Each plan include professional weight loss counseling, nutrition and exercise advice, and medical management with a Family Nurse Practitioner, certified in weight loss. Janelle Fenski, APN-C has almost 9 years of medical experience helping others lose weight, as well as her own life long journey of trying to lose weight and keep it off. She tried and failed multiple times and spent many days trying yo-yo diets as well as the standard diet and exercise, but finally succeeded in losing 100 lbs and keeping it off with this plan! .