What a great program. The weight loss journey is actually overseen by doctors and medical staff. There are different programs for different people — so each person is assessed individually and matched with the best program for their goals. There are weekly check ups including blood pressure monitoring, food intake monitoring, and weigh ins. There are supplements you can purchase, but they are not required. There are extensive blood work ups to include hidden food allergies and even hormone testing. If you have United Health care — a majority of the costs of this plan are covered. This is the most thorough weight loss program I have ever seen and I am thankful to be able to participate in it. I am averaging 3 lbs per week and not hungry. If you work better in an accountability type situation — this is great and you too will love it. They truly partner with you on the long term solution.