Q: What is the physician guided weight management program?

The physician guided weight management program is the only way to lose weight and keep it off. Unlike most commercial diets, physician guided weight management does not fight nature. It works with nature and the patient's natural physiology through personalized exercise and nutrition counseling to deliver weight loss results.


Q: What are the program components?

The physician guided weight management program begins with a patient evaluation. Each patient is evaluated on their condition and commitment to exercising and changing their eating habits.


The program is introduced in a group setting (about 6-8 people) Patients are given a thorough explanation of the program and are taught several motivating principles to help them achieve their weight loss goals.


Patients who qualify for the pharmacological portion of the program will temporarily undergo treatment to suppress the appetite and reprogram eating habits. Treatment Length depends on the patient's genetics and commitment to exercise. Lipoplex injections are used to improve liver function and make the fat processing process more efficient.


Patients will return for follow up appointments every 4 weeks. Often times these will be scheduled with the initial group they began the program with. Group members bond and share their weight loss goals and successes with one another, creating a positive, motivating vibe. The success of one group member can inspire other group members to succeed.


Q: How many people has Dr. Middelhof treated?

Dr. M has treated more than 4,800 patients.


Q: What are the statistics on long-term success?

Out of more than 4,800 patients who have seen Dr. M for the MPowered Physician Guided Weight Management Program, 95 percent have kept the weight off by changing their eating habits and exercising more.


Q: Why does it work?

The program works because the patient is bringing their body back into balance by consuming less food and exercising more. By reducing the caloric intake and increasing activity to 20 minutes of exercise a day at a specified target heart rate, the patient can burn fat and lose weight.


Q: How much does the program cost?

The first appointment, the Medical Clearance Appointment, is $160, this includes the EKG, Thyroid test and Office visit.  Each appointment after that is $90, this includes the Office visit and the Lipoplex Shot.


Q: Why do MPowered clients have better long-term success than other programs?

Other programs don't treat the patient's habits and physiological conditions. MPowered patients learn how to achieve balance in their lives by developing healthy eating habits and living a more active lifestyle. That's a combination many programs and fad diets can't teach.


Q: Do I have to follow a diet?

The MPowered Physician Guided Weight Management Program doesn't put you on a diet plan. With the exception of fast food, we don't tell you what you can and cannot eat. Patients can still enjoy the foods they love. They just have to change how much of it they consume.


Q: Do I have to exercise?

Yes. The only way to burn calories and eliminate fat is to exercise every day. Whether it's playing basketball, jumping up and down or playing with your kids in the yard, patients are asked to elevate their heart rate to a specified target for at least 20 minutes a day.


Q: Do you have an Internet program or do I need to be seen “in person”?

We currently see all patients on a one on one basis in our office. However, we are always thinking of ways to bring our successful weight management program to more people.


Q: What support does MPowered offer?

When patients see results, they take one step forward in achieving what they want in life. A failure can often result in taking two steps back and falling into old habits. Dr. M is a licensed clinical psychologist and supports patients' success by positively reinforcing the good habits they've just learned. After finishing the program, patients are scheduled for a one-year follow up.


Q: Is the program hard?

Whether or not a program is hard is subjective and depends on the patient. A program's degree of difficulty varies from patient to patient. What we will say is the program requires a certain amount of will power from the patient to commit to Living an MPowered Life. Without the determination and drive to follow the steps outlined in the MPowered Physician Guided Weight Loss Program, certain obstacles, both mental and physical, will be a challenge to overcome.

Q: What are the physiological aspects of obesity?

There are 123 diseases associated with obesity, including diabetes and some forms of cancer. When a person carries more fat in their body than they should, it compromises their immune system, and they can become more susceptible to infections. In an obese person, oncogenes, which are genes responsible for normal cell growth, can mutate and stimulate cancer growth. Obesity is a medical problem and should be treated by a physician.

Q: Does the program address depression?

Yes. Depression has been scientifically linked to obesity. People who experience symptoms of depression may seek comfort in activities that have negative effects on their health. While some people may turn to alcohol and other drugs to deal with their depression, others may turn to stress eating. Addiction to unhealthy stress relievers can have unintended consequences for the user. Just like an alcoholic may suffer from cirrhosis of the liver after long term alcohol use, someone who is addicted to food may suffer from obesity.


Q: Does the program address the physiological aspects of obesity?

Yes. Teaching patients about the long-term health consequences associated with obesity can motivate them to commit to Living MPowered.


Q: Will I be able to stop taking my prescription medications for conditions such as diabetes or blood pressure?

We can not guarantee the MPowered patient will be able to live a life without medication. While it's not impossible, whether or not a patient can ditch their diabetes or blood pressure pills often depends on their body's physiology.


Q: Why is Dr. M. qualified to offer a weight management program?

Dr. M. is a trained family physician with disciplines in bariatric medicine and clinical psychology. Because obesity and weight loss is mentally and physically taxing for the patient, Dr. M has geared the MPowered Physician Guided Weight Management Program to address the mental and physical aspects of obesity.


Q: Are there any dangers or risks associated with MPowered?

Yes. Absolutely. Patients undergoing pharmacological treatment risk heart complications if they don't exercise. However, our program is set up to catch problems before they happen. That's why patients undergoing pharmacological treatment are evaluated during every office visit  to maximize their safety.


Q: Are there any medical studies about MPowered?

No. A peer reviewed study of the MPowered Physician Guided Weight Management Program, however, is under way.


Q: How long is the program?

The length of the program depends on the patient. The average length of the program is 3 to 8 months.


Q: What happens if I start gaining some weight back?

If you are gaining weight, you have changed something in the formula. It likely means you are storing more fat than you are burning. We will gladly schedule you to rejoin the program.


Q: Is MPowered only for those who are classified as obese or can anyone who wants to lose weight benefit from the program?

Anyone who wants to live an MPowered life and commit to a lifestyle focused on health and wellness can participate in the program. After their evaluation, we will tailor the program to their specific weight loss needs.


Q: Are there age limits for the program? Can teenagers become MPowered?

Any able-bodied patient age 18 - 65 can enroll in the MPowered program. Patients 65 years old and over will not be eligible for the pharmaceutical part of the MPowered program.  Our providers will create a customized plan for these patients that does not include pharmaceuticals.


Q: What does it mean to lead an MPowered life?

Living an MPowered life means to "squeeze and drink the juices out of life!" You are completely optimized to deal with any challenge in front of you. Men and women in their natural state are not wasteful.


Q: What other services does Dr. M offer?

Some of our patients who achieve their weight loss goal want more.  We offer facial rejuvenation products (such as Botox and Restalyn) to optimize and improve appearance as desired.


Q: Do you offer evening or weekend hours?

We are open 8am-5pm Monday through Friday, closed 12 - 1 for lunch.

Q: How often do I need to get the Lipoplex shot?

Lipoplex can be taken every 10 days. Lipo-Plex is a B12, B6 and B5 vitamin injection which in combination with regular exercise helps with efficient weight loss and maintenance. These high grade vitamins increase energy and attention and enhance mood


Q: How often do I come in for a follow-up?

Physician  guided weight management patients come in for a follow up every four weeks.


Q: Is the program for both males and females?

Both male and female patients can benefit from Living an MPowered Life through a commitment to improve their health and wellness.


Q: How can I approach someone who I think will benefit from MPowered but isn't expressing a motivation or desire to change their lifestyle?

The ability to show the person proof that the program works is the best way to approach someone who wants to change their lifestyle. Successful MPowered patients are best equipped to take a step toward inspiring others to achieve their weight loss goals. Sharing success stories for some of the testimonials presented in this website is always a positive thing for getting people "pumped up!"


Q: Do commercial diets work?

Commercial Diets are not the solution. Commercial diets simply don't work. Studies conducted by the American Association of Bariatric Medicine consistently find only 2 out of every 100 people who choose to participate in a commercial diet  are successful in keeping the weight off. The commercial dieting business rakes in an estimated $60 billion a year, despite the 80 to 90 percent failure rate dieters experience. This is commonly known as the yo-yo diet effect so many people experience with commercial diets.


Q: What is the difference between weight loss and wellness?

Weight loss, simply put, is a side effect of Living an MPowered Life. When patient commits to living a life of health and wellness, they are MPowering themselves to make a change not only to their body but their mind as well. Only through a commitment to eat healthy and exercise regularly can a patient eliminate the daily stress in their lives and lose weight.

Q: Do you recommend gastric by-pass surgery?

Gastric by-pass surgery is an option of last resort after other measures to optimize the patient's lifestyle through diet and exercise have failed to produce results (often due to the patient's reluctance to follow a prescribed health and wellness maintenance plan). Around 7 percent of the 4,800 patients Dr. M has treated had undergone gastric by-pass surgery in the past and failed at keeping their weight off. They successfully became MPowered through his program.


Q: How do you break an addiction to food?

Many addictions – from drugs to overeating – manifest themselves as a result of stress. Patients who are addicted to food eat to relieve stress. People deal with stress in different ways based on their physiology or genetic make up. A person's genetic make up is a permanent obstacle we can't remove. People have varying degrees of dependency. We can't eliminate the physiological need to relieve stress through addictive behaviors such as eating; however, we can rewrite the physiological software by encouraging patients to supplant their addiction to food with an addiction to health and wellness and to relieve stress through a more healthy avenue, such as exercise.


Q: How do you motivate someone to success?

Patients convince and motivate themselves when they start seeing results and when they feel closer to achieving their goal. Others' success is also and important motivator. The brain thrives on success. Often times seeing someone who has been in the patient's position succeed is the only motivation someone needs to achieve their weight loss goals.