Adherence

Collaborative care models using trained medical assistants or external dietitians as weight loss coaches produce greater weight loss than PCP-led brief counseling, especially when combined with meal replacements or medication.

Ask your primary care office if they have a 'weight loss coach' (often a nurse or medical assistant) who can see you monthly. This collaborative model, where the doctor handles medical risks and the coach handles behavioral support, is more effective than seeing the doctor alone for weight loss.