The truth about Dr. Now's famous diet plan for My 600-lb Life

Dr. Younan Nowzaradan, or Dr. Now as his patients lovingly refer to him, is the miracle worker at the heart of TLC's hit show, My 600-Lb Life. The Houston-based surgeon famously takes on patients others refuse to treat, proudly telling the 2017 Obesity Help conference, "I don't have a selection process like most doctors have. I don't have any selection process. Everybody comes and we take care of them."

His tough-love approach to weight loss is highly motivating. He will tell morbidly obese patients they need to diet extensively before going under the knife, and that the alternative to losing weight is death. To that end, Dr. Now has a pretty extensive diet plan that anybody looking to avail of his life-changing services must follow to the letter.

Dr. Now's diet plan must be followed prior to surgery

All diet plans are customized for the patient in question to make sure they work as effectively as possible. Dr. Now creates each individual plan, but they're all fairly similar, starting with restriction to about 1,000 to 1,200 calories per day — sometimes less, in extreme cases. This ensures patients begin on the track to a healthier lifestyle while also teaching them to limit caloric intake, which will be imperative following their surgery.

Dr. Now explains on his website that the most commonly performed weight-loss surgeries, and by extension those shown most often on My 600-Lb Life, are Lap Band System and the Vertical Sleeve. Both aim to address fullness, so the patient can learn how to limit caloric intake on a long-term basis. However, patients still have to put the effort in post-surgery to stay on track. Decreasing the stomach's overall size is great, but only healthy eating habits will keep the weight off.

There's no denying Dr. Now's diet plan for My 600-lb Life works

Generally, the diet is low-carb and low-fat but high in protein, while patients also have to avoid sugary snacks and soft drinks. Distractify has the exact diet plan the late L.B. Bonner was given during his stint on season 6 of the show. Plainly speaking, the diet plan relies on real food and small portions, so patients eat egg whites or oatmeal, for breakfast, lean protein for lunch, and similar for dinner, while snacks are limited to turkey or ham roll-ups or plain, sugar-free Greek yogurt. It's a tough diet to follow but clearly it works. 

Amber Rachdi, who appeared on the show back in 2014, told Starcasm it's all about keeping those good habits up. "I still go to the gym 3 days a week," she said. "I'm working on myself... I'm trying to live my life the best way I know how." Rachdi also emphasized that she isn't the "perfect" weight loss role model, because there's much more to her story than just the story My 600-Lb Life showed.