Health Female Adda
1 year ago
Need a Hand with Fat?

Certain things in life (bikini waxes, tax preparation, brain surgery) just go better when you hire a professional. If you've tried the motivation tricks in this story and still can't shed a pound, it may be time to call in the big guns. Here's who they are and what they can do for you.

Diet Doctor (bariatric physician)

Who Is She?
An M.D. who is certified by the American Board of Bariatric Medicine and trained to spot medical causes of weight gain.

Try Her If
You're overweight enough that your "waist size is bigger than your bra size," says Mary Vernon, M.D., president of the American Society of Bariatric Physicians.

What Will She Do To Me?
Ask for your health history and give you a physical exam, then run blood tests to see if your glucose, insulin levels, and thyroid are normal. Once she's pinpointed the cause of your weight problem (like a hormonal deficiency), she'll prescribe any necessary meds and work with you on a diet plan.

Best Weight-Loss Tip
Kick processed carbs to the curb — they cause spikes in your blood sugar, which can lead to insulin resistance over time.

Cost
From $200 to $400 for the initial evaluation, then $30 to $50 for weekly follow-ups, plus the cost of any meds.

How to Find Her
Visit American Society of Bariatric Physicians and click on Locate a Doctor.

Registered Dietitian (R.D.)

Who Is She?
Someone with a bachelor's degree in nutrition or science who's passed a national certifying exam.

Try Her If
You're confused about what kind of eating plan to follow.

What Will She Do to Me?
Ask you to write down everything you put in your mouth, so she can find out what you're eating, when, where, and why. Then she'll create a meal plan and show you how to incorporate healthier foods into your diet, control portion sizes, and cut back on junk food. "We tailor everyone's program to her specific needs," says Dawn Jackson Blatner, R.D., a spokesperson for the American Dietetic Association.

Best Weight-Loss Tip
Load at least half your plate with produce, a quarter with protein, and a quarter with grains (preferably whole), says Blatner.

Cost
From $15 for 15 minutes with an R.D. at your local hospital to $95 to $250 for an hour with one in private practice.

How to Find Her
Visit American Dietetic Association and search for an R.D. certified in Adult Weight Management.

Weight-Loss Psychologist

Who Is She?
Someone with a Ph.D. in clinical psychology who specializes in eating disorders and weight control.

Try Her If
"You know what you're supposed to do to lose weight but just can't make yourself do it," says Ed Abramson, Ph.D., a professor emeritus of psychology at California State University in Chico.

What Will She Do to Me?
Ask you to talk — a lot — to get to the root of your food issues and figure out if you're overeating because you're bored, depressed, angry, stressed, or all of the above.

Best Weight-Loss Tip
Go for a walk. "If you're stressed or depressed, it's hard to make the effort to lose weight," Abramson says. "But even mild physical activity will lift your mood and give you energy to do more."

Cost
About $100 per 50-minute session (covered if your insurance plan offers mental health benefits).

How to Find Her
Call your insurance company or state psychological association and say you're looking for a licensed psychologist who specializes in weight loss.

Weight-Loss Coach

Who Is She?
Anyone who calls herself a weight-loss coach. The best are certified by the International Coaching Federation, which requires at least 125 hours of training and a final exam.

Try Her If
You need a kick in the pants to put down the Fritos and get off the couch.

What Will She Do to Me?
Ask you to keep a food log to pinpoint which emotions are triggering you to down an entire box of doughnut holes and then teach you to counter the negative thoughts that led you to the cupboard. She'll also help you find ways to overcome each skip-the-gym obstacle — whether it's reworking your schedule or learning to say no to people who eat up too much of your time.

Best Weight-Loss Tip
"Refuse to beat yourself up for overeating," says Brooke Castillo, a weight-loss coach in Shingle Springs, California. "That keeps you trapped in the negative thinking that made you eat in the first place."

Cost
About $100 to $150 per session.

How to Find Her
Visit International Coach Federation and click on Find a Coach.

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