What is a macrobiotic diet? I have never heard of it before. I am not aware that there any follow up services for this type of diet. And what exactly do you mean by follow up services, I am not sure that I follow. As far as I can understand if you are on such a diet then you should stick to it without fail and even if you lose out on one meal your entire diet plan will be flushed down the drain. Maintaining such as diet requires patience and persistence. So be prepared for a long and arduous diet.