Also if your a guy, you can change the shape of your sternum. I am a Male fit Pro style bodybuilder. I have competed at the local level and have been told I show-up to lean. So, I decided to bulk up. I put on about 40lbs over two years. Then I increased Cardio, and butned it down. I would say I ended up with 15 lbs of new muscle. the downside was that I noticed a rounding at the bottom of my Sternum.
My doctor told me that because of the strength of my abs, and then the rapid weight gain, it caused what is known as "Turtle shelling" of the abdominal area. The result was my Sternum curled up alittle and now when I diet down for a show, I obviously have a weird bump in my Sternum.
Oh as an aside, Medifast, Optifast etc are all rip offs. If you can not loose weight go for Surgery!