Rabu, 21 Januari 2009

’Tis the Season for Joy, Cheer, and Dieting: What to Eat at a Holiday Party Real-life weight loss secrets from celebrity natural-foods chef Bethenny F

holiday-dieting
Istockphoto

When your calendar is packed with dozens of holiday parties, it may seem like you can’t relax and have a good time without gaining weight. But if you want to get through the season without widening your waistline, don’t make excuses just because it’s December.

Whether you’re faced with a slew of holiday parties, a big birthday, or a wedding, the secret to staying slim is to treat special occasions as just another day. Don’t build up the holiday season too much in your head or you’ll end up overdoing it—and paying for it when you step on the scale in January. Too often people rationalize that they can eat whatever they want because December comes just once a year. But unless you want to add a super-strict diet to your list of New Year’s resolutions, it’s best not to fall too far off the wagon.

Before I head out to a friend’s get-together or an office bash, I make sure I have a game plan. When in doubt, I stick to shellfish, salad, and veggies, and I keep fancy finger foods to a minimum. If the food looks complicated—think mini–quiches, puff pastries, and the like—that means it’s probably loaded with calories. I choose two of my favorite and have a small sample of each.

If you don’t have any dinner plans post-party, here’s my blueprint for a figure-friendly night out:
2 fancy hors d’oeuvres (pick from Parmesan puffs, spring rolls, tartlets, etc.)
2 cocktail shrimp with sauce
2 skinny cocktails
A heaping portion of salad and veggies at the buffet
Sponge-size serving of protein, like chicken or steak

If you’re headed out for dinner after your cocktails, stick to this:
2 fancy hors d’oeuvres
Unlimited crudités
2 cocktail shrimp with sauce
1 skinny cocktail

My most important rule is to surround myself with good company: If I’m busy chatting, I won’t even notice a tantalizing tray of hors d’oeuvres go by.

Together We Lost Over 200 Pounds


friends-walking-weight-loss
Tom Rafalovich
By Brittani Renaud
From Health magazine

Three years ago, when Amanda Bard (Right), 27, and Amber DeBeer Larson (Left), 30, started new jobs at the University at Buffalo, they discovered they had one big thing in common: They both had a lot of weight to drop. “You can’t talk to somebody who’s got 5 to 10 pounds to lose and expect them to understand what you’re going through,” says Amber, whose weight had climbed to 250 pounds at her heaviest. Amanda (who weighed 245 pounds) and Amber decided to go to Weight Watchers together. They used breaks to walk around campus. And, despite working out separately, the friends got inspiration from each other’s successes. “Amber would tell me what exercise she had done that morning, which would motivate me for my afternoon workout,” Amanda recalls.

Amber lost 115 pounds in 15 months, and Amanda reached her 96-pound goal in 23 months. Now they live in different cities but have found a great excuse to visit each other—running races together. This past May, Amber and Amanda finished a half-marathon. And even when they’re not able to talk face-to-face, they credit their bond with keeping pounds away. “Just having that person to turn to when you want to give up is so important,” Amber says.


Amber Before Now
Amanda Before Now
Pounds: 250 135 Pounds: 245 149
Size: 24 4-6 Size: 22 8-10
Total lost:
115 Total lost:
96

Their favorite snack
They both love to eat yogurt (their favorite: Dannon Light & Fit). Amanda pairs it with a bagel or a granola bar for breakfast; Amber eats it with Grape-Nuts for an after-dinner dessert.

How Amber sneaks in veggies
For a quick, low-cal dinner, she combines her favorite fresh vegetables to make a delicious stir-fry. “You can change the flavors and tastes with different spices,” she says. “It’s an easy way to get your veggie servings.”

Calorie-counting secret
“I used to grab a bag of chips, sit on the couch, and—without realizing it—eat the entire bag,” Amanda says. “Now, I’m aware of serving sizes. I write down everything that goes into my mouth on a daily basis.”

Their gift
The friends both love Ann Taylor; the retailer is giving them each a $250 gift certificate.
Congrats, ladies!

General Information About Medifast

What is Medifast?

Medifast is a portion controlled, nutritionally balanced, low fat and clinically proven program that helps people lose weight faster and more effectively than traditional diet plans. Medifast Meals come in individual packets that you mix with water and microwave or refrigerate. Medifast is available in a wide variety of foods and flavors including shakes, soups, stew, chili, oatmeal, scrambled eggs, fruit drinks, iced teas, hot beverages, bars and puddings.

How does Medifast work?
The Medifast 5 & 1 Plan was medically designed to create a calorie deficit, allowing your body to burn fat for energy. Each nutritionally balanced Medifast Meal is formulated with a proven combination of carbohydrates and protein, allowing you to successfully lose weight while maintaining lean muscle mass.

What is the average weight loss amount per week?
Clinical studies indicate that most people lose an average of 2-5 lbs per week with Medifast. The scale isn’t the only test, so check other indicators such as your waistline measurement and how well your clothes are fitting you. Individual results may vary, and are dependant upon various factors such as your weight when you start the Medifast program, targeted weight loss goal, level of exercise, presence of medical conditions, use of medications, accuracy with diet compliance, etc. As with most diets, Medifast suggests that you consult with your physician prior to starting a weight loss program.

Why is the Medifast weight loss program special?
Medifast is an effective, healthy weight loss program. Think of Medifast as a lifestyle change, not just a short-term diet or weight loss solution. Medifast is a quick, healthy diet plan, especially when compared to other diets you’ve likely experienced without success. Medifast is a portion controlled, low calorie weight loss program that leads to more rapid weight loss than traditional diets. Medifast is special because you can achieve the quick weight loss you want, and, unlike other weight loss programs and diet plans you’ve tried, Medifast is clinically proven to produce quick weight loss, typically 2-5 lbs per week.

How do Medifast weight loss products lead to fast weight loss?
The clinically tested weight loss results of Medifast are designed to create a healthy gap between the calories you take in and the amount your body burns, thus promoting effective and natural weight loss. Many times, dieters on other low calorie diets do not meet the minimum daily recommended nutritional requirements. Medifast Meals provide the optimal combination of carbohydrates, protein and other nutrients necessary to give you the quick weight loss you want and the healthy weight loss you need. The Medifast weight loss program is an extremely effective diet plan to lose weight fast. Medifast fits your busy life because Medifast Meals are quick and easy to prepare, while still being a healthy diet plan.

How easy is the Medifast weight loss program?
With the Medifast 5 & 1 Plan, you’ll eat 6 meals a day -- 5 Medifast Meals and 1 Lean & Green Meal. You can choose any 5 Medifast Meals from our menu of over 60 Medifast Meals, including Medifast shakes, bars, soups, pudding, oatmeal, scrambled eggs and more. Your daily Lean & Green Meal consists of a balance of lean protein (such as beef, chicken or fish) and vegetables, which you’ll prepare yourself.

How does Medifast help sustain your weight loss results?
Medifast won’t abandon you the way fad diets have in the past. The Medifast Transition, Maintenance, and Exercise Plans pick up where the Medifast 5 & 1 Plan ends – and teach you how to sustain your weight loss results long-term!

Does Medifast have Diabetic weight loss programs?
Medifast has special diet programs for those with type 2 diabetes. The Medifast diabetic diet plan can help you manage your type 2 diabetes and control your weight, with your doctor’s supervision.

Is Medifast safe?
Medifast has been clinically proven through a number of controlled studies. More than 15,000 physicians nationwide have recommended Medifast programs to their patients -– and more than one million customers have safely used Medifast for over 25 years.

How much does Medifast cost?
Medifast food products cost about $11.00/day or $299.50/month when you take advantage of our convenient Variety Packages (buying foods individually may cost slightly more). That's a lot less than the average of $16.00 a day the average American adult spends on food. Fully-fortified Medifast Meals can be a lot healthier than your typical food intake, considering that we don't always make the healthiest choices at the grocery store or fast-food restaurant. What's more, if you're currently spending money on prescriptions for high blood pressure, high cholesterol, or type 2 diabetes, getting to a healthy weight can reduce - or even eliminate - your need for these costly meds.

What does the Medifast 5 & 1 Plan consist of?
The Medifast 5 & 1 Plan consists of five (5) portion controlled, nutritionally balanced Medifast Meals plus one (1) Lean & Green Meal.

What does the Lean & Green Meal consist of?
The LEAN portion of the Lean & Green Meal consists of 5-7 ounces of lean meat. For a complete list of meats and portion sizes, please refer to our Lean Options List and our Meatless Options List (PDF files).

The GREEN portion of the Lean & Green Meal consists of 3 servings of low carbohydrate vegetables from our Vegetable List (PDF file).

Are there certain “approved” vegetables for the Lean & Green Meal?
All vegetables promote healthful eating; however, during the weight loss phase of your plan, we do suggest that you avoid the “higher carbohydrate” vegetables in order to enhance your weight loss results. Once you Transition to the Maintenance phase of the program, we encourage you to include ALL vegetables for long-term health.

Our Vegetable List (PDF file) will help you identify the relative carbohydrate levels of these approved vegetables. If you hit a weight loss plateau, or are having trouble achieving the fat-burning state, we recommend you choose vegetables primarily from the Green category instead of from the Orange and Blue categories. *NOTE: Carrots, corn, potatoes, peas and brussels sprouts should be avoided while in the weight loss phase of your Medifast Plan. Please add them to your diet once you transition to the Maintenance Plan.

Can I use Medifast Meals interchangeably?
One of the great benefits of Medifast Meals is that they may be used interchangeably. The bars should be limited to one (1) per day (due to their higher caloric and carbohydrate content).

What kind of snacks can I have on this program?
Medifast offers a variety of healthy, delicious snacks that can be used to augment the 5 & 1 Plan, including:

  • Soy Crisps (apple cinnamon, ranch or white cheddar flavors)

  • Crackers (multi-grain or garden vegetable flavors)

Other snacks you may have include:

  • 3 celery stalks

  • 1/2 cup sugar-free gelatin

  • 1 sugar-free Popsicle®

  • 2 dill pickle spears

  • up to 3 pieces of sugar-free gum or mints

Limit your snack intake to one (1) per day. Snacks should NOT take the place of a Medifast Meal or Lean & Green Meal.

*NOTE: Eating more than one (1) snack per day may hinder weight loss. For information on slower weight loss, please refer to our Plateau Tips (PDF file).

Can I substitute a sixth Medifast Meal for my one Lean & Green?
This is not recommended. In order to maximize effectiveness and to ensure that you get all the nutrition your body requires, the Medifast 5 & 1 Plan (5 Medifast Meals plus 1 Lean & Green Meal) should be followed – unless otherwise recommended by your physician.

Is the Lean serving size the cooked or uncooked weight?
It is the cooked weight.

How many calories are in the Medifast 5 & 1 Plan?
The Medifast 5 & 1 Plan provides 800 to 1,000 calories per day, depending on your personal selections.

Can I substitute frozen meals for my Lean & Green Meals?
Medifast does not recommend frozen dinners on the 5 & 1 Plan – primarily due to their varying calorie levels, excessive sodium content and lower protein levels.

Do any Medifast products contain MSG?
The Cream of Tomato Soup is the only product that contains MSG.

How does Medifast sweeten its products?
Medifast uses a combination of fructose and acesulfame potassium to sweeten most products. This combination is used because we have found it to make the best quality products without contributing significantly to calories, sugars or carbohydrates. For more information about acesulfame potassium, click here.

There are sugar alcohols in some flavors of Medifast Bars (Caramel Nut and Plus for Diabetics Bars). Momentum by Medifast Flavor Infusers are sweetened with Sucralose and do not contain acesulfame potassium.

What’s the difference between ‘Medifast 55’ and ‘Medifast 70’ Shakes?
‘Medifast 55’ Shakes have 90 calories and 11g of protein. ‘Medifast 70’ Shakes have 100 calories and 14g of protein. Medifast 55 Shakes are recommended for women. Medifast 70 Shakes are recommended for men and for women who are active or prefer a higher protein count.

Are there any stimulants in the Medifast Products?
Most Medifast Meals do not contain any stimulants, ephedrine, or other herbs that might be harmful to your body.

Our Momentum by Medifast product line contains 100 mg of caffeine and 90 mg of EGCG, a potent antioxidant found in green tea. This amount of caffeine is equivalent to 1 cup of brewed coffee. Using Momentum products is a lifestyle choice, so if you would rather not consume EGCG and additional caffeine you may choose other Medifast products. Momentum products are only included in Variety Packages that are labeled Momentum, and not in our standard Variety Packages for Women, Men and Diabetes.

Is Medifast covered under my insurance?
Weight loss programs are generally not covered by medical insurance, but please check with both your doctor and your insurance carrier for information relative to your individual circumstances. Some policies may cover weight loss programs in conjunction with specific medical conditions (such as primary diagnosis of type 2 diabetes or heart disease) in which obesity is a factor and weight loss can lead to management or improvement of these conditions. But again, you will need to ask your doctor and your insurance carrier this question in order to receive an accurate answer based on your coverage and medical status. Medifast does not bill insurance companies on behalf of its customers.

Does Medifast have a support system on the web?
Yes –- “MyMedifast” provides you with valuable tools, support and information that will help you with your Medifast plan AND assist you with nutrition, exercise and motivation. An easy-to-use meal-planning tool is available – plus you'll be able to connect with other people in the Medifast community just like yourself. MyMedifast is offered at no additional charge – but is available only to Medifast customers. Medifast customers can visit www.mymedifast.com to register.

What is your shipping policy?
All orders are processed within 24 hours and shipped the next business day. Allow 5 to 7 business days for standard shipping; 3 to 4 business days for expedited shipping (additional charge). V.I.P. Membership orders of $200 or more (total after coupons and discounts) get FREE standard shipping anywhere in the U.S. Non-V.I.P. Membership orders of $275 or more (total after coupons and discounts) get half-price standard shipping anywhere in the U.S.

Need your Medifast...fast? For just $9.95, you can put your order on the fast track! Add MedifastTrack Expedited Processing to your order and we'll push your order to the front of the line so you get your products faster than ever. Select this option during checkout.

Has Medifast been affected by the recent peanut recall (January 2009)?

No. There is no indication that any Medifast products are impacted by the peanut recall. Medifast has been in contact with our ingredient suppliers to ensure the safety of our products and we have verified that Medifast does not purchase any ingredients from the supplier in question. Again, we have no reason to believe that any Medifast products containing peanuts have been affected.

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Medifast Plans

Can I try Medifast for just a few days?
We recommend trying Medifast for a minimum of two weeks to allow ample time for your body to maximize its fat-burning potential. However, if you’d like to try Medifast for just a few days, there are some options:

  • Individual samples of Medifast Meals

  • Medifast 2-Week Variety Packages

Individual samples of any Medifast Meal or snack cost $2.50 each; samples of Medifast Soy Crisps are $2.00 each. You cannot order single samples online, so you’ll need to contact Customer Care at (800) 209-0878 to place your order. Customer Care is available on Weekdays 8:00 A.M. – 10:00 P.M. and on Weekends 9:00 A.M. – 6:00 P.M. (Eastern).

Medifast Variety Packages are an easy, economical way for you to order our most popular Medifast Meals. Medifast 2-Week Variety Packages come pre-packaged, so no substitutions can be made. Variety Packages for Women contain ‘Medifast 55’ Shakes (90 calories, 11g of protein) and Variety Packages for Men contain ‘Medifast 70’ Shakes (100 calories, 14g of protein).

Can I customize my Variety Package?
Our pre-packaged Variety Packages cannot be customized or changed. You can, however, design your own menu and only order the meals you prefer. Costs may vary when designing your own menu (depending on which Medifast Meals you choose).

If you're ordering online, you can either use our DESIGN A MENU feature OR you can visit our "Shop" section to select the items you would like. If you need assistance, you can call Medifast Customer Care at (800) 209-0878. Our Customer Care Representatives can answer all of your questions and assist you with placing your first order.

Does Medifast carry kosher products?
The majority of Medifast products are certified kosher by The Orthodox Union of New York. For specific information, refer to our complete list of Kosher Products (PDF file).

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Starting Medifast

How do I get started on Medifast?
You should consult with your physician or qualified medical practitioner prior to beginning (and throughout the course of) any weight loss program. You’ll want to order at least a 2-week supply (a 4-week supply is ideal) of Medifast Meals before you start, then continue ordering on a monthly basis. Schedule your re-orders at least one (1) week in advance so you don’t run out of Medifast Meals.

Can I do the program if I am a vegetarian?
Yes. There are numerous vegetarian options available within the Medifast Meal lineup. For specific information, refer to our complete list of Vegetarian Products (PDF file). You can substitute Meatless Options for the LEAN portion of the Lean & Green Meal. Additional Meatless Options are available on our Lean Options List (PDF files). Low carbohydrate vegetables used in conjunction with your Lean & Green Meal can be referenced through our Vegetable List (PDF file).

When should I start my Medifast program?
The first three days are critical to your success, so pick a start date that makes sense for your schedule. You might want to look for a time when you don’t anticipate any family, work-related or other social-type events that involve food.

What should I do when on vacation?
Medifast recommends planning ahead so you can continue your program while vacationing. If your meals aren’t with you, you can’t eat them! This may necessitate packing food items in your luggage. Pre-planning can help you continue to lose weight while you travel. Customers who are able to plan and continue the program while traveling or ordering out get the best results. Traveling presents countless eating temptations, with the availability of foods that are not part of the Medifast program. Always remember your end goals -- a healthier weight and a healthier lifestyle. If you’re unable to follow your current 5 & 1 Plan, you can try a 3 & 2 Plan (3 Medifast Meals plus 2 Lean & Green Meals). Remember to limit portion sizes in your Lean & Green Meals –- and enjoy your travel!

If your vacation involves strenuous activity (e.g., skiing or bicycling), you may contact Nutrition Support for advice about incorporating additional calories to help prevent fatigue.

How long can I stay on the Medifast 5 & 1 Plan?
You may stay on the 5 & 1 Plan until:

  • you’ve lost your desired amount of weight

  • you develop a new contraindication to the program (such as pregnancy)

  • your physician recommends you transition into Maintenance Plan

If you have significant weight to lose and plan to be on the weight loss phase of the program beyond 16 weeks, we recommend that your physician monitor your program. After you’ve completed the weight loss phase, you will transition into the Maintenance Plan. Nutrition Support at Medifast is available to guide you in this transition if you need assistance.

I'm trying to quit smoking -- could this affect my results with Medifast?
For general health, it is recommended that you stop smoking. Most individuals cannot successfully stop smoking and start a weight loss diet at the same time. Once you are no longer smoking, a weight loss program, like Medifast, is highly recommended.

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Using Medifast

How often should I have my Medifast Meals?
Every 2-3 hours. It is important to start each day with a schedule, allotting specific times for eating your meals. Build six (6) time slots for meals into your daily schedule, and strive to be as consistent with this eating schedule as possible. If you know your schedule will shift a little (perhaps on weekends), make sure to shift your meal times accordingly.

What happens if I miss a meal?
If you miss a meal, eat the rest of your meals closer together to make sure you get all the required meals in before the end of the day. Because of the low caloric level of Medifast, skipping meals will put you below the optimal nutrient level your body needs to function. This decrease in your nutrient balance makes your body conserve energy -- causing you to lose weight slower, not faster!

What if I don’t feel hungry?
It is important to get all 5 Medifast Meals plus 1 Lean & Green Meal in each day; otherwise, you are not getting all the nutrition and calories required to maximize the 5 & 1 Plan’s effectiveness.

What if I run out of Medifast?
If you happen to run out of Medifast Meals prior to the arrival of your next Medifast shipment, please contact our Nutrition Support team at NutritionSupport@ChooseMedifast.com.

Should I take vitamins?
Generally speaking, you shouldn’t need to take vitamin supplements along with the program. The Medifast 5 & 1 Plan provides you with all the necessary Recommended Daily Allowances of vitamins and minerals. Address this matter with your physician if you are currently taking additional doctor-prescribed vitamin and/or mineral supplements.

Can Medifast Meals be consumed after the best-if-used-by date?
Medifast powdered products have an 18-month best-if-used-by date. Medifast Ready-to-Drink Shakes and Bars have a 12-month best-if-used-by date. This does not mean that the product will expire, "go bad" or be harmful; it simply means that the vitamin and mineral pre-mix contained in the products may lose some of its potency, potentially rendering the product less effective. For best results, use your Medifast Meals as soon as possible and store them in a cool, dry, clean environment.

Can you provide mixing instructions for each Medifast Meal?
Use water for all Medifast Meals that require mixing. For specific information, refer to our complete list of Mixing Instructions (PDF File).

Can you mix two Medifast Meals together?
Yes. This can be a useful technique to get you through a challenging time if you are feeling hungry. Some customers say this helps them to stay on the program successfully. Remember, however, it is most beneficial to spread individual meals out throughout the day.

Can I mix my Medifast Meals ahead of time?
Medifast Meals are quick and easy to prepare whenever you're ready to eat them. You may choose to prepare certain Meals (such as the soups) ahead of time and storing them in the refrigerator or a Thermos. We recommend preparing the Meal no more than a few hours before consumption and thoroughly mixing the Meal prior to eating to prevent any settling that may occur.

You might also be interested in Medifast Ready-to-Drink Shakes, which offer a convenient way to take your shakes with you. These pre-mixed shakes are shelf-stable, can be stored easily and are interchangeable with your other Medifast Meals.

Will I ever be able to eat fruit, dairy or starches again?
Absolutely! While on the Medifast 5 & 1 Plan for weight loss, we recommend that you avoid fruits, dairy and starches because of their high carbohydrate contents. However, these foods are very healthy for you and we encourage you to re-introduce all fruits, vegetables, low fat dairy products and whole grain products during the Transition and Maintenance phases of your weight loss journey.

Can I combine other brands of diet foods?
We recommend that you stay with a single brand of products (such as Medifast products). Each Medifast product is formulated to provide you with the complete nutrition your body requires. Mixing in different product brands may lead to nutrient deficiencies.

How much water should I drink on this program?
It is important to drink at least 64 ounces of water per day while on the Medifast 5 & 1 Plan to keep your body hydrated.

What types of fluids are recommended?
We recommend drinking 64 ounces of water per day. In addition, you may drink any liquids that are considered non-caloric, which would include Medifast Flavor Infusers. This also includes unsweetened hot or iced tea, coffee or decaf, diet sodas or other calorie-free beverages. As a general rule, Medifast recommends that you try to drink as much water as possible for good health, and limit your intake of other non-caloric liquids when possible.

Can I drink alcohol?
Alcoholic beverages are not recommended on the Medifast program. Alcohol provides unneeded calories, can slow your weight loss, stimulates the appetite (encouraging additional food intake) and can deplete your body of needed water. Low carbohydrate versions of beer and other types of alcohol are not recommended because these also provide calories with no nutritional value. Those who choose to drink alcohol tend to feel its effects at lower consumption levels, due to the lower calorie level of the Medifast 5 & 1 Plan.

Why do the bars contain more carbohydrates than other Medifast Meals?
The manufacturing of a solid product requires a different processing method for binding the carbohydrates with proteins. This results in a slightly higher carbohydrate level than the powdered Medifast products. Hence, limit your bar intake to one (or less) per day during the weight loss phase of your plan.

Can I use any seasonings?
You can season your Medifast Meals and your Lean & Green Meal with most herbs, seasonings or spices. Experiment with different seasonings to find the flavors you enjoy. For general health purposes, we recommend limiting salt intake. For more specific seasoning usage information, refer to our complete list of Condiment Options (PDF file).

What are the limitations on the condiments I can use?
Some condiments are a significant source of additional calories. Of course, we do want you to enjoy your food -– but we recommend limiting condiment use in order to achieve the best weight loss results. For more specific condiment usage information, refer to our complete list of Condiment Options (PDF file).

What if I want to eat out at a restaurant?
Special occasion meals are easier to handle than you may think! Simply rearrange your Medifast Meal routine (if necessary) so that you can enjoy your Lean & Green Meal at your breakfast meeting, family brunch, awards banquet or virtually any special occasion involving food! You should have your typical Lean & Green serving of meat and vegetables as usual. Request that your meat be prepared/served without sauce if possible. If you can't avoid eating something that isn't part of the Lean & Green Meal, it may raise your daily calorie intake -- but you can get back on the 5 & 1 Plan starting with your next meal. It is still best not to skip meals, even when you think you may have over-eaten. Resume your plan as soon as you are able.

As an alternative, you can bring along a Medifast Meal and ask the waiter for hot or cold water (depending on what you are eating) to mix your meal. Then simply prepare your Medifast Meal and eat it with everyone else!

Can I chew gum?
Yes, as long as it is sugar-free gum. You can also have sugar-free mints. Make sure to limit these to no more than 3 per day. This will count as your one (1) optional snack for the day.

Can I have butter substitutes?
You can use butter substitutes such as Molly McButter®, Butter Buds® and I Can't Believe It's Not Butter® spray as great alternatives to actual butter. For more specific condiment usage information, refer to our complete list of Condiment Options (PDF file).

Can I have lattes?
Medifast offers delicious Cappuccino, Chai Latte and Hot Cocoa! These “hot drinks” can be used as part of your 5 & 1 Plan, and can also be enjoyed throughout Transition and Maintenance.

Coffee shop or other non-Medifast types of lattes are not recommended on the 5 & 1 Plan because they’re made with about 1/2 cup of milk -- and milk adds too many additional carbohydrates to your diet during the weight loss phase. Instead of a latte, try a regular cup of coffee with low fat/fat-free creamer, half & half or skim milk and sugar-free syrups or extracts for flavoring -- refer to our complete list of Condiment Options (PDF file). Once you transition to the Maintenance phase, you can include low fat dairy products.

Can I have shirataki noodles?
Yes. You can have shirataki noodles -- serving size 1-1/2 cups (12 oz). This would be considered the “Green” portion of your Lean & Green Meal.

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On the Program

Why did the scale go up?
The amount of weight you lose will fluctuate from week to week. Several situations may change the number on the scale, such as the time of day you weigh yourself, your menstrual cycle, not drinking enough water, whether or not you recently eliminated or how closely you are following your 5 & 1 Plan. Don't panic if the scale doesn't move for several days -- or even goes up slightly. If you stay on your program (and are consuming all of your meals), the scale will eventually show results. Try to weigh yourself only once a week, at the same time each week (the ideal time being immediately after you wake up).

What can I do about a weight loss plateau?
Plateaus can occur at different times for different people. They normally happen because your body is attempting to hold on to its fat stores. It's as though your body reshuffles its weight status while assessing whether it's ready to continue losing -- once it feels settled, your system will kick back in and allow your weight to drop again. If you experience a weight loss plateau, look for other indications of progress such as wearing a smaller size of clothing. Weight loss should resume if you continue to follow the program. You can contact the Nutrition Support Team at Medifast if you need assistance. For information on slower weight loss, please refer to our Plateau Tips (PDF file).

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Planning for Medifast Supplies

When should I re-order Medifast?
Re-order at least one (1) week before your supply runs out. Allow a minimum of 3-5 business days for shipping. You may request expedited shipping by calling Customer Care at (800) 209-0878 to place your order. Canadian Customers - Medifast can ship to Canada, but we cannot accept Canadian orders online at this time. Please call us at (800) 209-0878 to place your order. Our Customer Care representatives will be happy to help you.

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Medical Monitoring

Do Medifast users require medical supervision while on the program?
You should consult with your physician or qualified medical practitioner prior to beginning (and throughout the course of) any weight loss program. We strongly recommend that you participate in the program under your physician’s supervision if you:

  • are over the age of 70

  • are under the age of 18

  • have diabetes, hypertension or any other serious medical condition

  • are taking medications, especially for diabetes

Are there any special guidelines for Medifast customers over age 70?
If you are over age 70, this program should be done with your physician’s supervision. Your physician may recommend a higher caloric intake based on your individual needs. Dosages of medications may need to be adjusted, and labs and vital signs may need to be monitored. For more information, please refer to the Medifast Senior Guide (PDF file).

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Soy, Fiber, Dairy, Whey

What type of soy is in Medifast?
Medifast uses Supro® brand soy protein, a high-quality complete protein derived from soybeans. Supro® is produced by DuPont's Protein Technologies. DuPont has been conducting soy protein research for more than 30 years.

What are the benefits of soy?

  • Studies show naturally occurring isoflavones (such as those in Supro® brand soy protein) have increased the mineral content and density of bones, which may protect against the risk of bone fractures and osteoporosis.

  • Studies have indicated that a regular intake of soy foods may help to prevent hormone-related cancers such as breast cancer, prostate cancer and colon cancer.

  • Soy works to lower LDL cholesterol (bad cholesterol) levels in the blood, and each 1 percent reduction in LDL cholesterol results in a 2–4 percent reduction in heart disease risk.

  • Soy reduces triglyceride levels and increases HDL cholesterol levels (good cholesterol), which further reduces the risk of heart disease.

  • Soy isoflavones, which are natural estrogen sources, may help reduce menopausal symptoms such as hot flashes or night sweats.

  • Soy is a complete protein, providing all of the essential amino acids.

How much fiber do Medifast Meals contain?
Medifast Meals contain 0-5 grams of dietary fiber (depending on which Meals you choose). You’ll also get fiber from the “Green” portion of your Lean & Green Meal. For the amount of fiber in specific Medifast Meals, please refer to our Product Nutrition Quick Profile (PDF file).

Which Medifast products do not contain soy?
Scrambled Eggs, Hot Cocoa, Chai Latte, Cappuccino, Cranberry Mango Fruit Drink, Tropical Punch Fruit Drink, Peach Iced Tea, Raspberry Iced Tea, Cream of Chicken Soup, Cream of Tomato Soup and Cream of Broccoli Soup. For more information, please refer to our Allergen/Dietary Information (PDF file).

Which Medifast products do not contain dairy?
Medifast has one dairy-free product -- Medifast Ready-to-Drink Shakes. For more information, please refer to our Allergen/Dietary Information (PDF file).

Which Medifast products do not contain whey?
Oatmeal, Ready-to-Drink Shakes, Chocolate Pudding, Chicken Noodle Soup and Maryland Crab Flavored Soup. For more information, please refer to our Allergen/Dietary Information (PDF file).

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The Fat-Burning State and Weight Loss

What is the Fat-Burning State?
On the Medifast 5 & 1 Plan, your body enters a fat-burning state -- also known as “mild ketosis.” The nutrient balance of Medifast in combination with its low calorie level causes the body’s fat stores to release free fatty acids, which are then converted by the liver into an energy source called ketones. This mild dietary fat-burning state helps the body achieve rapid weight loss while preserving muscle tissue. The fat-burning state also helps eliminate physical hunger while providing sufficient levels of energy.

Is this Fat-Burning State harmful to me?
No, the fat-burning state achieved on the Medifast 5 & 1 Plan is very mild. The fat-burning state is a normal adaptive mechanism that your body uses to manage energy. The level achieved will protect you from losing muscle tissue (due to the amount of protein that can be consumed on the Medifast 5 & 1 Plan). Incorporating regular exercise also helps to tone and build muscle tissue.

How long does it take to get into the Fat-Burning State?
It generally takes about 3-5 days to get into the fat-burning state.

How can I tell I am in the Fat-Burning State?
The best way to determine if you are in the fat-burning state is by recognizing physical clues -- such as feeling less hungry and more energized, and losing weight at a steady rate.

Can I use ketone test strips?
Medifast does not require ketone testing. The best way to determine if you are in the fat-burning state is by looking for physical reactions -- such as feeling less hungry and more energized, and losing weight at a steady rate.

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Exercising on Medifast

Should I exercise along with the program?
Exercise is a necessary part of losing weight, improving metabolism and maintaining weight loss. If you do not exercise currently, we recommend you wait 2-3 weeks before you begin an exercise program. Start an exercise program slowly, and gradually increase time spent on an activity (and intensity of the activity) as your body allows. Choose an activity that you can enjoy regularly. Most of our customers find walking is the easiest activity to incorporate into their day.

For an individual who has an exercise program in place prior to starting Medifast, we recommend cutting the exercise program in half for the first couple of weeks to allow the body to adjust to its new calorie level. As your body adjusts to this lower calorie level, you can increase time and intensity of your exercise plan.

Listen to your body and only do what it allows. If you feel light-headed or faint, stop your exercise and take a rest before you resume. Remember to drink fluids. Fluid intake is important when you exercise. You may find that you need additional water on the days you exercise, especially if it is hot outside.

What type of exercise (and how much) is recommended?
If you haven't been exercising at all, be sure to check with your doctor first to make sure your exercise plan is appropriate for you. Once you’re deemed ready, adopt a slow pace. Start with gentle walking. You can take short walks throughout the day or go on a single long one. Make a commitment to walk every day, even if your walk is a short one. Gradually increase the distance and time spent walking once you reach a comfort level. Of course, in addition to walking, you may begin with any exercise that you enjoy. You may try incorporating a variety of exercises such as walking, stair climbing, biking, weight training, aerobics, swimming, pilates, etc. Some people choose the guidance of a personal trainer to help establish an individualized exercise program.

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Symptoms and Side Effects

*NOTE: Most of our customers report feeling energized -- and better than they did prior to starting a Medifast program. If you are ill or do not feel well, see your doctor. Unless your doctor says otherwise, you should be able to continue on the Medifast 5 & 1 Plan, as most symptoms experienced are temporary.

For further information, refer to our list of potential Symptoms and Side Effects (PDF file). If you have questions, please contact our Nutrition Support team at NutritionSupport@ChooseMedifast.com.

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Transition and Maintenance

How do I go off the program?
Once you’ve reached your goal weight, or you haven’t lost any weight in the last 4 weeks, you should begin the Transition Plan. The Transition Plan gradually adds calories back into your diet while giving your body appropriate time to adjust to the new levels of calories and carbohydrates.

Can I use Medifast products as part of my weight Maintenance Plan?
Yes, we encourage continued use of Medifast Meals so you don't re-gain the weight you lost. In fact, most people use 2-3 Medifast Meals per day as part of their ongoing Maintenance Plan. You may also use a Medifast Meal as a protein source in your regular meal, adding other foods such as fruits, vegetables, whole grains or a salad to maintain a healthy nutritional balance.

Our Momentum by Medifast line of products was specifically designed to assist with weight maintenance as it boosts your metabolism to prevent weight re-gain.

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Contraindications

What conditions would absolutely PROHIBIT my use of a low calorie diet such as Medifast?

  • Myocardial Infarction (MI) / Heart Attack within previous 3 months (unless cleared by a cardiologist)

  • Recent or recurrent CVAs and/or TIAs (stroke); uncontrolled seizures

  • Unstable angina; clotting disorders

  • Type 1 Diabetes (can be used for improved nutrition or weight maintenance but is not recommended for a weight loss program; can add Medifast Meals to regular dietary intake)

  • Severe liver disease (may require a low protein diet)

  • Severe kidney disease

  • Active peptic ulcer disease

  • Active cancers

  • Active thrombophlebitis (DVT/PE within 3 months)

  • Pregnant or lactating

  • Eating disorder (e.g., Anorexia Nervosa or Bulimia)

  • Severe psychiatric disturbance (history of major depression and/or suicide attempts)

  • Corticosteroid therapy >20 mg/day

  • Chronic illicit drug usage; addictions; alcoholism; substance abuse

What conditions could LIMIT my use of Medifast products?
Certain conditions may necessitate close supervision by your physician. Please check with your physician prior to starting the Medifast program if any of the following conditions apply:

  • Use of the medication lithium -- your physician may wish to monitor your lithium levels while on the program

  • History of seizures -- your physician may wish to monitor your seizure medication levels while on the program

  • History of peptic ulcer disease (not active)

  • Use of anticoagulant medication such as Coumadin or Warfarin -- your physician should be aware that Medifast products are fortified with Vitamin K and that your daily intake of Vitamin K will be consistent; your physician may wish to monitor your medication levels while on the program

  • Over the age of 70 -- a higher calorie and/or protein level may be necessary, so we do not recommend the standard Medifast 5 & 1 Plan; refer to our Senior Meal Plan for helpful information about using Medifast products in conjunction with a 1,200 calorie per day diet

  • Adolescent use (beyond puberty and under the age of 18) -- any weight loss program (such as Medifast) should be used only as directed by your physician

Can I use Medifast if I am currently using diuretics?
We recommend that you ask your physician if a low calorie diet is appropriate for you. Using diuretics while on the 5 & 1 Plan may result in an alteration of your sodium/potassium levels (due to increased urine output), so your physician may wish to monitor your electrolytes and/or adjust the dosage (or discontinue the use) of the diuretic while you are doing the Medifast program.

Can I use Medifast if I am currently using thyroid medications?
Individuals with hypothyroidism can use Medifast under the direct supervision of a physician. Your physician may want to monitor your labs and medications, and may suggest using a soy-free Medifast product around the time of day that you take thyroid medication. For information on soy-free products, please refer to our Allergen/Dietary Information (PDF file).

Can I use Medifast if I have had gastric bypass surgery?
We have had many individuals use Medifast prior to and after having gastric bypass surgery. Your meal plan should be adjusted based on when your surgery was completed. Medifast Meals are portion controlled, high protein, low carbohydrate and fortified with vitamins and minerals. Medifast recommends (as with any weight loss program) that you consult with your doctor prior to and throughout the weight loss process. Your physician may want to monitor your labs and medications, or may suggest a different calorie level than our standard 5 & 1 Plan. We will be happy to work with you and/or your physician to help meet your needs.

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Diabetes

What is Medifast Plus for Diabetics?
Medifast Plus for Diabetics is a specially designed line of food products formulated to meet the needs of people with diabetes. Medifast Plus for Diabetics contains fewer than 6 grams of sugar and 9 total carbohydrates per serving. Medifast Plus for Diabetics can be used as a supplement in a weight loss program or in addition to a diabetes meal plan.

Medifast Plus For Diabetics has been certified by the Glycemic Research Institute to make the claim “LOW GLYCEMIC” and is authorized to use the Glycemic Research Institute’s Seal of Approval.

How do I use Medifast Plus for Diabetics for weight loss?
Medifast recommends that you consult with your primary care physician or diabetes specialist before beginning a program using Medifast Meals –– including Medifast Plus for Diabetics. You should discuss blood sugar monitoring, oral diabetes agents and changes to your insulin regimen with your physician before starting a weight loss program. As with any weight loss program, using Medifast products may lessen your need for diabetic medications.

Who should use Medifast Plus for Diabetics?
Medifast Plus for Diabetics is intended for people with type 2 diabetes and can be used in conjunction with a weight loss and/or maintenance plan.

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Arthritis

What is Medifast Plus for Joint Health?
Medifast Plus for Joint Health is a specially designed meal replacement supplement formulated to relieve the excruciating symptoms associated with arthritis and poor joint health.

What is in the Joint Health Shakes that helps with arthritis symptoms?
Joint Health Shakes contain glucosamine and chondroitin, which may reduce pain and help repair damage caused by arthritis. To get the therapeutic benefits of these shakes, you should take three (3) Joint Health shakes each day as part of your 5 & 1 Plan. Each shake provides you with 500 mg of both chondroitin and glucosamine, and therapeutic levels are 1000 mg. You can choose any other two (2) Medifast Meals each day from soups, stew, chili, oatmeal, scrambled, eggs, fruit drinks, iced teas, hot beverages, bars, puddings or non-Health Management Specialty Shakes. If you are already using medication for arthritis, consult with your doctor before incorporating Medifast Plus for Joint Health shakes.

Who should use Medifast Plus for Joint Health Shakes?
Medifast Plus for Joint Health is recommended for individuals over the age of 18 who suffer with painful joints due to arthritis and/or injury. Be sure to consult with your doctor prior to using these shakes if you are already on arthritis medication. In many instances, Joint Health Shakes provide lower therapeutic dosages of chondroitin and glucosamine than prescription arthritis medications.

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Women’s Health

What is Medifast Plus for Women’s Health?
Medifast Plus for Women’s Health is a specially designed meal replacement supplement formulated to relieve and prevent the symptoms of menopause, such as hot flashes or night sweats.

What is in the Women’s Health Shakes that helps menopausal symptoms?
Women’s Health Shakes contain black cohosh, echinacea and chaste tree berry, which help reduce symptoms of menopause. For maximum results take 1-3 Women’s Health Shakes each day as part of your 5 & 1 Plan.

Who should use Medifast Plus for Women’s Health Shakes?
Medifast Plus for Women’s Health is recommended for women ages 35-60 who are experiencing the symptoms of menopause. These symptoms may include (but are not limited to): hot flashes, mood swings, night sweats, fatigue, vaginal dryness, loss of libido, headaches, anxiety and insomnia. However, if a woman is already on HRT, she should consult with her doctor before using these shakes. In many instances, Women's Health Shakes provide lower therapeutic dosages than alternate HRT therapies.

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Coronary Health

What is Medifast Plus for Coronary Health?
Medifast Plus for Coronary Health is a specially designed meal replacement supplement formulated to protect the heart against disease.

What is in the Coronary Health Shakes that helps with heart concerns?
Coronary Health Shakes contain Coenzyme Q10, amino acids and Pycnogenol, which provide a natural defense against heart conditions brought about by improper diets. For maximum results, take 1-3 Coronary Health Shakes each day as part of your 5 & 1 Plan. If you’re currently on heart medications, consult with your doctor prior to starting the diet.

Who should not use Coronary Health Shakes?
Medifast Plus for Coronary Health is designed as a preventive measure. If you have heart concerns, you should discuss the use of this product with your doctor first. If you are on blood thinning medication, be aware that this shake has 28 mcg of Vitamin K in it. Vitamin K acts to clot the blood.

Can I drink any combination of Health Management specialty shakes?
Do not combine the Health Management Specialty Shakes (i.e., we do not recommend mixing Medifast Plus for Joint Health and Medifast Plus for Women’s Health within your meal plan). If you currently take medications for any of the above-named health concerns, consult with your doctor prior to using the product.

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What's in Momentum?

Do the Flavor Infusers have calories or carbs?
Yes, each Flavor Infuser contains 5 calories and 2 grams of carbohydrate (1 gram coming from fiber) There is no protein or fat in a flavor infuser. We are considering these Flavor Infusers to be “free”, meaning we are not counting carbohydrates because the thermogenic effect or boost in metabolism the product provides basically cancels out its calories.

Are the nutritional profiles of the Momentum Meals the same as non-Momentum?
Yes, each Flavor Infuser contains 5 calories and 2 grams of carbohydrate (1 gram coming from fiber) There is no protein or fat in a flavor infuser. We are considering these Flavor Infusers to be “free”, meaning we are not counting carbohydrates because the thermogenic effect or boost in metabolism the product provides basically cancels out its calories.

Does Momentum contain soy?
The Banana Crème Shake does contain soy, same as the regular version of meals. The Flavor Infusers do not contain any soy.

Is Momentum a sports drink?
No, sports drinks are electrolyte replacements, whereas this product is a “calorie burner” or “metabolism booster” geared to weight loss and weight maintenance.

Is Momentum an energy drink?
In a way, but there’s a difference: Most energy drinks will give you the “pick me up” feeling from caffeine alone, but Momentum also allows your body to burn additional calories with the addition of ECGC to boost your metabolism.

Does Momentum contain Ace-K?
No—both the Meals and the Flavor Infusers are sweetened with sucralose, the main ingredient in Splenda.

Why did you choose these flavors for Momentum Meals?
They mixed well with the active ingredients (caffeine and EGCG) and tasted best.

Does Momentum decrease appetite?
Clinical studies conducted by Medifast researchers at Jason Pharmaceuticals found Momentum speeds metabolism and decreases appetite, but it does not contain a specific appetite suppressant.

How significant is a 24% boost in metabolism that you claim with Momentum?
By replacing a regular soft drink with a serving of Momentum every day for one year, even with no change in exercise habits, a person could theoretically lose up to 24 pounds.

Does Momentum have side effects?
Only those related to use of caffeine.

Is Momentum okay for long-term use?
Yes, when used as directed.

Is Momentum okay for people with diabetes?
Yes

Can I substitute Momentum for a cup of coffee to get my morning jolt?
Yes! Momentum contains about the same amount of caffeine that’s in one 8 oz. cup of coffee: 100 milligrams.

Can’t I just take 100 mg of caffeine and get the same benefit as Momentum?
No, Momentum’s combination of caffeine and EGCG induces thermogenesis to burn calories, unlike caffeine alone.

If I take Momentum at night/in the evening, will it disturb my sleep?
If you are currently able to drink caffeine at night with no problems, then you should be ok. Limit your Momentum use to earlier in the day if caffeine in the evening disrupts sleep for you.

Can I use Momentum if I’m caffeine-sensitive?
Momentum contains caffeine, so respect your caffeine limits. You may wish to discuss with your physician, especially if you have any ongoing health concerns or if you take medications. If your doctor says to avoid caffeine, follow his or her advice and do not use Momentum. Also, you should not use the product if you are pregnant or nursing, or under the age of 18.

Can I use Momentum with other weight-loss products that have ephedra-like stimulants?
We do NOT recommend it. Combining any source of caffeine with ephedra products can be dangerous to your health.

What is EGCG? Isn’t EGCG just another form of caffeine?
Epigallocatechin gallate (EGCG) is different from caffeine, and has its own health benefits. It is a potent natural antioxidant found in green tea (which contains caffeine in addition to ECGC.

Will Momentum be in variety packages?
Not yet, but we’re planning to make them available.

Do you still have the regular (non-Momentum) versions of Cappuccino, Chai Latte and Banana Crème Shake?
Yes

Is Momentum available in cases?
yes

Are the Flavor Infusers like Crystal Light?
They are packaged in the same kind of individual serving but have a much lighter flavor than Crystal Light, and the added benefits of the Momentum nutrients.

Can I mix Flavor Infusers into my shakes and other meals instead of water?
You can, but they will have their own flavor so you have to make sure that the two flavors will mix to be a taste you enjoy. The Flavor Infusers are created to mix with water.

Is a Flavor Infuser considered a meal?
No, you can have up to 3 Flavor Infusers a day in addition to your Medifast Meals. They are added to your water intake to count towards your 64 ounces of water per day. Only the Momentum meals (Chai Latte, Cappuccino, and Banana Crème Shake) are considered meals.

How do Momentum Flavor Infusers fit in with my 5 & 1 Plan?
The 5 & 1 Plan allows you 3 caffeinated beverages total each day during Weight Loss phase. One Flavor Infuser is considered 1 caffeinated beverage, even if added to 16 ounces of water because it contains the same amount of caffeine as an 8 ounce cup of coffee.

Can I take Momentum with Appetite Suppression Shakes?
Yes, it can be mixed with any and all Medifast products. The recommendation is up to 3 Momentum products per day.

Will I lose more weight if I drink more than 3 Momentum products per day?
No. Three products is the best amount—and what we recommend.

Can I make the hot Momentum Meals cold and vice versa?
Yes.

Can I double-up on Momentum Meals or should these only be taken 2-3 hours apart?
We recommend that you take all Medifast meals 2-3 hours apart, especially Momentum, because of the added caffeine.

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About Super Omega-3

Does Super Omega-3 help combat hair loss?
It’s not designed specifically for that, but healthier hair can be a benefit, as the supplement does contain flaxseed oil. You should take Omegas 3’s for your general wellness.

Does Super Omega-3 replace my Healthy Fat Serving(s)?
No, you take it in addition to your healthy fat serving. The Super Omega-3 does not contain enough fat to count as a fat serving.

Does it matter if I take it with a Medifast Meal or with my Lean & Green Meal?
No, you can take Super Omega-3 with any meal at any time of day.

Are there any side effects?
No.

Can I take Super Omega-3 if I have a shellfish allergy?
Yes.

What is the ratio of fish oil to flaxseed oil?
Super Omega-3 is composed mainly the fish oil—1200 mg—with a touch of organic flaxseed oil (50 mg.)

Does Super Omega-3 help prevent gallstones?
No, this is not enough fat in a serving. The Healthy Fat serving on the5 &1 program can help you accomplish that goal.

Can I take Super Omega-3 in addition to my multivitamin?
Yes, and you should when you’re in the weight maintenance. You do not need a vitamin if you’re in the weight loss phase of the Medifast 5 & 1 Plan.

Super Omega-3 contains 67% of the Daily Value of vitamin E – Won’t I overdose on vitamin E if I take this along with my Medifast Meals?
No, the range between RDA and upper tolerance limit is huge, Vitamin E is an antioxidant whose tolerable upper limit for adults is 1000 mg. Average vitamin E from Medifast meals is 60 IU (54.5 mg) plus 10-20 IU (9.1-18.2 mg) d-l-alpha tocopheral acetate, so even when you’re taking the supplement as directed, you are not getting near the upper limits.

Since the FDA doesn’t regulate dietary supplements, how do I know that Super Omega-3 is safe?
Our Omega-3 is third-party tested to guarantee both its purity and that the product really contains what the label states.

Is Super Omega-3 available in cases?
Yes.

Does Super Omega-3 contain soy?
The vitamin E in the product is from the base of soybean oil. Most people with soy allergies are allergic to soy protein, which should be removed from soybean oil. Although unlikely, cross-contamination is possible, so a severely allergic customer should not use this product.

Is Super Omega-3 a vitamin pill?
It’s a softgel capsule that is not a vitamin but a fatty acid dietary supplement.

Does Super Omega-3 contain calories and carbs?
Each dose contains 25 calories, no carbs.

Is Super Omega-3 kosher?
No, the soft gel capsule is made from gelatin, which is not kosher.

Is there an age recommendation for Super Omega-3?
Over 18.

Is Super Omega-3 okay for long-term use?
Yes.

Why can’t I store the bottle in direct sunlight?
Excessive heat can break down the supplement’s ingredients and cause them to spoil.

Medifast 5 & 1 Plan

5 MEDIFAST MEALS:

Choose 5 Meals from over 60 different, delicious Medifast choices, including shakes, soups, stew, chili, oatmeal, scrambled eggs, fruit drinks, iced teas, hot drinks, bars and puddings. Limit one bar per day.

Plenty of Medifast Meal choices are vegetarian-approved.

1 LEAN & GREEN MEAL:

Your Lean & Green Meal consists of lean meat plus salad and/or vegetables. Enjoy your Lean & Green Meal at any time – breakfast, lunch, dinner, or in-between – whatever works best with your schedule.

You can prepare it yourself, grab it on the go, or enjoy it in a restaurant – as long as you follow the Lean & Green Meal guidelines.

LEAN:
Choose any of the following, grilled, baked, or poached (not fried):

GREEN:
Any 3 servings from our vegetable list, such as salad greens, broccoli, spinach, eggplant, or tomatoes.

Mesothelioma: Treatment - Patient Information [NCI PDQ]

General Information About Malignant Mesothelioma

Malignant mesothelioma is a disease in which malignant (cancer) cells form in the lining of the chest or abdomen.

Malignant mesothelioma is a disease in which malignant (cancer) cells are found in the pleura (the thin layer of tissue that lines the chest cavity and covers the lungs) or the peritoneum (the thin layer of tissue that lines the abdomen and covers most of the organs in the abdomen). This summary is about malignant mesothelioma of the pleura.
Respiratory anatomy; drawing shows right lung with upper, middle, and lower lobes; left lung with upper and lower lobes; and the trachea, bronchi, lymph nodes, and diaphragm. Inset shows bronchioles, alveoli, artery, and vein.
Anatomy of the respiratory system, showing the trachea and both lungs and their lobes and airways. Lymph nodes and the diaphragm are also shown. Oxygen is inhaled into the lungs and passes through the thin membranes of the alveoli and into the bloodstream (see inset).

Being exposed to asbestos can affect the risk of developing malignant mesothelioma.

Anything that increases your chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn’t mean that you will not get cancer. People who think they may be at risk should discuss this with their doctor.

Many people with malignant mesothelioma have worked or lived in places where they inhaled or swallowed asbestos. After being exposed to asbestos, it usually takes a long time for malignant mesothelioma to occur. Other risk factors for malignant mesothelioma include the following:

  • Living with a person who works near asbestos.
  • Being exposed to a certain virus.

Possible signs of malignant mesothelioma include shortness of breath and pain under the rib cage.

Sometimes the cancer causes fluid to collect around the lung or in the abdomen. These symptoms may be caused by the fluid or malignant mesothelioma. Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur:

  • Trouble breathing.
  • Pain under the rib cage.
  • Pain or swelling in the abdomen.
  • Lumps in the abdomen.
  • Weight loss for no known reason.

Tests that examine the inside of the chest and abdomen are used to detect (find) and diagnose malignant mesothelioma.

Sometimes it is hard to tell the difference between malignant mesothelioma and lung cancer. The following tests and procedures may be used:

  • Physical exam and history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient’s health habits, exposure to asbestos, past illnesses and treatments will also be taken.
  • Chest x-ray: An x-ray of the organs and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, making a picture of areas inside the body.
    Chest x-ray; drawing shows the patient standing with her back to the x-ray machine. X-rays are used to take pictures of organs and bones of the chest. X-rays pass through the patient onto film.
    X-ray of the chest. X-rays are used to take pictures of organs and bones of the chest. X-rays pass through the patient onto film.
  • Complete blood count (CBC): A procedure in which a sample of blood is drawn and checked for the following:
    • The number of red blood cells, white blood cells, and platelets.
    • The amount of hemoglobin (the protein that carries oxygen) in the red blood cells.
    • The portion of the blood sample made up of red blood cells.
  • Sedimentation rate: A procedure in which a sample of blood is drawn and checked for the rate at which the red blood cells settle to the bottom of the test tube.
  • Biopsy: The removal of cells or tissues from the pleura or peritoneum so they can be viewed under a microscope by a pathologist to check for signs of cancer. Procedures used to collect the cells or tissues include the following:
    • Fine-needle (FNA) aspiration biopsy of the lung: The removal of tissue or fluid using a thin needle. An imaging procedure is used to locate the abnormal tissue or fluid in the lung. A small incision may be made in the skin where the biopsy needle is inserted into the abnormal tissue or fluid, and a sample is removed.
      Lung biopsy; drawing shows a patient lying on a table that slides through the computed tomography (CT) machine with an x-ray picture of a cross-section of the lung on a monitor above the patient. Drawing also shows a doctor using the x-ray picture to help place the biopsy needle through the chest wall and into the area of abnormal lung tissue. Inset shows a side view of the chest cavity and lungs with the biopsy needle inserted into the area of abnormal tissue.
      Lung biopsy. The patient lies on a table that slides through the computed tomography (CT) machine which takes x-ray pictures of the inside of the body. The x-ray pictures help the doctor see where the abnormal tissue is in the lung. A biopsy needle is inserted through the chest wall and into the area of abnormal lung tissue. A small piece of tissue is removed through the needle and checked under the microscope for signs of cancer.
    • Thoracoscopy: An incision (cut) is made between two ribs and a thoracoscope (a thin, tube-like instrument with a light and a lens for viewing) is inserted into the chest.
    • Peritoneoscopy: An incision (cut) is made in the abdominal wall and a peritoneoscope (a thin, tube-like instrument with a light and a lens for viewing) is inserted into the abdomen.
    • Laparotomy: An incision (cut) is made in the wall of the abdomen to check the inside of the abdomen for signs of disease.
    • Thoracotomy: An incision (cut) is made between two ribs to check inside the chest for signs of disease.
  • Bronchoscopy: A procedure to look inside the trachea and large airways in the lung for abnormal areas. A bronchoscope is inserted through the nose or mouth into the trachea and lungs. A bronchoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a tool to remove tissue samples, which are checked under a microscope for signs of cancer.
    Bronchoscopy; drawing shows a bronchoscope inserted through the mouth, trachea, and bronchus into the lung; lymph nodes along trachea and bronchi; and cancer in one lung. Inset shows patient lying on a table having a bronchoscopy.
    Bronchoscopy. A bronchoscope is inserted through the mouth, trachea, and major bronchi into the lung, to look for abnormal areas. A bronchoscope is a thin, tube-like instrument with a light and a lens for viewing. It may also have a cutting tool. Tissue samples may be taken to be checked under a microscope for signs of disease.
  • Cytologic exam: An exam of cells under a microscope (by a pathologist) to check for anything abnormal. For mesothelioma, fluid is taken from around the lungs or from the abdomen. A pathologist checks the cells in the fluid.

Certain factors affect prognosis (chance of recovery) and treatment options.

The prognosis (chance of recovery) and treatment options depend on the following:

  • The stage of the cancer.
  • The size of the tumor.
  • Whether the tumor can be removed completely by surgery.
  • The amount of fluid in the chest or abdomen.
  • The patient's age and general health, including lung and heart health.
  • The type of mesothelioma cancer cells and how they look under a microscope.
  • Whether the cancer has just been diagnosed or has recurred (come back).

Stages of Malignant Mesothelioma

After malignant mesothelioma has been diagnosed, tests are done to find out if cancer cells have spread to other parts of the body.

The process used to find out if cancer has spread outside the pleura or peritoneum is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the spread of the cancer in order to plan treatment. The following tests and procedures may be used in the staging process:

  • Chest x-ray: An x-ray of the organs and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, making a picture of areas inside the body.
  • CT scan (CAT scan): A procedure that makes a series of detailed pictures of the chest and abdomen, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography.
  • MRI (magnetic resonance imaging): A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of the chest or abdomen. This procedure is also called nuclear magnetic resonance imaging (NMRI).
  • Endoscopic ultrasound (EUS): A procedure in which an endoscope is inserted into the body. An endoscope is a thin, tube-like instrument with a light and a lens for viewing. A probe at the end of the endoscope is used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. This procedure is also called endosonography. EUS may be used to guide fine-needle aspiration (FNA) biopsy of the lung, lymph nodes, or other areas.
    Endoscopic ultrasound-guided fine-needle aspiration biopsy; drawing shows an endoscope with an ultrasound probe and biopsy needle inserted through the mouth and into the esophagus. Drawing also shows lymph nodes near the esophagus and cancer in one lung. Inset shows the ultrasound probe locating the lymph nodes with cancer and the biopsy needle removing tissue from one of the lymph nodes near the esophagus.
    Endoscopic ultrasound-guided fine-needle aspiration biopsy. An endoscope that has an ultrasound probe and a biopsy needle is inserted through the mouth and into the esophagus. The probe bounces sound waves off body tissues to make echoes that form a sonogram (computer picture) of the lymph nodes near the esophagus. The sonogram helps the doctor see where to place the biopsy needle to remove tissue from the lymph nodes. This tissue is checked under a microscope for signs of cancer.

There are three ways that cancer spreads in the body.

The three ways that cancer spreads in the body are:

  • Through tissue. Cancer invades the surrounding normal tissue.
  • Through the lymph system. Cancer invades the lymph system and travels through the lymph vessels to other places in the body.
  • Through the blood. Cancer invades the veins and capillaries and travels through the blood to other places in the body.

When cancer cells break away from the primary (original) tumor and travel through the lymph or blood to other places in the body, another (secondary) tumor may form. This process is called metastasis. The secondary (metastatic) tumor is the same type of cancer as the primary tumor. For example, if breast cancer spreads to the bones, the cancer cells in the bones are actually breast cancer cells. The disease is metastatic breast cancer, not bone cancer.

The stages of malignant mesothelioma are divided into two groups.

Malignant mesothelioma stages are grouped into localized and advanced.

Localized malignant mesothelioma (stage I)

In localized malignant mesothelioma, cancer is found in the lining of the chest wall and may also be found in the lining of the lung, the lining of the diaphragm, or the lining of the sac that covers the heart on the same side of the chest.

Advanced malignant mesothelioma (stage II, stage III, and stage IV)

Advanced malignant mesothelioma includes stage II, stage III, and stage IV.

  • In stage II, cancer is found in the lining of the chest wall and the lymph nodes on the same side of the chest. Cancer may also be found in the lining of the lung, the lining of the diaphragm, or the lining of the sac that covers the heart on the same side of the chest.
  • In stage III, cancer has spread to any of the following areas:
    • The chest wall.
    • The mediastinum.
    • The heart.
    • Beyond the diaphragm.
    • The peritoneum.
    Cancer may have also spread to lymph nodes on the other side of the chest or outside the chest.
  • In stage IV, cancer has spread to distant organs or tissues.

Recurrent Malignant Mesothelioma

Recurrent malignant mesothelioma is cancer that has recurred (come back) after it has been treated. The cancer may come back in the chest or abdomen or in other parts of the body.

Treatment Option Overview

There are different types of treatment for patients with malignant mesothelioma.

Different types of treatments are available for patients with malignant mesothelioma. Some treatments are standard (the currently used treatment), and some are being tested in clinical trials. A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer. When clinical trials show that a new treatment is better than the standard treatment, the new treatment may become the standard treatment. Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment.

Three types of standard treatment are used:

Surgery

The following surgical treatments may be used for malignant mesothelioma:

  • Wide local excision: Surgery to remove the cancer and some of the healthy tissue around it.
  • Pleurectomy and decortication: Surgery to remove part of the covering of the lungs and lining of the chest and part of the outside surface of the lungs.
  • Extrapleural pneumonectomy: Surgery to remove one whole lung and part of the lining of the chest, the diaphragm, and the lining of the sac around the heart.
  • Pleurodesis: A surgical procedure that uses chemicals or drugs to make a scar in the space between the layers of the pleura. Fluid is first drained from the space using a catheter or chest tube and the chemical or drug is put into the space. The scarring stops the build-up of fluid in the pleural cavity.

Even if the doctor removes all the cancer that can be seen at the time of the surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any cancer cells that are left. Treatment given after surgery, to increase the chances of a cure, is called adjuvant therapy.

Radiation therapy

Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. The way the radiation therapy is given depends on the type and stage of the cancer being treated.

Chemotherapy

Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (systemic chemotherapy). When chemotherapy is placed directly into the spinal column, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy). Combination chemotherapy is the use of more than one anticancer drug. The way the chemotherapy is given depends on the type and stage of the cancer being treated.

New types of treatment are being tested in clinical trials.

This summary section describes treatments that are being studied in clinical trials. It may not mention every new treatment being studied. Information about clinical trials is available from the NCI Web site.

Biologic therapy

Biologic therapy is a treatment that uses the patient’s immune system to fight cancer. Substances made by the body or made in a laboratory are used to boost, direct, or restore the body’s natural defenses against cancer. This type of cancer treatment is also called biotherapy or immunotherapy.

Patients may want to think about taking part in a clinical trial.

For some patients, taking part in a clinical trial may be the best treatment choice. Clinical trials are part of the cancer research process. Clinical trials are done to find out if new cancer treatments are safe and effective or better than the standard treatment.

Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.

Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.

Patients can enter clinical trials before, during, or after starting their cancer treatment.

Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.

Clinical trials are taking place in many parts of the country. See the Treatment Options section that follows for links to current treatment clinical trials. These have been retrieved from NCI's clinical trials database.

Follow-up tests may be needed.

Some of the tests that were done to diagnose the cancer or to find out the stage of the cancer may be repeated. Some tests will be repeated in order to see how well the treatment is working. Decisions about whether to continue, change, or stop treatment may be based on the results of these tests. This is sometimes called re-staging.

Some of the tests will continue to be done from time to time after treatment has ended. The results of these tests can show if your condition has changed or if the cancer has recurred (come back). These tests are sometimes called follow-up tests or check-ups.

Treatment Options for Malignant Mesothelioma

A link to a list of current clinical trials is included for each treatment section. For some types or stages of cancer, there may not be any trials listed. Check with your doctor for clinical trials that are not listed here but may be right for you.

Localized Malignant Mesothelioma (Stage I)

If the malignant mesothelioma is in one part of the chest lining, treatment will probably be surgery to remove the part of the chest lining with cancer and some of the tissue around it.

If localized malignant mesothelioma is found in more than one place in the chest, treatment may be one of the following:

  • Pleurectomy and decortication, with or without radiation therapy, as palliative therapy to relieve symptoms and improve the quality of life.
  • Extrapleural pneumonectomy.
  • Radiation therapy as palliative therapy to relieve symptoms and improve the quality of life.
  • A clinical trial of anticancer drugs placed directly into the chest after surgery to remove the tumor.
  • A clinical trial of combinations of surgery, radiation therapy, and chemotherapy.
  • A clinical trial of a new treatment.

Check for U.S. clinical trials from NCI's PDQ Cancer Clinical Trials Registry that are now accepting patients with localized malignant mesothelioma.

Advanced Malignant Mesothelioma (Stage II, Stage III, and Stage IV)

Treatment of advanced malignant mesothelioma may include the following:

  • Surgery to drain fluid that has collected in the chest, to reduce discomfort. Pleurodesis may be done to stop more fluid from collecting in the chest.
  • Pleurectomy and decortication, as palliative therapy to relieve symptoms and improve the quality of life.
  • Radiation therapy as palliative therapy to relieve pain.
  • Chemotherapy with one anticancer drug.
  • A clinical trial of combination chemotherapy.
  • A clinical trial of combinations of surgery, radiation therapy, and chemotherapy.
  • A clinical trial of chemotherapy placed directly into the chest cavity or abdominal cavity to shrink the tumors and keep fluid from building up.

Check for U.S. clinical trials from NCI's PDQ Cancer Clinical Trials Registry that are now accepting patients with advanced malignant mesothelioma.

Recurrent Malignant Mesothelioma

Treatment of recurrent malignant mesothelioma may include the following:

  • A clinical trial of biologic therapy.
  • A clinical trial of chemotherapy.
  • A clinical trial of surgery.

Check for U.S. clinical trials from NCI's PDQ Cancer Clinical Trials Registry that are now accepting patients with recurrent malignant mesothelioma.