Our primary outcome was the rate of adherence to the IOM guidelines between our study groups. Participants in the intensive counseling group gained significantly less weight (28.7±12.5 lb compared with 35.6±15.5 lb, P=.01) than those in the routine care group. However, even though those the intensive counseling group gained less weight, we did not identify any difference in the rate of adherence to the IOM guidelines between groups. In the intensive counseling group, 61.4% of patients were adherent to the IOM guidelines; 48.8% were adherent in the routine care group (P=.21) (Table 3).