The Role of Accountability in Weight Loss
NutritionFacts.org Video Podcast
Michael Greger, M.D. FACLM
4.8 • 951 Ratings
🗓️ 11 February 2026
⏱️ 7 minutes
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| 0:00.0 | Among the more radical weight loss methods that have been employed, |
| 0:10.7 | therapeutic starvation. |
| 0:12.7 | How can you get people to stop eating? |
| 0:15.7 | Why are their jaws shut? |
| 0:17.3 | Ugh, yes, that used to be a thing. |
| 0:20.1 | Terrible. |
| 0:23.4 | I can't even imagine the psychological tool. |
| 0:30.0 | Surgical fixes like jaw-wearing aside, what is the most effective long-term obesity program ever published in the medical literature? The Trevos Behavior Modification Program. |
| 0:36.0 | Named after a town in Pennsylvania, the program ran all volunteer self-help support groups beginning in 1970, |
| 0:42.3 | offering lifetime treatment at no cost. |
| 0:45.3 | Wait. |
| 0:47.3 | The most successful weight loss program in history was free? |
| 0:51.3 | Why haven't more people heard about it? Probably because of that, it was free. |
| 0:58.2 | Multimillion-dollar corporations, like Weight Watchers, spend hundreds of millions of dollars |
| 1:02.6 | on advertising each year. How do the two programs compare? After two years in Weight Watchers, |
| 1:10.7 | the average weight loss is about six pounds. After two years in Weight Watchers, the average weight loss is about six pounds. |
| 1:13.6 | After two years in the Trevos program, the average weight loss was 39 pounds. And after five years, |
| 1:20.3 | Trevos participants were still down 35 pounds. Now, that's only for about the 20% who stayed in the |
| 1:27.3 | program that long. What about the 20% who stayed in the program that long. |
| 1:28.7 | What about Weight Watchers participants? |
| 1:31.7 | After five years sticking with the most rigorous 52-week Weight Watchers program, participants |
| 1:36.7 | did maintain a lower weight, but only about five and a half pounds. |
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