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What
are the benefits of weight loss? |
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If
you are obese, you may have already been advised by your doctor to lose
some weight. The potential medical benefits of weight loss include, but
are not limited to, reduced blood pressure, lowering of blood sugar,
decreased blood cholesterol, and decreased risk of heart disease and
stroke. |
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Do I
really need medical supervision? |
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It is
highly recommended to consult a physician before starting any weight loss
or exercise program. To be on an 800-calorie diet or less, you definitely
need to be supervised by a bariatrician. A bariatrician is a physician who
is knowledgeable in weight management. Supervision may mean going to your
doctor every 2 weeks. Between 800 and 1200 calories, you need regular
consultations after an initial physical with your physician. Diets that
provide 1200 or more calories are generally safe. However, you still want
to be checked by your doctor before you start.
The table below summarizes our recommendations.
| Meal
Plan |
Medical
Supervision |
Recommended
Visits |
| 800
calories or less |
Bariatrician |
Every 1-2
weeks |
| 800-1200 |
Bariatrician
or Physician |
Every 2-4
weeks |
| 1200 or
more |
Initial
physical exam |
Every 15
to 20 pounds loss |
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What
conditions make supplemented fasting contraindicated? |
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Supplemented
fasting is not for everyone. IF UNSURE, PRINT THIS PAGE FOR YOUR
DOCTOR |
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A.
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Absolute
contraindications: If you have any of the following conditions, YOU SHOULD
NOT FOLLOW THE MEAL PLANS MENTIONED IN THIS WEBSITE. |
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1. |
History of
cerebrovascular accidents (CVA) or brain strokes. |
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2. |
Insulin-dependent
diabetes mellitus (IDDM) with a history of severe ketoacidosis. |
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3. |
Myocardial
infarction within the previous three months. |
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4. |
Unstable angina. |
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5. |
Bleeding peptic
ulcer, unless healing has been demonstrated by X-ray or endoscopic
examination at least 6 months prior. |
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6. |
Using
corticosteroids in high dosage, greater than 20 mg prednisone per day. |
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7. |
Psychiatric history
with suicidal attempts. |
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8. |
Active
thrombophlebitis or any condition where decreased blood volume might pose
an increased risk. |
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9. |
Pregnancy or
breast-feeding. |
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10. |
Chronic use of
illicit drugs. |
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11. |
Uncompensated renal
or hepatic disease. |
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B.
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Relative contraindications:
If you have the following conditions, your doctor may allow you to use the
products mentioned in this website, depending on your degree of obesity,
other current or past medical conditions (co-morbidities), your ability to
follow doctor's orders and your willingness to be monitored. |
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1. |
Hazardous
occupation or sports. |
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2.
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Compensated renal
or hepatic disease. |
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3. |
Patients on lithium
therapy, phenothiazines or potentially arrythmogenic antidepressants. |
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4. |
Healed peptic
ulcers. |
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5. |
History of
thrombophlebitis. |
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6. |
Current use of oral
contraceptives. |
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7. |
History of
Transient Ischemic Attacks (TIA's). |
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8. |
Current use of
medications with potential for gastrointestinal erosion. |
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9. |
Advanced age (over
70 years) |
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10. |
Adolescents (under
18 years) |
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Click
here if you need to see a Bariatrician on Long Island |
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YOU ARE IN
STEP 2 |
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