Inclusion Criteria:  Men and women 18 years of age and older, who enroll in the weight loss program are eligible for inclusion of the data review.  Exclusion Criteria:  Pregnancy or breastfeeding Current treatment of cancer Major organ transplant with immunosuppressant medication, Adult with a strict vegetarian diet, Certain psychiatric conditions (schizophrenia, bipolar disorder, manic depression) Adults with a BMI < 25.0 and no cardiovascular or metabolic comorbidities