Strategies for Real Weight Management™



Losing weight is not easy and anyone who has tried to lose weight and keep it off knows just how hard it can be. STREAM™ goes beyond the basics of weight management, making weight loss a little simpler and easier with the help of a medically-supervised low calorie meal replacement (Optifast™ 900), which is prescribed for the first 16 weeks of the program. During this time, weekly online learning modules and biweekly group webchats will help to change your relationship with food and activity. The tools, skills, and support you receive through this program are designed to improve your confidence and help you to lose between 10% and 20% of your starting weight.


The satellite version of STREAM™ is a 24-week program for patients who live outside of Eastern Ontario. During this program, you will:

  • complete weekly learning modules through our online learning portal;
  • meet 1:1 every week with a physician or nurse practitioner onsite at their clinic in your community (this person will be your health care provider during the 24-week program); and
  • participate in biweekly group webchats with our registered dietitian, kinesiologist, or other allied health professional.

Each learning module takes 30-60 minutes to complete and the biweekly webchats last 60-90 minutes.

The initial consult with your health care provider should take approximately 30-45 minutes and follow-up visits usually last 5-10 minutes.

As part of this program, you will be prescribed a full meal replacement (Optifast® 900) for the first 12 weeks if your health care provider determines it is medically appropriate. You will then spend 4 weeks on a partial meal replacement as you transition back to ‘regular’ food.


    This is a special program that we offer in conjunction with physicians and nurse practitioners in communities across Canada to expand the reach of safe, high-quality, evidence-based bariatric care. While we help you to develop the knowledge and skills to help you change your relationship with food and activity through online learning, your health care provider will provide you with medical supervision, ensuring you progress safely through the program.

    A full list of participating health care providers can be found here.

    We will give you access to our online learning system once we receive a referral for you from your health care provider.



    The cost of the meal replacement is not included in the price of this program. You can purchase Optifast® 900 from your physician or nurse practitioner or, if they do not carry it, directly from Nestle through the Optifast® online store.

    Please check with your physician or nurse practitioner to determine if any additional charges apply.

    Share This