In our practice of treating overweight and obesity, both to create unloading and non-unloading (supporting) diets, we used the Doctor-Slim nutritional mixture, built from milk and soy proteins (Table 5).

This mixture is built on the principle of other mixtures currently used in Western medicine for the treatment of obesity, especially in low-calorie diets (LVNK) - Nutrilet, Optifast, etc..

Experience shows that the majority of patients strive specifically for the normalization of body weight and therefore prefer albeit more stringent for execution, but also more intensive in terms of the rate of weight loss modes..

In the context of the foregoing, it would be possible to consider the obesity diet therapy scheme, which we developed taking into account the shortcomings of previously used diets.. When constructing these dietary regimens, we tried to combine good tolerance and sufficiently high efficiency and the development of skills to prevent weight gain after the end of treatment..

Table 5. The composition of the Doctor-Slim mixture Ingredient Per 100 g of the mixture Protein 42.0 g Fat 2.1 g Carbohydrates 40.0 g Calcium 1.3 g Phosphorus 1.0 g Magnesium 100.0 mg Zinc 4.6 mg Vitamin C (.

The latter can be set by reducing dietary fat to 35-40 g per day, while carbohydrate intake and daily calorie content may not be controlled (Astrup A. , 1999). This regimen does not imply bans on any products and therefore is well tolerated and can be reproduced after the end of treatment for as long as desired..

The use of it already against the background of treatment by alternating with a fat-mobilizing regime allows patients to rest from the restrictions and other inconveniences of the unloading regime, and therefore it is easier to endure the treatment procedure itself..

We have conducted a study of the effectiveness of the above approach to the treatment of overweight and obesity.. The study included 126 patients, men and women aged 18-58 years with obesity (body mass index - 35.0 ± 3.7 kg/m2) without visible endocrine and renal pathology.

The non-unloading mode was created as follows. Patients were advised to eat, limiting fat intake so that its total amount per day did not exceed 40 grams.. For a better orientation in the fat content of certain foods, patients received tables showing the fat content in the most commonly consumed foods (Table 6).

Table 6. Fat content in the most commonly consumed foods (per 100 grams of product) Product Fat content, g Lean beef 5-10 Fat beef up to 30 Beef sausages 10-14 Lean pork 25-35 Fat 70-75 Boiled sausages (Ostankino, Doctor's, etc.. ) 25-30 and more Smoked pork sausages 35-45 Sausages and wieners 25-30 Dumplings with minced pork 18-25 Butter 75-80 Margarines 65-75 Ghee and cooking fats 92-98 Sour cream 25-40 Solid and melted.

• frequency of meals - at least three times a day;

• it is desirable that the main part of the consumed fats be accounted for by vegetable and fish oils;

• in the protein component of nutrition, the predominance of low-fat varieties of fish, milk, sour-milk products and cottage cheese over meat is desirable;

• from carbohydrate products, the predominance of grain and bran varieties of bread over white bread, dishes from protected cereals (buckwheat, pearl barley, oatmeal, etc.). ) over unprotected (semolina and rice), potato dishes over pasta dishes;

• the predominance of complex carbohydrates (starch and fiber) over simple ones (sugar) is desirable;

• it is desirable to consume at least 40 grams of fiber per day due to the wider inclusion in the diet of bran and grain varieties of bread, as well as vegetables and fruits;

We did not limit the time of the last meal and did not recommend patients to forbid themselves certain foods.. It was also not recommended to limit the intake of fluid and sodium chloride, unless, of course, the need for these restrictions arose due to the presence of concomitant cardiovascular pathology in the patient.. In this case, the salt and fluid intake was in line with the recommended Diet #10..

Patients were advised to lead a more intense lifestyle, do morning tonic exercises, take walks. We did not insist on the obligatory occupation of our patients by health-improving physical culture.

On the days of non-unloading (supportive) nutrition, it was recommended that patients use the Doctor-Slim mixture in portions three times a day 20 minutes before meals, as well as for adding to meals and for cooking as a substitute for regular cow's milk.

The unloading mode was set as follows. Patients were allowed one meal per day of their choice, which was recommended to be built from predominantly low-fat foods.. It should be noted that most of our patients left dinner.

According to them, attempts to forbid themselves from dinner dramatically worsen the quality of life.. It must be remembered that for most people dinner is not only an ordinary meal, but also a factor of communication in the family, a factor of relaxation and distraction from the working day..

In addition to one meal per day, patients were allowed to take three servings of Doctor Slim - one serving instead of breakfast, lunch and at night, as well as vegetables and fruits with a total weight of 800 grams.

Food intake was monitored by food diaries that patients kept throughout the course of treatment..

Patients were seen weekly. During the examination, the food diary was analyzed and, if necessary, repeated briefings were carried out to clarify certain points of the diet prescribed by him.. It should be noted that literally during the first two weeks of diet therapy, patients got used to being guided by the fat content of certain foods and no longer needed those tables of fat content that were distributed to them..

medbe. en.