# US 10,765,863 B2 · Systems and methods for using a transcutaneous electrical stimulation device to deliver titrated therapy > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,765,863 B2 - Document ID: US10765863B2 - Status: Granted - Kind: B2 - Application number: 15/728,413 - Filed: 2017-10-09 - Published: 2018-03-29 - Granted: 2020-09-08 - Earliest claimed: 2015-02-24 - Assignees: Elira, Inc. - Applicants: Elira, Inc. - Inventors: Raul E. Perez; Peter I. Hong; Steven Diianni; Luis Jose Malave; Brad Stengel - Web page: https://patentgrep.com/patent/US10765863B2 ## CPC - A61N 1/36031: {using physiological parameters for adjustment} - A61N 1/0456: {Specially adapted for transcutaneous electrical nerve stimulation [TENS]} - A61N 1/0484: {Garment electrodes worn by the patient} - A61N 1/0492: {Patch electrodes (A61N1/0412, A61N1/0428 take precedence)} - A61N 1/0496: {characterised by using specific chemical compositions, e.g. hydrogel compositions, adhesives} - A61N 1/36007: {of urogenital or gastrointestinal organs, e.g. for incontinence control} - A61N 1/36014: {External stimulators, e.g. with patch electrodes (external pacemakers A61N1/3625)} - A61N 1/37247: {User interfaces, e.g. input or presentation means} - G09B 19/0092: {Nutrition} - A61B 5/1118: {Determining activity level} - A61B 5/14532: {for measuring glucose, e.g. by tissue impedance measurement} - A61B 5/4866: {Evaluating metabolism (using breath test A61B5/083)} - A61B 5/681: {Wristwatch-type devices} - A61N 1/0502: {Skin piercing electrodes} - A61N 1/36085: {Eating disorders or obesity} - G06Q 10/1093: Calendar-based scheduling for persons or groups - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) - G09B: EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS (devices for psychotechnics or for testing reaction times A61B5/16; games, sports, amusements A63; projectors, projector screens G03B) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G06Q: INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR ## Abstract The disclosed electrical stimulation system generates interventions to assist patients in complying with a diet. The wearable device includes a microprocessor, electrical stimulator and at least one electrode configured to deliver electrical stimulation to the epidermis, through a range of 0.1 mm to 10 mm or a range of 0.1 mm to 20 mm of the dermis, of a T2 dermatome to a T12 dermatome or meridian of the patient, a C5 to a T1 dermatome across the hand and/or arm, and/or the upper chest regions. The device is adapted to provide electrical stimulation as per stimulation protocols and to communicate wirelessly with a companion control device configured to monitor and record appetite patterns of the patient and deliver titrated therapy. The control device is also configured to monitor, record, and modify stimulation parameters of the stimulation protocols. ## Claims ### Claim 1 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, and wherein the plurality of stimulation sessions comprises at least two occurring on different days in the week; repeatedly applying said plurality of stimulation sessions over a predefined period of time; and after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 2 (depends on 1) The method of claim 1 wherein the predefined period of time is at least fourteen days and wherein said plurality of stimulation sessions is modified by reducing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 3 (depends on 1) The method of claim 1 wherein the predefined period of time is at least fourteen days and wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 4 (depends on 1) The method of claim 1 wherein the predefined period of time is at least thirty days and wherein said plurality of stimulation sessions is modified by reducing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least twenty percent. ### Claim 5 (depends on 1) The method of claim 1 wherein the predefined period of time is at least thirty days and wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least twenty percent. ### Claim 6 (depends on 1) The method of claim 1 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 7 (depends on 1) The method of claim 1 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, interfacing with a second device to automatically receive at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 8 (depends on 7) The method of claim 7 wherein the second device is at least one of a scale or a wrist-band configured to measure calories expended by the patient. ### Claim 9 (depends on 1) The method of claim 1 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, receiving data indicative of a weight loss goal. ### Claim 10 (depends on 9) The method of claim 9 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input the data indicative of the weight loss goal. ### Claim 11 (depends on 10) The method of claim 10 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 12 (depends on 11) The method of claim 11 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 13 (depends on 11) The method of claim 11 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 14 (depends on 9) The method of claim 9 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal. ### Claim 15 (depends on 14) The method of claim 14 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 16 (depends on 15) The method of claim 15 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 17 (depends on 15) The method of claim 15 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 18 (depends on 1) The method of claim 1, wherein each of said electrical pulses is defined by a plurality of stimulation parameters and wherein said plurality of stimulation parameters comprises a pulse width in a range of 10 μsec to 10 msec and a pulse frequency in a range of 1 Hz to 100 Hz. ### Claim 19 (depends on 1) The method of claim 1, wherein a total energy delivered by the plurality of stimulation sessions applied over said one week is not less than 0.25 joules and wherein a total energy delivered by one of said plurality of stimulation sessions does not exceed 6 joules. ### Claim 20 (depends on 1) The method of claim 1, wherein the plurality of stimulation sessions comprises at least seven in said week and wherein each of said seven stimulation sessions occurs on different days of said week. ### Claim 21 (depends on 1) The method of claim 1 wherein none of said plurality of stimulation sessions applied to the patient's skin over said week has a duration for more than 12 hours and has a pulse amplitude greater than 45 mAmp. ### Claim 22 (depends on 1) The method of claim 1 further comprising generating, via the electrical dermal patch, at least one of a visual, auditory, or vibratory signal to the patient within 30 minutes before initiating one of said plurality of stimulation sessions. ### Claim 23 (depends on 1) The method of claim 1 further comprising instructing the patient to secure the electrical dermal patch to the patient's skin by generating at least one of a visual, auditory, or vibratory signal using the electrical dermal patch 60 minutes before initiating one of said plurality of stimulation sessions. ### Claim 24 (depends on 1) The method of claim 1 further comprising instructing the patient to secure the electrical dermal patch to the patient's skin by generating at least one of a visual, auditory, or vibratory signal using the electrical dermal patch within 60 minutes after initiating a wake up alarm. ### Claim 25 (depends on 1) The method of claim 1, wherein said electrical dermal patch is programmed to apply at least a portion of said plurality of stimulation sessions between 6 am and 9 am, between 11 am and 2 pm or between 5 pm and 9 pm. ### Claim 26 (depends on 1) The method of claim 1, wherein each of said plurality of stimulation sessions is separated from a subsequent one of said plurality of stimulation sessions by an amount of time equal to or greater than 25% of a duration of the subsequent one of said plurality of stimulation sessions. ### Claim 27 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, and wherein the plurality of stimulation sessions comprises at least two in said week; repeatedly applying said plurality of stimulation sessions, wherein none of the plurality of stimulation sessions has a duration for more than 12 hours and has a pulse amplitude greater than 45 mAmp; and after a trigger, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 28 (depends on 27) The method of claim 27 wherein the trigger is a signal from a health care provider and received by the plurality of programmatic instructions and wherein said signal causes the plurality of programmatic instructions to modify the plurality of stimulation sessions by reducing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions. ### Claim 29 (depends on 27) The method of claim 27 wherein the trigger is a signal from a health care provider and received by the plurality of programmatic instructions and wherein said signal causes the plurality of programmatic instructions to modify the plurality of stimulation sessions by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions. ### Claim 30 (depends on 27) The method of claim 27 wherein the trigger is an elapsed period of time of at least fourteen days and wherein said plurality of stimulation sessions is modified by reducing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 31 (depends on 27) The method of claim 27 wherein the trigger is an elapsed period of time of at least fourteen days and wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 32 (depends on 27) The method of claim 27 wherein the trigger is an elapsed period of time of at least thirty days and wherein said plurality of stimulation sessions is modified by reducing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least twenty percent. ### Claim 33 (depends on 27) The method of claim 27 wherein the trigger is an elapsed period of time of at least thirty days and wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least twenty percent. ### Claim 34 (depends on 27) The method of claim 27 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal. ### Claim 35 (depends on 34) The method of claim 34 further comprising using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 36 (depends on 35) The method of claim 35 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 37 (depends on 35) The method of claim 35 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 38 (depends on 27) The method of claim 27, wherein each of said electrical pulses is defined by a plurality of stimulation parameters and wherein said plurality of stimulation parameters comprises a pulse width in a range of 10 μsec to 10 msec and a pulse frequency in a range of 1 Hz and 100 Hz. ### Claim 39 (depends on 27) The method of claim 27, wherein a total energy delivered by the plurality of stimulation sessions applied over said one week is not less than 0.25 joules and wherein a total energy delivered by one of said plurality of stimulation sessions does not exceed 6 joules. ### Claim 40 (depends on 27) The method of claim 27, wherein each of said at least two stimulation sessions occurs on different days of said week. ### Claim 41 (depends on 27) The method of claim 27 further comprising generating, via the electrical dermal patch, at least one of a visual, auditory, or vibratory signal to the patient within 30 minutes before initiating one of said plurality of stimulation sessions. ### Claim 42 (depends on 27) The method of claim 27 further comprising instructing the patient to secure the electrical dermal patch to the patient's skin by generating at least one of a visual, auditory, or vibratory signal using the electrical dermal patch 60 minutes before initiating one of said plurality of stimulation sessions. ### Claim 43 (depends on 27) The method of claim 27 further comprising instructing the patient to secure the electrical dermal patch to the patient's skin by generating at least one of a visual, auditory, or vibratory signal using the electrical dermal patch within 60 minutes after initiating a wake up alarm. ### Claim 44 (depends on 27) The method of claim 27, wherein said electrical dermal patch is programmed to apply at least a portion of said plurality of stimulation sessions between 6 am and 9 am, between 11 am and 2 pm or between 5 pm and 9 pm. ### Claim 45 (depends on 27) The method of claim 27, wherein each of said plurality of stimulation sessions is separated from a subsequent one of said plurality of stimulation sessions by an amount of time equal to or greater than 25% of a duration of the subsequent one of said plurality of stimulation sessions. ### Claim 46 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient and further receiving data indicative of a weight loss goal; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, and wherein the plurality of stimulation sessions comprises at least two in the week; repeatedly applying said plurality of stimulation sessions over a predefined period of time; and after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 47 (depends on 46) The method of claim 46 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input the data indicative of the weight loss goal. ### Claim 48 (depends on 47) The method of claim 47 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 49 (depends on 48) The method of claim 48 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 50 (depends on 48) The method of claim 48 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 51 (depends on 46) The method of claim 46 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal. ### Claim 52 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, a pulse width in a range of 10 μsec to 10 msec and a pulse frequency in a range of 1 Hz to 100 Hz, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein each of said electrical pulses is defined by a plurality of stimulation parameters, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, and wherein the plurality of stimulation sessions comprises at least two in the week; repeatedly applying said plurality of stimulation sessions over a predefined period of time; and after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 53 (depends on 52) The method of claim 52 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input the data indicative of a weight loss goal. ### Claim 54 (depends on 53) The method of claim 53 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 55 (depends on 54) The method of claim 54 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 56 (depends on 54) The method of claim 54 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 57 (depends on 52) The method of claim 52 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal. ### Claim 58 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, wherein the plurality of stimulation sessions comprises at least two in the week, wherein a total energy delivered by the plurality of stimulation sessions applied over the one week is not less than 0.25 joules and wherein a total energy delivered by one of said plurality of stimulation sessions does not exceed 6 joules; repeatedly applying said plurality of stimulation sessions over a predefined period of time; and after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 59 (depends on 58) The method of claim 58 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input the data indicative of a weight loss goal. ### Claim 60 (depends on 59) The method of claim 59 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 61 (depends on 60) The method of claim 60 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 62 (depends on 60) The method of claim 60 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 63 (depends on 58) The method of claim 58 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal. ### Claim 64 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient; generating, via the electrical dermal patch, at least one of a visual, auditory, or vibratory signal to the patient within 30 minutes before initiating one of said plurality of stimulation sessions; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, and wherein the plurality of stimulation sessions comprises at least two occurring on different days in the week; repeatedly applying said plurality of stimulation sessions over a predefined period of time; and after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 65 (depends on 64) The method of claim 64 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input the data indicative of a weight loss goal. ### Claim 66 (depends on 65) The method of claim 65 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 67 (depends on 66) The method of claim 66 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 68 (depends on 66) The method of claim 66 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 69 (depends on 64) The method of claim 64 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal. ### Claim 70 A method of enabling a patient to achieve a weight loss objective using an electrical dermal patch secured to the patient's skin comprising a housing, an electrical pulse generator positioned within the housing, and at least one electrode attached to said housing and in electrical communication with the electrical pulse generator, wherein said electrical pulse generator is configured to deliver electrical pulses having a pulse amplitude in a range of 1 mA to 65 mA, the method comprising: using a plurality of programmatic instructions configured to execute on a device external to the electrical dermal patch, receiving data indicative of at least one of weight, well-being, hunger, appetite, calories consumed by the patient, or calories expended by the patient; applying a plurality of stimulation sessions to the patient's skin using said electrical dermal patch over a duration of one week, wherein each of the plurality of stimulation sessions comprises said electrical pulses, wherein at least some of the plurality of stimulation sessions have a duration of at least 15 minutes, and wherein the plurality of stimulation sessions comprises at least two in the week; repeatedly applying said plurality of stimulation sessions over a predefined period of time, wherein at least a portion of said plurality of stimulation sessions are applied between 6 am and 9 am, between 11 am and 2 pm or between 5 pm and 9 pm; and after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on at least one of the data indicative of weight, the data indicative of well-being, the data indicative of hunger, the data indicative of appetite, the data indicative of calories consumed by the patient, or the data indicative of calories expended by the patient. ### Claim 71 (depends on 70) The method of claim 70 further comprising, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting the patient to input the data indicative of a weight loss goal. ### Claim 72 (depends on 71) The method of claim 71 further comprising, after the predefined period of time, using the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch to modify said plurality of stimulation sessions based on the data indicative of the weight loss goal. ### Claim 73 (depends on 72) The method of claim 72 wherein said plurality of stimulation sessions is modified by increasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 74 (depends on 72) The method of claim 72 wherein said plurality of stimulation sessions is modified by decreasing at least one of a number, an amplitude, a frequency or a pulse width of the electrical pulses of the plurality of stimulation sessions by at least ten percent. ### Claim 75 (depends on 70) The method of claim 70 further comprising, using a second plurality of programmatic instructions configured to execute on a second device external to the electrical dermal patch and in data communication with the plurality of programmatic instructions configured to execute on the device external to the electrical dermal patch, prompting a health care provider to input the data indicative of the weight loss goal.