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Frequently Asked Questions

Following is a list of frequently asked questions and answers with cross references to HM2 lessons for registered participants. The questions are organized into these categories:

If you have a question not addressed in this section, please contact HealthMed2.

HM2 QUESTIONS

 Question  Answer
Why do most weight loss programs fail? By some estimates, as many as 95% of all weight-loss programs fail in the long-term. Reasons are varied but generally include inadequate attention paid to the areas of Monitoring, Moderation, Exercise, Education, Diet, and Discipline. Not coincidentally, these are the two M's, E's, and D's reflected in the name HEALTH-MED-2. (Registered participants can refer to Lesson N2: Comparing HM2 with Alternative "Diet" Programs)
What are realistic weight-loss goals? A realistic goal for initial weight loss is no more than 10% in weight reduction, over a 6-month period, resulting in no more than 1 to 2 lost pounds per week. Once this goal is reached and consistently maintained, additional weight loss goals can be set. (Registered participants can refer to Lesson N2: Comparing HM2 with Alternative "Diet" Programs)
When selecting a wellness program, how can a consumer be protected from faulty claims and unhealthy practices?

Recently the Federal Trade Commission's Bureau of Consumer Protection strongly "urged" leading U.S. weight-loss companies to "voluntarily" adopt standards warning their potential customers that:
- They likely will have trouble keeping off unwanted pounds.
- Keeping pounds off requires a lifelong commitment to eating sensibly and exercising.
- Small weight losses can produce big health benefits.
- There are dangers that accompany both obesity and rapid drops in weight (more than 3 pounds per week or less than 800 calories per day).
- Pricing must be simplified and divulge the total costs of food, nutritional supplements, and physical exams.

All consumers should be extremely careful when working with programs and companies that do not actively endorse these standards. (Registered participants can refer to Lesson N2: Comparing HM2 with Alternative "Diet" Programs)

What is the single best indicator for long-term weight-loss success? Consistent, aerobic exercise is the single best indicator for long-term weight-loss success. HM2 recommends under physician supervision, a minimum of 30 minutes of daily exercise, 5 days per week, with an appropriate heart beat range. Walking briskly is an excellent form of this type of exercise. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)
What can I do if I'm a beginner to HM2 and don't have as much time as I'd like to transform my diet into a healthy one? Select the "View HM2 Meals" function and choose from a variety of preplanned healthy breakfast, lunches, dinners and snacks. Remember that the serving sizes correspond to a 2000 calorie daily diet, and may need to be adapted to meet your particular needs and circumstances. (Registered participants can refer to Lesson B3: Planning Healthy Meals and Snacks)
What is body mass index (BMI) and why is it so important? BMI is a commonly used measure of  health based on one's weight and height. A BMI between 18.5 and 24.9 is considered healthy; between 25 and 29.9 overweight; and above 30 obese. (Registered participants can refer to Lesson B2: Setting Your Baseline)

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NUTRITION QUESTIONS

 
 Question  Answer
What does the latest research say about the benefits of dietary fiber? In April 2000, as reported in the New England Journal of Medicine, two studies suggested that fiber may not protect against colon cancer. However, there are still many reasons for eating a high-fiber diet, including: decreased cholesterol, decreased blood pressure, and decreased risk of acquiring Type II diabetes. Fruits and vegetables should continue to be a primary part of any healthy diet. (Registered participants can refer to Lesson N5: Understanding Carbohydrates and Fiber)
Do foods labeled as "fat-free" have fewer calories? Not always. Many times fat-free alternatives have more calories, and may therefore contribute to weight gain if not consumed in moderation. You should always read the nutritional labels as well as the health claims on the labels. (Registered participants can refer to Lesson N4: Reading Food Labels)
If water is so important, why is it not part of the USDA Food Guide Pyramid? Since water does not have a caloric value, it is not part of the Food Guide Pyramid. However, most persons should drink 8-10 8-ounce glasses of water daily, and carbonated drinks do NOT qualify as substitutes. (Registered participants can refer to Lesson N8: Decreasing Disease Risk)
What is glycemic index and why is it important? Glycemic index (GI) is a measure of how quickly a particular food converts to glucose (blood sugar). It was first introduced in 1981 to help diabetics choose the "best" foods given their diabetes. HM2 uses GI as one of several tools which persons can use to help them better control their weight loss and maintenance. GI values are found on food labels in some foreign countries, but not yet in the U.S. (Registered participants can refer to Lesson N5: Understanding Carbohydrates and Fiber)
What is the difference between High Density Lipoproteins (HDL's) and Low Density Lipoproteins (LDL's)? Lipoproteins carry cholesterol throughout our bodies. LDL's cause cholesterol to build up on artery walls, and HDL's help remove cholesterol from your blood. It may help as a memory hook to think of LDL's as "lousy" and HDL's as "healthy". (Registered participants can refer to Lesson N6: Understanding Fats and Cholesterol)

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EXERCISE QUESTIONS

 
 Question  Answer
How much exercise should I do? Consistent, aerobic exercise is the single best indicator for long-term weight-loss success. HM2 recommends under physician supervision, a minimum of 30 minutes of daily exercise, 5 days per week, with an appropriate heart beat range. Walking briskly is an excellent form of this type of exercise. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)
What is the difference between aerobic, resistance and flexibility exercise? Aerobic exercise helps the heart by keeping the heart beating at a predetermined rate, and should be performed on a daily basis for 30 minutes or more. Walking briskly is an excellent form of this type of exercise. Resistance exercise builds and tones muscle and should be performed for 10 to 15 minutes every other day, allowing time for muscle tissue to rebuild between sessions. Flexibility exercise involves stretching and improves balance and overall flexibility, and should be performed daily for just 5 to 10 minutes after warming up. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)
Does flexibility exercise involve merely bobbing up and down a few times to touch your toes? No. Likes all forms of exercise, there are good and bad ways to perform flexibility exercise. These are explained and illustrated in the HM2 curriculum. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)
Should one start to exercise without supervision from a trained medical professional? Definitely not. You should always receive proper instruction and approval from your medical provider before you begin any exercise regimen. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)
What if I don't have enough time to exercise regularly? Exercise is so critical to long-term weight control that you must find about 45 minutes each day to perform a balanced exercise regimen including aerobic, resistance, and flexibility activities. You can learn how to spread the minutes out over the day, and how to do all you need to within the walls of your own home. There is no valid excuse, including injuries, for not exercising, given your doctor's approval. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)
Can I exercise a little more if I have overeaten, to offset the additional calories consumed? No. As a general rule, you need to burn 3500 calories through exercise in order to lose just 1 pound. This would take the average person many days to accomplish, through regular, healthy aerobic exercise. So, don't think of exercise as a way of losing weight, but rather as a way of improving overall health which supports weight control. (Registered participants can refer to Lesson N7: Understanding the Role of Exercise)

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BEHAVIOR QUESTIONS

 
 Question Answer 
What suggestions do you have for maintaining a healthy diet when eating out? Registered participants can refer to Lesson B6: Eating Out.
What general steps do I follow in HM2 to ensure that my diet is healthy? Registered users first receive a Personal Profile Report, listing the nutritional criteria for their meals and snacks. They then enter their meals on the HM2 website, using the Meal Planner function, and adapt individual food items until the entire meal matches the nutritional profile on their Personal Profile Report. The meal can then be saved for repeated use, which significantly saves time. (Registered participants can refer to Lesson B3: Planning Healthy Meals and Snacks)
Why should treating overeating not follow the Alcoholics Anonymous approach? The AA program follows the "disease model" to treating addiction where the addictive behavior victimizes or controls the patient who does not have the ability to make behavioral change without traditional medical resources like drugs, hospitalization, and so forth. In contrast, HM2 follows the cognitive-behavioral (or self-empowerment) model where the patient has self-control and can therefore change his or her behavior given the right coping skills and resources like using cognitive restructuring, analyzing high-risk situations, taking problem-solving action, and so forth. (Registered participants can refer to Lesson B4: Treating Addictive Behavior)
 What are "slips" and "relapses"? Behavior change involves stages of change, which are clearly defined in HM2. Generally speaking, a "slip" is downward movement within a stage of change, and a "relapse" is downward movement to a different stage of change. These are clearly defined and illustrated in the HM2 curriculum. (Registered participants can refer to Lesson B4: Treating Addictive Behavior)
What are "the 5 steps for highly effective change"? 1) Understand the Stages of Change. 2) Define the desired behavioral change. 3) Analyze and refine the target behavior. 4) Match your current behavior with a stage of change. 5) Progress through the remaining Stages of Change. (Registered participants can refer to Lesson B5: Understanding the Stages of Change)
Why is it important to weigh and analyze every meal? Unless you know exactly what you have eaten and when and why, you cannot determine your baseline behavior and work towards improvement using realistic short-term goals and strategies. Self-empowered change involves monitoring and analyzing your behavior, as well as being held accountable for it. (Registered participants can refer to Lesson B4: Treating Addictive Behavior)

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