Medically Intensive Nutrition Therapy Program for Obesity and Diabetes in a Low-income Population

Exclusion Criteria

• •Current use of antihyperglycemic agents (other than metformin) or approved anti- obesity medications or plans to start such regimens over the 3 months post-study enrollment
• •HbA1c greater than or equal to 10 percent
• •Plans to pursue bariatric surgery over the 6 months post-study enrollment
• •Weight loss of greater than 5 kg within the previous 3 months
• •Current active eating disorder, with the exception of binge eating disorder
• •Severe active psychiatric disease or significant cognitive impairment deemed by investigator likely to impede adherence to piloted intervention
• •Active illicit substance abuse
• •Pregnant, breastfeeding, or considering pregnancy within the next 6 months
• •Current participation in another clinical research trial deemed by investigator to conflict with current study