Lifestyle Change for Better Health

Inclusion Criteria: * BMI between 25.0 to \<40 kg/m2 (allows for use of assessments such as DXA to be included) * History of histologically confirmed bladder cancer (non-metastatic) or colorectal adenoma * Under clinical surveillance with no evidence of disease Exclusion Criteria: * WHO performance status 3-4 or deemed physically unable to participate by physician * Currently pregnant or breastfeeding, were pregnant in the previous 6 months or breastfeeding in the previous 3 months, or planning pregnancy in the next year * History of bariatric surgery * Medical condition that could affect body weight (e.g., diabetes mellitus, hyperthyroidism, uncontrolled hypothyroidism, chronic renal insufficiency, chronic liver disease, gastrointestinal disorders including ulcerative colitis) * Cancer diagnosis (other than bladder cancer or non-melanoma skin cancer) in the previous 5 years * Current congestive heart failure, signs or symptoms indicative of an increased acute risk for a cardiovascular event * History of myocardial infarction, coronary artery bypass or angioplasty, conditions requiring chronic anticoagulation (recent or recurrent DVT) * Resting systolic blood pressure of \>160 mmHg or diastolic blood pressure \>100 mmHg * Eating disorder that would contraindicate weight loss or physical activity * Alcohol or substance abuse * Current treatment for psychiatric issues (e.g., depression, bipolar disorder) or taking daily or extended release psychotropic medications in the pre…