LIPOTRIM PHARMACY PROGRAMME.
 
 Refeeding after Lipotrim Total Food Replacement without Excessive Weight Regain.
 
 Preventing unnecessary weight gain after dieting...
 
 Remember,  under non-dieting the primary source of fuel that the body uses for  energy is its blood sugar. When the blood sugar supply gets low the body  has reserves of sugar which are stored as a complex molecule called  glycogen. Glycogen is stored in the body bound to a great deal of water.  When we change the amount of glycogen in the body we also change the  amount of water. Glycogen and water are heavy. Changes will affect our  weight a great deal and in a very short timespan. After dieting the body  will again need glycogen and it will be restored with the  reintroduction of food. A few simple facts about glycogen will help you  to understand how to prevent a great deal of unnecessary weight regain  after total food replacement.
 
 1. Glycogen  is made of sugar and that is, therefore, a carbohydrate. A pound of  glycogen is worth about 1800 Calories. 1800 Calories deficit in the  daily intake can use up a pound of glycogen from storage
 
 2.  Glycogen is stored with about 4 parts of water for each part of  glycogen. This means that a pound of glycogen may hold an additional 4  pounds of water. 1800 Calories of Calorie deficit in the food eaten can  cause a 5 pound weight loss. Compare that with the real need for fat  loss. The same 1800 Calorie deficit will only use up 1/2 pound of fat.
 
 3.Glycogen  is stored in the liver, muscles and fat cells of the body. The amount  we can store can vary depending upon what we eat and how much we use our  muscles. Recent research suggests that some people may store as much as  a kilogram of glycogen that can be mobilised in the first few days  using a vlcd diet. This could mean that such a person could lose almost a  stone in weight during the first few days of dieting and not yet have  burned any fat.
 
 4. Glycogen is used up  and replaced as a matter of course all the time. Think of the glycogen  stores the way you think of a kitchen jug that contains sugar. When the  levels get low it is easy to fill it up. Daily activities of living and  sleeping use glycogen up. Eating fills glycogen stores back up, every  day.
 
 5. It is possible to overfill the  glycogen stores so that they contain more than the normal levels.  Athletes do this and call it carbohydrate loading. Athletes stop eating  carbohydrate to deplete their glycogen stores and then feast on  carbohydrates. This gives them a larger reserve tank of ready fuel for  endurance exercises, such as marathon running. If we eat a lot of  carbohydrate foods right after dieting we will accomplish the same thing  - extra glycogen that we will not burn up in a few hours of exercise; a  lot of extra water that will stay as long as the glycogen (until the  next diet or marathon type exercise); extra weight on the scales that  cannot be distinguished from fat, makes you depressed and inclined to  eat in despair. Totally unnecessary.
 
 6.  If carbohydrate foods are reintroduced gradually and in the right  sequence over a period of days, the glycogen will return to a normal and  modest level without unnecessary weight gain.
 
 Carbohydrate  foods include: vegetables, potato, cereal, breads, pasta/rice and  fruits. There are carbohydrate foods containing a lot of simple sugars -  such as fruit - and those we term 'complex', such as most vegetables.
 
 These  will form the bulk (60%) of your long term change to healthy eating buy  need to be controlled during refeeding and afterwards for those who  have had an insulin resistance problem.
 
 
 
 
 The plan for Refeeding applies to both men and women...
 Refeeding 
 
 
 Keep these points in mind:
 
 First day after Total Food Replacement is high protein.
 
 Second day is high protein, modest complex carbohydrate - low fat.
 
 Third day is high protein, modest compels carbohydrate with some cereals - low fat.
 
 Fourth day is high protein, high complex carbohydrate, modest cereals, fruit and other simple sugars - low fat.
 
 The rest of your life is low fat and weight under control.
 
 Lipotrin Refeeding:
 
 The  first step in weight management is bridging the gap between Total Food  Replacement (TFR) and, so called, "real food". Directly following TFR we  are going to guide you through a slow and gradual refeeding process.  There are two reasons for the refeeding strategy:
 
 1.  You have lost a considerable amount of body fat during your Lipotrim  regime, but you have also depleted your glycogen stores, along with  their attending water. If you jump directly from TFR into a high  carbohydrate meal, your glycogen and water stores will fill up  excessively, causing an immediate weight gain that may be as much as  7-10 pounds. This is not a fat gain - it is a fluid gain - but is  demoralizing, nonetheless. That is why the transition plan introduces  carbohydrate in a controlled way, so that such a weight retain should  not occur.
 
 2.  During your TFR regime, you ate nothing in addition to your Lipotrim  servings very day and drank enough water to float a small tanker. During  this time, your palate, used to a steady diet of salty, fatty, oily and  sugary foods, has had an enforced rest.
 
 Something  very interesting has happened during the rest: your tastebuds,  reprieved from a fat/salt/sugar entrapment, have undergone a  purification. This palate retraining is one of the most profound results  of your TFR regime. Do not throw this perception away by eating your  way into the same old problem foods again, just because you used to like  them. Changes have to be made to your previous eating behaviour and now  is the time to take positive action.
 
 The plan (applies to both men and women).....
 
 Follow  exactly - do not add extras and, more importantly, do not miss out any  steps. You may have milk in your tea and coffee, if required, and you  can now have diet drinks again. Avoid fruit juices (simple sugars) until  the end of the week. No alcohol. Try to drink plenty of water. Most  people do not drink adequate water and now you are in the habit, stick  with it. At least 2 litres per day.
 
 DAY 1.
 
 Have  2 Lipotrim servings and one meal, as follows (men continue to have 2  servings, as before, while women take 1 less serving of Lipotrim).
 
 at  lunchtime or evening meal time you may have some skinless, boneless  chicken breast or white fish fillet, or some skinless turkey (about  4-6ozs.) The fish or chicken may be steamed, microwaved, baked or cooked  with a little water in a non-stick pan. Season with salt and pepper. Or  you may have tuna fish in water or brine (drained). Vegetarians may use  tofu or quorn.
 
 You  may also have either a moderate serving of salad (small breakfast bowl)  from any of the following: lettuce, cucumber cress and watercress,  tomatoes, mushrooms, onions, peppers, bean sprouts, celery dressed with a  little lemon juice or wine vinegar (try balsamic vinegar, it is quite  special), or if you prefer, a moderate serving ( 2 heaped table spoons -  no more)of some cooked vegetables. You may have bread, grains (rice) or  pasta until Day 4. Fruit should wait until Day 4 at the earliest (later  if you have carbohydrate problems). You can have milk in tea/coffee.
 
 DAY 2
 
 You will have only 1 Lipotrim serving and 2 meals, as described for Day 1.
 
 Day 3
 
 Same  as Day 2, but you may also have - at one meal only - an 8 ounce potato,  plain boiled, mashed or baked, but with no addition of any fat. You may  like to top with some skimmed milk, plain yogurt or very low fat  fromage frais and a sprinkle of herbs.
 
 Day 4-7
 
 A Lipotrim serving for your breakfast plus.....
 
 up  to 3 serving of fruit (if you suffer from the insulin resistance  problem, then eat these late in the day and do not snack on them during  the day)
 
 up to 2 slices of bread or 1 pita or 1 roll or 1 bagel (without fatty spread)
 
 Any vegetables you want except avocado, 1 or 2 servings with your meals (2 tablespoons per serving)
 
 any of the skimmed milk products.
 
 fish  fillet (any size) or 6 ounces of chicken or turkey, as described  before, or one tin of tuna in water or brine, drained. Vegetarians may  use tofu, textured vegetable protein (TVP) or quorn.
 
 Lean meat with all visible fat trimmed off
 
 low fat recipes prepared with low fat sauces - eg lean mince with tomatoes Bolognese sauce
 
 medium  baking potato or 6 small new potatoes or one serving of instant mashed  potatoes (the kind with no added fat- read the label).
 Instead of potato, you may have 4ozs of rice or pasta (cooked weight).
 
 This  schedule may be continued for several weeks - especially if you have  lost a lot of weight - 5/6 stones or more - as you will need time to  adjust to a different eating behaviour and quantities. Check your weight  every week at the pharmacy; if it is going up, then action must be  taken to address the types and quantities of food eaten. The maintenance  food products are advised during this time to add extra control whilst  adjusting to your new eating behaviour.
 
 Sample menu for days 4 to 7.....
 
 Breakfast Lipotrim serving.
 
 Lunch  Fish fillet (any type - cod, salmon etc), serving of potatoes ( 1  medium jacket or 6 new potatoes or a serving-spoon mash - no added fat)  Yogurt ( low fat).
 
 Diner 4-6 ozs chicken (no skin), jacket potato, salad. Fruit (if appropriate) or low fat dessert.
 
 Evening Sandwich (no spread of any sort), consisting of: pickles, fat-free mayonnaise, salad/carrot, slice cold meat (low fat).
 
 Snack 1 or 2 pieces of fruit (evening, if appropriate)
 
 
 Breakfast Lipotrim serving
 
 Lunch Sandwich (no spread) - any low fat filling, eg tuna. Bowl of salad. 2 pieces of fruit (if appropriate) or yoghurt.
 
 Dinner  Spaghetti Bolognese, consisting of: drained lean mince, low fat sauce, 4  ozs. Cooked spaghetti, serving spoon of vegetables. Dessert.
 
 Snack or Evening.
 
 Tub  of very low fat fromage fraise, flavoured to suit with either slices of  fruit or low fat jelly crystals for a sweet option or herbs and spices  with added crunchy vegetable, for a savoury snack.
 
 Or maintenance range - orange-crème drink or chocolate whip dessert (see leaflet).
 
 The main point to understand in following the plan is not to have an any added fat in your food or in its preparation.
 
 There  is more than adequate fat for daily requirements naturally occurring in  a diet chosen from a wide range of foods. There is no benefit to adding  fat in preparation - only weight back on.
 
 MAINTENANCE AFTER REFEEDING.
 
 The  failure of all diets has, in the past been maintenance. Regardless of  the methods of weight loss, more than 95 people out of every 100 who  managed to lose some weight have put it all back by the end of one year.  
 
 By five years, it was hard to find anyone who had kept their weight off.
 
 The failure of weight maintenance is largely due to the over reliance on 3 rather ineffectual means of weight control.
 
 These are:
 
 (1.) exercise, (2) portion control and (3) Calorie counting.
 
 By now you should all understand the limitations of each of these strategies.
 
 Exercise cannot cope with a large enough excess of Calories.
 Portion control and overall food restriction trigger primitive hunger instincts and lead to out of control eating.
 Therefore, weight maintenance fails.
 
 One  of the reasons that people find weight maintenance so difficult is  that, in serious overweight, more than one problem may exist at the same  time.
 
 Most  people now appreciate the fact that, in order to resist weight regain,  it is important to avoid as much unnecessary fat in the diet as  possible.
 
 This simple message remains true, despite the sometimes confusing messages about fat that are presented in the media.
 
 Remember the simple statement - Fat Makes You Fat..
 
 Some  of the confusion is caused by the commercial needs of the edible fats  industry. This is a very large wealthy industry which loses income when  people avoid eating its products.
 
 Other causes of confusion relate to the differences between saturated and unsaturated fats.
 
 There  may well be health implications associated with the balance between  saturated and unsaturated fats in our food intake. BUT, the effect on  our Weight is exactly the same whether we eat animal fat, fish fat,  olive fat. Vegetable fat or any other fat - saturated, mono-unsaturated  or poly unsaturated. FAT makes you FAT.
 
 
 
 
 
 *Information for you on 'Meal Replacement Schedule'...
 
 After refeeding, begin by replacing any 7 meals per week with standard Lipotrim formula or flapjack. 1.) This permits you to remain in control of your total weekly caloric intake.
 
 2.) After 14 days, you need to return to the pharmacy to be weighed:
 
 * if your weight has remained stable, continue in this manner;
 
 *  if your weight continues to drop, reduce the meal replacements to 6 for  the next 2 weeks - repeat the sequence, substituting one traditional  meal for a meal replacement until your weight remains stable;
 
 *  if your weight increases, then you must replace further meals. Replace 9  meals with formula for 2 weeks. If still not stable, substitute for 11  meals.
 
 Find  your appropriate level of meal replacements for weight stability. Then  make sure that you attend the pharmacy once a month for a check. Always  adjust your meal replacement schedule to the previous month's weight  stability.