Case studies/Care Management

Mike · Care Management

40 pounds in three months

At 275 pounds and feeling stuck, Mike was paired with a nutritionist who built a personalized six-month meal plan with weekly coaching. He lost 40 pounds in three months and rebuilt his motivation.

Service line

Care Management

Duration

90-day intensive, 6-month plan

Location

Riverside County, CA

Outcome

−40 lbs in 90 days

By the numbers

Outcomes that prove it.

−40 lbs

In 90 days

Sustained loss with zero rebound at month 6.

6.2 → 5.6

A1C

Out of the pre-diabetes range.

12/12

Coaching calls attended

100% adherence to weekly cadence.

+45 min/day

Active movement

Up from a sedentary baseline.

Background

Where the member started.

Mike, 52, was referred after a pre-diabetes diagnosis (A1C 6.2) and a BMI of 38. Previous weight-loss attempts had stalled within weeks. His care team focused on sustainability over speed.

The challenge

What stood in the way.

  • Pre-diabetes with A1C trending upward over 18 months.
  • Sedentary desk job and a one-hour commute each way.
  • History of restrictive diets followed by rebound weight gain.
  • Low motivation and a self-described 'all-or-nothing' mindset.

Our approach

How we built the plan.

  • Registered dietitian, not a generic coach, building a plan around his actual schedule.
  • Weekly 20-minute coaching calls; no app required.
  • Movement goals expressed in minutes-per-day, not gym sessions.

The solution

Step by step, what we actually did.

  1. 1

    Weeks 1–2 — Baseline and meal mapping

    Three-day food log analyzed; built a flexible 7-day meal template using groceries he already bought.

  2. 2

    Weeks 3–8 — Habit stacking

    Added a 15-minute morning walk and protein-forward breakfasts; weekly call adjusted portions.

  3. 3

    Weeks 9–12 — Plateau navigation

    Introduced two strength sessions per week and recalibrated calories as weight dropped.