12/25/2023 0 Comments Vlc replacement![]() ![]() Weight Loss Phase consists of consumption of meal replacements in variety of flavors and textures: chocolate, vanilla, strawberry, pineapple apricot, lemon, hot cocoa, mocha, chocolate pudding, vanilla pudding, lemon pudding, cream of chicken soup, cream of tomato soup and cheddar-broccoli soup. Contraindications for this program include liver or kidney disease, Type 1 diabetes, active ulcers or inflammatory bowel disease, bulimia, psychiatric disorders, pregnant or breastfeeding women and children or adolescents. Labs and an EKG are done as part of the medical screening. Screening Phase consists of a medical exam, in-depth behavioral interview, nutritional questionnaire and exercise questionnaire. Clinic/class options midday, evening and early morning, as enrollment needs indicate.Referrals for adjunctive therapy with psychologists or counselors, if indicated.Behaviorists-Individuals who have master’s degrees in counseling, in social work or licensed counselors.Registered and Licensed Dietitian with advanced training in medical weight management and eating disorders.Physician review of blood glucose logs and adjustment of medications throughout the weight loss phase is included as medical monitoring. Patients have access to our physicians by pager, if necessary, after hours and on weekends. An EKG is repeated with every fifty pounds of weight loss. A monthly physician exam and labs are conducted by our supervising physicians while on New Direction. Weekly medical monitoring is required and provided by our nursing staff who monitor blood pressure, weight changes, and potential side effects.which may include dizziness, fatigue, constipation, diarrhea, gallstones and hair loss. If you are diabetic, please see the link below which describes the particular benefits of rapid weight loss, medication reductions and cost savings with a VLCD program.īMI of 30 or a BMI of 27 with medical risksĪverage weight loss rate of 3-5 pounds weekly women typically in the lower range and men in the upper range.Įxclusive use of meal replacement product to create a safer (compared to food-based) VLCD, mild ketosis, consistent weight loss results and avoidance of nutritional deficiencies. If considering bariatric surgery, one should be aware this program provides a NON-SURGICAL option for rapid weight loss and medical improvements WITHOUT the potential short and long-term risks associated with surgery. No travel outside of the country while on this program. ![]() Ketosis is associated with potential side effects listed below, however, medical monitoring and management helps minimize side effects. To maintain ketosis while on the VLCD, it is important to avoid extra sources of carbohydrate during that time period. Ketosis is a metabolic state where fat stores are being used as the primary fuel source as carbohydrate intake is restricted. However, the low-carbohydrate content of the meal replacement promotes a mild level of ketosis (typically by Day 3 or 4 after starting) which is associated with decreased hunger and cravings. Most people would be concerned about physical hunger while on a VLCD. No extra vitamins/minerals are needed each meal replacement provides 33% of the Daily Value for vitamins and minerals. The meal replacement product also functions to minimize side effects typically experienced with food-based VLCDs. The meal replacement product is a medically-formulated, low-calorie, low-carbohydrate meal replacement product with high biologic-value (HBV) protein. ![]() Depending on an individual’s starting weight, age, gender and activity level, a calorie “prescription” is determined-most usually 600-800 kcal/day for women, 800-1000 kcal/day for men. The New Direction© Program is a medically-supervised Very Low Calorie Diet (VLCD) which utilizes a meal replacement product exclusively to meet an individual’s nutritional needs no food is consumed while on this program. ![]()
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