Obesity is highly correlated with insulin resistance. Similarly, weight loss improves insulin sensitivity.30 Fasting glucose and insulin concentrations can be used to estimate the severity of insulin resistance (the HOMA model).41 A second validated measure of insulin resistance is the insulin resistance index (IRIp) which uses the formula: peak of blood glucose after oral glucose load x plasma insulin level/10.56 For this study subjects will fast for 12 hours glucose and insulin will be Measured at baseline (HOMA) and at 120 minutes (IRIp). We anticipate that MEAL will lead to significant improvements in insulin sensitivity. Literature review reveals that identifying a 40% decrease in HOMA-IR, given a large effect size, requires a sample size of 24, with 12 in each group.33,34 To see a 20% decrease in IRIp, given its medium to large effect size, requires a sample size of greater than 24.56 Nevertheless, identifying trends in IRIp is valuable. Furthermore, it is difficult to predict the change in insulin resistance we might see as a result of MEAL, as published studies involving drug and surgical interventions are poor comparisons.