Reverse Diabetes Program: Our Mission

April 28, 2020

Reverse Diabetes MD is a protocol for people who are overweight, obese, prediabetic or living with type 2 diabetes. It is built to reverse the damaged metabolism behind them, not to manage it with a lifetime of medications. Medical supervision is required before anyone on diabetes medications changes their carbohydrate intake.

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About us: Our mission and beliefs: Mission: Our protocol offers real hope and transformational change to patients. Without it, they would be stuck with a lifetime of medications, doctor’s visits, and suffering. Beliefs: We believe the health of the individual is the basic unit of the health of the community. We expose misaligned incentives. We return the power of health to the individual. We believe empowered people change their communities. We are citizen scientists. We choose the health span, not just the life span. If you are overweight, obese, prediabetic, or have type 2 diabetes, this protocol is for you. Under 12.2 percent of American adults were metabolically healthy on the 2009–2016 survey. Under 7 percent are metabolically healthy on the criteria applied after 2021. Eighty-six million adults in the U.S. have prediabetes, and 70% of these people will eventually develop diabetes. Being overweight or obese is the main factor in the progression of diabetes. The best way to reverse diabetes is not to get diabetes in the first place. That is because your chances of heart disease, cancer, and death are increased even as a prediabetic. Our protocol offers real hope and transformational change to patients. Without it, they would be stuck with a lifetime of medications, doctor’s visits, and suffering. Welcome to ReverseDiabetes.md Why we care. We own and run chronic care health-related companies. But we also own and run restaurants. We have been fascinated with where health, diet, and lifestyle meet. We view nutrition as a program, or a subroutine, that tells the body to take a specific action. A corrupted program leads to a corrupted outcome. Our clinics evaluate and treat several thousand patients each year for chronic and acute pain. We work in an urban setting. There, high-intensity healthcare is easy to reach. Several large academic centers and government-sponsored outreach clinics provide it. Unfortunately, cutting-edge medical treatment is available, yet individual and population health keeps declining year over year. Over 90% of our patients have untreated metabolic syndrome. Over 80% have undiagnosed prediabetes or diabetes type 2. The symptom of pain is the final common pathway the body uses to signal coming tissue damage. Most patients avoid the health care system until they develop a symptom they can no longer ignore. Unfortunately, our clinical practice is not unique. Pain is the leading reason patients seek medical care. It is one of the most disabling, burdensome, and costly conditions in the US. Overall, pain care/treatment and lost productivity cost $635 billion per year. The common link between metabolic syndrome and chronic pain is the hyperinflammatory state, or metainflammation. We have treated this patient population over the last 20-plus years. Along the way, we have found some common threads that trouble us. About 80% of the patients have either obesity, prediabetes, or diabetes. The vast majority remain undiagnosed. More than half of these patients go on to have significant, expensive complications. About 20% eventually require dialysis. By 2026 the Medicare system will be so overwhelmed with the diseases of metainflammation that Medicare will literally run out of money. We must engage individual patients in better health outcomes in order to change the community. We have less than 7 years. We are passionate about returning these patients to health while avoiding bariatric surgical procedures. Those procedures are costly. They carry significant risks of organ injury, death, and long-term disability. We have found that academic institutions avoid these patients until extraordinary and expensive complications set in that require a hospital stay. It is our opinion that there is a basic cultural disconnect. It sits between the ivory tower of the institutions and the actual communities where these patients live. This cultural disconnect keeps patients from engaging in lifestyle changes. Also, the Medicaid system does not pay for lifestyle and dietary changes for obesity. But it does pay for bariatric surgery. Processed food makers target urban minority communities with overwhelming marketing. Their messages are disingenuous. They suggest health benefits for obesogenic (fattening) foods. This combines with supplemental nutrition benefits and game theory. Together they promote the hyper-consumption of farmer-subsidized high fructose corn syrup as well as industrial seed oils. It is our opinion that eating too much hyper-palatable, nutritionally deficient food is a major contributor to several harms. These include reduced academic success, fewer job opportunities, increased incarceration rates, and progression of metabolic dysfunction. It is a root cause of social and economic disparity. Why we are personally passionate: Ami Grimes I was slowly gaining weight and found it was hard to return to my ideal weight. No one would consider me outwardly obese. Even so, my body fat percentage was slowly climbing. Then my biomarkers for autoimmunity became positive (lupus antibodies and elevated CRP). As that happened, I developed clinical symptoms of a hyper-inflammatory state. I had a history of severe endometriosis with its associated abdominal pain. It had brought me to the emergency room and operating room on multiple occasions. As I made my way back, it became painfully clear that standard medical care was merely a treatment of symptoms. It failed to address the root cause. At one time, medicine had provided life-altering, disease-specific cures and preventions. That was when diseases could be easily identified due to infectious causes or other traumatic events. Once the dietary information presented to our bodies (our largest daily physical input) was corrupted, everything changed. The system-wide effect of multiple variables has led to a focus on symptom management rather than disease reversal. Dr. Gurpreet Singh Padda, MD, MBA, MHP I lost my father to undiagnosed prediabetes. He had lived a healthy lifestyle in India. But after arriving in the United States, he inexplicably gained about a pound of weight per year, no matter what exercise or diet he tried. My father was a scientist, both a statistician and a physicist, and he was highly disciplined. Like so many other people, he relied on the federal government’s healthy eating guidelines. He shifted to a “healthy” low-fat diet. He gave up saturated natural fats for industrial seed oils. As he became more and more overweight and metabolically unhealthy, his physician added the recommended statins, which only hastened his disease progression. He became a casualty of big food marketing, governmental policy, and big pharma. At the time, I could see what was happening but didn’t have the insight. I also noticed that as I reached middle age, I too started to gain weight, despite heroic physical activity. In fact, I learned of my father’s unexpected death while on an intense mountain bike trip in the canyonlands of Utah. Clearly, something was wrong, and it wasn’t a lack of physical activity. We: We first tried calorie restriction and calorie counting, which only made us hungrier, and I wanted to eat my arm off. Calorie restriction left Ami with a berserker experience and me in utter fear. Clearly, not a way to live. These were insidious changes that needed a systems solution. The severe calorie restriction method did produce temporary weight loss and better biomarkers. But it was not a sustainable solution. Many of our relatives, friends, customers, and patients have struggled with weight their entire lives. This protocol is for them and all the people like them (us). Who is this protocol for? The end result of a damaged metabolism is overweight, obesity, prediabetes, and type 2 diabetes. If you are anywhere on this path, this protocol is for you. We have a lot of information in this protocol that explains and details our processes. You don’t need all of this information to successfully self-manage. But the problem is complex, so it may require more than just one tool or treatment type to manage successfully. Medical supervision is absolutely required before a person changes the level of their carbohydrate intake if they are on medications such as:

Medications to lower blood glucose, such as insulin and sodium-glucose co-transporter 2 (SGLT2) medication, including Invokana, Farxiga, Xigduo, Jardiance, etc. And other types of glucose-lowering medication, such as Victoza, etc.
Medications for blood pressure such as clonidine, Ramipril, Lasix, lisinopril/ace inhibitors, and atenolol / β₁ receptor antagonists.
Mental health medications such as antidepressants, anti-anxiety medications, or mood stabilizers.

Metabolic health protocol We offer an evidence-based approach to weight loss & nutrition that is monitored in real-time & physician-supervised. We focus on helping our patients make drastic changes through lifestyle interventions. We track vitals, glucose, and body composition in real time. We also provide telemedicine visits and coaching, along with standard medical care. Our greatest efforts go to preventing and reversing disease. Direct primary care Our protocol includes a full annual physical exam with specific risk stratification (sorting you by risk level). We use diagnostic ultrasound and lab testing to treat, prevent & reverse disease. We engage the patient with biometric feedback and trackable data. This closes the loop of cause and effect. We educate each patient to educate the community. Telemedicine Online care through our telemedicine portal is available. Use it if your schedule is too busy to make it to our office, or you are not well enough to leave home. Our office uses HIPAA-compliant video conferencing software that connects us to the comfort of your own home. Not only can we see you from home, but we can help manage your blood pressure, blood glucose, weight & body composition. Https://doxy.me/

Our metabolic health protocol

Our unique 24-week program with real-time monitoring & health coaching

Key points

· eat until full and eat real foods

· affordable & sustainable

· fix your appetite, satiety & hunger

· physician-supervised for lasting success

· no calorie counting

· no meal replacement

· no expensive supplements or pills

· no gimmicks

What we treat

Some of the medical conditions that improve through lifestyle modifications:

Metabolic

· Overweight

· Metabolic syndrome

· Obesity

· Pre-diabetes and type 2 diabetes

· Obstructive sleep apnea

Cardiovascular

· High cholesterol

· High blood pressure

Gastrointestinal

· Reflux

· Irritable bowel

· Leaky gut

· NAFLD and NASH

Musculoskeletal

· Arthritis

· Chronic pain

· Sarcopenia or muscle wasting

Neuro-psychiatric

· Depression

· Anxiety

· Migraines

· Seizures

Rheumatologic

· Fibromyalgia

· Lower back pain and neck pain

· Rheumatoid arthritis symptoms

· Lupus symptoms

Our approach

We promote wellness using a customized approach to help you achieve your goals. Some of the techniques we use include:

Dietary changes

· Atkins

· Low carb

· Ketogenic

· Paleo

· Plant-based keto

Fasting

· Time-restricted feeding

· Intermittent fasting

· Protein sparing modified fast

· 5/2 fasting

· Prolonged fasting

Hormones

· Cortisol

· Estrogen

· Insulin

· Testosterone

· Thyroid

Lifestyle

· Medical fitness

· Mental health

· Pain management

· Sleep hygiene

· Stress management

Your initial visit

Comprehensive evaluation & diagnostics

The initial appointment is focused on you You can come into our office. Or we can start the consultation completely remotely, in the comfort of your own home. We use our telemedicine software, a state-of-the-art, encrypted video app, from your desktop or smartphone. Our program is smart & connected When you begin the protocol, you will receive a smart scale & blood pressure cuff. They send data directly to our staff for close monitoring. We will monitor your weight, BMI, body composition & blood pressure, all seamlessly. We spend time with you because we care. Your initial consultation is typically 1-1.5 hours. In this visit, we review your entire medical history and family history. We also order labs & diagnostics. We create a custom nutrition plan & focus on fixing hunger, satiety (fullness), and appetite with the goal of reversing disease.

Month 1

Following your weekly progress

A close follow-up for great results For the first 4 weeks, we will have weekly follow-up visits. They track progress and make sure the move to your new lifestyle program is smooth. Our team will watch your blood glucose, blood pressure, body fat %, and weight very closely during this time. We focus on the numbers, you focus on you Our program is designed to work without tracking calories or tracking much of anything. Your sole focus will be understanding and fixing your satiety, appetite, and hunger. We want you to focus on what matters. Let us handle the rest.

Month 2

Metabolic fine-tuning

We monitor your metabolic markers After 8 weeks in our program, we will repeat lab work to monitor your progress and make sure your blood work improves. At the 2-month visit, we will review this lab work. We will make some minor changes to maximize the effects of lifestyle changes. We continue to focus on the whole you During this visit, the focus will shift from diet composition to other features for health. These include sleep schedules, stress, time-restricted feeding, and intermittent fasting. Our team will continue to monitor your progress during the transition to ensure the process is smooth.

Month 3

Fasting & Fitness

Re-examining barriers to success During your 3 month visit, we will keep working on any barriers to your progress. We will re-check your diet makeup, satiety, hunger, and appetite. We will review your eating schedule. Beginning medical fitness together We will discuss how a medical fitness program can complement your lifestyle changes. This will improve your insulin sensitivity, body composition, and overall health.

Months 4, 5, and 6

Follow-up for continued success

Ensuring great metabolic health Between your 4- and 6-month visits, we order repeat lab work and diagnostic testing to make sure of good metabolic health. We advise you for long-term success. We discuss factors that raise the chances of keeping weight off. We also cover special ways to handle weight loss plateaus and special situations. We hardwire your habits. We hope that you change your community as you change yourself. Pricing for medical supervision does not include patient-specific lab and diagnostic workups. Pricing does not include any patient-specific medications. Non-weight loss disease management is billed to insurance or directly to the patient.

The 24-week weight-loss self-management protocol

No real-time monitoring No intensive follow-up

No diagnostic testing or laboratory testing Use our information for free This is ideal for patients who wish to self-manage and do not have significant medical problems. Download our tools and let’s get started today.

The 24-week weight loss protocol, medically supervised No real-time monitoring No intensive follow-up

The 24-week weight loss protocol, intensively supervised for success With real-time monitoring With intensive follow-up

Monthly medical follow-up, weekly text supported. Diagnostic or laboratory testing is billed to insurance or the patient. Non-weight loss disease management is billed to insurance or directly to the patient.