Last Updated on Sunday, 01 July 2012 18:40 Written by Administrator Thursday, 28 April 2011 22:04
Q. Can I buy hcg online?
A. No, buying prescriptions online without speaking to a doctor is illegal.
Q. What’s the difference between the hcg drops and your program?
A. Many people believe that hcg drops are the same as the prescription drug, hcg. This is not true as hcg drops are not regulated by the FDA as they fall within the vitamin industry. You cannot put prescription strength drug in over-the-counter drops. There is no hcg inside the drops.
Q. How will I receive the medication?
A. The pharmacy we use has multiple locations across the USA. They will two day mail your medication to you.
Q. Why doesn’t Diet Doc use a 20 or 40 day hcg diet program?
A. We have found it’s not necessary to limit hcg to just 20 or 40 days. We will explain during your doctor consultation. Stay on our diet program throughout the term of your weight loss.*
Q. Will I receive a discount if I sign-up a friend or spouse at the same time I go through my initial consultation with the doctor?
A. Yes, we offer steep discounts for couples, friends wanting to do a diet program together, or for those people needing to lose more than 30 lbs. or for referrals.*
Q. Why don’t other doctors offer a similar version of the Diet Doc Weight Loss Program, so they aren’t limiting people to 500 calories per day?
A. No clinical protocol exists to train doctors on the hcg diet besides the old Dr. Simeons protocol. The Diet Doc physician team revamped the Simeons HCG diet a couple years ago with great success. They found they could increase caloric intake, but still realize rapid, safe weight loss.*
Q. What does hCG stand for?
A. human chorionic gonadotropin: hormone produced early in pregnancy by the placenta;
Q. Although hCG is FDA approved for fertility treatments, is it also FDA approved for weight loss?
A. NO. Our doctors prescribe “off label”.
Off-label use is the practice of prescribing pharmaceuticals for an unapproved indication. In the United States, the Food and Drug Administration Center for Drug Evaluation and Research (CDER) reviews a company's New Drug Application (NDA) for data from clinical trials to see if the results support the drug for a specific use or indication. If satisfied that the drug is safe and effective, the drug's manufacturer and the FDA agree on specific language describing dosage, route of administration, and other information to be included on the drug's label. More detail is included in the drug's package insert.
The FDA approves a drug for prescription use, and will continue to regulate the pharmaceutical industry through the work of the Division for Drug Marketing, Advertisement and Communication (DDMAC). The FDA does not have the legal authority to regulate the practice of the medicine, and the physician may prescribe a drug off label. Contrary to popular notion, it is legal in the United States and in many other countries to use drugs off label, including controlled substances such as opiates.
Q. What is MCT Oil?What does MCT Oil do?
A. MCT oils occur naturally, and the most abundant source is coconut oil. Most MCT oil is refined from coconut oil.
MCT oil is interesting because, when it is metabolized in the body, it behaves rather more like a carbohydrate than a fat. The fuel of preference for the body is carbohydrate, and the body will use up its store of carbohydrate before using other fuels. The body normally tries to store the fats we eat, but will use them as fuel if there is not enough available from carbohydrates; first it will use the fats in the food, and if these are insufficient it will start to deplete the fat storage in our body tissue.
Unlike other fats, MCT oil does not go into the lymphatic system, instead it is transported directly to the liver where it is metabolized, thus releasing energy quickly, just like a carbohydrate, and creating lots of ketones in the process.
MCT oil offers a number of advantages.
One such advantage is that because it is fast acting, it can be used as a pick me up, for example by giving additional MCT oil in the morning to boost ketones quickly.
We use MCT oil to increase the overall ketone level, and as a booster when ketones are low.
Coconut oil is not the same thing as MCT oil, nor can coconut oil be used as a substitute.
Coconut oil has a combination of both medium chain triglycerides (MCT) and long chain triglycerides (LCT). The body metabolizes MCT much differently than LCT. Your body is required to use pancreatic digestive enzymes and bile to digest, absorb, and transport LCT. In contrast, MCT oil does not need pancreatic digestive enzymes and bile at all. MCTs are readily digested and absorbed, and go straight to your liver to be used as a source of energy. Because we drastically reduce the amount of fat (short and long chain triglycerides) on the DietDochCG weight loss program, it would be inappropriate to use coconut oil.*
Q. What is a ketogenic diet?
A. There are different dietary methods to get a person into ketosis. One is extreme calorie restriction (500 calories). Another is the restriction of high glycemic carbs.
The high fat ketogenic diet was created as a treatment for certain types of epilepsy.
Our diet differs from the Mediterranean diet by excluding grains and dairy. Our diet is probably most similar to the South Beach Diet.
Q. How often will I speak to a Diet Doc weight loss consultant?
A. Diet Doc is open 6 days per week. Patients are encouraged to call anytime they have questions. Our weight loss coaches can typically answer or help with common questions. If the question requires a higher level of weight loss knowledge, our nurses, nutritionist and weight loss doctors are available to work with patients anytime they need help without paying additional.
Q. Is weight loss different than weight maintenance?
A. Yes, weight loss is losing pounds while maintenance is keeping your weight at that set number (not gaining).*
Q. What are the benefits of going on the Maintenance program?
A. Anyone can lose weight on the DietDoc HCG program! The program is easy to follow and guarantees significant weight loss - provided you follow the guidelines provided. Although everyone's natural set point is different, which is why there is "healthy range" on the BMI scale, the body knows where it needs to be. Believe it or not, this actually makes it easier to stay within one's healthy weight range. We provide you with all the tools you will need to maintain a healthy weight long term during the maintenance visit of the DietDoc HCG weight loss program.*
For most of our patients, the primary cause of their slow weight gain over time is due to excess carbohydrates in the diet. During the DietDoc weight loss program, excess carbohydrates are removed from the diet so that the body's natural blood sugar balancing mechanisms can take over again. Keeping the carbohydrates that are found in breads, pastas, muffins, cereals, potatoes, corn and, of course, sodas and candy bars to a minimum once you are in the maintenance phase of the program is an absolute must for keeping the weight off. Smaller, more frequent meals will also help balance blood sugar throughout the day and reduce any cravings you may feel. Exercise should once again become a part of your normal daily routine and is essential for many aspects of long term health. The maintenance program is there to help you avoid the mistake of thinking you can return to the habits that made you overweight in the first place.*
The reality for most of us is that weight maintenance lasts a lifetime; however, the good news is that aging DOES NOT make us get fat. What we choose to put into our bodies is the only determinant for how much we weigh. We encourage people to think of maintaining a healthy lifestyle as a friend for your health, not something that keeps you from consuming the things you love. No one wants to be on a diet forever, so we do our best to help you achieve the balance you will need to maintain your healthy weight. The investment you have made in yourself during your DietDoc experience will continue to benefit you for as long as you maintain a balanced and healthy diet.*
Q. What are the few contraindications to our program, (Meaning, everyone is eligible to start the weight loss program, except if they have what conditions)?
A. Type 1 diabetes; liver-kidney disease,prior history of cancer; organ transplant; pregnant or nursing mothers or under BMI weight.
Q. Do we have solutions for weight plateaus?
A. Yes, many. The Diet Doc Weight Loss Program is not a one-size-fits-all program. There are many paths we take to achieve weight loss with people. When a patient hits a plateau (weight loss stops), we encourage a call within a day or two. This will help us turn around immediately.
Typically, we ask people to add up their daily calories to make sure they are eating no less than 700 calories per day. On the Diet Doc Weight Loss Program patients report having little appetite making eating the required calories a challenge.
People who exercise need to consider the calories burned and add back into their daily diet.
Under eating protein is also a common cause for a slowdown of weight loss. Diet Doc typically recommends 40 to 60 grams of protein per day. This is consumed through a combination of the Diet Doc Weight Loss Shakes (20 grams/day) and animal or vegetarian protein (40 grams/day).*
People are also advised to remove all fruit, including tomatoes if they hit a weight loss slow down.*
Stevia has also been known to slow down weight loss.*
There are many suggestions and/or reasons that require a call to our offices.
Q. Should there be a re-bound effect for patients coming off of hCG?
A. No, its recommended patients go through 2 weeks of maintenance and drop their hCG by half during this time. This will help transition the body from hCG. It’s also recommended that carbohydrates and sugar be slowly reintroduced back into the diet. Of course, this is up to the doctor.
Q. Is it common for people on our program to suffer and feel hungry?
A. Not at all. If a patient states they are hungry, review diet for blood sugar issues as they are not following to some degree.
Q. Can you substitute the Diet Doc Weight Loss shake for another protein shake from a health food store or someplace else?
The Diet Doc shakes are specially formulated with ingredients that are not found in any store. They are specific weight loss shakes that help reduce the craving for carbohydrates, reduce blood sugar without anything artificial whatsoever. The weight loss shakes also have micronutrients to help replenish the body during weight loss while adding protein to help patients feel full.
The DietDocWeight Loss Shake is a powdered supplement that is mixed with water. The weight loss shakes work extremely well with the Diet Doc hCGDiet. The balance of vitamins, minerals, and micronutrients allows patients on our weight loss protocol to continue to lose weight for months at a time without having to worry about malnutrition. Not only is the shake low in carbohydrates, which is essential for ketosis (the physiologic state your body goes into when you have little to no carbs or sugar in your diet), but the weight loss shakes have plenty of protein and a special formula that helps to block carbohydrate absorption. The extra protein and nutrients that our DietDocWeight Loss Shake provides has made weight loss much easier for the vast majority of our patients.*
The shake comes in Vanilla or Chocolate and can be prepared in a number of ways including: mixing it with black coffee to create a mocha flavor and freezing it. The amount of DietDocweight loss shake used during our program is determined based on gender, activity level and any underlying health conditions. Typically most patients achieve their goals by using ½ scoop4x per day.*
Q. Why do we recommend drinking water?
A. Drinking water is certainly essential. Water alone, however, will not hydrate your body. Electrolytes - water with dissolved salts and minerals - are critical to keep the body hydrated.
It is often said that the human body is about 80% water. However, there is no plain water in the body. Salts and minerals are dissolved in all the water in the body. Dissolved salts and minerals turn water into an electrolyte solution. ALL fluids in the body are electrolytes. Therefore, it is more accurate to say the body is about 80% electrolytes. Therefore, drinking water AND electrolytes will hydrate your body.
Your body is constantly losing electrolytes through sweat, urine, and the bowels and simply breathing. Electrolyte loss is further increased from caffeine, alcohol, carbonated beverages, smoking, athletic training/performance, artificial indoor heat as well as air conditioning, stress, and poor dietary choices. Unless you continually and actively hydrate, you are dehydrated. While drinking water is important, water will not replenish the dissolved salts and minerals - the electrolyte loss. Although you ingest electrolytes in foods the replacement is hit or miss - you are not assured the proper balance. Research shows that the best way to replace lost electrolytes is by adequate amounts of the right electrolyte formula.
Dehydration and rehydration happen at the cellular level. Think of each cell in your body as a body in and of itself needing a steady delivery of nutrients and a reliable pick up of wastes. As you have already learned, all fluids in your body are not plain water. Your fluids are electrolyte solutions, water with dissolved salts and minerals. The fluid inside each cell body is an electrolyte solution. There is yet another electrolyte solution outside each cell. These two different electrolyte solutions move water. Water moves nutrients into the cell and water moves wastes out of the cell. The catch is, when your body's electrolytes are depleted, the movement of water is sluggish. No matter how much water you drink, the movement of water is still sluggish. The cells, and therefore you, are dehydrated.
Replenishing the electrolyte solutions inside and outside your cells creates the balance necessary for water to move in and out of the cells. Water moving in and out of the cells not only delivers nutrients and removes wastes, moving water creates energy!
Here is what we do know about WATER:
- The process of burning calories requires an adequate supply of water in order to function efficiently; dehydration slows down the fat-burning process.
- Burning calories creates toxins(think of the exhaust coming out of your car), and water plays a vital role in flushing them out of your body.
- Dehydration causes a reduction in blood volume; a reduction in blood volume causes a reduction in the supply of oxygen to your muscles; and a reduction in the supply of oxygen to your muscles can make you feel tired.
- Water helps maintain muscle tone by assisting muscles in their ability to contract, and it lubricates your joints. Proper hydration can help reduce muscle and joint soreness when exercising.
- A healthy (weight loss) diet includes a good amount of fiber. But while fiber is normally helpful to your digestive system, without adequate fluids it can cause constipation instead of helping to eliminate it.
- Drinking water with a meal may make you feel full sooner and therefore satisfied eating less. Note, however, that drinking water alone may not have this effect. In order to feel satiated (not hungry), our bodies need bulk, calories and nutrients.
Q. Injectable hCG:
- Describe the procedure for drawing up and administering shots.
Sterile technique, gloves, wipe bottle with alcohol before drawing up solution. Clean skin with alcohol, let air dry.
- How do I mix the hCG?
An instructional leaflet will be included in your pharmacy order. You may also watch a YouTube video explaining step-by-step: youtube.com/watch?v=vS4DkF7ZSw
- When would it acceptable to reuse a needle or syringe?
- Where do patients dispose of the needles?
Needles can be disposed at your local Fire Department or Hospital.
Q. Indicate whether the named injectable should be refrigerated or stored at room temperature.
- hCG shots – refrigerate once it’s reconstituted with bacteriostatic water
- hCG tablets – room temperature, 6 month shelf life
Q. If you’ve just drawn up some B12 or some other injectible into a syringe. Is it acceptable procedure to now draw up bacteriostatic water with that same needle?
Q. What are healthy BMI ranges and fat mass percentages for:
|BMI||Fat Mass %|
17-25% depending on age
|Males||11-20% depending on age|
Q. What happens if I am still hungry?
A. Call our office as it’s most likely you are not eating enough.*
Q. What happens if I am fatigued?
A. Make sure you are eating the daily calories and protein the doctor recommended for you. If you are exercising or busy early morning to late night, our doctors often recommend adding additional protein. Remember, patients may consume as much green leafy vegetables (no carrots, corn, potatoes, limited tomatoes) as you like.
Q. Can I exercise on the program?
A. Mild exercise initially for 1st 2 weeks then gradual. Walking, yoga, etc. Make sure our nurses and/or doctors know that you are exercising so we may consider this when personalizing your diet.
Q. Why do I load for the first two days?
A. To fill up the normal reserves of fat and to trick the body into thinking it’s not going to starve and hold onto the fat.*
Q . Will I need to take an appetite suppressant?
A. No, once patient is in ketosis, little to no appetite is the result.
Q. What are five examples of foods high in fat, five high in protein, and five high in carbohydrates?
Fat: fried; nuts; cheese; red meat
Protein: beef, chicken, fish, eggs, cottage cheese
Carbs: grains/cereal; grains, potatoes, sweets and other starchy and sugary foods
Q. What are five examples of high glycemic foods?
A. White rice, white bread, carrots; juice
Q.What if I am not in ketosis?
A. Reduce fruit and tomatoes for 48 hours
Q. What is a ketogenic diet?
A. The body is breaking down fat and its source of fuel
Q. What happens if you eat too much fruit?
A. Raises blood sugar and could kick patient out of ketosis
Q. How many BM's a day should a patient have and what are some solutions to constipation?
A. 1 to 3/day.
Q. What if I am constipated?
A. Constipation is a troublesome problem that will affect most adults at some time or another. It can range in severity from mild discomfort to causing more severe pain and even nausea. Considering that the average person has 13.5 lbs of food, water and oxygen passing through their system each day, constipation can also be a frustrating cause of difficult weight loss. What causes it? Some potential causes include:
- Indigestion (not breaking down foods in stomach)
- Dysbiosis (incorrect balance of normal bacteria in gut)
- Decreased movement (lack of exercise, sitting all day)
- Lack of liquid (dehydrated)
- Not enough bulk in stool (minimal fiber in diet)
- Stress (too much sympathetic activity, not enough parasympathetic activity)
- Laxative abuse (too much laxative use in the past)
- GI disorder (paralyzed bowel, telescoping bowel, etc)
Fortunately, the potential treatments for constipation are as many and varied as the causes. Some potential treatment options include:
- Increased water intake (80-100 oz water per day or as directed by your physician) Increased MCT oil intake (measure out 2 Tbs oil per weight loss shake or as directed by your physician)
- Ground Flaxseed (add 1 Tbs ground flaxseed to each shake and/or to salads/food)
- Magnesium supplementation (Tri-Mag: 6-8 capsules per day or as directed by your physician)
- Movement (implement an exercise program or receive abdominal/full body massage)
- Stress management (breathing techniques, soothing Epsom salt bath, etc)
- Other supplements (Digestive enzymes, Probiotics, others - as directed by your physician)
- Smooth move tea (3 cups per day or as directed by your physician)
Q. If the patient is taking hormones such as birth control or HRT will that affect the hCG diet?
Q. Can a woman get pregnant taking hCG or will hCG reduce the effectiveness of oral contraceptives?