A ANITA BATT Anita Batt of Southfield wore a size 22 dress when her mother was diagnosed with diabetes two years ago. "My mother was heavy; and I realized that although I was only 35 years old, I was headed in the same direction unless I made some changes and lost weight," says Batt, a coordi- nator at Yeshiva Beth Yehudah in Southfield. "My husband and I have four children, and I managed to gain some with each child." Though she had twice tried Weight Watchers — which touts a comprehensive weight-management program that includes food, activity and behavior modification — each time it had been a struggle, eventually gaining back everything she had lost. "But for some reason," says Batt, "the third time at Weight Watchers was easy for me. It took 18 months, but I went from weighing 230 pounds to weighing in at 143 pounds — and I now wear a size 8." What's more, her husband, Eric, lost 43 pounds during the same time period, and the entire family started biking together for exercise. A Marci Graff (above, left) of Farmington Hills lost her weight working with Medical Weight Loss Clinic. "Even though I exercised when I was heavy, I could never lose enough weight and keep it off," says the stay-at-home mom, 38. "I finally realized that I felt healthier when I wasn't so heavy." So three years ago, Graff entered the Medical Weight Loss Clinic program and lost close to 65 pounds — a substantial amount for her 5-foot 2-inch frame. Two years later, she hasn't gained a pound of it back and slides right into a size 6 or 8. "I finally decided that eating an entire pizza wasn't worth it anymore. And considering [I used to] love to eat fast, greasy food and lots of desserts, I'm now a good role model for my kids." According to Tracy Strieter-Mandrik, sales supervisor at Medical Weight Loss — a chain of 28 privately held clinics throughout Michigan — the weight-loss program includes nutritional counseling and exercise. In addition, prescription therapy — including FDA-approved appetite suppressants and medically approved nutritionals — is a major aspect of the program. There are several program options clients may choose from, depending on their weight-loss goals and how long they want to participate in the program. For example, some clients may enter a program for under $200, while others may pay more according to their medical profile. Mike Anstandig of Farmington Hills lost more than 50 pounds — also at Medical Weight Loss. "I learned how to portion my meals and in 20 weeks I lost 50 pounds," says Anstandig, 56. "The professional support I received is one of the reasons the pro- gram worked for me. I lost weight right away and could see immediate progress. Even my customers [at Baron's Wholesale Clothiers in Farmington Hills] noticed the differ- ence. The nurses and staff were my cheerleaders; so if I started getting down on myself, it was only tem- porary. I am more active and healthier than before and more able to enjoy my grandchildren."