Efficacy of a Structured Weight Loss Program in Overweight Women With a History of Recurrent Pregnancy Loss

Inclusion Criteria:

   1. Unexplained recurrent pregnancy loss (2 or more prior miscarriages)

   2. BMI >=25 kg/m2

   3. Prepared to take 3 months ¡®time out¡± from attempting to conceive

   4. Ability to attend a one hour initial, then 30 minute follow-up nutrition/monitoring
   session - once per week for one month, then every other week for 2 months, then once
   then once per month for 3 months.

Exclusion Criteria:

   1. Age >=40 years

   2. Diagnosis of Type 1 or Type 2 Diabetes as defined by a fasting glucose >=126, or 2
   hour glucose >=200 by a 75 gram oral glucose challenge

   3. Presence of an endocrine condition such as hyperprolactinemia, Cushing¡-s syndrome or
   untreated thyroid disease (defined as a TSH outside of the laboratory determined
   normal range)

   4. Desire to continue attempts to conceive for the duration of the program

   5. History of bariatric surgery

   6. Use of over-the-counter or prescribed weight loss medications with the exception of
   metformin

   7. Enrollment in another clinical trial (excluding surveys)