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Plastic Surgeon Dr. Michele Koo’s Blog | St. Louis | Kansas City Weight Loss

Posts Tagged ‘Weight Loss’

PHASE I: hCG WEIGHT LOSS PROTOCOL aka YOU CAN LOSE WEIGHT!

Friday, February 26th, 2010

Remember, you can obtain you hCG from Dr Michele Koo’s office and she will manage your weight loss program. Don’t be fooled by the inexpensive hCG, you need medical supervision to do this safely and effectively.

3.     PHASE I: until end weight goal is reached or up to 2-4 months or when you decide you want to take a break (You must stay in touch with our office and STAY ON THE PROTOCOL FOOD RECOMMENDATIONS during this period).

EVERY MORNING AND EVENING:  TAKE .5 CC (1/2 OF THE MEDICINE DROPPER TO THE .5 MARK) OF THE LIQUID hCG.  PLACE THE .5 CC  LIQUID UNDER YOUR TONGUE, LEAVE IT FOR ABOUT 5-10 MINUTES. THIS .5CC IS 165 IU WHICH IS YOUR DOSE 2X A DAY UNTIL WEIGHT GOAL IS REACHED or when you want to take a break.

Day 1 and 2: Gorge yourself on whatever you want to eat emphasizing fat rich foods, e.g., bacon, steak, eggs, cheesecake, burgers, salmon, ribs, etc. EAT HIGH FAT FOODS EVERY 2 HOURS & eat as much as you want.  You can eat sugars and carbohydrates as well but the emphasis in these 2 days is on consuming high fat foods. No matter what, you must keep eating and force yourself to eat for these 2 days. Do not worry if you gain weight, you will lose that once the 500 calorie limit begins. Your body and hypothalamus needs this replenishment to start.

The rest of the month up to 4 months as long as you are taking the hCG 2x/day
morning and night until goal weight is reached: you must stay on 500 cal/day!

Breakfast:

Tea or coffee in any quantity without sugar. Only one tablespoonful of milk allowed in 24 hours. Saccharin or Stevia may be used.

Lunch:

1. 100 grams of veal, beef, chicken breast, fresh white fish, lobster, crab, or shrimp. All visible fat must be carefully removed before cooking, and the meat must be weighed raw. It must be boiled or grilled without additional fat. Salmon, eel, tuna, herring, dried or pickled fish are not allowed. The chicken breast must be removed from the bird.

2. One type of vegetable only to be chosen from the following: spinach, chard, chicory, beet-greens, green salad, tomatoes, celery, fennel, onions, red radishes, cucumbers, asparagus, cabbage.

3. One breadstick (grissino) or one Melba toast.

4. An apple, orange, or a handful of strawberries or one-half grapefruit.

Dinner :

The same four choices as lunch (above.)

Drinks and Seasonings

The juice of one lemon daily is allowed for all purposes.

Salt, pepper, vinegar, mustard powder, garlic, sweet basil, parsley, thyme, majoram, etc., may be used for seasoning, but no oil, butter or dressing.

Tea, coffee, plain water, or mineral water (2 liters of water per day is recommended) are the only drinks allowed, but they may be taken in any quantity and at all times.

The fruit or the breadstick may be eaten between meals instead of with lunch or dinner, but not more than than four items listed for lunch and dinner may be eaten at one meal.

No medicines or cosmetics other than lipstick, eyebrow pencil and powder may he used without special permission.

Portions and specially prepared unsweetened, low calorie foods

“In many countries specially prepared unsweetened and low Calorie foods are freely available, and some of these can be tentatively used… the total daily intake must not exceed 500 Calories if the best possible results are to be obtained, that the daily ration should contain 200 grams of fat-free protein and a very small amount of starch.”

  • The 500 calorie limit must always be maintained.

  • 2 small apples are not an acceptable exchange for “1 apple.”

  • Very occasionally we allow egg - boiled, poached or raw - to patients who develop an aversion to meat, but in this case they must add the white of three eggs to the one they eat whole.

  • Cottage cheese made from skimmed milk is available 100 grams may occasionally be used instead of the meat

for remainder of diet protocol for hcg weight loss, see next dr koo blog…

How to lose 30 lbs in 30 days…pounds and inches together!

Friday, February 26th, 2010

Dr Michele Koo has the hCG available to you at her office. You need an initial consultation to determine the exact dosing and diet that is appropriate for you to begin your weight loss journey!

While hCG is available inexpensively on line, you need to be under the direct care of a physician to ensure its safety and proper use. You also need to know that the dosing for your is appropriate and that you do not have any conflicting medical issues.

hCG Diet and How it Works

Background

hCG stands for human chorionic gonadotropin, a hormone produced in large quantity by the placenta during pregnancy .  Researchers discovered hCG in the urine of pregnant women in 1927.  Its function is to manage the woman’s metabolic processes.  hCG is what most pregnancy tests detect in a woman’s urine to determine if she is pregnant.

The late British doctor ATW Simeons, was the first to discover hCG’s relationship to weight loss in the 1950s.  In fact, in 1954, Dr. Simeons published his first report (Lancet) on hCG and the management of obesity.

Dr. Simeons found that his patients tolerated a very low calorie diet without headaches, weakness and irritability which is common to other weight loss programs.  Perhaps more importantly, people on his protocol were able to maintain their weight loss far better than those on other programs.  Further, his patients lost more body fat as opposed to body weight. That is, resistant fat such as in the neck and intra-abdominally was reduced! Therefore, Dr. Simeons hypothesized that hCG also regulated the hypothalamus which is responsible for the excessive abnormal fat accumulation seen in obesity, such as the neck, abdomen, and thighs.

The hCG diet requires that you stay on a 500 CALORIE A DAY INTAKE DURING THE HCG SUPPLEMENT (this is absolutely possible with the hCG liquid)!

How the hCG Diet Works

How is hCG used for weight reduction?

Intuitively, we all know that weight loss generally occurs only when fewer calories are taken than the body uses.  The use of hCG makes calorie restriction dieting easier because you do not get the hard to manage symptoms of traditional diets such as headaches and uncontrollable hunger.  More importantly, hCG specifically targets fat from abnormal fat storage areas like the neck, abdomen, thighs, hips and buttocks. With traditional calorie restriction diets, fat is often preferentially lost from more essential fat areas such as breasts, face, and the subcutaneous fat the under skin.  The hCG diet results in safer weight loss while providing a sculpting effect.  Accordingly, the weight loss is not only noted on the scale, but the visible results are much more desireable.

The hCG protocol is very low calorie, will I get hungry?

Because hCG utilizes stored body fat, making it available to the body as an energy source, one’s appetite is naturally reduced.  On the hCG protocol, excess stored fat provides approximately 80% of the calories the body uses.  Therefore, the body is getting the energy it requires so it does not trigger the brain to signal the need for more food.  Even though your calorie intake is reduced, your body can access the energy stored in fat cells. However, while very unusual, hunger is a remote possibility during the first week of the protocol. If you continue to feel hungry, check with your provider for either a change in the hCG dose or diet.

Wouldn’t I lose the same amount of weight eating a very low calorie diet without hCG?

While it is true that the amount of weight lost with pure calorie restriction approximates that lost with an hCG diet, the following points make the hCG diet unique and hence successful in comparison:

With hCG there is no hunger or craving and patients are comfortable. In fact, an hCG diet frequently elevates mood and increases energy.

Traditional very low calorie diets also rob calories from other soft tissues, such a muscle and connective tissue as well as essential fat storage around organs.

Essential structural fat under the skin and other areas is spared and only abnormal fat areas are targeted. This feature results in improved body contour with more inches lost in the most commonly desired areas, hips, thighs, neck, buttocks, and abdomen.

Weight loss is far more easily maintained after stopping the hCG protocol.

How will I feel while on the hCG diet?

People are typically very comfortable while on hCG and often experience an increase in energy and positive mood.  Symptoms such as headaches, mood swings or feeling lightheaded DO NOT typically occur as with other low calorie intake diets.

How much weight can I expect to lose?

In one typical 30 day cycle women can lose between 8 and 20 lbs.  In a 60 day cycle you can expect a weight loss of 35 pounds or more.  Men generally lose weight at a faster rate than women.   If you desire even greater weight loss, the oral protocol of hCG I provide can be continue until goal weight is attained (to be determined with my instruction).

hCG PROTOCOL
DO NOT DEVIATE FROM THIS PROTOCOL
Read Completely Before Beginning

1.     Weigh yourself everyday even when you go off the hCG. As soon as you wake up, urinate, and weigh yourself on the same scale naked every morning and record it.  You will continue this from now on to monitor yourself.

2.     Set your weight loss goal before beginning the protocol (under my supervision), e.g., 20, 30, 40 lbs. You will stay on the hCG for up to 2 – 4 months until your end weight goal is attained each time and then you will have to stop for a minimum of 6 weeks to let your hypothalamus recalibrate its weight set point before starting again if you wish even more weight loss. You will stay on the hCG until either you attain your goal weight or you want to take a break. You can go back on the hCG supplement as many times as you want but between times, you must wait a minimum of 6 weeks.

FOR REMAINDER OF hCG PROTOCOL see next blog on WEIGHT LOSS AND hCG

Obesity and Weight Control - Some Basic Vocabuluary and Facts

Monday, January 25th, 2010

Nutrition 101

Weight gain is caused by consuming more calories than the body uses.

  • The average person uses as many as 2,500 calories daily, or 17,500 calories per week.
  • If you eat the amount your body needs, you will maintain your weight. It takes 3,500 extra calories to gain 1 pound.
  • To lose weight, you must consume fewer calories than your body uses. You must eat 3,500 calories less than you need, say 500 calories per day for 1 week, to lose 1 pound.

Calories count. It’s important to understand where calories come from and how to make the smartest food selections. Here are some basics:

  • Foods are composed of the following 3 substances, in varying amounts:
    • Carbohydrates (4 Calories per gram) - Examples include grains, cereal, pasta, sugar, fruits, and vegetables
    • Protein (4 Calories per gram) - Examples include legumes (beans, dried peas, lentils), seafood, low-fat dairy, lean meats, and soy products such as tofu
    • Fats (9 Calories per gram) - Examples include whole-fat dairy products, butter, oils, and nuts

Alcohol is a separate fourth group (7 Calories per gram).

A calorie is the amount of energy (heat) needed to raise the temperature of 1 gram of water by 1 degree Celsius. A kilocalorie (or Calorie with a capital C) is the amount of energy needed to raise the temperature of 1 kilogram of water by 1 degree Celsius.

  • The energy contained in food is measured in kilocalories but is commonly referred to on food packages and elsewhere as calories.
  • Most people underestimate the number of calories they consume by about 30%.
  • Calculate the number of calories you should consume each day to keep your weight the same.
    • If you are moderately active, multiply your weight in pounds by 15.
    • If you are sedentary, multiply by 13 instead.
    • To lose weight, you need to eat less than this number.

Excess calories from any source (even fat-free foods) will turn into body fat.

  • Any carbohydrate not immediately used for energy will be stored in the liver as glycogen for short-term use. The body has only a limited number of liver cells to store the glycogen. Whatever is left over will be converted to fat.
  • Excess protein and fat in the diet are also stored as fat.

Fat cells are no longer thought to be responsible only for energy storage and release.

  • They synthesize the hormone leptin, which travels to the hypothalamus in the brain and regulates appetite, body weight, and the storage of fat.
  • Leptin was first discovered in 1994. The exact way it works is not yet fully understood.
  • Disorders of leptin account for only a few cases of obesity, usually morbid (extreme) obesity.

Blog continued on HCG Diet and How to Maintain and Lose Weight


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