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Meal Replacement - Why Meal Replacement Shakes?
A meal replacement shake is designed to replace your breakfast, lunch, or dinner. It is often filled with nutrients but has fewer calories than you would eat during a meal. Meal replacement shakes don’t usually have fruits, vegetables, or grains, but they tend to be rich in the nutrients you would find in those foods. Research has found that meal replacement shakes can help with weight loss. One study
tracked two groups of people as they tried to lose weight over the course of 3 months. At the end of the study, the group that did not use meal replacement shakes lost only 1.5% of their initial body weight. The group that used replacement shakes lost 7.8%.
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Our practice is an HMR Clinic Program and uses their diets for patients who want complete meal replacement. This program is comprised of:
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a weight-loss phase (Phase 1) designed to help you lose weight quickly and healthily, and
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a healthy lifestyle phase (Phase 2) to help you develop long-term healthier habits.
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The HMR diet uses clinically proven behavior change techniques and offers a nutritionally complete diet plan using ready-to-eat meals and weight-loss shakes. Please discuss any interest in these products with our practice physicians.
If you would like options for meal replacements, you can also order individual HMR Products through our site -
HMR Foods
HMR's structured diets produce significant weight and health outcomes
HMR’s highly structured weight-loss plans use a Low Calorie Diet comprised of HMR foods (meal replacement shakes, entrees, and bars), plus fruits and vegetables. The meal plan is designed to produce high-volume meals and snacks that taste good, prevent hunger and limit food decisions. This structured approach makes the diet simple to follow and, with the fast weight loss it produces, easier to sustain.
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A published study of HMR program members found an average weight loss of:
1PLoS ONE 2018; 13(4):e0195794. https://doi.org/10.1371/journal.pone.0195794
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Established results across treatment options
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Self-reported behavioral data from the HMR App
1HMR App Data, self-reported.
2Data includes those who participated in coaching or were self-directed.
Superior outcomes in patients with Type 1 or Type 2 Diabetes
Compared to an intervention led by certified diabetes educators in a traditional endocrinology specialty clinic, the HMR Program produced:
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A significantly greater decrease in BMI
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A reduction in waist circumference from 55 inches to 47 inches after 6 months
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Similar A1C levels concurrent with a greater reduction in the overall number of medications and decreased insulin use compared to controls1. Insulin use decreased in HMR patients by 32.88 units while the dosage increased by an average of 18.88 units in the comparison group
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A 30-day cost of insulin savings of $197.28 vs. an increase in cost of $131.91 in controls
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1J Diab Obes 2016; 3(2):1- 6. DOI: 10.15436/2376-0494.16.838
2PLoS ONE 13(4): e0195794.https://doi.org/10.1371/journal.pone.0195794
3Anderson, J.W., Konz, E.C., Frederich, R.C., et al. Long-term weight-loss maintenance: a meta-analysis of US studies. (2001) Am J Clin Nutr 74(5):579-584
Significant weight-loss outcomes
1PLoS ONE 13(4): e0195794. https://doi.org/10.1371/journal.pone.0195794
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Significant reduction in fasting blood glucose and metabolic risk factors
1PLoS ONE 13(4): e0195794. https://doi.org/10.1371/journal.pone.0195794
Weight Loss Maintenance
Phase 2: establishing healthier habits for life
After weight loss, or when dieting momentum slows down, members transition to Phase 2 - HMR’s healthy lifestyle phase. Here they continue to practice and build skills that are key for maintaining weight loss, such as meal planning, shopping and meal prep tips, navigating restaurant menus, and reading nutrition labels. They learn to create healthy portion-controlled meals, use meal replacements strategically to help manage calories, and track daily physical activity. This dietary approach, combined with maintaining consistent physical activity, provide the structure and support for weight maintenance.
As new food groups are introduced, there is a continuous focus on keeping up the routines that led to weight loss in the first place:
Research supporting Phase 2 of the HMR Program
1PLoS ONE 2018;13(4): e0195794.https://doi.org/10.1371/journal.pone.0195794
2Obesity Journal2013; (21) 1951-1959
3International Journal of Obesity (2008) 32, 519–526
Self-reported Phase 2 data from the HMR app
1HMR App Data, self-reported.
2All members included those who participated in coaching or were self-directed.
​While the goal of Phase 2 is to develop healthier lifestyle skills, this focus can also produce ongoing weight loss at a slower-moderate rate, depending on the individual. In fact, at one year, individuals participating in Phase 2 lost an average of 7.7 lbs, vs. gaining weight.