The assessment comes in two parts: The first measures your metabolism and includes questions about current or past dieting; eating habits, and lifestyle; and the second part measures your general health and quality of life. These are the kinds of questions I ask every new patient who comes to me wanting help shedding their excess fat, and I want all of you to take this test as well.


Your answers to the questions in this section will help you determine how metabolically challenged you are and how you got that way. Your answers will help you tailor my program to meet your individual needs. Answer yes (= 1 point) or no (= 0).

1. Have you dieted more than five times? SCORE___
WHY I’M ASKING: Repeated dieting is sometimes called yo-yo dieting and the more times you yo-yo, the slower your metabolism is likely to be because of the shift in your body composition.

2. Did you go on crash (very low-calorie) diets? SCORE___
WHY I’M ASKING: Extremely low-calorie diets throw the body into “starvation mode” and this slows metabolism.

3. Did you go on fad diets that eliminated an entire food?
Group such as carbohydrates, proteins, or fat? SCORE___
WHY I’M ASKING: Eating an unbalanced diet changes metabolism and can encourage the accumulation of fat. These diets also tend to be nutritionally imbalanced and leave you with multiple nutritional deficiencies, which can alter metabolism.

4. Have you lost more than thirty pounds when you’ve dieted? SCORE___
WHY I’M ASKING: Often the people who have lost the most weight have also lost the leanest muscle mass, which slows metabolism.

5. Have you gained it back each time? SCORE___
WHY I’M ASKING: When you gain back weight, it is usually in the form of fat, not muscle, which slows metabolism.

6. Were you able to lose weight easily in the past, but are now having trouble? SCORE___
WHY I’M ASKING: This means you know how to follow a diet and are probably doing everything according to the rules, but because of a slowed metabolism, the diet is not effective, even on a short-term basis.

7. Are you putting a lot of weight around your stomach? SCORE___
WHY I’M ASKING: Accumulating fat around the abdomen suggests that you are carbohydrate sensitive.

8. Are you a carbo addict? SCORE___
WHY I’M ASKING: Eating a diet that contains a large proportion of carbohydrates indicates that you have become carbohydrate sensitive.

9. Does your energy level and mental sharpness crash at 3 P.M.? SCORE___
WHY I’M ASKING: This indicates that your body is not processing glucose properly, which is a sign of carbohydrate sensitivity.

10. Are you tired during the day even if you have slept enough the night before? SCORE___
WHY I’M ASKING: This indicates that you may not be getting enough glucose to your body cells, and that you are carbohydrate sensitive; it may also indicate a sluggish thyroid.

11. Do you need to lose more than thirty pounds? SCORE___
WHY I’M ASKING: If you do, it is probably mostly in the form of fat, which means your fat-to-muscle ratio is too high, an indication of a slow metabolism.

12. Is your body fat over 1 8 percent if you are a man, or 25 percent if you are a woman? SCORE___
WHY I’M ASKING: These are the top ranges of normal, and anything over this means you have too much fat on your body and this slows your metabolism.

13. Are you menopausal? SCORE___
WHY I’M ASKING: Menopause throws metabolism out of kilter and increases the likelihood of carbohydrate sensitivity.

14. Do you get less than thirty minutes per day of moderate physical exercise? SCORE___
WHY I’M ASKING: Sedentary habits are a surefire way to alter body composition and increase body fat, a contributor to slow metabolism; it also indicates you are not burning sufficient calories to burn up the food you eat, which gets deposited as fat.

15. Are you under a lot of stress? SCORE___
WHY I’M ASKING: Stress can stimulate you to eat more, especially more refined carbohydrates and fats, which creates carbohydrate sensitivity and alters body composition; stress also tends to stimulate fat deposits in the abdomen, which further increases carbohydrate sensitivity.


Give yourself 1 point for each “yes” answer, and 0 for each “no”: 1-5: slightly metabolically challenged 6-10: moderately metabolically challenged 1 1-15: severely metabolically challenged
The more metabolically challenged you are, the more important it is for you to start my program, which is designed to help you lose weight despite your slow metabolism and over time set your metabolism right again.

Answer these questions with Never = 0 Rarely = I Sometimes = 2 Frequently = 3

1. Is your energy level low or unpredictable?
2. Do you sleep poorly or too much?
3. Do you sometimes feel like you are in a mental fog?
4. Are you moody, depressed, or irritable?
5. Are you tense or anxious?
6. Does your skin break out or look dull?
7. Do you frequently have bad breath or body odor?
8. Do you suffer from constipation or diarrhea?
9. Does your stomach bother you?
10. Do your joints or muscles bother you?
11. Do you think about your weight?
12. Do you think about food?
13. Do you have food cravings?
14. Do you limit your activities because of your weight?
15. Is your sex drive low?


1-15 You have high quality of life. 16-30 You have moderate quality of life. 31-45 You have low quality of life.
As you progress on my program, re-take this part of the assessment once every six weeks to keep tabs on the positive changes in your life. The more positive change you can confirm, the more motivated you will be to stay on the program.