Introduction
This programme has been advised to help you lose weight and to maintain the weight lost. It combines an initial rapid weight loss phase (Phase 1 – Weight Loss) which will last for ten weeks, during which your source of nutrition will come from a limited choice of solid food taken with vitamin and mineral supplementation. You are aiming to achieve 10% weight loss during this period. This diet is low in energy (calories).
After ten weeks, you will move to (Phase 2 – Weight Stabilisation) where a greater choice of solid food will be introduced from a further limited choice of meals and snacks, usually with medication to help you build upon the initial weight loss and to aid weight maintenance.
After a further eight weeks, you will then receive more general advice for the long-term (Phase 3).
You will be expected to attend your virtual appointments every 2-4 weeks over the 22 intensive support part of the programme. You will see different members of the multidisciplinary team throughout the programme.
It is important that you remember that this programme is a medical treatment plan and is only prescribed for you. It should not be used by anyone else.
Getting Ready
- Make sure you are ready and able to commit to the 22 week programme.
- As much as possible, remove all tempting foods from the house.
- Plan what foods you need to buy in order to follow the programme and ensure you have all the food you need in the house, such as diet soft drinks.
- Buy the recommended vitamin and mineral tablets: Sanatogen A-Z complete, supermarket own A-Z multivitamin and mineral or Centrum Complete. If you wish to consider another option, please discuss with one of the clinical team.
- Discuss the diet with family or close friends.
- If you are responsible for the family cooking, you may need to discuss with your family what they will be eating while you are following the programme. They may wish to eat similar foods to you but remember the quantities that we are asking you to take are to meet your daily requirements.
- If you need to, decide who will do the cooking when you are following the programme. It may be useful to prepare small meals for the family and store them in the freezer. It would also be helpful not to eat out at this time.
It is important to divide your meal options throughout the day and establish a regular meal pattern to ensure your body has a constant supply of energy and to stop you feeling unwell.
Where possible, we advise you follow the meals as they are, if you are aware of certain ‘danger times’ where you feel you need to eat, please discuss this with one of the clinical team as we can help you to establish the most appropriate meal pattern for you.
You must also have the following every day:
- Multi Vitamin and mineral tablet (you will need to buy these yourself as they cannot be prescribed).
- A minimum of 4 pints / 2 litres of fluid. This could be tea, coffee, herbal tea, water, carbonated water, diet soft drinks (with less than 7 calories per 300ml) and sugar free squashes (should not contain sugar, sucrose, sorbitol, fructose or fruit juice).
Allowed daily extras:
In order to flavour the foods you will be eating you can use the following:
- Vinegar including balsamic, malt
- Freshly squeezed lemon juice & zest
- Salad dressings that are less than 5% fat
- Artificial sweeteners such as Splenda, Canderel
- Stock cubes
- Soy sauce, Worcestershire sauce, Tabasco
- Herbs & spices
- Garlic, Ginger
You may also have:
- 100ml skimmed or semi skimmed milk (to be added to teas and coffees)
- You may also add sweeteners to teas and coffees
- Sugar free chewing gum (three sticks)
- Sugar free jelly
Vegetables within the diet
These vegetables can be eaten in addition to the menu and snack choices; however you still need to portion control these. We would recommend up to 2-3 (160-240g) servings with your main meal.
A serving size would be 80g in weight or as follows:
A portion is 4x tablespoons of:
Brussels Sprouts
Cabbage
Kale
Courgettes
Green/runner Beans
Mangetout
Sugar snap peas
Spinach
Lettuce
Rocket
Beansprouts
A portion is 3x tablespoons of:
Carrots
Onions
Beetroot
Swede
Mushrooms
Butternut squash
Cauliflower
Leeks
Peppers
Turnip
Asparagus
A portion is:
Broccoli (2x big spears)
Tomatoes (1x medium or x7 cherry)
Celery (3 sticks)
Cucumber (5cm piece)
Each day you must have:
options from the following:
- 200kcal
- 300kcal
- 400kcal meals
Each one of the following contains approximately 200-400kcals:
|
Meat choices |
Suitable alternatives |
Nutrition |
|---|---|---|
|
Meat choices 2x low fat sausages |
Suitable alternatives x4 Quorn Sausages |
Nutrition
Approx 50g each in weight containing: 77 kcal per sausage 4.3g protein per sausage |
|
Meat choices 80g lean mince |
Suitable alternatives 165g Quorn Mince |
Nutrition
Approx per 100g: 103 Kcal/100g 16g Protein/100g |
|
Meat choices 100g chicken breast |
Suitable alternatives 100g chicken style pieces |
Nutrition
Approx per 100g: 97 Kcal/100g 14g Protein/100g *NB approx 10g protein less per meal |
Activity and exercise
Success will depend upon you increasing your level of activity and exercise. We will discuss this in more detail at your next visit.
What you can expect
- Weight loss of one to two kg per week. About half of this weight is from body tissues containing a lot of water. The aim is to lose energy stored as fat, so your rate of loss is likely to be less from Week Two onwards.
- For the first few weeks, you may find that you are passing urine more frequently as a result of the water lost.
- In the first few weeks, you may feel cold, tired or sluggish. It is best to avoid strenuous activity during this time, dress warmly and use extra bedding at night.
- If you feel dizzy, make sure that you are drinking all of the fluid as prescribed. Get up slowly from sitting or lying down and stand for a minute before doing anything else.
- Bad breath can sometimes occur because your body is using fat as fuel causing ketosis. It is helpful to brush your teeth and tongue and to use mouth washes.
- Very occasionally, patients who are asked to restrict their food choices on weight loss programmes such as this can start to feel like they are ‘losing control’ which can cause feelings of anxiety or may even lead to having a binging episode. If this does happen, it is important that you tell us. Please call a member of the obesity team (number below) or discuss your concerns and feelings at your next visit.
Self-monitoring while on the plan
It is confusing to weigh yourself on inaccurate scales at different times of day. Your weight fluctuates daily because of changes in body water as well as fat. This variation causes uncertainty and could undermine your efforts at weight loss. Decide in advance how often and where you will weigh yourself and stick to this. You may also wish to be weighed only at clinic visits. Keeping a graph of your weight loss is helpful.
As well as weight, it is a good idea to monitor other areas such as your dress size, your thoughts and feelings about your progress and any other, non-weight related changes you notice, such as having more energy or feeling less breathless when you climb the stairs. You can use the patient monitoring sheet we have given you to do this. Recording your progress in this way is important as it can be used to look back on how well you have done to keep up your motivation if at any time you feel low or frustrated.
If you are not doing as well on the programme as you hoped you might, recording your thoughts and feelings can help to identify reasons why this may be. If this does happen, please discuss your concerns and feelings with a member of the team at your next appointment so we can work with you, to overcome any difficulties.
If you have any concerns about any of these issues, please call the Obesity Team on 01223 348124.
We are smoke-free
Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.
Other formats
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Contact us
Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ
Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/