The low calorie liquid diet (LCLD) part 2

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  • 999tigger
    999tigger Posts: 5,235 Member
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    I'm incredibly surprised that the NHS are actually considering you for WLS at only 16 stone. I'm also incredibly surprised that the NHS has recommended this ridiculous diet.

    This post strikes me as ridiculous full stop. I have a friend who is 25 stone and they won't even consider her for WLS and she needs it.

    This thread is imo dangerous and I cannot believe the mods have let it go on this long.

    Why is the thread dangerous? VLCD's are perfectly safe when under medical supervision.
  • Beezyweez
    Beezyweez Posts: 144 Member
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    rabbitjb wrote: »
    OK you're morbidly obese and following a doctor supervised 1200 calorie a day meal replacement diet for four weeks

    On the NHS?

    And there's no incentive to move more? In fact you're saying there's a discincentive? Wow!

    And you have a "nutritionist" not a registered dietician?

    So what happens at the end of 4 weeks? Do you get a plan that incorporates eating real food?

    You might be interested in change4life the NHS campaign / programme for healthier lifestyles https://smarttools.change4life.co.uk

    And good luck..it sounds like a fabrication, and a totally awful approach to me

    Thank you I will look it up. It's really not as bad as it sounds. I'll be moving about in 2 and a bit weeks when I'll be on solids.
  • Sued0nim
    Sued0nim Posts: 17,456 Member
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    Yeah probably not dangerous

    But worthwhile? Waits to be seen really

    What's the support package after 4 weeks

    You know what they have shown you, very clearly though

    Eat 1200 calories and you Will lose weight

    So the reason you have never lost before is because you are not logging properly

    https://m.youtube.com/watch?v=KA9AdlhB18o
  • hannibalholt89
    hannibalholt89 Posts: 101 Member
    edited August 2015
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    What everyone is trying to say is that there is other alts to what you are doing seeing that this could be useless eventually we are not trying to make u feel dumb but truth be told you are just ignorant nothing wrong with that we all have to learn. Nutritionist can be just as knowledgeable as a stranger walking up the street. You make it seem as if you are severely large, you are far from it and you can achieve great results and be satisfied as well as far as hunger, you must first learn how to eat may sound dumb but its the truth
  • Beezyweez
    Beezyweez Posts: 144 Member
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    rabbitjb wrote: »
    Yeah probably not dangerous

    But worthwhile? Waits to be seen really

    What's the support package after 4 weeks

    You know what they have shown you, very clearly though

    Eat 1200 calories and you Will lose weight

    So the reason you have never lost before is because you are not logging properly

    https://m.youtube.com/watch?v=KA9AdlhB18o

    You're probably right, I get calories but I do get a little confused with the portions. Since I've only had one appointment all I'm aware of is after the 4 weeks the food gets introduced slowly. As soon as I have my next appointment I'll let everyone know what the next step is.
  • bfit172
    bfit172 Posts: 32 Member
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    Good for you.

    Also this is a public forum, opinions are going to be posted that you may or may not agree with.

    Opinions are fine, putting someone down when they are at their lowest with nothing but negative remarks is NOT.

    Completely agree :) opinions are one thing, putting someone down is another. There are kinder ways to get your opinion across. It's my first day here... First 2 hours actually...and I've already felt attacked for asking a question.
  • BWBTrish
    BWBTrish Posts: 2,817 Member
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    rabbitjb wrote: »
    OK you're morbidly obese and following a doctor supervised 1200 calorie a day meal replacement diet for four weeks

    On the NHS?

    And there's no incentive to move more? In fact you're saying there's a discincentive? Wow!

    And you have a "nutritionist" not a registered dietician?

    So what happens at the end of 4 weeks? Do you get a plan that incorporates eating real food?

    You might be interested in change4life the NHS campaign / programme for healthier lifestyles https://smarttools.change4life.co.uk

    And good luck..it sounds like a fabrication, and a totally awful approach to me

    Thank you I will look it up. It's really not as bad as it sounds. I'll be moving about in 2 and a bit weeks when I'll be on solids.

    But what have changed????? You stated that on solids more than 1000-1200 you wont lose????
    And indeed like others say...when you lose weight you even have to go lower to keep losing because your deficit gets smaller and smaller over time.

    And again very doubtful all of it...you are on a diet because..maybe....just maybe..you get a WLS surgery over a year???

    Common, grow up and stop believing what you wrote here.
    You are on a very unhealthy road for your body but also your mind...And dump the nutritionist/nurse if she really agrees with all of this.

    ( notice people how we still dont get a clinic/doctor/nutritionist name)
  • BWBTrish
    BWBTrish Posts: 2,817 Member
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    bfit172 wrote: »
    Good for you.

    Also this is a public forum, opinions are going to be posted that you may or may not agree with.

    Opinions are fine, putting someone down when they are at their lowest with nothing but negative remarks is NOT.

    Completely agree :) opinions are one thing, putting someone down is another. There are kinder ways to get your opinion across. It's my first day here... First 2 hours actually...and I've already felt attacked for asking a question.

    wait wait

    OP can say what she want? Like i dont care what you think? Grow up etc etc
    And when we say the same we put her in a corner????

    Sorry dont agree with you.


  • Beezyweez
    Beezyweez Posts: 144 Member
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    999tigger wrote: »
    I'm incredibly surprised that the NHS are actually considering you for WLS at only 16 stone. I'm also incredibly surprised that the NHS has recommended this ridiculous diet.

    This post strikes me as ridiculous full stop. I have a friend who is 25 stone and they won't even consider her for WLS and she needs it.

    This thread is imo dangerous and I cannot believe the mods have let it go on this long.

    Why is the thread dangerous? VLCD's are perfectly safe when under medical supervision.

    This is what I'm saying. I don't mind people advising against it or anything but I can't stand people just throwing out false facts calling it dangerous and ridiculous. Ofcourse it's safe if it's medically supervised!
  • auddii
    auddii Posts: 15,357 Member
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    rabbitjb wrote: »
    Yeah probably not dangerous

    But worthwhile? Waits to be seen really

    What's the support package after 4 weeks

    You know what they have shown you, very clearly though

    Eat 1200 calories and you Will lose weight

    So the reason you have never lost before is because you are not logging properly

    https://m.youtube.com/watch?v=KA9AdlhB18o

    You're probably right, I get calories but I do get a little confused with the portions. Since I've only had one appointment all I'm aware of is after the 4 weeks the food gets introduced slowly. As soon as I have my next appointment I'll let everyone know what the next step is.

    Yup, definitely work with them on developing a plan. And I agree with looking at the linked website from NHS; the earlier you start learning what you'll need to do after your 4 weeks, the easier it will be for you to transition. And especially try to identify habits you can incorporate now to help you once you introduce food long term.
  • 999tigger
    999tigger Posts: 5,235 Member
    edited August 2015
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    So how much do you actually weigh?
    What's the name of the diet you are on? Is it the counterweight plus program?
    Theres a lot you arent telling us.

    Btw im piecing together what the op is saying (which oesnt look consistent) and trying to compare it with what the NHS is saying about when and what it will offer.

    I'm not convinced the OP is giving us a full explanation of what she is on or she fully understands it. If you cant rely on what shes saying and key details are being missed out then any responses are based on incomplete or inaccurate information.

    16st at 5'2" is a BMI of 41.4 which would put her in the morbidly obese range. Im surprised as i wouldnt say 5st was impossible to lose, but shes in the poterntial range. She would only get it after a lot of consultations and trying other things though, hence whey they are trying the vlcd one imagines.
    Results, published in the British Journal of General Practice, showed that almost all patients lost weight – up to 30-40kg in some cases – with average losses after 14 weeks of 17kg and at least 33% of the 91 who started the study maintained more than a 15kg (two stones) loss for 12 months.

    The Scottish Intercollegiate Guidelines Network (SIGN), which develops evidence-based clinical practice guidelines for the NHS in Scotland, says severely-obese people should aim to lose over 15kg to control their medical problems.

    Professor Mike Lean, a human nutrition expert in the School of Medicine, said: “This amount of weight loss is enough to reverse most cases of type 2 diabetes and approached the levels achieved by lap-band surgery, but is much cheaper and safer than surgery.

    “It is also much more accessible. Weight loss surgery is only available for a tiny number of patients, and requires a great deal of training and back-up.

    “Health economics analysis showed that each £1m spent on Counterweight Plus would result in about 360 severely obese patients losing over 15 kg, compared with only about 105 patients if the same £1m were spent on proving lap-band surgery.

    “We need to ensure that we can maintain the weight loss for longer, but this is the only non-surgical method that can provide the 15-20 kg weight loss recommended to the NHS by SIGN for severe and complicated obese patients. With the valuable support we had from the Cambridge Weight Plan company it was very well received by GPs and their patients.”

    So it looks like she is on the counterweight plus program, which uses the Cambidge diet for only a month compared to the possible 14 weeks. She is morbidly obese. Cambridge diet is nutritionally balanced.


    Is what the NHS has to say about Cambidge diet.
    Cambridge diet

    The Cambridge Weight Plans are based around buying and eating a range of meal-replacement products with the promise of rapid weight loss. There are six flexible diet plans ranging from 415 calories to 1,500 calories or more a day, depending on your weight loss goal. There is also a long-term weight management programme. The bars, soups, porridges and shakes can be used as your sole source of nutrition or together with low-calorie regular meals. While on the programme, you receive advice and support on healthy eating and exercise from a Cambridge adviser.

    Pros:
    Many people on very low calorie diets find the weight loss to be sudden and quite dramatic. The meal replacements are all nutritionally balanced, so you're likely to be getting all the vitamins and minerals you need, albeit not from real food.

    Cons:
    Initial side effects can include bad breath, a dry mouth, tiredness, dizziness, insomnia, nausea and constipation from cutting down on carbs and fibre. The hardest part of the plan is sticking to it. Giving up normal meals and swapping them for a snack bar or a shake can be boring and feel socially isolating. This isn't a plan you can stick to in the long term.

    BDA verdict:
    You need to like the meal replacement products to stay with the plan. Rapid weight loss can be motivating, but it is unsustainable. A very low calorie diet that involves eating 1,000 calories a day or fewer should not be followed for more than 12 continuous weeks. If you are eating fewer than 600 calories a day, you should have medical supervision.

    After the initial diet they get full support on nutrition and food management for up to 2 years. I now dont think its as radical or as thoughtless as it comes across when the OP explains it. Its as a preventative measure to aboid the need for weight loss surgery for someone who has failed when using raditional dieting methods. Thats how she got morbidly obese. I'd lose it the normal way, but not everyone is the same.
  • Beezyweez
    Beezyweez Posts: 144 Member
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    bfit172 wrote: »
    Good for you.

    Also this is a public forum, opinions are going to be posted that you may or may not agree with.

    Opinions are fine, putting someone down when they are at their lowest with nothing but negative remarks is NOT.

    Completely agree :) opinions are one thing, putting someone down is another. There are kinder ways to get your opinion across. It's my first day here... First 2 hours actually...and I've already felt attacked for asking a question.

    Nice to know I'm not alone haha. This is only my second posted
  • hannibalholt89
    hannibalholt89 Posts: 101 Member
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    999tigger wrote: »
    I'm incredibly surprised that the NHS are actually considering you for WLS at only 16 stone. I'm also incredibly surprised that the NHS has recommended this ridiculous diet.

    This post strikes me as ridiculous full stop. I have a friend who is 25 stone and they won't even consider her for WLS and she needs it.

    This thread is imo dangerous and I cannot believe the mods have let it go on this long.

    Why is the thread dangerous? VLCD's are perfectly safe when under medical supervision.

    This is what I'm saying. I don't mind people advising against it or anything but I can't stand people just throwing out false facts calling it dangerous and ridiculous. Ofcourse it's safe if it's medically supervised!

    please stop calling something medically supervised just because a nutritionist gave you a plan, big difference
  • Sued0nim
    Sued0nim Posts: 17,456 Member
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    1200 calories at 5'2 is not a VLCD
  • Beezyweez
    Beezyweez Posts: 144 Member
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    BWBTrish wrote: »
    rabbitjb wrote: »
    OK you're morbidly obese and following a doctor supervised 1200 calorie a day meal replacement diet for four weeks

    On the NHS?

    And there's no incentive to move more? In fact you're saying there's a discincentive? Wow!

    And you have a "nutritionist" not a registered dietician?

    So what happens at the end of 4 weeks? Do you get a plan that incorporates eating real food?

    You might be interested in change4life the NHS campaign / programme for healthier lifestyles https://smarttools.change4life.co.uk

    And good luck..it sounds like a fabrication, and a totally awful approach to me

    Thank you I will look it up. It's really not as bad as it sounds. I'll be moving about in 2 and a bit weeks when I'll be on solids.

    But what have changed????? You stated that on solids more than 1000-1200 you wont lose????
    And indeed like others say...when you lose weight you even have to go lower to keep losing because your deficit gets smaller and smaller over time.

    And again very doubtful all of it...you are on a diet because..maybe....just maybe..you get a WLS surgery over a year???

    Common, grow up and stop believing what you wrote here.
    You are on a very unhealthy road for your body but also your mind...And dump the nutritionist/nurse if she really agrees with all of this.

    ( notice people how we still dont get a clinic/doctor/nutritionist name)

    That's only one of the reasons! See you're overall attitude in this comment is so rude and aggressive sounding. Not once have I been rude to you and because of that I won't be answering any more of your stupid questions. Thank you for being a prime example of what I've been talking about.
  • bfit172
    bfit172 Posts: 32 Member
    edited August 2015
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    BWBTrish wrote: »
    bfit172 wrote: »
    Good for you.

    Also this is a public forum, opinions are going to be posted that you may or may not agree with.

    Opinions are fine, putting someone down when they are at their lowest with nothing but negative remarks is NOT.

    Completely agree :) opinions are one thing, putting someone down is another. There are kinder ways to get your opinion across. It's my first day here... First 2 hours actually...and I've already felt attacked for asking a question.

    wait wait

    OP can say what she want? Like i dont care what you think? Grow up etc etc
    And when we say the same we put her in a corner????

    Sorry dont agree with you.


    I'm saying that everyone has the right to share their opinion but please do it in a nice way. No need for attacking words. It's okay to disagree with a persons opinion or program. That goes for both sides, OP and those who reply to the posts.
  • Beezyweez
    Beezyweez Posts: 144 Member
    Options
    What everyone is trying to say is that there is other alts to what you are doing seeing that this could be useless eventually we are not trying to make u feel dumb but truth be told you are just ignorant nothing wrong with that we all have to learn. Nutritionist can be just as knowledgeable as a stranger walking up the street. You make it seem as if you are severely large, you are far from it and you can achieve great results and be satisfied as well as far as hunger, you must first learn how to eat may sound dumb but its the truth

    Thank you Holt. If these methods have been researched with success then there's no harm giving it a go is all I'm saying now. I will be learning to eat soon I'll let everyone know the next step and what advice I was given
  • VintageFeline
    VintageFeline Posts: 6,771 Member
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    BWBTrish wrote: »
    rabbitjb wrote: »
    OK you're morbidly obese and following a doctor supervised 1200 calorie a day meal replacement diet for four weeks

    On the NHS?

    And there's no incentive to move more? In fact you're saying there's a discincentive? Wow!

    And you have a "nutritionist" not a registered dietician?

    So what happens at the end of 4 weeks? Do you get a plan that incorporates eating real food?

    You might be interested in change4life the NHS campaign / programme for healthier lifestyles https://smarttools.change4life.co.uk

    And good luck..it sounds like a fabrication, and a totally awful approach to me

    Thank you I will look it up. It's really not as bad as it sounds. I'll be moving about in 2 and a bit weeks when I'll be on solids.

    But what have changed????? You stated that on solids more than 1000-1200 you wont lose????
    And indeed like others say...when you lose weight you even have to go lower to keep losing because your deficit gets smaller and smaller over time.

    And again very doubtful all of it...you are on a diet because..maybe....just maybe..you get a WLS surgery over a year???

    Common, grow up and stop believing what you wrote here.
    You are on a very unhealthy road for your body but also your mind...And dump the nutritionist/nurse if she really agrees with all of this.

    ( notice people how we still dont get a clinic/doctor/nutritionist name)

    Unless they are a specialist in their field that's not really how the NHS works. Sure, you can look them up and see if they are a qualified and registered doctor or nurse but that's about it really. You don't shop around for medical care here, you take what you're given.

    OP, now you see you can lose weight and that actually what was happening before was having no idea how much you were really eating, then my suggestion is to buy a food scale and get weighing and measuring as soon as you get off this ridiculous diet otherwise you're doomed to failure again.

    I have done a bit of Googling and it seems this diet is a thing. However, I fear it's something that's been imposed upon nurses working in weight loss and not actually their own choice. Again, NHS is very different to the US healthcare system. It depends on the trust, some trusts have a very prescriptive low calorie pre-surgery diet, others have this liquid one, others have a liquid one with things like Weight Watchers soups included.
  • psuLemon
    psuLemon Posts: 38,391 MFP Moderator
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    Are you going for weekly blood work or anything?

    Also, what are they going to do after the 4 weeks? Have you seen an endocrinologist? And do they have you on medication for PCOS, like metformin.
  • lemonsnowdrop
    lemonsnowdrop Posts: 1,298 Member
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    You didn't lose weight on 1200 calories of solids because you weren't logging accurately and instead were eating more. Drinking calories does not differ from eating them, but anyway, this isn't VLCD anyway, it's just...pointless and complicated.
This discussion has been closed.