An eight-year experience with a very-low-calorie formula diet for control of major XXXX .

@entity1 @entity407 @entity101 @entity6 @entity353 @entity28 @entity299
We have utilized a very-low-calorie formula diet (VLCD) along with multidisciplinary group counselling in an attempt to achieve and maintain major @entity353 in 4026 morbidity @entity28 @entity1 . Using a 420-cal protein supplement (Optifast), @entity1 lost weight, at an average of 4.6 +/- 0.9 lb/week and @entity1 , 3.1 +/- 1.1 lb/week. @entity1 remained on the VLCD an average of 13.2 weeks, resulting in a mean @entity353 of 66.0 +/- 8.1 lb; @entity1 remained on the fast an average of 14.1 weeks, with an average loss of 47.3 +/- 4.2 lb. Outcome analysis revealed that 25 percent of @entity1 were unable to adapt to this approach, dropping out within the first 3 weeks. Of the @entity1 remaining in the program, 68 percent lost considerable weight, but did not reach their goal; of this group, recidivism was extremely high, with only 5-10 percent maintaining @entity353 after 18 months. Thirty-two percent of the @entity1 successfully attained goal weight; the holding rate of this group has been considerably greater, with 30 percent of @entity1 and 58 percent of @entity1 maintaining @entity353 (within 10 lbs) for a minimum of 18 months. Complications of @entity28 i.e. @entity101 , @entity6 , and @entity407 were remarkably improved after @entity353 . Complications of the VLCD including @entity299 , were minimal. Our 8-year experience strongly suggests that the VLCD approach using high quality protein supplement and multi-disciplinary counselling provides a reasonable success rate for achieving and maintaining @entity353 in the morbidity @entity28 population.
