Medically Intensive Nutrition Therapy Program for Obesity and Diabetes in a Low-income Population

Who May Qualify: - Age 18-65 - Body mass index (BMI) greater than or equal to 27 kg/m\^2 - HgA1C greater than or equal to 5.7 percent or fasting glucose greater than or equal to 100mg/dL within the previous 6 months - Low-income as defined by having a family income at or below 400 percent of the federal poverty level guidelines for 2022 Who Should NOT Join This Trial: - Current use of antihyperglycemic agents (other than metformin) or approved anti- obesity medications or plans to start such regimens over the 3 months post-study enrollment - HbA1c greater than or equal to 10 percent - Plans to pursue bariatric surgery over the 6 months post-study enrollment - Weight loss of greater than 5 kg within the previous 3 months - Current active eating disorder, with the exception of binge eating disorder - Severe active psychiatric disease or significant cognitive impairment deemed by investigator likely to impede adherence to piloted intervention - Active illicit substance abuse - Pregnant, breastfeeding, or considering pregnancy within the next 6 months - Current participation in another clinical research trial deemed by investigator to conflict with current study Always talk to your doctor about whether this trial is right for you.