Search
very low-calorie diet (VLCD)
800 kcals/day
Generally full complement of vitamins & minerals.
High quality protein.
Indications:
- treatment of morbid obesity
Contraindications:
1) children
2) pregnancy, lactation
3) infections
4) malignancy associated with weight loss
5) cardiac disease, cardiac conduction abnormalities
6) severe renal disease
7) muscle wasting, myopathy
8) frail elderly
Adverse effects:
1) fatigue
2) dizziness
3) nausea
4) constipation
5) edema
6) cold intolerance, hypothermia
7) precipitation of cholecystitis
8) precipitation of gout
9) cardiac arrhythmia
a) prolongation of QT interval
b) sudden cardiac death
Laboratory:
1) chemistry panel, electrolytes, LFTs
2) complete blood count
Special laboratory:
- electrocardiogram: look for QT prolongation
Notes:
Optifast
- non-fat dry milk fructose, calcium caseinate, canola oil ...
New Direction
- whey protein, corn oil ...
Best results when used in case management model.
With exercise, education.
Related
calorie restriction; dietary restriction; food restriction
General
weight loss diet