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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…

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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