Medical Program for Food Addiction

Compulsive overeating is a medically recognized pattern of dysregulated appetite and reward signaling that can impact metabolic health.

Part of Toward Health’s physician-led obesity medicine and metabolic health services.

Peer-Reviewed Research · Published Results

This program is HSA/FSA eligible.

When eating feels difficult to control—even when you know what you want to change

  • Once eating begins, stopping can feel difficult.
  • Cravings, food noise, or certain foods repeatedly override your intentions.
  • Restriction, tracking, shame, or willpower-based advice has not produced sustainable change.

This physician-led program combines medical care, coaching, and coordination to address appetite, behavior, and metabolic health without judgment.

In the news

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  • USA TODAYVideo interview
  • MedscapeExpert commentary
  • FOX NationKennedy interview
  • NOLA.comLouisiana feature
  • Louisiana Public Broadcasting and PBSPublic TV interview
  • WWLTV, CBS New OrleansLocal news interview
  • Diet DoctorPhysician interview
  • Fox NewsExpert citation
  • Woman’s WorldMagazine feature

Backed by Research. Built for Real Life.

45lbs
Avg. Weight Loss
46%
Participants With Improved Food Addiction Symptoms*
81%
Participants With Improved Binge Eating Symptoms*
13mmHg
Avg Systolic Blood Pressure Reduction
1.9
Avg Medication Deprescription
Graphical abstract summarizing Toward Health food addiction and binge eating research

Published research

Food addiction care informed by evidence.

A 2025 brief research report in Frontiers in Psychiatry evaluated the real-world TOWARD telemedicine model in an employee wellness cohort.

  • 44 participants
  • Frontiers in Psychiatry
  • Published July 2025
46%improved food addiction symptoms
81%improved binge eating symptoms

Among 37 participants with paired assessments, average scores decreased 40.7% for food addiction symptoms and 34.7% for binge eating symptoms.

Study context: This was a real-world observational study without a control group. Follow-up timing varied, the cohort was small, and individual outcomes varied. The findings support continued research; they do not guarantee results.

Read the Peer-Reviewed Study

The TOWARD Approach

We use a continuous care model with a multimodal approach that has been published in peer-reviewed research.

Patient progress with coordinated metabolic care

Know what to do but struggle with how to do it in the real world

Feel unable to stop once eating begins

Experience loss of control around certain foods

Cannot sustain a life of constant tracking and restrictive plans

Have tried diets, medications, or weight loss programs but are struggling to make progress

How Our Program Works

Enroll in Program
Comprehensive Medical Intake
Dedicated Health Coach
Weekly Education & Progress Review
Hunger & Fullness Awareness
Ongoing Metabolic & Primary Care

What You'll Get

Structured program (led by physician and coach)
Education on compulsive eating
Strategies to improve regulation of food intake
Structured reflection exercises using the CAGE-based model
Access to Toward Health’s digital community and remote monitoring tools
CGM + scale + BP cuff integration for biofeedback awareness

Not sure yet? Book a call to ask questions and see if this is a good fit.

Self-Assessment for Compulsive Overeating

We use a brief structured questionnaire as part of our medical evaluation process to help assess patterns of overeating and loss of control. Consider the following questions:

C(utting): Have you ever felt you should cut down on your food consumption?

A(nnoyance): Have people annoyed you by criticizing your eating habits?

G(uilty): Have you felt bad or guilty about your eating?

E(ye-opener): Do you eat to steady your mood, sneak food, lose control, or feel intense shame or distress around eating?

  • 1 or 2 “yes” answers usually mean you can focus on nutrition and lifestyle improvements.
  • 3 or 4 “yes” answers suggest a stronger focus on your behavior and relationship with food may be needed.

If you score 3 or 4, we encourage you to reach out. We can help guide you toward healing your food relationship, not just focusing on nutrition or weight loss.

Contact us to learn more about how we support people struggling with food addiction. 

Disclaimer: This is not a validated approach, but it is a clinically useful screening method we use in our clinic.

Food, Metabolism, and Health Are Deeply Connected

Compulsive eating is connected to appetite regulation, sleep, stress, insulin resistance, medication use, and overall metabolic health. We address these connections together so treatment supports lasting recovery.

Metabolic disease shown in the roots of a tree, with thirteen connected conditions arranged along the branches Dyslipidemia Sarcopenia& arthritis Migraines Acidreflux Type 2diabetes Dementia Fattyliver Cancer Heartdisease High bloodpressure Stroke PCOS /ED Obesity
The following is a personal narrative describing Dr. Kalayjian’s lived experience with obesity and overeating. 
Toward Health multidisciplinary care team

A note from Dr. Tro Kalayjian, Founder

“I once weighed 350 pounds and could not stop eating, even as a physician. Food had taken over my emotions, my habits, and my identity. I used to hide and binge. I felt guilty all the time. I was angry when anyone tried to help me. That is addiction. I created this program because I lived it. This is not just about weight. It is about the emotional prison food becomes. We help people break free.”

The Toward Health Food Addiction Program is a physician-led medical program focused on metabolic health, appetite regulation, and obesity medicine. It does not provide psychiatric, psychological, counseling, or other mental health treatment services.

Take the Next Step

We help you improve regulation of food intake and build sustainable nutrition habits through physician-led medical care.

This program is HSA/FSA eligible.

$500 onboarding fee · $500/month for 6 months*

*Participants are automatically enrolled in our DPC Program after 6 months, with the flexibility to cancel at any time following the initial program term.

Care Team

Every patient receives a dedicated doctor, dedicated health coach, and dedicated care coordinator, with real-time remote monitoring, urgent issue escalation, and coordination with existing medical teams.

Dr. Tro Kalayjian, founder of Toward Health

Where our clinicians have trained, taught, researched, and led.

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  • Yale Training + invited lecture
  • Stanford Medicine IRB/Data Agreement
  • Wake Forest School of Medicine Coauthored research
  • Greenwich Hospital Grand Rounds
  • University of South Florida Education + research
  • UC Santa Barbara Invited lecture
  • University Hospitals Invited lecture
  • Virginia Commonwealth University Medical Grand Rounds
  • The Obesity Society Invited lecture
  • AAHPO Invited speaker
  • SMHP Founding board
  • Coalition for Metabolic Health Advisor
  • Montefiore Clinical experience

Start with
The Food Relationship Fix

Our $199 course provides structured education on compulsive overeating and appetite regulation. Available now in the Toward Health app with lifetime access.

If you decide to enroll in the Food Addiction Program, you’ll receive a $199 credit toward your enrollment.

This course is included at no additional cost for patients enrolled in the Food Addiction program.

The Food Relationship Fix clinical and coaching team

Ready to Break the Cycle?

Get coordinated medical and behavioral support designed around your metabolic health.

Talk with our concierge team

Discovery calls are scheduled on our dedicated booking page.

View available times This is not a medical appointment.

Apply Now