Weight Loss Study-Mechanism Underlying the Improvement of Insulin Resistance in Response to Weight Loss
Weight Loss Study-Mechanism Underlying the Improvement of Insulin Resistance in Response to Weight Loss
The main purpose of this study is to assess factors mediating the changes in insulin
 sensitivity and glucose tolerance before and after 10 lbs ± or 2% weight loss reduction as
 well as 2, 3, 6, 12, and 24 months after initiation of a low calorie diet.

 The investigators will also study the following:

 1. The impact of diet induced weight loss on hormones/adipokine levels

 2. The impact of diet induced weight loss on leptin tolerance
Inclusion Criteria for interventional group:

 1. Adult men and women, age 18-50

 2. English speaking

 3. Body mass index (pre weight loss) ≥30 kg/m2 but <40 kg/m2

 4. Willing to enroll in a low calorie full meal replacement weight loss program

 5. Willing and able to take part in a multi year study involving visits

 Inclusion Criteria for control group:

 1. Adult men and women, age 18-50

 2. English speaking

 3. Body mass index (pre weight loss) ≥30 kg/m2 but <40 kg/m2

 4. Willing and able to take part in a multi year study involving visits