss centers patient reviews of w8md(weightmd) weight loss centers

Since weight and sleep go together, most of the W8MD centers are able to address sleep issues such as snoring, obstructive sleep apnea, narcolepsy, insomnia and restless leg syndrome to name a few.

Limited Acceptance
Due to popular demand for the insurance weight loss program, we can only accept about 10 new patients per week at this time in our New York City or Greater Philadelphia medical weight loss offices.

W8MD has helped patients achieve their goals by using a proven four-step method for safe weight loss:

•a physician-supervised diet and weight loss medication,
•a personally structured and administered exercise program,
•comprehensive behavior therapy, and
•ongoing weight maintenance support.

We can help you achieve long-lasting weight loss without feeling constantly hungry and deprived. When you resent your weight loss plan because you feel constantly hungry, it is much more difficult to maintain any significant lifelong changes. When you feel hungry, you are biologically driven to eat, and diet plans that force you to fight that biological impulse can be difficult to maintain. At W8MD Medical Weight Loss Program, we want to help you achieve lasting weight loss results and make changes that will keep you healthy for a lifetime.

W8MD Medical Weight Loss Program is dedicated to individualized, affordable treatment and as one of the very physician supervised medical weight loss programs to accept most health insurances for the weight loss physician visits.  Our non-surgical medical weight loss program is based on the latest medical research and utilizes proven methods to lose weight rapidly and keep it off for a lifetime.

Our Medical Director
Dr. Prab R. Tumpati is a highly trained and respected physician with training in Obesity Medicine, in addition to being board certified in Internal Medicine and Sleep Medicine, and is well versed in the medical treatment of overweight and obesity. Dr. Tumpati oversees all our patients and helps customize their individual weight loss treatments. We are committed to helping you lose weight as safely and efficiently as possible.

“Dr. Tumpati takes his time with you to explain everything, very thorough” – Carolann Z.

“I would most definitely recommend to go to here. They are very nice helpful and know what they are doing and talking about, I can see that the doctor has experience for sure.”

“I like the Doc. He seem’s to know what he’s talking about nice guy” – J.S.

“After losing 75 lbs, I am cured of sleep apnea, and never felt better! My only problem is that I need new cloths!” – Larry J.

“I came of 5 medications within 2 months of starting the program. This program is amazing and it works”. As they accept insurance, it is as simple as seeing any doctor!” Jorge!

Think W8MD for weight loss! Call 1-800-W8MD-007.

Did you know that the new Affordable Care Act Passed in September, 2010 mandates all insurances, including Medicare, to provide full insurance coverage for obesity screening and treatment for all adults without copays or deductibles? W8MD is one of the first obesity medicine program to work with all major insurances for this essential service and is available at W’eight’MD’s Pennsylvania, and New York City Locations. Call 1-800-W8MD-007 or visit to learn more. Also on facebook at


Weight loss appointments

W8MD weight loss, sleep and medspa
Weight loss centers that accept insurance

Tired of being overweight?

W8MD weight loss can help

W8MD Weight loss centers that accept insurance for visits

Philadelphia Weight Loss

1718, Welsh Rd, Philadelphia, PA, 19115 Ph: 1-215-676-2334 

King Of Prussia Weight Loss

: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 215-676-2334 

NYC Weight Loss

2632 E 21st St Brooklyn New York 11235

Ph: 1-718-946-5500. 

W8MD weight loss program New Jersey.

W8MD weight loss, sleep and medical aesthetics

140 E Evesham Rd Cherry Hill New Jersey 08003