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 group classes 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 onsite version of STREAM™ is a 24-week program. During this program, you will:

  • attend weekly group seminars onsite at our clinic; and
  • meet 1:1 every week with our bariatric physicians onsite at our clinic.

We coordinate these visits so you only have to come to the clinic once per week.

The group seminars last 1 to 2 hours.

The initial consult with our bariatric physician takes 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 our bariatric physician determines it is medically appropriate. You will then spend 4 weeks on a partial meal replacement as you transition back to ‘regular’ food.


This program requires referral by a physician or nurse practitioner. You can access our referral form here. Space is limited and enrollment is done on a first-come-first-served basis.

One we receive a referral for you from your physician or nurse practitioner, we will call you to schedule a consult with one of our bariatric physicians, who will review the STREAM™ program with you and assess your medical readiness it.


$2,000 + the cost of meal replacements.

Physician visits are free if you are covered by OHIP.

The cost of the meal replacement is not included in the price of this program. You can purchase Optifast® 900, with a prescription from one of our bariatric physicians, at the adjoining pharmacy (we do not sell or dispense Optifast®).

Share This