Case · 61
Care Management
40 pounds in three months
Member
Mike
Service line
Care Management
Location
Riverside County, CA
Duration
90-day intensive, 6-month plan
01 —
The outcome
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.
−40 lbs in 90 days
Headline result for Mike.
−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.
02 —
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.
In their words —
“Every other program told me to eat less and move more. My PHG dietitian actually asked what my Tuesday looked like — and then we built around it.”
— Mike, Care Management Member
03 —
The challenge
What stood in the way.
- 01
Pre-diabetes with A1C trending upward over 18 months.
- 02
Sedentary desk job and a one-hour commute each way.
- 03
History of restrictive diets followed by rebound weight gain.
- 04
Low motivation and a self-described 'all-or-nothing' mindset.
04 —
Our approach
How we built the plan.
Move 01
Registered dietitian, not a generic coach, building a plan around his actual schedule.
Move 02
Weekly 20-minute coaching calls; no app required.
Move 03
Movement goals expressed in minutes-per-day, not gym sessions.
05 —
The solution
Step by step, what we actually did.
- 01
Weeks 1–2 — Baseline and meal mapping
Three-day food log analyzed; built a flexible 7-day meal template using groceries he already bought.
- 02
Weeks 3–8 — Habit stacking
Added a 15-minute morning walk and protein-forward breakfasts; weekly call adjusted portions.
- 03
Weeks 9–12 — Plateau navigation
Introduced two strength sessions per week and recalibrated calories as weight dropped.
06 —
Services involved