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Program Details

We provide:

  • Individualized guidance, through one-on-one visits with Rebecca ("Becky") Maxwell, PA-C or Marie Barber, BS, which can be in-person or virtual (via Doxy.me).  You will have an initial 60-minute visit, followed by once-monthly 20-minute visits (optional extra visits:  $50 per 20 minutes).  If you choose virtual visits, you will be asked for that day's weight during each visit; in addition, using your own blood pressure cuff, you will be asked to check your blood pressure and heart rate during the visit. 


  • Twice-monthly 35-40-minute SLIM TLC group visits with Marie Barber, BS (our Nutrition and Exercise Coach), which can be in-person or virtual (via Zoom), for further learning, support and troubleshooting (and you are encouraged to invite up to two friends - see below!).  Additional Group Visits cost $20.  There are four offered each month, on Wednesdays at noon (subject to change):  1) Breaking Down Barriers, 2) Creating an Environment of Success, 3) General Troubleshooting, and 4) Slaying Your EOs (Evil Ogres that Engender Obesity).  Sign up by visiting our Calendar.


  • We require pre-program labs (fasting lipid panel, comprehensive metabolic panel, complete blood count, thyroid stimulating hormone, and hemoglobin A1c - in addition to testosterone if over 40), in addition to follow-up labs (fasting lipid panel, comprehensive metabolic panel, and hemoglobin A1c) every three months.  If labs are drawn at our office or at a CPL (Clinical Pathology Laboratories) location (see www.cpllabs.com/locations), they only cost $35 (total; add $30 if testosterone is checked) each time.  Otherwise you will need to obtain them at a different lab of your choice.  They can be ordered by us or another provider.


  • You will establish a TLC Trio, in which you will partner with two friends (of your choosing) to join you on this journey, and help each other make the Therapeutic Lifestyle Changes necessary for long-term success.  You are encouraged to share the program materials with them and invite them to join you for the SLIM TLC group visits.


  • Nutrition guidelines (The 4:1 Rule and Nutrition Star)


  • An optional appetite suppressant (phentermine), prescribed the SLIM TLC way (through a pharmacy of your choice).  Prescriptions are only provided (1) if your BMI is >27 and your body fat percent is >25% for a woman or >20% for a man, (2) during the one-on one visits, (3) if deemed safe (e.g., blood pressure is <140/90 and you are not taking other stimulants), (4) if at least one Group Visit has been attended within the previous month, and (5) if continued efforts are being made at learning SLIM TLC principles and making lifestyle changes (tracked by special goal-setting and record-keeping tools).  Note that the other members of your TLC Trio must join the program separately if they wish to have a prescription.


  • Lifetime subscription to SLIM TLC Online, which includes our Program Materials, “TLC University,” Troubleshooting Guide, and KidTLC, our pediatric program.


  • Tools for simple, effective goal-setting, habit modification, and breaking addictions.  


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