Optifast

Ah, one of the classic diet cop-outs. The diet doesn't fail, people fail the diet!

Except if the diet is so hard that most people 'fail' it, then it seems like a pretty serious failing to me. Especially since I'm on a 'diet' that allows me to have 'luxury' foods like cake, brownies, past & cream sauce etc. 10% of the time. It's a lot harder to 'fail' that diet than to worry that eating some celery or a carrot stick in between meals is going to wreck the diet. (And I don't think insulin works the way you suggest it does)
 
Ah, one of the classic diet cop-outs. The diet doesn't fail, people fail the diet!

Except if the diet is so hard that most people 'fail' it, then it seems like a pretty serious failing to me. Especially since I'm on a 'diet' that allows me to have 'luxury' foods like cake, brownies, past & cream sauce etc. 10% of the time. It's a lot harder to 'fail' that diet than to worry that eating some celery or a carrot stick in between meals is going to wreck the diet. (And I don't think insulin works the way you suggest it does)

I believe I said 'the diet' referencing Optifast...not the one you are on. I have been on all of them. Eating between meals will not help the diet YOU are on, but it may make it less painful. Optifast is a 900 calorie diet using a carefully balanced mix of carbs, protein and fat that was designed to give a minimum calorie intake without having your body fall into "starvation mode." Exercise is important to keep the metabolic rate up to break the body's sensation that it is starving. As for insulin, it absolutely works the way I said. Carrots are a high glucose food and, on Optifast with nothing else in your stomach will trigger insulin production. Insulin triggers your body's energy storage mechanism which also sends signals to your body and brain to send more food, triggering hunger pains. On Optifast, hunger pains are the biggest contributor to cheating and failure. Exercise triggers the opposing hormone called glucagon, which iin turns burns your fat into glycogen for use as energy.

This is an Optifast thread and I am trying to help these people. I don't mind you criticizing me because (a) I lost my weight already and (b) I can defend myself...but stop enabling the attitude that this should be easy. Easy is what is making this country 30% obese and 65% overweight.
 
Ah, one of the classic diet cop-outs. The diet doesn't fail, people fail the diet!

Except if the diet is so hard that most people 'fail' it, then it seems like a pretty serious failing to me. Especially since I'm on a 'diet' that allows me to have 'luxury' foods like cake, brownies, past & cream sauce etc. 10% of the time. It's a lot harder to 'fail' that diet than to worry that eating some celery or a carrot stick in between meals is going to wreck the diet. (And I don't think insulin works the way you suggest it does)

You know Jeanette, I re-read this. It is interesting that you quoted the words LUXURY and DIET almost sarcastically. Like you are on this diet regrettably. I am no longer on Optifast and live a life of balanced meals and exercise. My 'regular diet' does not even include cake, brownies, pasta and cream sauce. Even if your calorie intake is 1200 calories per day there is a dramatic difference between 1200 calories of lean chicken, salad, fruits and nuts and 1200 calories of high fructose corn syrup. The WHAT is as or more important than the HOW MUCH. If on your diet, you feel the need to put those sweets in there, then when the diet is done, that physical (yes, from insulin) and emotional need for the sugar will continue. Unless you are going to be on that luxury food forever, I never understood how that can be of benefit. Eating right and exercising is the only way. We need to break this romance we have with eating.
 
That 900 calories is a proper and healthy amount for anyone to be taking. Instead of encouraging people to do this crap, I choose to encourage intelligent eating that can happen for a lifetime instead of drinking your meal.

As for as the sarcastic 'moderator' bit from you, anyone who is brand new and the only thing they have done is push some 100$+ a week diet scam is going to get my scorn. Instead, how about introduce yourself, tell about yourself and make us see you as something more than a diet pusher.



FTC Charges Marketers of Ultrafast, Medifast
and Optifast Liquid Diet Programs
Consent Agreements to Settle Charges
FTC News Release
October 16, 1991

The Federal Trade Commission today announced for public comment three separate settlement agreements with the marketers of Ultrafast, Medifast, and Optifast liquid diet programs. The agreements would settle charges that the marketers made deceptive and unsubstantiated advertising claims regarding the safety and long-term efficacy of their programs. These are the first three cases to emerge from the FTC's ongoing, industry-wide investigation of claims made by medically-supervised and commercial diet programs.

The FTC's complaints name the Minneapolis, Minnesota-based Sandoz Nutrition Corporation ("Sandoz"), which markets Optifast 70 and similar programs and related products; Jason Pharmaceuticals, Inc. and the Nutrition Institute of Maryland (collectively, "Jason"), both based in Owings Mills, MD, and which market the Medifast 70 and similar diet programs and related products to consumers through Medifast Associate physicians; and the National Center for Nutrition ("NCN"), of Newington, Virginia, which markets Ultrafast diet programs and products.

Popularly known as liquid diets, these very-low calorie diet (VLCD) programs typically involve a nutrient-supplemented fast — usually a liquid protein diet — of 420 to 800 calories per day for 12 to 16 weeks, followed by a "refeeding" period during which the patient returns to a normal, reduced-calorie diet of 1000-1200 calories per day. In many cases, the programs include optional longer-term maintenance sessions designed to help patients continue their behavior modification and nutritional education efforts. The cost of the programs ranges from approximately $1,400 to $2,800.

Low-calorie (LCD) or "commercial" diet programs, on the other hand, are 1,000 to 1,200 calorie-per-day regimens of real foods instead of dietary supplements. Like VLCDs, LCD programs often include optional maintenance sessions, but LCDs typically cost less than VLCDs.

In its investigation of diet programs, the FTC is examining the support that companies have for their advertising claims, particularly claims relating to the safety and efficacy — both short- and long-term — for the programs.

Sample claims for the three VLCD programs cited as misleading by the FTC in its complaints include:

* "The One That's Clinically Proven Safe and Effective." (Optifast program)
* "Studies have shown that supplemental fasting, when medically supervised, is the quickest, safest way of losing excess body weight." (Ultrafast program)
* "…more than 300,000 formerly obese patients had already been helped by Medifast without one instance of serious side effect associated with their treatment." (Medifast program)

Specifically, the FTC has charged, these and other statements misrepresent the programs to be either unqualifiedly safe or free of serious health risks when, in fact, the reason for physician supervision is to minimize the potential for health risks. (There is some empirical evidence that, during the period in which they are dieting, patients on VLCDs may be at increased risk of developing gallstones.) Moreover, the FTC charged, NCN falsely represented that the Ultrafast program is safer than all non-VLCD programs. There is no competent and reliable scientific evidence to support this claim, the FTC said.

The FTC does not allege in its complaints that these diet programs are unsafe but, rather, that the respondents' claims were deceptive in light of their failure to disclose either the health risks associated with them, or the need for physician monitoring to minimize these risks.

Other claims cited in the FTC complaint included:

* "You can call the OPTIFAST program today, and have all you need to control your weight for the rest of your life." (Optifast program)
* "…you will not experience a rebound phenomenon [regain lost weight] after you attain your goal." (Medifast program)
* "Weight Loss Myth #4: Once You Lose it, You'll Gain It Back … with the support of the ULTRAFAST Program, you get a new attitude. The weight stays off." (Ultrafast program)

The agency charged that these and other claims made by the companies about the success of their programs in helping patients keep off the weight lost — and Sandoz' claims that the Optifast program is superior at weight-loss maintenance — were not substantiated.

Finally, the Commission charged that Jason falsely claimed that its physicians are certified through an objective evaluation process in the treatment of obesity.

The proposed consent agreements settling the charges against the companies contain prohibitions against misrepresentations about the likelihood of regaining lost weight, and against any unsubstantiated claims about the success of former patients in achieving or maintaining weight loss. The proposed orders set out the following minimum requirements for substantiation:

* substantiation for claims that a certain weight loss is typical must be based on a sample of all patients who have entered the program, or all persons who entered and completed the entire program or a portion thereof (where the claim only relates to such persons);
* substantiation for claims that weight-loss is long-term must be based on the experience of patients followed for at least two years after they complete the program; and
* substantiation for claims that weight-loss is maintained permanently must be based on patients followed for a period of time generally recognized by experts as sufficient for such a claim, or for a period of time demonstrated by reliable survey evidence to permit such a prediction.

The proposed orders would require any claim about the safety of these programs to be accompanied by a clear disclosure about the need for physician monitoring to minimize the potential for health risks. Claims that patients have successfully maintained weight loss would have to include disclosures of the average weight-loss maintained by those patients and how long they have maintained the loss, as well as the statement, "For many dieters, weight loss is only temporary."

The proposed order against Jason also would prohibit false claims that physicians are certified.

The vote to accept the consent agreements for public comment was 4-0, with Commissioner Dennis A. Yao not participating.
Related Documents

* (Sandoz) FTC File No. 912-3023. FTC Docket No. C-3394.
* (NCN) FTC File No. 902-3024. FTC Docket No. C-3393.
li> (Jason, NIM) FTC File No. 902-3337. FTC Docket No. C-3392.
 
You know Jeanette, I re-read this. It is interesting that you quoted the words LUXURY and DIET almost sarcastically. Like you are on this diet regrettably.
I think perhaps you misunderstood my reasons for putting some of the words in quotes. Which is easy to do when communicating via text.

I put the words in quotes, not out of sarcasm, but because for me I don't really think of my meal plan as a diet, nor do I really think of eating a piece of chocolate cake as failure. Luxury didn't seem exactly the right word for what I meant, but it was close.
I am no longer on Optifast and live a life of balanced meals and exercise. My 'regular diet' does not even include cake, brownies, pasta and cream sauce. Even if your calorie intake is 1200 calories per day there is a dramatic difference between 1200 calories of lean chicken, salad, fruits and nuts and 1200 calories of high fructose corn syrup. The WHAT is as or more important than the HOW MUCH.

Although what is important, I honestly don't believe it is more important than how much. I know of someone who weighed over 300 lbs eating no sweets or pasta with cream or other high GI foods. In general, I eat plenty of veggies and lean meats and avoid HFCF and sugar. But according to my doctor keeping this up 90% of the time rather than 100% is enough to lower insulin resistance - 100% compliance is not required.
If on your diet, you feel the need to put those sweets in there, then when the diet is done, that physical (yes, from insulin) and emotional need for the sugar will continue. Unless you are going to be on that luxury food forever, I never understood how that can be of benefit. Eating right and exercising is the only way. We need to break this romance we have with eating.

I'm not insulin resistant. I don't really have the insulin hunger/feedback response some do. I don't get hungry from eating a few carrot sticks (and while high GI, carrots are low GL because they have such a low calorie & carb density) or snacking on an apple. I can eat cake - in moderation. I can eat pasta with cream sauce - in moderation. And I plan to love my food and eat this way forever. Having lowered my weight by 60-70 lbs, and my LDL cholesterol by some 70+ points while still occasionally enjoying less healthy food I don't really see the point in switching to a more restrictive diet plan. If it works for you, great. However, to me a diet where snacking on some veggies in between meals is the same thing as failure is just too limiting for most people to be successful on. Or for me to want to be on, since I can still love my food with the same results.

Also, I highly recommend reading and for more information on insulin. I understand that insulin allows for fat storage, but I don't see where you're drawing the conclusion that eating vegetables in between meals will automatically cause you to store energy as fat, especially if you're in a caloric deficit.
 
That's it? From a 'moderator'? Insightful.

What exactly do you doubt about the statement?

Everything. Just my personal opinion.

900 calories is going to send almost any healthy body into starvation mode. And
'carefully balanced mix of carbs, protein and fat'? In 900 calories?? I don't think so.

Jericho's and Jeanette's posts pretty much sum everything up that needs to be said about the topic.
 
That 900 calories is a proper and healthy amount for anyone to be taking. Instead of encouraging people to do this crap, I choose to encourage intelligent eating that can happen for a lifetime instead of drinking your meal.

As for as the sarcastic 'moderator' bit from you, anyone who is brand new and the only thing they have done is push some 100$+ a week diet scam is going to get my scorn. Instead, how about introduce yourself, tell about yourself and make us see you as something more than a diet pusher.

Well you are a welcome bit of dead air. Someone invited me in here because of my past success with the Optifast diet. I tried to post my blog but can't because of the forum rules. It has my whole story while also documenting how Optifast helped me. I will make this short. My life has been spent losing and gaining back fat for some 38-40 years. After a couple medical scares, I decided to do something about it and went to see a doctor. I have been on Weight Watchers and lost 50 lbs, my own diet and lost 60 lbs...but I was obese and needed help. I could not exercise to the degree I used to and simple stairs put me out of breath. I had acid reflux and allergies from a diminishing imune system. I had edema in my legs. I did Optifast for 4 months and lost 85 lbs. I now live a life of sensible eating and exercise. When October gets here, it will have been two years stabilized at my lowest weight since I was 23 years old and in the Army...I am actually thinner and in better shape. I had white fish, green beans and corn for dinner tonight with two big glasses of ice water. A plum was dessert. I ran 6.5 miles on Saturday and lifted weights, and ran another 5.5 miles last night. That is my experience, I hope yours, with your frightful optimism for all these people desperate to shed their shells has been equally successful. I speak from experience, not the reclining chair.

For anyone, including me, to let themselves get to the point of needing intervention to lose weight, whether it be Optifast, gastric bypass, or the band, is a crime. It is nothing more than not paying attention to anything but 'feeling good' until you finally feel like crap, 24/7.

Number one, Optifast works no matter what you think of it. Of all the diets I have ever been on, it was the easiest, fastest and most comfortable. Followed properly, 100% of the people doing this will lose the weight. On the diet you learn about diet, nutrition, exercise...and if you absorb it, you will come out the other side eating better, living better and longer, and making better choices. No one stays on this diet forever...it is a means to a healthy end. You do have to learn to live right.

Number two, I make NOTHING from the diet. It worked for me and I am trying to pass that on to those who can benefit. End of story. Oh you can try the surgical procedures...and when someone that large has the procedure, ask about the septic risks of performing surgery through ten inches of fat. Optifast, of all the last ditch items, is far and away the best and safest one. Does it cost? Sure does. You know what it cost to weigh nearly 300 lbs? It wasn't cheap. Neither is anything else that goes with being one of the 65% of this country that is overweight or the 30% that are clinically obese.

Lastly, anyone who wants to know my story, with a little web search ingenuity, can find it.

I wish only the best for those of you who want, really want, to lose the weight. I have been there and back. I will stay on this thread and try to answer positively any questions you have on Optifast. I stand behind results, not some FTC article from 1991.
 
Jeanette,

I applaud your success. I really do. ON OPTIFAST, during the diet, you cannot eat between the meals. As I said, on your diet, and as your doctor said, that is fine. While you are on Optifast you are in a very tight state of balance, it doesn't take much of anything to toss you into imbalance and have you wanting food and craving. ON OPTIFAST.

I disagree with you on the WHAT versus HOW MUCH. I have done a lot of research...this isnt just my opinion...however there are many out there. You can run a car on gasohol...but it will eventually burn out the engine. If you optimize the fuel, you optimize the metabolism. The human body is the only machine that gets more efficient as it burns its own fuel. So long as you are happy and not regretting the dieting, and so long as it is successful, you are doing well.

Keep going. The journey is long and it takes a lot of work. Great job.
 
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Everything. Just my personal opinion.

900 calories is going to send almost any healthy body into starvation mode. And
'carefully balanced mix of carbs, protein and fat'? In 900 calories?? I don't think so.

Jericho's and Jeanette's posts pretty much sum everything up that needs to be said about the topic.

San, the moderator comment was for Jericho, whose name has 'moderator' under it. And at 900 calories I was never, not once, hungry. No one I know who has done this diet, and I know 5 now, has said they were hungry...unless they cheated. All 5 also exercised. All 5 lost more than 75 lbs each. You can balance the percentages at 900 calories like you would balance any other equation, and the protein is higher than the carbs so your body is producing glucagon to turn your glycogen and fat into energy. It can be balanced. Do you guys support weight loss or just try to debunk ideas? I am really confused. This worked for me...but having so many people crap on something that saved my life and can save many more is really annoying.
 
Number one, Optifast works no matter what you think of it. Of all the diets I have ever been on, it was the easiest, fastest and most comfortable. Followed properly, 100% of the people doing this will lose the weight. On the diet you learn about diet, nutrition, exercise...and if you absorb it, you will come out the other side eating better, living better and longer, and making better choices. No one stays on this diet forever...it is a means to a healthy end. You do have to learn to live right.

Of course people lose weight because 900 is FAR under the healthy amount of calories one needs to live.


Number two, I make NOTHING from the diet. It worked for me and I am trying to pass that on to those who can benefit. End of story. Oh you can try the surgical procedures...and when someone that large has the procedure, ask about the septic risks of performing surgery through ten inches of fat. Optifast, of all the last ditch items, is far and away the best and safest one. Does it cost? Sure does. You know what it cost to weigh nearly 300 lbs? It wasn't cheap. Neither is anything else that goes with being one of the 65% of this country that is overweight or the 30% that are clinically obese.

Best and safest? BULL. So far from bull I want to add the other word but I won't. The best and safest is education about what to eat and making sensible changes to your diet. I got up to 400 pounds and lost 43 so far by making slow and sensible choices. You don't have to pay some quack 100+ bucks a week for a souped up drink.

I wish only the best for those of you who want, really want, to lose the weight. I have been there and back. I will stay on this thread and try to answer positively any questions you have on Optifast. I stand behind results, not some FTC article from 1991.

Your results are based off starving your body. This isn't needed to lose weight. You can do it with a more reasonable, realistic and CHEAPER way.
 
San, the moderator comment was for Jericho, whose name has 'moderator' under it. And at 900 calories I was never, not once, hungry. No one I know who has done this diet, and I know 5 now, has said they were hungry...unless they cheated. All 5 also exercised. All 5 lost more than 75 lbs each. You can balance the percentages at 900 calories like you would balance any other equation, and the protein is higher than the carbs so your body is producing glucagon to turn your glycogen and fat into energy. It can be balanced. Do you guys support weight loss or just try to debunk ideas? I am really confused. This worked for me...but having so many people crap on something that saved my life and can save many more is really annoying.

We promote healthy and safe weight loss. We don't promote things like this because it isn't safe. You shouldn't be going under 1000 calories a day at the LEAST, for most it is more than that. You can balance 900 all you want, it is still 900 calories and the human body needs more than that or risk malnutrition.

Maybe all the weight you lost was in the wallet.
 
Thanks. I have experienced... a number of diets over the years. But I made the switch 6.... geeze, almost 7 years ago, and even now I look for ways to make it easier for myself. Years ago I did it by having one cheat day a month. Now I do so with a set of rules that I have to satisfy if I'm going have some cake and eat it to.

I do have a negative reaction to the statement that it's not a failure of the diet, it's the failure of the dieter. It seems like almost every diet uses that as the reason there are people who don't do well on their plans - it seems more honest to just say 'Then the diet is not a good match for the person.' Because I don't really feel that I gained more willpower on my current diet than when I was on say, the SlimFast diet.

From what I've read, some people get a lot greater benefit from restricting sugars and carbs than others. When I was on Atkins I kept hoping I'd get the rush of energy that many promised from cutting out the carbs. Sadly, I never did. That's just not my physiology. I don't really believe that any single diet is the perfect diet for everyone on the planet, the important thing is to find a diet that meshes with your psychology & physiology.
 
We promote healthy and safe weight loss. We don't promote things like this because it isn't safe. You shouldn't be going under 1000 calories a day at the LEAST, for most it is more than that. You can balance 900 all you want, it is still 900 calories and the human body needs more than that or risk malnutrition.

Maybe all the weight you lost was in the wallet.

Why don't you elaborate on what is not safe about it?

Let's see...immediately, my GERD, my edema and my allergies ceased. The weight came off at 5 lbs per week. It was supervised every two weeks by a doctor with weekly weigh-ins (not with a Weight Watchers sales rep, with a nurse) and I have a complete history of medical records through my progress. My cholesterol went down. My blood pressure went down. I learned how to eat well. I learned about nutrition, like how your body metabolizes the components of our food differently. I learned more about exercise than I had known like what it takes to truly turn your body to fat burning. I was able to ski again last year without pain in my legs for the first time in 5 years. I ran a 5K in 23 minutes last fall. I am 48 and look like 35.

The danger I can recall is the high blood pressure, cholesterol of 240, the trips to the hospital in the ambulance, heart palpitations from what would embarrassingly be considered a lower form of exercise like moving slightly faster than a stroll.

If you are happy where you are, fine, but there is overweight and there is obese. The high-end overweight and the obese are at a point where they need to do something drastic to get it off. I was there. Taking the long leisurely route to weight loss, and I haven't heard one success story about that from an obese person, can be more dangerous because they prolong the time with the ailments increasing the odds it becomes fatal.

People who are obese and cannot exercise, if they do not take supervised drastic steps to lose it, have a very low success rate because the lack of exercise and reduced caloric intake results in the body lowering its basal metabolic rate. When that happens, the body will begin to burn more protein than fat. Eventually, without exercise, the body plateau's and the diet then breaks. I have seen the cycle many times.

Hey...good luck. It sounds like you have an issue with spending the dough on the program...so be it. My health was worth every penny and then some. I ran a bunch of college kids into the ground on the playing field on 4th of July and am enjoying the hell out of my new life. But you really shouldn't crap on something that could help (as has helped) many others...not to mention shooting a messenger who is living proof it works.
 
Thanks. I have experienced... a number of diets over the years. But I made the switch 6.... geeze, almost 7 years ago, and even now I look for ways to make it easier for myself. Years ago I did it by having one cheat day a month. Now I do so with a set of rules that I have to satisfy if I'm going have some cake and eat it to.

I do have a negative reaction to the statement that it's not a failure of the diet, it's the failure of the dieter. It seems like almost every diet uses that as the reason there are people who don't do well on their plans - it seems more honest to just say 'Then the diet is not a good match for the person.' Because I don't really feel that I gained more willpower on my current diet than when I was on say, the SlimFast diet.

From what I've read, some people get a lot greater benefit from restricting sugars and carbs than others. When I was on Atkins I kept hoping I'd get the rush of energy that many promised from cutting out the carbs. Sadly, I never did. That's just not my physiology. I don't really believe that any single diet is the perfect diet for everyone on the planet, the important thing is to find a diet that meshes with your psychology & physiology.

I know a lot of diets make that statement...but it is true. It is as true with dieting as it is with anything anyone sets out to do in life that has a carefully charted course. The course doesn't fail you, you fail to follow the course. Now I agree that the course might not be the right one for you.

My willpower (and this is just me, not being judgemental, just making a statement) came from a mirror and a scale. I weighed myself every day and I looked long and hard in the mirror at what was looking back at me. I had a picture in my head of what I wanted to look like and how I wanted to feel. I wouldnt let it go...milestone by milestone. On day one, I walked. Enough to sweat. Every day, my goal was to sweat. When the sweat stopped, it was time to go faster, or longer...but that sweat was liquid fat running out of my body. And I would go back to the mirror. That's just me.

No matter what diet you choose, the real key is not the diet OR the exercise. They are critical for success but they are not the key. The key is the mental and emotional switch that you throw to finally make you do what you want to and know is best.

My sincerest wishes and best of luck to you.
 
When I was on Atkins I kept hoping I'd get the rush of energy that many promised from cutting out the carbs. Sadly, I never did.
Excellently worded. This is my experience also, although I do believe that carbs are the "culprit" in obesity.

I don't really believe that any single diet is the perfect diet for everyone on the planet, the important thing is to find a diet that meshes with your psychology & physiology.
I very much agree. Of course, it makes it difficult to find "what works" at a practical level, as for me, there has been so much trial and error. For example, I lost some weight on Atkins, albeit slowly, but my stomach simply did not like all the meat and fat. I needed vegetables and fruits, as otherwise, I had horrible indigestion.
 
Hi All. Just following up here to see how you all have been doing. I got an email recently from someone who found this blog and is starting the Optifast diet. I don't want to go into any more conversation about it except to follow up for me.


I am now at 212 lbs since starting a weight program along with my diet routine. Still walking and jogging and watching what I eat. My most recent medical exam has me, in my doctor's opinion, in optimal condition for a man of 49. My cholesterol was 177...down from about 240 and a one time high of about 270. All blood pressure, sugar, heart tests...all optimal.


I hope, after all the debate, that you all found something as valuable as I did. It's not the diet...it's the mindset. The diet did, however, do wonders for me.
 
hi my name is chris iam 514lbs and 33 years old i have tried alot of diets i have failed now i have turned to the doctors to help me i will be doing the gas by-pass on mon the 19th of dec 2011 i need to start the optifast 900 .. i just wanna no does it work yes or no .. i dont wanna no if you like it or not just will it work to help me
 
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