Does It Work for Weight Loss?

Considered one of my favourite TV exhibits is “My 600-Lb. Life,” so I’m fairly aware of Dr. Nowzaradan — also called Dr. Now — and his no-nonsense strategy.

The weight-reduction plan program he makes use of to organize sufferers for bariatric (weight reduction) surgical procedure has lately gained reputation because the Dr. Now Food regimen.

This restrictive weight-reduction plan ought to solely be tried by people who find themselves getting ready for weight reduction surgical procedure or who’re at imminent threat of significant well being issues attributable to weight.

As well as, they need to solely observe the weight-reduction plan underneath the supervision of a medical group, together with a physician or surgeon and bariatric dietitian.

Right here’s what it’s essential to know concerning the Dr. Now Food regimen.

Food regimen assessment scorecard

  • Total rating: 2.2
  • Weight reduction: 1.0
  • Wholesome consuming: 2.5
  • Sustainability: 3
  • Complete physique well being: 2
  • Vitamin high quality: 2.5
  • Proof-based: 3

Abstract: The Dr. Now Food regimen is designed to assist candidates for preoperative weight reduction surgical procedure shed extra pounds rapidly. Nonetheless, it’s extraordinarily restrictive and will solely be tried underneath medical supervision.

The Dr. Now Food regimen is a really restrictive low carb, low calorie weight-reduction plan.

Dr. Nowzaradan is a Houston-based bariatric surgeon who makes a speciality of weight reduction surgical procedure for individuals with morbid weight problems.

He turned well-known for the truth present “My 600-Lb. Life,” which paperwork the lives of his sufferers who weigh greater than 600 kilos (272 kg). The present follows their journey earlier than, throughout, and after weight reduction surgical procedure.

Dr. Now’s well-known as a result of he takes on sufferers many different surgeons suppose are too dangerous to function on.

Earlier than the sufferers have surgical procedure, lots of them must shed extra pounds to scale back their threat of issues and present they’ll be capable to make the life-style adjustments docs prescribe after surgical procedure.

Dr. Now places the sufferers on a strict low carb and low calorie weight-reduction plan to assist them rapidly shed extra pounds in preparation for surgical procedure. He particulars the weight-reduction plan in his e-book, “The Scale Does Not Lie, Folks Do.”


The Dr. Now Food regimen is a really restrictive low carb, low calorie weight-reduction plan. Dr. Now’s a bariatric surgeon who gained fame on “My 600-Lb. Life.” He encourages his sufferers to shed extra pounds previous to weight reduction surgical procedure utilizing this weight-reduction plan.

Dr. Now’s e-book explains the three foremost ideas of his weight-reduction plan strategy utilizing the acronym “FAT”:

  • Frequency. This refers to how usually you eat. Dr. Now recommends consuming two to a few meals per day with no snacks.
  • Quantity. This implies what number of energy it is best to eat. He says to restrict calorie consumption to 1,200 energy or much less every day, divided evenly — so 400 energy for every meal 3 instances each day, or 600 energy for every meal twice each day.
  • Kind. The varieties of meals you eat are additionally essential. He says to strictly keep away from sugar and select low fats and low carb meals whereas growing the protein and fiber content material of every of your meals. Protein and fiber can assist make your meal extra filling (1).

Dr. Now says that while you start, make a listing of all your favourite meals, after which take away all of the sugary, excessive fats, and excessive calorie meals from the checklist.

What stays must be an everyday a part of your each day meals when you’re doing the Dr. Now program — that approach, it’s simpler to stay to.

He additionally says to deal with minimally processed meals and select small parts, which is able to assist make it simpler to satisfy the restricted calorie depend.

This weight-reduction plan is designed for short-term use within the lead-up to bariatric surgical procedure, so don’t observe it for longer than a month or two.

All the time ensure you’re underneath shut medical supervision when you’re on this weight-reduction plan.


Dr. Now recommends sticking to 1,200 energy per day, divided evenly throughout two or three meals. The weight-reduction plan doesn’t permit snacks or sugary, excessive calorie, and excessive fats meals. Dr. Now advises consuming extra protein and fiber.

This strict, low calorie weight-reduction plan plan does lead to quick weight reduction, particularly in individuals with larger physique weight.

Dr. Now encourages lots of his sufferers who weigh greater than 600 kilos (272 kg) to attempt to lose 30 kilos (14 kg) in simply 30 days, and lots of of them are profitable.

In actual fact, the 1,200 calorie weight-reduction plan is often used for preoperative bariatric surgical procedure sufferers, not simply in Dr. Now’s observe.

In a single examine on 24 ladies with weight problems, individuals misplaced a major quantity of weight with and with out train in simply 13 days (2).

Medical doctors usually suggest preoperative weight reduction for individuals present process bariatric surgical procedure as a result of it seems to assist scale back issues after the operation.

One examine checked out outcomes in additional than 480,000 individuals who had bariatric surgical procedure. The researchers discovered that weight reduction previous to surgical procedure helped scale back the danger of dying inside 30 days of surgical procedure — even when individuals misplaced lower than 5% of their physique weight (3).

Research have additionally discovered that when individuals had been required to shed extra pounds earlier than they had been permitted to have weight reduction surgical procedure, they tended to have extra profitable weight outcomes after surgical procedure (4).


The Dr. Now Food regimen can induce fast weight reduction, and preoperative weight reduction does seem to assist enhance outcomes in individuals who have weight reduction surgical procedure.

The Dr. Now Food regimen plan isn’t a sensible choice, besides for individuals who must shed extra pounds to have a protected operation.

The 1,200 calorie restrict is excessively restrictive for most individuals and due to this fact not sustainable.

In actual fact, long-term excessive calorie restriction may make it more durable so that you can shed extra pounds.

That’s as a result of your physique adapts to calorie restriction by slowing down your metabolic fee, that means you burn fewer energy. Low calorie diets can also have an effect on your starvation hormones, making you hungrier than regular (5).

Analysis exhibits that many of those diets result in rebound weight achieve due to these metabolic adjustments. In consequence, this and different crash diets aren’t a sensible choice in case your aim is long-lasting weight reduction (5).

Moreover, very calorie-restricted diets usually present insufficient quantities of vitamins, even when they’re wealthy in nutrient-dense fruit and veggies.

For instance, one examine famous {that a} excessive protein, low carb, 1,200 calorie weight-reduction plan — much like the one Dr. Now recommends — got here up quick on thiamine, vitamin D, vitamin E, calcium, magnesium, and potassium (6).

Whereas these gaps might not pose fast well being dangers, they may result in issues in people following the weight-reduction plan for greater than a short-term foundation of some weeks.

Restrictive diets additionally trigger adjustments to the intestine microbiota, the helpful micro organism that populate your giant gut.

Sustaining a wholesome stability of those intestine micro organism is essential for optimum well being and digestion. Nonetheless, restrictive diets might scale back each the general inhabitants and the range of the micro organism current (7).

Lastly, don’t try the Dr. Now Food regimen with out medical supervision, particularly in case you have any medical circumstances or are taking drugs. Should you’re wanting to do that weight-reduction plan, be sure you communicate with a healthcare skilled beforehand.


Dr. Now’s weight-reduction plan plan isn’t a sensible choice for most individuals. It’s solely appropriate for sure conditions, like previous to weight reduction surgical procedure. It’s restrictive and never sustainable, and don’t try it with out medical supervision.

The next lists element meals to eat and keep away from whereas on the Dr. Now Food regimen.

Meals to eat

Dr. Now’s weight-reduction plan plan permits these meals, together with different excessive fiber, excessive protein, low fats, and sugar-free meals.

  • Lean protein sources: egg whites, lean cuts of meat, rooster breast, turkey breast, beans, tofu, fish
  • Fat and oils: cooking spray, small quantities of oil for cooking
  • Decrease sugar fruits: all entire fruits, besides watermelon, cantaloupe, banana, and mango
  • Most greens: all greens, besides potatoes
  • Sure nuts and seeds: flax seeds, chia seeds
  • Nonfat dairy: plain nonfat yogurt, skim milk
  • Complete-grain carbs: wheat bread, wheat or corn tortillas, whole-wheat pasta moderately
  • Zero-calorie sweeteners

Meals to keep away from

Dr. Now gives his sufferers present process bariatric surgical procedure with a listing of meals to keep away from on the weight-reduction plan. The checklist contains meals you’ll anticipate, like cookies and French fries, but in addition some shocking meals, like oatmeal, popcorn, and peanuts.

His reasoning is that oatmeal is excessive in carbs, popcorn is usually doused in fats, and peanuts are excessive in energy and straightforward to overeat.

Listed here are the meals to keep away from on Dr. Now’s weight-reduction plan plan:

  • Some sources of protein: excessive carb or sugary protein shakes, excessive fats meats, processed meats (like sizzling canine, bacon, sausage), battered and fried meats (like fried rooster), eggs
  • Some fat and oils: butter, olive oil, vegetable oils
  • Fruits larger in sugar: fruit juices, fruit canned in syrup, fruits which have extra pure sugar (watermelon, cantaloupe, banana, and mango)
  • Potatoes: contains French fries
  • Most nuts and seeds: peanut butter, peanuts, almonds, cashews, pistachios, sunflower seeds
  • Full fats and sweetened dairy: sweetened yogurt, sorbet, ice cream, milkshakes, chocolate milk, full fats cheese
  • Sure carbs, particularly refined merchandise: crackers, chips, popcorn, white rice, brown rice, waffles and pancakes, white bread, pasta
  • Sugar-containing sweets: cookies, sweet, muffins and pastries, ice cream, honey, syrup

Dr. Now encourages avoiding a number of nutritious meals attributable to their calorie content material, together with eggs, olive oil, nuts, and seeds.

As well as, Dr. Now suggests limiting whole-wheat bread and different whole-grain carbs, though they’re not completely banned from the weight-reduction plan.


Dr. Now encourages consuming excessive protein, excessive fiber, low calorie, low fats, and sugar-free meals on his weight-reduction plan program. The weight-reduction plan bans a number of nutritious meals attributable to their calorie content material, together with oatmeal, olive oil, nuts, and eggs.

Right here’s a pattern menu you possibly can observe for 3 days on the Dr. Now Food regimen. Since there aren’t any snacks allowed on the weight-reduction plan, you’ll solely see breakfast, lunch, and dinner recommendations beneath.

Day 1

  • Breakfast: 2 ounces (57 grams) egg whites with spinach, mushrooms, and 1 ounce (28 grams) part-skim mozzarella on 2 items whole-wheat toast, ready-to-drink low carb protein shake
  • Lunch: 3 ounces (85 grams) grilled rooster, salad with 2 tbsp. (30 grams) French dressing dressing
  • Dinner: 3 ounces (85 grams) broiled salmon with asparagus

Day 2

  • Breakfast: 1 cup (245 grams) plain nonfat yogurt with stevia and 1/2 cup (75 grams) blueberries, 1 cup (240 mL) skim milk, 2 items turkey bacon
  • Lunch: 1 cup (238 grams) tuna salad made with nonfat Greek yogurt as a substitute of mayo, whole-grain pita, celery, and carrots
  • Dinner: spiralized zucchini with 4 floor turkey meatballs, marinara sauce, and 1 ounce (28 grams) part-skim mozzarella

Day 3

  • Breakfast: fruit smoothie with 1 cup (240 mL) skim milk, 1 scoop protein powder, 1 cup (150 grams) strawberries, 1/2 avocado
  • Lunch: 1 cup (240 grams) broccoli stir-fry with 3 ounces (85 grams) tofu
  • Dinner: 2 cups (478 grams) low fats rooster and vegetable soup, facet salad with 1 tbsp. (15 grams) French dressing dressing


The above meal plan particulars 3 days of meals that present roughly 400 energy in every meal and stick with the meals allowed on the Dr. Now Food regimen.

The Dr. Nowzaradan Food regimen, or Dr. Now Food regimen, is a restrictive, 1,200 calorie weight-reduction plan designed to advertise fast weight reduction in people who find themselves about to bear weight reduction surgical procedure.

Whereas it does have its place in sure medical contexts, it’s not for most individuals — and definitely not an acceptable choice for those who’re searching for a weight-reduction plan you can keep on with long run to advertise gradual and sustainable weight reduction.

The weight-reduction plan must also be accomplished underneath medical supervision.

Except a healthcare skilled has really useful you do that weight-reduction plan, it’s possible greatest to keep away from it. As an alternative, take into account making gradual life-style adjustments that lead to lasting weight reduction.