When you make comprehensive lifestyle choices, most people find that they feel so much better, so quickly, it re-frames the reason for changing from fear of dying to joy of living. Using a simulation model, it was estimated that, among the study cohort of 500 patients, weight loss achieved through participation in the HMR clinic programs could result in 22 diabetes events, 30 CVD events and $1,992,370 in health care costs avoided over 5 years. Among 120 patients with diabetes, 22 CVD events and $1,022,196 could be avoided over 5 years. Among 186 patients with severe obesity (BMI ≥40), 6 diabetes events, 17 CVD events, and $958,958 could be avoided over 5 years.

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