How it works

Once you decide to see one of the W8MD weight loss physicians, you will be provided with papers to fill out (or use one of our electronic pads to do the same), asking questions about your eating habits, exercise habits, goals for weight loss, prior attempts at weight loss, medications, sleep habits, medical history etc. so that the physician will have a thorough understanding of your health history.

^When indicated

Phases of our weight loss program

Screening Phase
The Screening Phase consists of various medical, laboratory and psychological tests to ensure that you are both medically and
psychologically able to participate in the program.
Reducing Phase
During this time of rapid weight loss, you will use scientifically designed meal replacement products as your major food intake.
These products are nutritionally designed to provide your body with nutrients needed for safe, effective weight loss. It is important to take only these products provided by during the weight loss phase or your nutritional needs and health could be compromised.
Adapting Phase
You will gradually begin to add grocery foods to your daily diet and reduce the number of meal replacement products. The calories you consume will be adjusted so that you stop losing but continue to manage your weight.
Maintenance Phase (STAR Plan—Steps to Avoid Regain)
In our Maintenance Phase you will eat grocery foods and practice your new lifestyle and weight management skills under the
guidance of our medical staff. You’ll continue to work with the staff to adjust your calories and meal plans so you can maintain
your new body weight and meet your nutritional needs. During maintenance, many patients find it helpful to continue to use one or two products daily. Remember—a combination of regular activity, sensible eating and ongoing support from our staff will help you maintain your weight loss.

GUIDELINES FOR SAFE WEIGHT LOSS

All prescriptions, herbal supplements and over-the-counter products you take regularly must be reviewed and approved before you begin the program. You should also check with your prescribing physician before beginning a Very Low Calorie Diet (VLCD). Attend all appointments with professionals prescribed for your program.
Consume all the product servings prescribed for you. Space your supplements evenly throughout the day. See meal plan provided to you for further instructions. Use only prescribed or approved medications. Take any mineral or electrolyte supplements as prescribed.
Drink at least six to eight glasses of water each day, in addition to the water you mix with your supplements. Avoid crossing your legs. Doing so compresses a nerve behind the knee, causing numbness in the lower leg. Losing fat makes this nerve more sensitive.
Limit extended trips early in the program to maintain your medical monitoring. If you travel, consult with your counselor or physician first.
If you become seriously ill or are injured, tell the treating physician that you are on a VLCD or modified VLCD. Introducing the W8MD Medical Weight Loss Program
How many calories will I be consuming?
Most clients follow a daily meal plan of 800 calories, which typically consists of five products and two bars daily. Make sure you consume the prescribed number of products to ensure you have the essential nutrition you need for successful weight loss.
How much weight can I expect to lose?
This may be everyone’s top question! The answer: It depends on several factors including your current weight, program, age, gender and activity level. A loss of four to seven pounds is common in the first week or so. Ongoing weight loss will be about three to four pounds a week.*
Why is protein so important in a VLCD?
Your body must have protein to meet its physiological needs. Without our concentrated protein, your body would break down its
own tissues. That can have serious health consequences.
Aren’t carbohydrates and fat also important?
Yes, but smaller amounts are sufficient. Carbohydrates help protect your body’s protein and maintain electrolyte and fluid balance; a minimal amount is needed to fuel cells that are unable to use ketones. A moderate amount of fat provides essential fatty acids, which are needed for good health.
Will I be hungry?
Most clients report that their hunger diminishes or disappears within a day or two of beginning the program due to the presence
of ketones and reduced food temptations. Our high-protein, low-carbohydrate nutritional profile also plays a role in appetite
suppression.
How will this diet help me lose body fat?
Ordinarily, your body uses glucose from carbohydrates for energy. When calories and carbohydrates are limited (as with a VLCD),
your body burns its own stored fat for energy. The fat is releasedinto the bloodstream and travels to the liver, where it is converted to ketones (KEE-tones). The ketones are then released back into the bloodstream, where muscles and tissues use them for energy. This process is called Ketosis (kee-TOSE-sis).
How will I know if I am in ketosis?
Common signs of Ketosis include fruity breath, a metallic taste in the mouth, reduced appetite and increased energy. If using keytone strips to test your urine, be aware that the body will stop throwing keytones as it adjusts.
Are there any side effects?
People on a VLCD may experience mild, temporary side effects as their body adjusts to the diet. They may include:
◆ Dizziness. As you begin losing weight, you lose a lot of water as urine. This lowers blood volume and, hence, blood pressure. To
minimize dizziness, avoid changing positions quickly. Don’t use whirlpools, saunas or steam baths. Drink plenty of water.
◆ Mild Fatigue, Dry Skin, Sensitivity to Cold. Can be treated easily with extra rest, lotions, and extra clothing.
◆ ‘Fruity’ Breath. Ketosis may temporarily give your breath a fruity odor. You may use a mouthwash.
◆ Gallstones. Tell your counselor about any symptoms or history of gallstones; you may require additional tests or treatment
while on the program.
◆ Gastrointestinal Upset. Changing from solid food to a liquid diet may cause constipation or diarrhea. Over-the-counter
medications are available for either condition. In addition, your medical team can add a fiber product to your meal plan to help
relieve constipation.
◆ Hair Loss. A small percentage of patients may experience patchy hair loss three to six months into the diet. Frequently, new hair grows in just as the old hair is lost.
◆ Leg Cramps. Drinking more fluids or increasing electrolytes can often relieve occasional or mild leg cramps. Your physician
should evaluate any leg pain you are experiencing.
◆ Menstrual Irregularities. Dietary changes may cause delayed or missed periods. Women who miss a period or have a late period must be tested for pregnancy. See your physician or personal physician about any symptoms that
persist or concern you
 
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