The Optimal Health Program

Photograph of Dr. Gosrani discussing fitness goals with a patient
Dr. Gosrani discusses fitness goals with a patient

The Optimal Health Program equips you with all the tools you need to succeed. Even the most motivated individuals can become discouraged if they undertake radical lifestyle changes without verifiable information about their initial condition, a structured set of guidelines, professional support and objective assessment of their progress. Many patients come to me thoroughly disheartened by their failure to lose weight, change their eating habits or stick to their exercise regimen. Most have tried to follow a calorie-restricted diet or struggled with an exercise regimen inappropriate to their fitness level. Some suffer from undiagnosed hormonal imbalances.

This can’t happen to my Optimal Health Program patients. My unique combination of science and personalized oversight is the product of my own struggle to overcome a lifetime of bad habits to become the healthier, happier triathlete and karate black-belt I am today. When I, a doctor, had so much trouble altering my own lifestyle, I learned from experience how inadequate knowledge and good intentions are without structure, feedback and support.

The fundamentals of the Optimal Health Program

Photograph of an Optimal Health program patient undergoing a VO2 Max test
VO2 Max test

Even our culture conspires against us: processed, junk- and fast-foods are ubiquitous and the temptations can be overwhelming. Time to cook and exercise can seem hard to find. Family and loved-ones, conflicted about how the changes you’re making impact their comfort zones, can fall disappointingly short in the support department when you need it most.

1. A comprehensive health evaluation

I do an exhaustive health evaluation before designing a scientifically personalized program based on my patient’s particular strengths and weaknesses. Then I explain the Optimal Health program. A patient who understands his or her present fitness level and how the program addresses it participates more consistently and achieves results much more quickly.

Please note: Unlike the check-ups you may have experienced in the past, I devote several hours to your initial consultation to get a complete picture of your health history and current condition.

This evaluation includes:

  • Comprehensive medical history
  • Lifestyle assessment
  • Physical examination including:
    • Exercise VO2-Max testing, widely considered the most accurate indicator of cardio-respiratory fitness and endurance, measures oxygen uptake and carbon dioxide output during a cardiopulmonary exercise test;
    • Body composition scans;
  • Laboratory blood analysis

2. The Optimal Health Program

From the results of this evaluation, I design a cardiovascular and strength training exercise routine adapted to the patient’s current condition and modified as fitness improves under the guidance of a nutrition and fitness coach

  • Low-glycemic, anti-inflammatory nutritional guidelines based on physiological principles, not calorie restriction
  • Nutraceuticals
  • Lifestyle adjustments
  • A cardiovascular and strength-training exercise routine adapted to the patient’s current condition and modified as fitness improves
  • Yearly VO2 Max testing and quarterly measurement of body composition
  • Stress management
  • Bioidentical hormone balancing, as indicated
  • Medical intervention, if necessary.

3. Quarterly evaluations

Photograph of an Optimal Health Program patient undergoing a Body Mass (BMI) scan
Body Mass Index scan

Periodic follow-up visits and lab work provide the patient with empirical feedback on his or her progress. Early results alone often provide considerable positive reinforcement, but my personal involvement contributes much-needed support and encouragement. This combination of cutting-edge science and personal oversight ensures every patient’s satisfaction and success.

  • Physical assessment including weight, waist and hip measurements
  • Laboratory blood analysis
  • Goals, progress, challenges and opportunities for improvement
  • Adjustment of prescribed medications


4. Support

Evaluation results . . .

Test results are useless to a patient who doesn’t understand what’s being measured, why it’s important or how that result might affect his or her health. Generally speaking, patients are much more motivated when they’re empowered by some understanding of how powerful the positive effects of small behavioral changes can be.

I explain the evaluation test results to give patients a clear picture of:

  • their particular strengths and weaknesses,
  • why they are significant, and
  • how they should be addressed,

so that my patient will understand . . .

  • the value of real food as a clean fuel for powering and rebuilding the body
  • the importance of exercise in burning that fuel and making the body stronger
  • the endocrine system’s role in maintaining the balance between the many processes involved

. . . and apply this information to

  • setting appropriate, realistic health and fitness goals
  • making an informed commitment to achieving those goals
  • making the best use of my expertise as a resource and support.

The most important thing that [Dr. Gosrani’s] program does is wrap up all the information into one program that is simple, straight­forward, and easy to follow. — J.P. Brown

If you are ready to make the commitment, so am I. Once you commit, I will work with you in every way possible to ensure your progress and your ultimate success. We will begin as gently as necessary to make lifestyle changes and undertake an exercise program. Nothing matters more than doing what you’ve committed to consistently. Consistency is the key to results because results reinforce your commitment, and more commitment produces more effort, and more effort produces more results. Keep this up and pretty soon, you’ll have traded in your old habit of sitting on the sofa and overeating for an exercise jones and an exclusive appetite for real food. Voilà! you’ve replaced your bad habits with healthy ones!

About hormones for women: Several years ago, a large study on hormone replacement therapy and post-menopausal women yielded frightening results: instead of finding that HRT protected women against heart disease and certain cancers, an unusally high proportion of the women involved developed the diseases they had hoped to prevent.

Further analysis of this study and subsequent studies including a very large one in 2012 revealed that the majority of the women who developed diseases were typically over 60 years old and/or 10 or more years post-menopause. In women less than 10 years post-menopause and/or less than 60 years old, the results corresponded with what the researchers had hoped to find:

  • Greatly reduced incidence of diseases including coronary artery disease, stroke and breast cancer;
  • The overall risk of death from any cause was significantly lower.
Photograph of Dr. Gosrani evaluating a patient’s quarterly laboratory report.
Quarterly progress evaluation

Andropause, a decline in testosterone levels, can afflict women as well as men. Testosterone is another factor in the delicate balance of hormones that allows women to maintain a youthful vitality and energy, burn body fat, build lean muscle and decrease their risk of degenerative disease. I recommend and prescribe testosterone replacement therapy for women when indicated.

For optimal results, patients need to follow the Optimal Health Program guidelines consistently. If you have never engaged in an exercise and nutritional regimen before, you’ll feel some of the positive effects almost immediately. But a sedentary lifestyle and a steady diet of processed food can be very challenging habits to overcome. To help my patients avoid temptation and discouragement, support is available

  • At regular group meetings to address challenges, find solutions and share experiences.
  • By telephone, Monday through Friday during business hours

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