HCG

Welcome to your weight loss program! Starting anything new can be very exciting especially when itcomes to health and weight loss. If you are starting HCG please make sure to let your provider know ofany health concerns and medications you may be taking. Please be advised that HCG requires a very strictdiet and at a minimum a 26 day commitment.

Before you begin. Make sure you have all the things you will need prior to starting. You should have yourHcg and read all instructions included. Clear out your social calendar of dinner meetings and eatingobligations. Purchase a scale to weigh yourself and to weigh your foods if you haven't done so already. Tomix your medications inject all lOcc of sterile water into the powder. Each day you will draw up 18 units toinject. Please make sure to follow the sterile technique described in your kit.

The first two days. HCG medication injected does not become effective until the third day. The dietaccording to Dr. Simeons requires you to fatten up for 2 days. The first two days you will "eat to capacitythe fattiest foods" you are capable of. Eat a bunch of fattening food for two days? YES. This helps tobegin mobilizing unwanted fat and prepare you for the following 24 or 38 days. From Dr. Simeonsresearch the patients that didn't do this fattening up period lost less weight overall while on the HCGprogram than those who did.

The diet. This excerpt below is adapted from the manuscript Pounds and Inches. It is to be strictlyfollowed. 500 calories a day starting on the third day of injections.

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:

100 grams of veal, beef, chicken breast,fresh white fish, lobster, crab, or shrimp. All visible fat must be carefullyremoved 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.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.One breadstick (grissino) or one Melba toast.An apple or a handful of strawberries or one-half grapefruit or orange.Dinner:

The same four choices as lunch.Tea, coffee, plain water, or mineral water are the only drinks allowed, but they may be taken in any quantity and at all

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In fact, you should drink about 2 liters of these fluids per day. Many patients are afraid to drink so much because theyfear that this may make them retain more water. This is a wrong notion as the body is more inclined to store waterwhen the intake falls below its normal requirements.The fruit or the breadstick may be eaten between meals instead of with lunch or dinner, but not more than four itemslisted 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.The 3 ounces of meat must he scrupulously weighed raw after all visible fat has been removed. To do this accuratelyyou must have a scale. Those not uncommon patients, who feel that even so little food is too much for them, can omitanything they wish.There is no objection to breaking up the two meals. For instance having a breadstick and an apple for breakfast orbefore going to bed, provided they are deducted from the regular meals. The whole daily ration of two breadsticks ortwo fruits may not be eaten at the same time, nor can any item saved from the previous day be added on the followingday. In the beginning patients are advised to check every meal against their diet sheet before starting to eat and not torely on their memory. It is also worth pointing out that any attempt to observe this diet without HCG will lead to troublein two to three days.It should also be mentioned that two small apples weighing as much as one large one never the less have a highercaloric value and are therefore not allowed though there is no restriction on the size of one apple. Some people do notrealize that chicken breast does not mean the breast of any other fowl, nor does it mean a wing or drumstick.The most tiresome patients are those who start counting calories and then come up with all manner of ingeniousvariations which they compile from their little books. When one has spent years of weary research trying to make a dietas attractive as possible without jeopardizing the loss of weight, culinary geniuses who are out to improve theirunhappy lot are hard to take. ,

Making up the CaloriesThe diet used in conjunction with HCG must not exceed 500 calories per day, and the way these calories are made upis of utmost importance. For instance, if a patient drops the apple and eats an extra breadstick instead, he will not begetting more calories but he will not lose weight. There are a number of foods, particularly fruits and vegetables, whichhave the same or even lower caloric values than those listed as permissible, and yet we find that they interfere with theregular loss of weight under HCG, presumably owing to the nature of their composition. Pimiento peppers, okra,artichokes and pears are examples of this.

While this diet works satisfactorily in Italy, certain modifications have to be made in other countries. For instance,American beef has almost double the caloric value of South Italian beef, which is not marbled with fat. This marblingis impossible to remove. In America, therefore, low-grade veal should be used for one meal and fish (excluding allthose species such as herring, mackerel, tuna, salmon, eel, etc., which have a high fat content, and all dried, smoked orpickled fish), chicken breast, lobster, crawfish, prawns or shrimp, crabmeat or kidneys for the other meal. Where theItalian breadsticks, the so-called grissini, are not available, one Melba toast may be used instead, though they arepsychologically less satisfying. A Melba toast has about the same weight as the very porous grissini which is muchmore to look at and to chew.

Just as the daily dose of HCG is the same in all cases, so the same diet proves to be satisfactory for a small elderly ladyof leisure or a hard working muscular giant. Under the effect of HCG the obese body is always able to obtain all thecalories it needs from the abnormal fat deposits, regardless of whether it uses up 1500 or 4000 per day. It must be madevery clear to the patient that he is living to afar greater extent on the fat which he is losing than on what he eats.Many patients ask why eggs are not allowed. The contents of two good sized eggs are roughly equivalent to 100 gramsof meat, but unfortunately the yolk contains a large amount of fat, which is undesirable. Very occasionally we allowegg - boiled, poached or raw - to patients who develop an aversion to meat, but in this case they must add the white ofthree eggs to the one they eat whole. In countries where cottage cheese made from skimmed milk is available 100grams may occasionally be used instead of the meat, but no other cheeses are allowed.*

How will I feel? If you are strictly following the calorie restriction you should notice approximately a 1-2pound per day loss starting on days 4/5 of injections. You should not feel hungry and may notice increasedurine excretion. Towards the end of your program you may notice muscle weakness. This is related to fatbeing removed from around your muscles and will improve in 1-2 weeks after treatment stops. Overall youshould be feeling lighter and thinner.

Exercise? During this time we would like for you to stay active, but not to be exercising intensively. 500calories per day is very low and is fine to maintain normal activities of daily living, but not an extremeexercise program.

The last injection. After the last injection you must stay on the 500 calorie diet for 3 more days. Why?Because HCG will still be circulating in your body and you cannot return to normal eating while it is presentotherwise a rapid weight gain will ensue.

Reintroducing food.

When the three days of dieting after the last injection are over, the patients are told that they may now eat anything they please,except sugar and starch provided they faithfully observe one simple rule. This rule is that they must have their own portablebathroom-scale always at hand, particularly while traveling. They must without fail weight themselves every morning as they getout of bed, having first emptied their bladder. If they are in the habit of having breakfast in bed, they must weigh before breakfast.It takes about 3 weeks before the weight reached at the end of the treatment becomes stable, i.e. does not show violent fluctuationsafter an occasional excess. During this period patients must realize that the so-called carbohydrates, that is sugar, rice, bread,potatoes, pastries etc, are by far the most dangerous. If no carbohydrates whatsoever are eaten, fats can be indulged in somewhatmore liberally and even small quantities of alcohol, such as a glass of wine with meals, does no harm, but as soon as fats andstarch are combined things are very liable to get out of hand. This has to be observed very carefully during the first 3 weeks afterthe treatment is ended otherwise disappointments are almost sure to occur.*

When to return? We would like to see you at the office every other week while on the program. It isimportant for us to monitor your weight loss, check your vital signs and see how you are feeling.

We will be available in the office during regular business hours to schedule any appointments or answerquestions by phone. Any concerns outside of business hours will be handled the next business day. If youneed immediate medical attention please go to your closest emergency room.

We look forward to helping you shed some weight and be a better, healthier you! Please be patient withyourself during this process. You are changing patterns and habits that have been ingrained for years. Ifyou are having any problems or concerns please contact our office.

As with any medication there are inherent risks. Please be aware that Hcg is not FDA approved for weightloss. By receiving Hcg from our office you assume any and all risks associated with Hcg and a calorierestricted diet.

Dr. Kenton Bruice, MargoToms NP55 Madison St Suite 575, Denver CO 80206 303-957-6686