
The keto diet is a popular weight-loss plan that involves eating a low-carbohydrate, high-fat diet. The aim is to force the body to use fat, rather than carbohydrates, as its primary energy source. While the keto diet has been used to treat medical conditions such as epilepsy and diabetes, it is not without its risks. The diet is very restrictive, and there are concerns about its impact on kidney health and bone strength, as well as its potential to cause gastrointestinal issues and keto flu. As such, it is important to consult a medical professional before starting the keto diet.
Is RO Diet Safe?
| Characteristics | Values |
|---|---|
| Safety | RO is a telehealth company that provides access to care via computer or smartphone. It is not a replacement for a primary care doctor but can be used alongside one. |
| Prescription | RO provides prescription medication, including for weight loss. Medication is prescribed after a consultation with a medical provider to determine if it is safe and appropriate. |
| Effectiveness | Weight loss results are based on studies of branded medications paired with healthy lifestyle changes. Average weight loss in one year is 15-20% (compared to 2.4-3.1% with diet and exercise alone). |
| Side Effects | GLP-1 medications may have serious side effects, including possible thyroid tumors. They are not suitable for people with a history of certain types of thyroid cancer. |
| Insurance | RO offers insurance concierge services to help determine if prescribed medications are covered by insurance. |
| Reviews | RO has accreditation with the Better Business Bureau (BBB) and an A+ rating. However, it has a low rating of 1.27 out of 5 stars based on customer reviews on the BBB site. |
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What You'll Learn

Potential health risks
Reverse osmosis (RO) water is generally considered safe to drink and can be beneficial for several sensitive groups, including individuals with weakened immune systems, infants, and pregnant women. RO systems provide an extra layer of protection by removing harmful contaminants and ensuring access to pure drinking water. While natural water sources contain minerals like calcium and magnesium, the levels are typically minimal compared to our dietary intake. Similarly, while RO water lacks these minerals, its overall impact on health is negligible, as most people can obtain these minerals through a balanced diet rich in fruits, vegetables, and other nutrient-dense foods. Some RO systems even include a remineralization stage, adding essential minerals to the water.
However, there are a few potential health risks and concerns associated with RO water and the use of RO systems:
- Mineral Loss: One common concern about RO water is mineral loss. While drinking water is not the body's primary source of minerals, some worry that the removal of minerals through the RO process may result in a significant loss. However, it is important to note that the amount of minerals obtained from water is relatively small compared to a balanced diet, and there is no scientific evidence to support the claim that RO water leaches minerals from the body.
- Microbial Contamination: RO systems are designed to remove contaminants, including bacteria and viruses, from water. However, if the system is not properly maintained or the membrane becomes damaged, there is a risk of microbial contamination. This could potentially lead to the growth of harmful microorganisms in the water, posing health risks to consumers.
- Environmental Impact: The RO process can generate wastewater, which may have environmental implications. The systems typically have a lower recovery rate, meaning a significant portion of the incoming water is discarded as wastewater. This can put pressure on water resources and contribute to environmental concerns, especially in areas with water scarcity.
- Cost and Accessibility: Installing and maintaining an RO system can be expensive, and not everyone may have access to these systems. This can create a disparity in access to clean drinking water, as those in lower-income households or underserved communities may rely on alternative water sources that may not offer the same level of purity and safety.
- Dependency and Infrastructure: RO systems require proper infrastructure, electricity, and maintenance to function effectively. In areas with unreliable power supplies or limited access to technical expertise, the reliability of RO systems may be compromised. This can lead to a dependency on bottled water or alternative water treatment methods, potentially impacting the availability and affordability of safe drinking water for certain communities.
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Weight loss
Ro is a telehealth platform that offers products and services to address a range of health concerns, including weight loss. The Ro Body Program is a 12-month weight loss program that combines weight loss medication with a curriculum promoting healthy habits. The program includes access to prescription weight loss medications, such as glucagon-like peptide-1 (GLP-1) agonists, which are typically used to treat type 2 diabetes but have also been shown to support weight loss. These medications work by slowing gastric emptying, increasing feelings of fullness, and reducing hunger, which helps to decrease food intake. The program also offers one-to-one coaching, metabolic testing, and insurance coverage support.
The cost of the Ro Body Program is $45 for the first month and $145 each month afterward, not including the cost of medications. The average weight loss claimed by Ro is 15-20% of body weight within 12 months, based on clinical trials that evaluated the effects of weight loss medications offered through the program, such as Zepbound and Wegovy. These medications are FDA-approved for weight loss and have been shown to be effective when paired with diet and exercise changes. However, it is important to note that GLP-1 medications may have serious side effects, including possible thyroid tumors, and are not suitable for individuals with a history of certain types of thyroid cancer.
The program is designed for adults who have specific health concerns that can be addressed virtually and are not suitable for those with chronic health conditions or complex care needs. To enroll in the program, individuals must share their health history and weight loss goals online, after which a Ro-affiliated provider will determine their eligibility for medication and tailor a treatment plan. While the program offers support and guidance, it may not be ideal for those new to weight loss or seeking comprehensive education on long-term lifestyle changes.
Overall, the Ro Body Program provides a structured approach to weight loss by combining medication with healthy habits and professional support. It is important for individuals to consult with a healthcare professional before starting any weight loss program or medication to ensure safety and effectiveness based on their specific needs and health status.
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Nutritional deficiencies
Reverse osmosis (RO) water is carefully filtered to remove pollutants, heavy metals, and other impurities, which may include essential minerals and vitamins. While water is not a significant source of vitamins, the lack of minerals in RO water can influence the overall nutrient balance and bioavailability in the diet.
The absence of minerals in RO water could potentially affect the metabolism of various nutrients, including vitamins, by altering the body's homeostatic mechanisms. This means that the minerals being consumed in food and vitamins are being urinated away. This can lead to serious negative side effects and big health problems. For example, Czech and Slovak populations who used reverse osmosis water developed various health complaints suggestive of acute magnesium (and possibly calcium) deficiency within several weeks or months. Among the complaints were cardiovascular disorders, tiredness, weakness, or muscular cramps.
To counterbalance the low mineral content in RO water, it is recommended to include foods rich in calcium, magnesium, and potassium in your diet. Dairy products, leafy greens, nuts, seeds, and whole grains are excellent sources of these essential minerals. Regular consumption of a variety of fruits and vegetables can also help maintain a healthy balance of minerals and other nutrients. Mineral supplements can also be a practical solution if dietary intake is insufficient or if specific mineral deficiencies are a concern. However, it is important to consult with a healthcare provider before starting any supplement regimen to avoid excessive intake and potential imbalances.
Regular health check-ups and nutrient level assessments can help detect any deficiencies early and allow for adjustments to be made to the diet or supplementation regimen.
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Gastrointestinal issues
The digestive system is a complex process involving many organs and enzymes, starting from the moment food enters the mouth. Gastrointestinal issues are a potential side effect of Semaglutide from Ro, which could pose safety concerns for users. These side effects include nausea, diarrhoea, constipation, and, in rare cases, more severe issues like pancreatitis or allergic reactions. Managing these symptoms is crucial to ensure that users can continue with their prescribed regimen without significant disruption.
It is advisable for individuals experiencing gastrointestinal issues to consult their healthcare provider for guidance on mitigating these side effects. Maintaining a balanced diet and staying hydrated can help alleviate these symptoms and improve overall well-being. For example, ginger root can help calm nausea and reduce inflammation, and beans aid digestion and are high in fibre.
In addition, RO or reverse osmosis water may also be a factor in gastrointestinal issues. While RO water is generally considered safe to drink, it removes essential minerals from the water, which can lead to health issues. The absence of these minerals in drinking water for an extended period can have negative consequences. For instance, RO water contains almost no calcium, which can affect bone strength. Changes in water quality or sensitivity to purified water lacking minerals may also cause stomach cramps for some people.
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Long-term sustainability
While Ro's weight loss program can help people lose weight and feel healthier, it may not be a sustainable long-term solution. The program pairs GLP-1 medication with one year of coaching, which includes support and advice on nutrition, sleep, exercise, and lifestyle changes. The medication works by reducing cravings, making people feel fuller, and helping the body process sugars. While this can be effective for weight loss, it is not a comprehensive weight loss program and does not offer tools and education to support lasting behavior change.
Kelli McGrane, MS, RD, commented that Ro Body could be suitable for people already enrolled in a weight loss program or working with a registered dietitian who hasn't been able to lose weight through lifestyle changes alone. However, she added that because it doesn't offer comprehensive support for behavior change, Ro Body may not be ideal for those new to weight loss or needing guidance. Therefore, those using Ro's weight loss program should also ensure they are making healthy lifestyle changes, such as eating healthier and exercising more, to maintain their weight loss after stopping the medication.
Additionally, the cost of medication is not included in the Ro Body membership, which may be a financial burden for some individuals. Ro's insurance concierge services can help determine if prescribed medications are covered by insurance, but this process can still be time-consuming and confusing. Furthermore, Ro is not a replacement for a primary care doctor and is not suitable for individuals with chronic health conditions or those requiring emergency medical care.
In conclusion, while Ro's weight loss program can be effective for short-term weight loss, it may not be sustainable long-term without comprehensive behavior change tools and education. Individuals should also be aware of the potential financial burden of medication costs and ensure they are making healthy lifestyle changes to maintain their weight loss results. Combining the program with healthy lifestyle changes can lead to an average weight loss of 15% in one year, compared to 2.4-3.1% with diet and exercise alone.
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Frequently asked questions
Ro is a telehealth company that offers access to care through your computer or smartphone. It offers a weight loss program called Ro Body, which combines GLP-1 medication with coaching, metabolic testing, and insurance coverage support.
The Ro Body Program combines GLP-1 medication with healthy lifestyle changes, including nutritional and exercise advice, to help people lose weight. GLP-1 medications work by slowing down gastric emptying, reducing cravings, and making people feel fuller faster.
While Ro has accreditation with the Better Business Bureau (BBB) and an A+ rating, it has received some negative customer reviews. Before starting the Ro Body Program, patients have a consultation with their medical provider to discuss whether prescription obesity treatment is safe and appropriate for them. GLP-1 medications may have serious side effects, including possible thyroid tumors, so they are not recommended for people with a history of certain types of thyroid cancer.
The Ro Body Program is suitable for people who are already working with a registered dietitian or enrolled in a weight loss program. It is not suitable for people with chronic health conditions or those who require emergency medical care.











































