Weight Loss Orientation

OBJECTIVES:

  • Getting Ready for Weight Management: Mind Set, Eating Habits, Schedule
  • Dietary Plans: Suggested Recipes
  • “Ground Rules”: “Must Have” – “May Have”
  • Emergency Diet
  • Medical Supervision
  • What to Expect During Weight Loss
  • Success tips for Health

GETTING READY FOR WEIGHT MANAGEMENT
Getting ready requires some preparation:

  • A Proper Mind Set
  • Knowing Your Schedule
  • Knowing Your Dietary Plan

Your Mind Set
As you prepare yourself for this weight management experience, recognize that you are taking a very courageous step. During the next weeks and months, you will explore the many facets that contribute to weight problems. As you begin we want you to consider actions that will help your progress.

  • Commit to your dietary plan.
  • Commit to your class and medical monitoring schedule.
  • Avoid vacations and business trips as much as possible: they often interrupt or hinder progress.
  • Ask the doctor and staff to help you avoid problems.
  • Keep an open mind as you explore common myths and misconceptions about obesity.

Understanding Plateaus!
The first weeks of weight loss are exciting. You can feel wonderful until suddenly you reach a plateau. There may be occasional weeks when the scale does not change even though you have been true to the plan. Don’t become discouraged, your body will break through this wall in time.

LOOKING AHEAD

We have a double task. First, to help you lose weight safely, comfortably and relatively quickly. Second, to help you develop strategies for use in your new lifestyle, strategies that will help you live in a lower weight body. Neither task is easy and the second task, as you well know, is the more difficult. Now is the time to begin thinking about the behaviors that you will be changing.

What Kind of Eater Are You?

Please think through the various eating habits which you have acquired. Become aware of which eating habits may be causing you the most problems. Identify those habits. Consider home, school, work, family, holidays, stress, social activities, etc. Keep these habits in mind as you go through the classes and/or use the text. Think of ways to apply the information to your lifestyle. Our best advice to you: Go with the energy you have now and remember that a positive attitude will take you a long way! We wish you the very best!

Your Schedule
Now, let us look at your schedule. During the WEIGHT LOSS PHASE of the HEALTH program, a physician or nurse practitioner or a registered nurse will monitor you. The medical check-up includes any monitoring lab or EKG procedures that are done on a regular basis, as well as weighing in as dictated by your protocol.

THE OPTIMAL WEIGHT LOSS THAT CAN BE EXPECTED IS 2 TO 6 POUNDS PER WEEK.
With precise adherence to the program, plateaus will inevitably occur from time to time due to obligatory production of body water as fat stores are metabolized. Remember that weight loss will fluctuate a great deal due to individual body shape, gender and other variables

YOUR DIETARY PLAN DURING WEIGHT LOSS:
CONSIDER THIS PLAN A PRESCRIPTION FROM YOUR DOCTOR.
Your doctor will decide which plan is best for you after considering the options.

Notes on Using Bariatrix Supplements

  • BARIATRIX SUPPLEMENT IS TO BE TAKEN AS DIRECTED. IT IS PERMISSIBLE TO TAKE TWO PACKETS OF BARIATRIX SUPPLEMENT AT ONE TIME IF NECESSARY FOR CONVENIENCE. Water, diet soda or coffee or non-caloric liquid may be used.
  • You may add crushed or blended ice if desired.
  • Bariatrix Supplement is stable for a period of one year in the unopened packet. After one year, vitamin potency diminishes to a significant extent.
  • NO BARIATRIX SUPPLEMENT CAN BE RETURNED OR EXCHANGED. WE DO NOT TAKE RESPONSIBILITY FOR HANDLING AFTER IT LEAVES OUR OFFICE.
  • After reconstituting with liquid, the beverage should be consumed as soon as possible. It may also be kept in a thermos (cold) or in the refrigerator or freezer and consumed within 24 hours. May be tried as a popsicle.
  • Remember, if you are physically hungry it is always permissible to take an extra packet of Bariatrix Supplement.

SUGGESTIONS FOR MIXING SUPPLEMENT

  1. Start all packets (hot or cold) with cold water until you get a thick consistency-then add your hot or cold fluid. Do not hurry.
  2. Do NOT allow product to boil.
  3.  “Fast” – Mix with water.
  4.  “Creamy” – Mix with water and crushed ice
  5.  “Fun – Mix with Diet Pop: With Chocolate use Diet Coke or Diet Cherry Coke With Vanilla use Diet Cream Soda or fruit flavor soda Vanilla and nutmeg and 1/8 tsp. vanilla = eggnog With Strawberry or juices, add 7up or Sprite Try coffee granules or brewed coffee added to Chocolate and Vanilla Shakes Spices, i.e. cinnamon, nutmeg or a drop of extract enhances flavor.

Variations of Soups

  1. Start with lukewarm water, mix well, add hot water
  2. Add less hot water to make gravy
  3. Add steamed vegetables, cooked meat, or spices to “dress it up”

Variations of Hot Drinks
Add a small amount of cold water until smooth and thick, and then add hot water until right consistency

  1. Mix Cappuccino or Cappuccino w/Amaretto with Chocolate or Vanilla shakes for a cold “mocha” or “latte”
  2. Mix Hot Chocolate with coffee for a ” Mocha “
  3. Hot drinks can be used cold for a smooth change

Additional Recipes
Tomato Deluxe: Tomato soup w/garlic and basil or salsa.
Fruit Frappe: Strawberry and Vanilla Blended with one Strawberry.
Grasshopper: Chocolate with 1/8 tsp. mint extract
Orange creamsickle: Try pineapple orange juice packet with Vanilla shake and ice to make a double portion. Half can be saved or frozen for later. Frozen packets, especially Chocolate can taste good also as “fudgesicle” or ” popsicle”.

HERE ARE THREE “GROUND RULES”

DAILY MUST HAVES
Bariatrix Supplement plus meal (physician’s choice)….# of Bariatrix Supplements. Take Bariatrix Supplement and/or meals 2-4 hours apart, 2 quarts liquid plus what you add to your Bariatrix Supplement. Two (2) quarts is a minimum, 3 quarts is strongly recommended, but not more than 6 quarts of liquid per day–WATER IS THE BEST LIQUID. One (1) multi-vitamin.

DAILY MAY HAVES - (not required)
Sodas (4 calories or less – READ THE LABEL, 35 mg. sodium) (12 oz. soda) 1-2 per day.
Sugar-free gum – up to one small package per day. 5 packets non-sugar sweetener maximum per day. Lemon or lime in water. LIMIT CAFFEINE.
Three (3) cups maximum of caffeinated coffee (more may cause hunger and irritability) Or 2 diet sodas with caffeine per day.
Pure food extract-1/8 tsp. A drop may be enough.

Cannot have on the Program
Coffee whiteners, Postum, flavored coffees, some herbal teas, any other herbal products. (Please ask.)

Helpful Aids

  • Small battery operated blender for smoother drink-handy pocket size or a small wire wisk to carry in your purse or pocket.
  • Food scale-Required.

EMERGENCY DIET

In the event that the Bariatrix Supplement is not available, the following foods may replace one serving of the Bariatrix Supplement:

  • Two ounces of turkey or chicken.
  • One-half cup cottage cheese.

Continue to drink a minimum of three quarts of fluid daily. To prevent an emergency, keep extra packets of Bariatrix Supplement at work, in your car and other places where you might be caught without your Bariatrix Supplement.

MEDICAL SUPERVISION

Your physician will monitor you closely to ensure that your body is adjusting to the Dietary Plan. Your physician will make recommendations based on routine laboratory work, recorded weight and your individual visits. Please be open and honest with your nurse and physician. Inform them of any symptoms or concerns you may have. It is essential that you are present for your medical appointments and behavioral lectures as the safety and success of this program is predicated upon close medical supervision and education.

NO MEDICATION OR BARIATRIX SUPPLEMENT CAN BE PROVIDED IF YOU ARE NOT PRESENT. All medications must be monitored while you are a patient. Be sure to report any medications you take to your physician. The allowed non-prescription medications are as follows:

Headache or mild body pain:

  • Acetaminophen (e.g. Tylenol) – up to four times per day
  • Ibuprofen, Advil, Nuprin, Mediprin, Ecotrin, etc.
  • Pamprin Midol (aspirin-free)
  • Aleve

Colds:

  • Antihistamines – up to three per day.
  • No decongestants with some appetite suppressants.
  • Cough syrups – sugarless non-narcotic formula
  • Nose drops – (unless hypertensive) Use as label directs.

Constipation which is causing discomfort:

  • Metamucil, Fiberall (sugar-free), Citracel (sugar-free), over the counter stool softeners.
  • Effersyllium, Perdiem
  • Milk of Magnesia – two tablespoons for two consecutive nights (not chocolate or mint flavored).
  • Glycerine or Dulcolax suppository.
  • Miller’s Bran – one tablespoon per day.
  • No enemas

Diarrhea:

  • Kaopectate-use as label directs.
  • Donnagel
  • Immodium

Vomiting:

  • See your Physician if more than two episodes occur, as this problem will need to be treated immediately in order to avoid losing fluids along with sodium and potassium.
  • If no physician is available, Pedialyte or a similar electrolyte fluid replacement may be used until medical care is obtained.

Indigestion or heartburn:

  • Low sodium antacid/anti-flatulent – e.g. Riopan, Mylanta, Maalox, Rolaids.

Hemorrhoids:

  • Tucks
  • Sitz baths
  • Preparation H
  • Nupercainal Ointment

WHAT TO EXPECT DURING WEIGHT LOSS
The first phase of the program is an exciting time because you are continually motivated by your rapid weight loss. You may, however, experience some slight physical changes during this time.  Please read the following section carefully. If you experience any disturbing symptoms, call your physician as soon as possible.

  • You may experience temporary dizziness as a result of fluid losses. Therefore, do not make any rapid changes in body position, e.g. standing up quickly. An increase in fluids and salt will alleviate this problem.
  • Caution is urged when participating in the following activities: Steam baths, hot tubs, sauna baths, scuba diving, swimming alone, piloting a plane, horseback riding and motorcycle riding.
  • You may experience a change in bowel movements from perhaps daily to once every three to four days. If needed, you may use one of the nonprescription medications for constipation.
  • Some patients experience dry skin during weight loss. Using a moisturizing lotion and discontinuing use of skin-drying deodorant soaps will help alleviate this condition.
  • You may feel colder than usual while you are in weight loss. Dress warmly and use extra covers at night.

SUCCESS TIPS FOR HEALTH

  • Keep food “out of sight” and therefore “out of mind”. Make whatever arrangements are necessary so you can stay out of the kitchen, grocery store and restaurants as much as possible.
  • Use your meal plan when you are in social situations, have a Bariatrix Supplement before you go.
  • At the beginning of weight loss, weigh yourself no more than once a week at home.
  • Follow your timing plan, plan ahead. Never go over 3 hours without packets or a meal.
  • Instead of eating in response to hunger, make a list and plan of activities or hobbies you may engage in this week.
  • Plan each day’s activities in detail. If you can reduce the amount of chaos in your life, this may help you fill the time you would have otherwise spent eating.

REMEMBER – BARIATRIX SUPPLEMENT OR MEAL EVERY 3-4 HOURS.

  • Take one day at a time. Your weight loss program lasts for many weeks and the first weeks are the most difficult. It will get easier.
  • Maintain your Food Diary as a self-monitoring tool. Record 8ariatrix Supplement intake at the time you drink it so that you don’t forget. This is the start of learning to use your records as a confrontive tool.
  • Be sure to consume and record all of your Bariatrix Supplement each day, along with the required liquids. If you feel hungry or tempted to eat, drink non-caloric beverages or you may use 2 packets together, or an extra portion of protein.
  • Consider how to conveniently incorporate walking, stationary cycling or other aerobic exercise into your daily routine.
  • Practice identifying your own troublesome food cues and ways of managing these cues so that they don’t manage you.
  • Don’t forget: Keep extra packets of your Bariatrix Supplement with you at all times. Making it ahead in the morning and using a thermos can make life easier. This will help you to avoid emergencies and the temptation to eat. (Don’t keep in thermos more than 12 hours.)
  • Thank your support people and let them know specifically how they are helping you during your first week of weight loss.

(Based on “Look Up For Health” by Dr. Frank Johnson and Jeanne K Johnson.  Original text copyright © 1997 Bariatrix International.  Used by permission.  Updated and revised 2009-2013, revisions copyright © 2009-2013 Meyer, Malin and Associates, PLLC.  Revisions to the original text reflect Dr. Meyer and Dr. Malin’s approach to weight loss, and do not necessarily reflect the opinions of Bariatrix International)

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