Inspiring Story of the Month: How Dave lost nearly 200 lbs without surgery-now getting his knees replaced!

Dave is one of our clients who was referred to Dr. Einav for consultation when he ran into road blocks of finding a successful weight loss program that could work for “him”. He went to hospital support groups and bariatric surgery support groups, none helped him as he said, “I walked right outta there when the people only said what they cheat on or can’t eat, complained, but no one said how do you do it right.” Weight Loss is custom to every one of us, we are all not the same. In Dave’s case he had to lose weight healthy and quickly in order to have a knee replacement surgery, plus feel way better all the way around so he could walk.

When Dave came to Cardiometabolic Medicine (CMM) his starting weight was 423 pounds. He met with Dr. Einav and our team to define his specific needs, goals to embark on his revised journey to weight loss. Dave was thrilled he could still eat real foods he liked, but learned through the process how to change his behavior patterns and cravings to conform to the right way of eating with integration of meal replacements to support. Learning portion control, what menu of items are good, and those he thought were, are not!

Today in April 2018 after little over a year in our program Dave has lost 152 pounds! He is now 271 pounds and will soon reach his goal weight of 215 pounds, which is even better than what he weighed back in high school. Subsequent to his ongoing journey of weight loss at CMM he is now able to have his knee surgery and maintains the programs structure to continue his weight loss, never to let that go again.

Low Carb Recipes with High Taste

When looking for new recipes, does “low-carb” sound like low-taste? Think again! With more and more people making the decision to enjoy a healthier lifestyle change, the internet is filling up fast with low-carb recipes that are healthy and tasty at the same time.

Websites such as offers an article entitled, “The 100 Most Delicious Low Carb Dishes,” while The Food Network offers “Healthy Low-Carb Recipes at and has “40 Easy Low-Carb Dinner Recipes” just to name a few. The possibilities are endless, so why not choose a new recipe to make tonight? We do recommend before trying one of these great options if you are in a specific phase of the Cardiometabolic Medicine Weight Loss Program, review this with our Nutritionist to alter anything necessary to meet criteria.

Here’s a zesty recipe to try we want to share with a slight update that follows the Cardiometabolic Weight Loss Program criteria.

Carolina BBQ Meatballs – low carb and gluten free


  • 1 lb ground pork
  • 1 tsp paprika
  • ½ tsp salt
  • ¼ tsp black pepper
  • ¼ tsp cayenne pepper
  • ½ tsp ground cumin
  • ¼ tsp celery salt
  • 1 egg
  • 3 Tbsp almond flour
  • 1 Tbsp water

BBQ Sauce:

  • ¼ cup yellow mustard
  • 2 tsp hot sauce
  • 1 Tbsp dried onion flakes
  • 3 Tbsp granulated sugar substitute
  • 2 Tbsp apple cider vinegar
  • 2 Tbsp ketchup
  • Salt and pepper to taste


  1. Start with the sauce first so the flavors have time to meld while you make the meatballs.


  1. Combine all ingredients in a small saucepan, stirring until smooth. Simmer on low heat for about 8 minutes.


  1. Combine all meatball ingredients in a medium bowl and mix thoroughly.
  2. Form into 16 meatballs.
  3. In a large, non-stick saute pan, cook the meatballs over medium heat until golden on all sides and cooked through, about 3-4 minutes per side.
  4. Toss the meatballs gently in the sauce =, then spread on a parchment lined baking sheet and broil for 2-3 minutes.


(Approximate nutrition info per meatball: 92 calories, 7 g. Fat, 1 g. Net carbs, 6 g. protein)

Behavioral Tips: Why Water Matters

Water. One of the most simple, yet important things you can give your body. Did you know our bodies are made up of approximately 60% of water? It is how our bodies regulate body temperature, digest the foods we eat, sweat, hydrate and maintain many other bodily functions.

How much should you drink?

At Cardiometabolic Medicine, we encourage our patients to drink 64 oz of water every day. Some people find this easy to do, others difficult. Some of the helpful hints we give are to always keep a bottle of water with you to sip and refill throughout the day, to drink a full glass of water upon waking, before and during meals and to drink a full glass when taking any medications. These tips have been helpful for many. It’s also very important to make sure you are drinking water before, during and after workouts to help keep yourself hydrated and your body functioning at its best. Once our patients become accustomed to being well-hydrated, they report really noticing a difference if they’re not drinking as much as they should. Complaints from leg cramps to a reduced energy level are common.

What happens if you don’t drink enough water?

Your body can easily become dehydrated if you’re not drinking enough water. All life forms from plants to animals to humans need water to survive. Some signs you may not be drinking enough are as follows:

  • Dry mouth
  • Fatigue
  • Dark-yellow urine or decreased frequency of urine
  • Constipation
  • Headache
  • Skin loses elasticity
  • Sunken eyes
  • Dry cough

Simply put, water is just good for you. From flushing toxins out, to better digestion, to boosting your immune system, it’s one of the most simple and healthy things you can do for your body.

Words from Our Doc

I recently attended the Obesity Medicine Association’s (OMA) 2018 conference in San Diego. OMA is the leading professional association for weight loss clinicians.

The meeting was fascinating and introduced new, innovative approaches to weight loss. New scientific advances in the field of obesity included medications, medical devices and ideas to motivate and empower individuals on their weight loss journey. Obesity has been recognized as a disease, not just a cosmetic problem. Therefore, the interventions are constantly evolving with encouraging success rates.

A few of the topics covered at the conference were:

  • Effects of thyroid hormones on weight loss and how to promote weight loss in patients with hyperthyroidism
  • Cognitive behavioral therapy and motivational interviewing for weight loss
  • Using anti-obesity medication combinations for a better outcome
  • Non-prescription, scientifically proven supplements for weight loss
  • Intermittent fasting approach to control weight
  • Telemedicine used for weight loss

At Cardiometabolic Medicine, we are already implementing the most cutting-edge approaches to weight loss. I see it as my duty for the benefit of all my patients to get constant updates in the field of weight loss. In periodic newsletters we will provide you with updates from our community, tips, and scientific advances in weight loss.


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