THE MICHAELSON METHOD
OPTIMAL FITNESS AND LIFELONG WEIGHT CONTROL
UNIQUE - SAFE - EFFECTIVE
Michael G. Michaelson M.D., J.D.
2939 Van Ness Street NW, Washington DC 20008
Taking Care of You
Caring, Individualized, Preventive Medical Care
Hunger-Free, High-Protein Nutritional Approach
Psychological Support Tailored to Each Individual
Innovative Program for "Carbohydrate Addicts"
Effective Prescription Medications (Optional)
The Care You Deserve
Premium medical supervision for low-carb dieters. Our expert M.D. (graduate of Johns Hopkins, Penn and Harvard) has 40 years experience with healthy, high-protein, moderate fat diets, behavioral counseling, nutritional supplements and prescription medication (when needed) to help you achieve and maintain your ideal weight.
Privacy and Convenience
Private 45-minute M.D. sessions, exclusively by appointment
Free Parking. Near Van Ness Metro
Evening and Saturday hours
Telemedicine via FaceTime or Skype per arrangement
Call today: 202-363-2699
The Answers You’ve Been Looking For
Ask Me Anything
What is the Michaelson Method?
The Method begins with a substantial reduction in dietary sugars and starches and an emphasis on high-protein nutrition. It recommends eating healthy fats and the liberal use of dairy products and artificial sweeteners when needed. Complying with the program is, by design, extraordinarily simple and blessedly hunger-free, without calorie or gram counting or strict limits on portions. YES foods may (indeed must) be eaten as often and in as much quantity as necessary to satisfy hunger. NO foods should be avoided at all costs. MAYBE foods are enjoyed in limited quantities. The Method's "Rules and Strategies" have been professionally designed to minimize the occasional (sometimes inevitable) "slip-ups" and to deal with them effectively when they occur.
This nutritional approach dramatically decreases excessive insulin secretion, reduces insulin resistance, stabilizes blood sugar, and eliminates pathological hunger and carbohydrate craving. The Method is unique in its emphasis on behavioral strategies and tactics rarely taught or emphasized by other "low-carb" approaches.
Regular office visits with Dr. Michaelson facilitate caring, highly individualized, expert medical supervision and vital psychological support enabling each patient to progress towards his or her goal weight and to maintain that weight for a lifetime.
How is the Michaelson Method different from other low-carb diets?
More a nutritional "way of life" than a "diet," Dr. Michaelson's Method differs from other low-carbohydrate approaches with which many chronically overweight people are familiar, such as Atkins, South Beach, Protein Power, Calories Don't Count, The Paleo Diet, Scarsdale, The Blood Sugar Solution, the Ketogenic Diet, The Carbohydrate Addict's Diet and many more, including the so-called Mediterranean Diet and, most recently, the "gluten-free" approaches of such books as "Grain Brain" and "Wheat Belly." The difference is two-fold.
First, certain dietary particulars vary markedly. The Method recommends meaningfully less fat, and more healthy fats, than Atkins, and advocates considerably less carbohydrate intake than virtually all other low-carb regimens (except the ketogenic), at least until ideal body weight is achieved. No calorie or carbohydrate gram counting or tight portion control is required. There is no need to engage in the too-often confusing assessment of "total," "net" or "effective" grams of carbohydrate, or check your urine for ketones, or adhere to some rigid restriction of how much carbohydrate, protein or fat should be consumed. In addition, and importantly, the Method differs from the Paleo Diet, The Blood Sugar Solution and others insofar as it permits and even encourages the liberal use of dairy products and artificial sweeteners when needed.
Second, the Method is unique in its emphasis on certain critical behavioral tactics - its Rules and Strategies - that have rarely been taught or emphasized by the advocates of previous "low-carb" approaches. The extraordinary simplicity of the YES NO MAYBE list has been specifically designed for dieters whose multiple efforts to lose weight and keep it off have repeatedly ended in frustrating failure. Because the Method combines, for the first time, the metabolic advantages of carbohydrate "consciousness" with an intense focus on special psychological techniques of behavior control, its effects are synergistic. Once, with Dr. Michaelson's guidance, you have mastered the Method, the attainment of healthful, rapid, hunger-free, lifelong freedom from obesity can be yours. Beginning now.
Do I have to purchase special diet foods or take prescription drugs?
The Michaelson Method relies on regular supermarket and restaurant foods. There is no need to purchase — and Dr. Michaelson’s office does not sell or profit from — any commercial diet foods or supplements. In restaurants or at home, the Method allows you to eat all you want, whenever you need to, of satisfying YES foods such as seafood of every variety, chicken and other poultry, lean red meat, high-fiber, low-starch vegetables, nuts, and berries, as well as savory cheeses, whole eggs, butter, creamy salad dressings and rich-artificially sweetened desserts.
In addition, some prescription medications and over-the-counter shakes, protein bars, vitamins, fiber supplements and other products can be very helpful. Their use is determined collaboratively on a case-by-case basis to ensure that they are safe and effective and tailored to the medical needs and lifestyle preferences of each individual patient.
What about exercise?
The health benefits of regular exercise are indisputable. Dr. Michaelson certainly encourages it, and will gladly assist his patients in designing a program that works for them. But its contribution to weight loss is modest, as many chronically overweight people who have tried it in conjunction with conventional "low-calorie, low-fat," "eat less, exercise more," "calories in, calories out," "a calorie is a calorie" diets can, to their misery, attest.
Decades of experience in the treatment of obesity have convinced Dr. Michaelson that the vast majority of stubbornly overweight individuals are suffering from a genetically determined metabolic disorder characterized by excessive insulin secretion in response to a carbohydrate meal. This results in wide fluctuations in blood sugar, "insulin resistance," and excessive fat production and storage. Repeated episodes of low blood sugar cause hunger that is both pathologically frequent and pathologically intense. These individuals experience a craving for sweet or starchy food that equals or exceeds an alcoholic's craving for a drink or an addict's desperate need for a fix of opioids or cocaine.
For individuals suffering from this condition -- variously termed "metabolic syndrome," "insulin resistance," "prediabetes" or (Dr. Michaelson's preferred term) "chronic relapsing hyperinsulinemic obesity" cannot be successfully treated by exercise alone, although exercise can help. Without restricting carbohydrate consumption first, however, the benefits of exercise will be limited.
In Dr. Michaelson's practice, the initial emphasis is on adherence to the YES NO MAYBE list. To the extent to which a patient's "compliance energy" or ability to be "good," is finite, Dr. Michaelson wants all of his patient's effort to be directed towards avoiding NO foods. Exercise can sometimes induce hunger and, more problematically, it can, consciously or unconsciously, persuade patients that a seductive piece of chocolate cake won't hurt too much because they spent a sweaty hour on the treadmill that morning. Wrong.
Once the patient has progressed half or two-thirds of the way toward his or her goal weight -- and living by the Method has become second nature -- exercise becomes more of a clinical priority. It also becomes less difficult, and for some less dangerous, without all of that excess weight. Before then, patients are discouraged from exercising much more than they already do, and to do so because they enjoy it, not because they think it will help them lose weight.
What Is Involved In Office Visits?
Each office visit is a private, completely confidential clinical interaction between the patient and Dr. Michaelson. Unlike some “medically supervised” weight loss programs, which utilize “counselors” or other non-physician personnel, and in which personal interaction with the “supervising” M.D. is minimal, each office visit, generally averaging 45 minutes, is with the doctor. The same is true of the initial visit, which is roughly twice the length of a typical follow-up visit with an established patient.
On the first visit, Dr. Michaelson takes a complete medical and family history with a special emphasis on past episodes of weight gain and loss, conducts a brief, basic physical examination, and explains the metabolic and behavioral basis of what he has termed hyperinsulinemic chronic relapsing obesity. He explains how and why his Method works, goes over the YES NO MAYBE list and how to use it, and answers any questions the patient may have.
Follow-up visits are the occasion for evaluating the patient’s progress and include not only measurements of weight, waist and hip circumference, blood pressure and heart rate, but also, of course, an assessment of the patient’s ability — since the last visit — to adhere to the high-protein foods on the YES list and avoid the NO foods. More questions are asked and answered, and where compliance has been difficult, the patient and Dr. Michaelson explore what went wrong and how to address the issue. Often Dr. Michaelson can help, based upon his years of experience with the behavioral Rules and Strategies he has developed as part of his Method. Sometime medication can be helpful to help reduce appetite, “speed metabolism,” or address underlying stressors or predispositions that have tempted the patient into “self-medicating” with sweet or starchy foods.
In brief, the typical office visit might reasonably be described as a combination of (a) a somewhat shorter-than-standard visit with a psychiatrist, psychologist or carb-addiction counselor who has suffered through the problem himself and (b) a substantially longer than typical visit with your internist. All in a comfortable, living-room-like setting without a single little box-like patient cubicle in sight.
What is the cost and frequency of office visits? Are visits covered by insurance? Are discounts available?
Payment is made at the time of the visit or, if choosing the Discount Program, in advance for two calendar months of visits. The initial visit is $200.00; follow-up visits are $150.00. The two-month Discount Program (up to 8 visits, a value of $1,200.00) costs $450.00 and must be paid in advance of the two-month period (the initial visit is included). Payment may be made using VISA or MasterCard. Many if not most insurance plans will provide reimbursement directly to the patient, which our office will facilitate by providing each patient with documentation of service and applicable diagnostic codes for submission to their carrier.
Dr. Michaelson makes his deep discount offer available to encourage weekly or biweekly visits if at all possible; that schedule, established as a result of decades of experience, greatly enhances the Method’s results for a host of behavioral reasons. The advantages (in addition to lower cost) of frequent visits — to monitor progress, answer questions and provide behavioral and pharmacological interventions as needed — will be detailed by Dr. Michaelson during each patient’s initial visit. While not every patient can visit weekly, most can come into the office four to six times during the two-month period, and "telemedicine" visits via Skype or FaceTime may be an option for some visits.
How have patients responded to the Michaelson Method? How much weight can I lose? How Rapidly?
As the biographical information above suggests, Dr. Michaelson is perhaps his own best case study: he has maintained his own fifty-pound weight loss, after a childhood, adolescence and young adulthood of struggle, for more than forty years.
Summarized below are the experiences of some successful patients, greatly abbreviated from clinical case histories to be contained in the book he is writing about his Method. They should give you an idea of how patients of varying ages and genders have responded to the Method, including how quickly they lost weight and how they felt while doing it. The statements in quotations were the patient’s own words, transcribed in real time during regular office visits. Names and identities, but no clinical facts or figures, have been changed to preserve confidentiality. The material that follows is Copyright @ 2017 by Michael G. Michaelson, M.D., J.D.
Jennifer. A self-described “carboholic,” this 5’7”, 33-year-old White House staffer attributed her thirty excess pounds to “stress eating.” On her first visit she weighed 163 pounds. One week later she weighed 158; after four weeks, 151; after two months, 137. “I’m eating a lot,” she reported. “I have an incredible amount of energy. I feel great about myself.”
Frank. Standing 6’2” and weighing 223 pounds, this 45-year-old aerospace engineer lost six pounds the first week, 15 pounds in a bit more than a month, and 22 pounds in two months. He achieved his ideal body weight (about 186 pounds, a loss of 36 pounds) within six months. He maintained that loss for at least two years (when he was last seen in the office). A taciturn man, he had a six-word assessment: “This is a pretty easy regimen.”