GOOD FOR OUR TSFL CLIENTS AND PATIENTS

1. Dr. Levine’s Staff Training Guideto Implement Take Shape for Life Dr. Ellyn Levine (858) 663-1671 elevinemd@earthlink.net www.theobesityzone.com

2. About the Company Highlights of the Program How Weight Loss Occurs Safe & Effective Teaching Patients the Program Habits of Health DVD Staff Training Overview 2 BeSlim Discount Program Specialty Products Transition Maintenance When Ready to Implement Ordering Instructions My Office in Motion Support

3. About the Company Program is called Take Shape for Life (not Medifast) ( (“TSFL “) TSFL is the coaching division of Medifast, Inc. (NYSE: MED) Physician Developed -- Brainchild of Dr. Wayne Anderson who believed that permanent weight loss is more likely by taking a time honored clinically proven program and combining it with an individual for support and guidance throughout the weight loss process. 3

4. Patients eat five pre-portioned, soy based meal replacement program and one healthy meal (“5 & 1”) consisting of a lean protein and non-starchy vegetables (“Lean & Green”). Patients Lose 2 – 5 lbs. per WEEK while on the “5 & 1” program Simple to Teach, Easy to Learn, and Patients love the Program Straight Forward Patient Protocols & Contraindications Clinically Proven, Safe & Effective Highlights of the Program 4

6. Johns Hopkins University Used program for over 20 years as their weight loss program of choice. Many clinical studies conducted including it superior to the ADA Plan for Diabetics in a 45 week study. Medifast® Meals Introduced in 1980 Used by More than 1 million people Over 20,000 doctors recommend the product currently Majority of meals earn distinction of the FDA heart healthy label due to low fat content Safe & Effective 6

7. Teach the “5 & 1” Explain the Lean & Green Reviewing Meal Plan Cost Overview Review Quick Start Guide Provide Custom Overview (I will personalize for you) Take & Input Order Teaching Patients 7

8. Teaching Patients: About the “5 & 1” Eat 5 Medifast Meals + 1 Lean and Green Meal Each day choose 5 meals from over 70 Medifast meal choices. All meals are interchangeable so you can choose a variety or even choose the same product for your 5 meals/day. Enjoy one self-prepared meal consisting of a “lean” protein like fish, meat, or tofu and a serving of non-starch vegetables for your “green”. Can be at any time that works with your schedule. 8

10. Lean beef: steak, roast, ground

11. Lamb

12. Pork chop or pork tenderloin

13. Ground turkey or other meat: 85–94% lean

14. Chicken or turkey: dark meat

15. Meatless options:

16. 15oz firm or soft tofu

17. 3 whole eggs (limit to once a week

18. Fish: cod, flounder, haddock, orange roughly, grouper, tilapia, mahi mahi, tuna (yellow fin steak or canned in water), wild catfish

19. Shellfish: crab, scallop, shrimp, lobster

20. Game meat: deer, buffalo, elk

21. Ground turkey or other meat: ≥ 98% lean

22. Meatless options:

23. 14 egg whites

24. 2 cups of Egg Beaters®

25. 2 Boca Burger ®Morningstar Farms®, or Garden Burgers®patties, or other varietieswith < 6 grams of carbohydrates /patty

26. Fish: swordfish, trout, halibut

27. Chicken: breast /white meat without skin

28. Ground turkey or other meat: 95–97% lean

29. Turkey: lightmeat

30. Meatless options:

31. 15 oz extra-firm tofu

32. 2 whole eggs plus 4 egg whitesChoose meats that are grilled, baked, broiled or poached – not fried. Note: Serving ounces represent cooked weight (not raw). 9

33. Healthy Fat (Add 0-2 fat servings as indicated on the “Lean” table One fat serving is equal to one of the following: 1 teaspoon of oil (canola, flaxseed, walnut or olive) 5-6 black or green olives Up to 2 tablespoons of salad dressing (must be <6gm of carbs and <5gm of fats/serving) 1 teaspoon of trans fat-free margarine Other less healthy fat choices include 1 tbsp of skim, 1%, 2%, whole or half & half Teaching Patients: Healthy Fat Servings 10

35. ½ cup: celery, cucumbers, white mushrooms, radishes, sprouts (alfalfa, mung bean), turnip greens, arugula, nopales, escarole, jalapeño (raw), Swiss chard (raw).

36. ½ cup: asparagus, cabbage, cauliflower, eggplant, fennel bulb, kale, portabella mushrooms, cooked spinach, summer squash (scallop or zucchini).

37. ½ cup: broccoli, red cabbage, collard or mustard greens (cooked), green or wax beans, kohlrabi, okra, peppers (any color), scallions (raw), summer squash (crookneck or straightneck), tomatoes (red, ripe), turnips, spaghetti squash, hearts of palm, jicama (cooked), Swiss chard (cooked).All vegetables promote healthful eating; however, during the weight-loss phase of your Plan, we do eliminate the highest-carbohydrate vegetables (such as carrots, corn, peas, Potatoes, onions, edamame, and brussel sprouts) in order to enhance your weight-loss results. 11

38. Enjoy up to 3 servings a day. Each of the following equals 1 serving: ¼ - ½ teaspoon: most dried herbs & spices ½ teaspoon: catsup, BBQ sauce, cocktail sauce 1 teaspoon: soy sauce, balsamic vinegar 2 teaspoons: lemon or lime juice 1 tablespoon: yellow mustard, tomato salsa, most fresh herbs, unsweetened milk or soy milk, chopped onion 1-2 tablespoons: zero calorie, sugar free flavored syrup such as in Torani® or DaVinci® brands. ( Can be used on Medifast pancakes or added to beverages) Up to 3 tablespoons: hot sauce, Tabasco® sauce; red, white or cider vinegar 1 packet: artificial sweetener (Equal®, Splenda®, etc.) Teaching Patients: Condiments & Seasonings 12

39. Teaching Patients: Optional Snacks In addition to the “5 & 1” Plan When Needed Not meant to be used daily as they contribute to unwanted additional calories and may hinder weight loss. Snacks are not to be eaten in place of Medifast Meals Can be eaten at any time of day, does not follow the 2-3 hour rule Choose ONE of the following optional items/day: 3 celery stalks 1 fruit flavored sugar-free Popsicle® ½ cup of sugar-free gelatin dessert, such as Jell-O® Up to 3 pieces of sugar-free gum or mints 2 dill pickle spears 1 Tbsp peanut butter ½ oz of nuts: 10 whole almonds or 7 walnuts halves or 20pistachio kernels * Medifast has a snack line with soy crisps and crackers-only 1 package per day *Nuts are sources of healthy fat and additional calories. These do not substitute for the other healthy fat options 13

40. Example Day: 6:00am Wake Up 6:30am Medifast (MF) #1 - Shake 9:00am MF#2 - Crunch Bar 11:30am MF#3 – Soup 2:00pm MF #4 – Crunch Bar 3:00pm Snack – 3 celery sticks 5:30pm Lean & Green Mean: 6 oz chicken breast, 1 cup lettuces, ½ cup tomatoes, ½ cup cucumber with 2 tbs salad dressing(low fat/low carb) 8:30pm MF#5 – Pudding Notice how meals are spaced 2- 3 hours apart Teaching Patients: Write Out Your Daily Meal Plan 14

41. Read “Quick Start Guide” before starting the program. Always have the Lean and Green Reference Guides accessible when planning your lean and green meal Have an accurate weight scale in your home to gauge your progress You should lose 2-5lbs/week in the initial phase of the program. If this does not occur seek guidance from your health coach or the Medifast support team since you may be inadvertently exceeding the 85gm of carbs recommended per day. First 3 days can be very difficult for some. Once in Ketosis, the fat burning state, it will become much easier, so hang in there. It is common to have a plateau phase so do not get discouraged. Continue the program exactly as described and weight loss should resume. “BeSlim” club members receive automatic reordering reminders and special discounts. If you are not on “Be Slim”, re-order by week 3 so you don’t run out of food. Teaching Patients: What Patients Need to KnowTo Achieve Weight Loss 15

42. Plan Your Meals and Meal Times Eat 5 Medifast Meals and 1 “Lean and Green”/day Plan your Lean and Green meal in Advance Space meals 2-3 hours apart Eat first meal no later than 60 minutes after awakening to “kick start“ your metabolism Consider setting your alarm on your cell phone as reminder Carry extra Medifast crunch bars or pretzels when away from home to keep routine from getting interrupted Medifast Meals are interchangeable; choose any product combination, even if they are all the same Example: 5 Medifast crunch bars and 1 lean and green meal is ok. Avoid Medifast maintenance bars in the initial loss phase since they are higher in carbs than crunch bars. Teaching Patients: When Patient Food Arrives-Getting Started 16

43. Never Skip a Meal (Very important since you can become nutritionally depleted of essential vitamins/minerals & hair loss may even occur.) Drink at Least 64 oz of water/day Cut Back the Caffeine to less than 3/day since your low calorie state may make you more sensitive to the effect of caffeine. Do Not Cheat ! (not even a little). Absolutely no alcohol, no bread, no fruit or you will kick yourself out of the fat-burning state which takes 3 days to get back into. Measure Food Portions and Lean/Green Guidelines Strictly with a food scale & measuring cups/spoons. 1 Snack per Day is optional. Have only if you need it. Try to avoid daily use. Don’t Over Exert Yourself. If not exercising, best to wait 2-3 weeks while body gets adjusted. Keep exercise to less than 45 min/day while in weight loss phase. Find a Buddy. Co-workers, family members and friends are great to have join you in this lifestyle change. Teaching Patients: Tips for Success 17

44. Sugar Free Fiber or Probiotics Constipation can occur due to reduced calories. (less in = less out). If needed, use sugar freefiber for regularity like Psyllium. Consider adding a probiotic like Medifast’s Essential 1 Digestive Health supplement if you experience excessive gas or bloating. Vitamins / Minerals Medifast meals are fortified with vitamins and minerals Supplemental vitamins and minerals are acceptable but avoid those that are in liquid, chewable or powder forms as they often have added carbohydrates which may interfere with the fat burning state Medifast® Essential 1® supplement product line available for purchase Teaching Patients: Supplements 18

46. Healthy Choices

47. Beginning non-gym exercise

48. Companion Workbook to reinforce learning

49. DVD to walk patient thru book and workbook

50. Available individually or as a “combo pack”

51. Book - $29.95

52. Workbook - $17.95

53. DVD – $14.95

54. All 3 for $64.9519

55. Always put patients on this to begin Free Shipping (orders over $225) 5% Discount (progresses to 8% after 3 months and 12% after 6 months) Free Week of Meals (each of first two orders) Monthly Re-order. Make sure patient knows username and password BeSlim is an acronym used for the Take Shape for Life program. B- Breakfast L - Low Fat Meals E- Exercise I - Individual Meals S- Support M – Monitor by following weight regularly BeSlim Discount Program 20

56. There are Medifast ® meals that are: Gluten Free Kosher Dairy Free Lactose-Free Vegetarian Diabetic Forumulations Ask your health coach for guidance when these dietary modifications are necessary Specialty Products Available 21

58. Four one-week stages are recommended:

59. Stage 1: One Cup additional veggies + “5 & 1”

60. Stage 2: One medium-size piece fresh fruit + “4 & 1”

61. Stage 3: ½ cup low-fat or fat-free dairy + “4 & 1”

62. Stage 4: One serving of whole grain + “3 & 1”

63. Habits of Health and guide book helps them choose

64. Length of Stage 4 varies based on weight loss from 4 – 16 weeks.22

65. Transition (continued) 23

66. Calories Taken In = Total Energy Expenditure Calculate the BMR for the patient (details in guide) Many do well with 2-3 Medifast Meals® to keep calories in check Maintenance 24

67. Maintenance:Calculating BMR 25

68. Maintenance:Total Energy Expenditure Chart Example for 5’4” Female 26

69. Place posters in waiting room and exam rooms Prepare patient information handouts. Instruct patients to see staff on way out of office for teaching and ordering or have patients make return appointment specifically for teaching and ordering Teach patients various support options available Have patient sign consent form When Ready to Implement 27

70. Recommend Placing First Order For Them Set Up BeSlim Variety Pak vs. Individual Items Variety Pack – 5 Weeks of Food – Sampling of Best Sellers If picky, or has strong dislikes, order 20 boxes of individual items Make sure patients aware that only the first month is ordered Provide patients with their username and password either at the time of ordering or by follow up email. Username: I use first / last name combined (e.g. JudySmith) Password: I always use “welcome” Ordering Instructions 28

71. Website for Take Shape for Life Coaches: www.MyOfficeInMotion.com User Name is your 8 digit TSFL number assigned in welcome email. Password in shopping cart password used to purchase enrollment (I usually set up as “welcome”). Use this site to: Look Up / Track Client Orders Commission Reports Co-branded Website Management Library of Documents My Office In Motion 29

72. Support Options Dr. Ellyn Levine (858) 663-1671 www.TheObesityZone.com (Office Guide) www.DrLevine.TSFL (Product Orders) elevinemd@earthlink.net Martin GoodmanCertified Health Coach(619) 838-5510marty@teamtsfl.com Support in Motion 24 hour online supportwww.tsflsupportmotion.com Nutrition Support Monday-Friday 9am-5pm ETnutritionsupport@tsfl.com Nurse’s Call Monday 8:30pm-9pmET(646) 519-5860 pin 0971# Doctor’s CallWednesday 8:30p – 9pm ET(646) 519-5960 pin 0971# Maintenance CallWednesday 8pm-8:30pmET (512) 225-9427 pin 77421# Client Contact CenterMonday-Friday 8:00am-11:00pm ETSaturday-Sunday 9:00am-6:00pm ETPhone: 800-572-4417 option 1Fax: 410-581-2137clientservice@tsfl.com 30