90 days - letstalkhormonesletstalkhormones.weebly.com/uploads/1/9/2/9/... · and discuss hcg diet...

Central Drugs Pharmacy Ultimate Weight Loss Protocol page 1 (877) 447-7077

90 daysTO A NEW YOU

All phases include IV Nutrition and Glutathione therapy

Business Plan, Evaluations,

Medical Weight Loss, Very Low Calorie Diet

Options

1Nutritional Cleansing

& Metabolic Reset

Solutions

2

Balancing,Food, Diet & Supplement Guidelines

3

Central Drugs Compounding Pharmacy

Introducing the

UltimateWeight

LossProtocol

CentralDrugsRx.com

Hormone

http://CentralDrugsRx.com


AcknowledgmentsNayan Patel, PharmDAshwin Patel, PharmD Peggy Chan, PharmD Keyur Patel, PharmD

Sheryll Castro, PharmD Tammy Xie, PharmD Dimpi Patel, PharmD

Cheryl Foster, MAKathy Dunne

Manisha Patel, PharmDMae Kinaly, MD Anthony Kinaly

Central Drugs Fullerton1955 Sunny Crest Dr #100Fullerton, CA 92835p: 714- 515-1530f: 714-515-1535

Auro Pharmaceuticals511 S Harbor Blvd,Unit FLa Habra, CA 90631 877 -447 -7077

Central Drugs La Habra520 W. La Habra Blvd

La Habra, CA 90631

p.562- 694- 6754

f. 562- 694 -3869

tel:714-515-1535


Table of Contents

1. Introduction and Preparation for the clinic and for the patient

2. Overview of the Protocol

3. Business Plan for adding Ultimate Weight Loss Protocol to your practice

4. Detoxification Options

5. HCG, Glutathione

6. IV Nutrition Ultimate Weight Loss Protocol

- Meyers Cocktail, Glutathione, MIC, B-12 ingredients

7. Food and Nutrition Resources HCG Foods

Ketogenic Diet

8. Weight Loss Stall Options

10. Hormone Imbalances

11. Resources - additional PDFs - Patient Daily Log

- Pounds and Inches


Introduction

The Ultimate Weight Loss Protocol is designed as a comprehensive weight loss program you can add to your practice. It is 90 day long commitment that both the physician and the patient agree to work on resolving the fundamental nutritional reasons for the inability to lose weight and to find the solutions for unlocking stubborn obesity andinflammation challenges.

Unlike other weight loss protocols this plan provides many options so that you may tailor it to your clients needs. We all have seen many patients who have been doing all the right things as far as diet and exercise and still do not lose the weight they desire. By taking time to treat their nutritional and hormonal deficiencies and eliminating the toxins, both you and your patient will gain valuable insight and knowledge while creating health.

The nature of this program is based on weekly communication between the doctor and the patient in the first 8 weeks. And then bi weekly for the remainder of the program. It is suggested that you also have an office staff person assigned as that patients’ liaison for any questions, communications and scheduling needs.

This guide will review some of the basic steps and programs for weight loss. Our focus will be primarily on the additional of IV Nutrition Therapy, and the importance of balance in food, hormones and understanding the nutritional needs of the body.

We plan on contributing to this plan throughout 2017 and will share new information through the email list, including testimonies, videos and notes from the practitioners. We would love to hear of your successes with the protocol and how you are helping your pa-tients lose weight.

Disclaimer* Central Drugs is not making any claims or guarentees that by following this protocol a patient will lose weight. All information shared in this e-guide is for educational purposes only and it is presented for the practititioner to use as a template for designing their own weight loss programs.


Setting up your Practice to offer this programIf you are not currently providing IV nutrition services here are some of the things that you need to consider before you can offer IV nutrition services.

1. Establish your intake process and lab testing options. We suggest a micro nutrient test that provides nutritional analysis by measuring functional deficiencies at the cellular level. Testing for hormones, diet and medical history, etc.

2. A designated location for patients to sit comfortably, often in reclining chairs,while they are receiving the treatments.

3. A location for storing and preparing the compounded vitamins, minerals and anti-oxidants. Some medications may need refrigeration. Use of a hood for mixing is required in all states. See our resources section for more information on hoods and a making a piggy bag.

4. A staff member who is trained to mix and administer IV injectable treatments. They must also be present during the administration.

5. Central Drugs offers an IV physicians success program where we can also help assist you with developing your own nutrition protocols. Our Clinical Pharmacists are available by appointment to help you.Contact us to open your office use account at 877-447-7077

6. Scheduling consultation time slots for the physician before or after the IV treatments (or during if there is privacy in the IV room.)

Preparing the Patient1. Realize that this is a comprehensive commitment between you and the patient and they will be in regular contact with you and your staff to solve the root problems of their obesity.

2. The patient will have to plan on up to two hours of time per IV visit. Each office visit should include vitals, weighing, questions for the doctor, IV administration time, the one on one consultation time to review progress, lab reports, and patients response to treatments.

3. The cost of the program includes all office visits, administration of IV nutrition, the detox kit and products that are administered at the office, it also covers your time in research and consultation for their treatment. In additional to the program fee the patient will be expected to pay for lab tests, and also insurance may cover some or part of the bill. The patient will also be paying The patient will need to pay for supplements and any prescriptions that are needed through out the course of the treatment.


Program Overview and Timeline of Ultimate Weight Loss Protocol Services

Discovery andPreparation

Complimentary introduction Introduction and overview visit consultation with prospective patients. Possibly hold a group meeting that you advertise to your existing clients and the public.

Overview Initial Consultation Office visit allow one hour = draw blood, Demonstrate HCG, discuss, diet, communica-tion and scheduling procedures. Order labs, supplements, Rx, Food and activity tracking options , such as log, electronic, fitday.com( with shared access).

Day 1 Detox /Nutrition Phase One: Focus on Detoxification Program, Nutritional Deficiencies

Office visit , Detox evaluation and begin Detox program, start daily log

Day 2-5Day 6 Detox Call and Check in regarding Detox

symptoms. Phone call / appointment confirmation

Day 7 First IV treatment IV Nutrition #1, office visit Day 8-12Day 13 Phone call / appointment confirmationDay 14 IV #2 office visit, progress on detoxDay 15 -19Day 20 Phone call / appointment confirmationDay 21 IV #3 office visit - 45 minute discuss labs and

changes. Discuss Detox experience. Review and discuss HCG diet plan. Demo Shots.

Day 22-23 Diet & Nutrtion

Phase Two: FOCUS on DIET and Nutritional Deficiencies Begin HCG program : Gorge Days

Day 24 HCG Begin 500 Calorie Diet

Day 25-26

Start Glutathione Spray -4 sprays twice a day for the entire 90 day protocol

Text


Day 27 phone call / appointment confirmation Day 28 4 week

MilestonesHCG , IV #4

Possibly adjust nutrients based on lab results. Office visit, - take measurements, review NSV – Non Scale Victories. Discussion supplement suggestions. Review first month accomplishments.

Day 29-33Day 34 phone call / appointment confirmationDay 35 IV # 5 office visit -13 days on HCGDay 36-40Day 41 phone call / appointment confirmationDay 42 Half Way Progress

IV #6office visit, 20 days on HCG, review progress

Day 43-47 continue HCGDay 48 phone call / appointment confirmationDay 49 IV #7 Office visit, 27 days on HCGDay 50-54Day 55 Phone call / appointment confirmationDay 56 IV #8 Stop HCG injections, Office visit =Review hormone symptoms,

nutritional supplements. Begin BHRT proctols if needed. Focus on Metabolic Reset, Discuss adding healthy foods back into diet, suppliments, shakes, Review HCG and NSVs, Take Body measurements Determine new Calorie maxium, and food plan

Day 57-68 Phase Three: Metabolic ResetDay 69 phone call / appointment confirmationDay 70 Progress Visit office visit Day 71-82Day 83 phone call / appointment confirmationDay 84 IV #9 office visitDay 85- 88Day 89 Phone call / appointment confirmationDay 90 Completion of

ProgramProgram evaluation, Summary, Measurements, next steps, Maintenance and follow up appointments.

Program Overview and Time line of Ultimate WLP Services


Business Plan for Ultimate Weight Loss Protocol

Office visits - An introductory visit to present or explain the program- An initial assessment comprehensive history of weight loss efforts- Visits during the hCG phase and - Biweekly visits for the following visits.

Nine IV treatments - set up your IV visits on the same day(s) of the week if possible

You may have phone consults and you should have a summary visit

Plan on office visits of at least 30 minutes to discuss- Lab results- Detoxification options- Hormone balancing

You can possibly bill insurance for office visits as well.

Marketing your BusinessThe patients that you would like to reach out to are also educating themselves and searching for solutions all over the Internet.

Take some time to be sure you have a social media presence minimum on Linked In, Facebook and a simple website. These three platforms are vital for you to have your business promoted if you are serious about sharing your knowledge and expertise with others.

Also consider advertising in your local community papers or mailers or holding an educational event for your current clients, neighbors and other offices near your practice.

The Benefits of Offering the PackageWhen patients purchase the $2000-$3000 package they are committed and you will be committed to really get to understand thier unique physical needs and challenges.


IV Treatment Nutrients Ultimate Weight loss Protocol for 10 Treatments

( for one patient) If you were offering this Protocol as a stand alone treatment you could charge from

$125-$200.

Nutrient mg/ml vol per tx # tx #vial cost1. Ascorbic Acid 500mg/mL 8mL 2 $332. Biotin 10mg/mL 1mL 1 $28.3. Calcium Gluconate 50mg/mL 5mL 1 $18.4. Chromium 200mcg/mL 1mL 1 $155. Dexpanthenol 250mg/mL 1mL 1 $18.6. Hydroxocobalamin 2mg/mL 1mL 1 $327. L-Carnitine 500mg/mL 3mL 1 $368. Magnesium Chloride 200mg/mL 3mL 1 $229. MIC 25/50/50mg/mL 3mL 1 $2810. Normal Saline 0.9% 250mL 10 varies11. Pyridoxine 100mg/ml 1mL 1 $2012. Taurine 50mg/mL 2mL 1 $2213. Vitamin B Complex 100mg/mL 2mL 1 $2514 Glutathione (PUSH) 200mg/mL 3 mL 1 $44

$341 plus H20

Your Potential for ProfitEstmated costs for 10 treatments for the 90 days - $375 ($36.00 each!) for IV supplies $375 For thier Detox kit $250 Supplies $150 total of $775

Gross Profit Income from Patient Costs of Program at $3000 per patient for 90 day Programnumber of new WLPpatients /month

monthly income yearly income

1 $2,225 $26,7003 $6,675 $80,100 5 $11,125 $133,500

10 $22,250

* prices subject to change.

$267,000


Detoxification Options

When embarking on your weight loss journey is is a good idea to begin with a detoxification or cleansing process to help prepare the body for weight loss. This first phase may help the body’s organs function better by clearing out poisons and toxins that have gathered over time. A short clease will also help your patient get into a proper mind set for a successful and focused weight loss journey.

There are several very good detoxification options for you to choose from and with foryour patients. Most plans have several foods in common - organic fruits and vegetables, wate and unprocessed foods, grass fed meats. It also is not uncommon for aptient sto have some headaches, nausea anf fatigue.

Here are a few options you may look into for detox plans. As a physician you may purchase some kits at wholesale costs.

Metagenics XymogenStandard Process - 21 days of detox are a few of the options.

Central Drugs carries all the products for the Standard Process 21- Day Purification Program and we can ship them to your patient.

Example: Our Central Drugs employees use the Standard Process 21 days of Detox

Standard Process (SP) Complete Shake: Take before meals or as a meal replacement (three times a day)

Supplements : Standard Process Cleanse - take 7 capsules three times daily with SP Complete shake or before meals Linum B6- take 2 perles with each shake (three times a day) NanoGreens - 1 scoop 2 times a day with SP Complete Shake


Central Drugs Dietary Instructions for 21 day Purification Program

Meals for 21 Days:

• Eat fresh, raw, organic fruits and vegetables, particularly green, leafy vegetables. Red, yellow, and green peppers, along with onions, tomatoes, mushrooms, spinach, mixed greens, etc., can also be added to your salads. Salads can have unlimited fresh vegetables. No salad dressing or nuts, seeds, beans, etc.

• Steamed vegetables are recommended along with your salad at dinner:

• Kale• Broccoli• Swiss chard Steam for 4 minutes.• Brussels Sprouts• Asparagus• Cabbage & Onions• Red Beets – Steam for 20-25 minutes, until soft. Use beet greens in salad after washing.

• Water is the only beverage.• Fruits should be 1/3 and vegetables should be 2/3 of your daily diet.

After 3 Days – Could add Quinoa to your menu

After 7 Days - Stir Fry (Lightly cooked with oil and Apple Cider or Balsamic Vinegar & Sea Salt)

After 14 Days – Add steamed sprouted lentils - Add Vegetable soups (Lightly cooked)

Additional Recommendations:

• Exercise and sweat daily• Drink plenty of water each day.

SP Complete can be taken as a meal replacement.

If you have any further question, please do not hesitate to call your physician.


Human Chorionic Gonadotropin (HCG)

When you are ready to send in an Rx script for your patients for HCG please call our clinical pharmacists at (562) 691-6754 x 119 and request an HCG consultation. At that time we will provide you with additional information we have available on the use of HCG for your patients.

Please review and refer to thePounds and Inches Manuscript for more information.

Auro Glutathione Spray - www.aurogsh.com

Glutathione (GSH), a natural antioxidant and detoxication moiety, is a very small tripeptide composed of three amino acids: glycine, glutamine and cysteine. It is made by every cell in your body. The glutathione molecule also has a sulfur atom which explains why GSH has a sulfuric aroma. It may make glutathione smell a little like rotten eggs, but sulfur plays a major role in glutathione’s antioxidant and detoxification functions. Additonally, Auro GSH spray has been shown to brighten skin, while smoothing out the appearance of fine lines and wrinkles. Our powerful antioxidant compound has also been demonstrated to visibly even out skin tone, and redness, as well as to remarkably diminish the appearance of age spots.

Major Benfits of Glutathione- Anti-aging- Powerful Antioxidant- Liver Detoxification

USE: 4 sprays twice a day for the entire 90 day protocol

http://http://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/dr-simeons-manuscript.pdf

http://www.aurogsh.com

http://www.aurogsh.com


Consent for Human Chorionic Gonadotropin (hCG) Weight-Loss Program I request and consent to injections of hCG and strict dietary restrictions for the purpose of losing weight. I understand this will be administered and monitored by the medical providers at XXX. I understand that as part of the program I will be given a limited physical and orientation to the program, will be instructed on how to administer the injections myself or make arrangements to have someone do so. I understand that initial blood tests may be performed to rule out any con-ditions that would disqualify me from the program or require any prior treatment before starting the program. I agree to immediately report any problems that might occur to the medical provider during the treatment program. I further understand that there could be risks involved as there are with all medications and that not complying with the dosage recommendations and dietary restric-tions could increase risks and alter the results. Product information is available upon request. The usage guidelines noted in the product information are consistent with a 10 - 15,000 units dosage per week. The Simeon’s protocol used by XXX uses 900 units dosage per week. There are current-ly no studies available at this dosage outlining possible risks.

I understand that hCG is not FDA approved for weight loss. I also understand that there is medical evidence to support use of hCG for this purpose. The medical providers at _______________ pro-vide and administer the treatment with hCG. I agree that I am, and will be under the care of an-other medical provider for all other conditions. Our Center works in conjunction with, but cannot replace, regular primary care physicians, such as general practitioners or other specialists in Family Medicine or Internal Medicine.

hCG has not been demonstrated to be effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or "normal" distribution of fat, or that it decreases the hunger and discomfort associated with calorie-restricted diets.

Because we are committed to enabling our patients to obtain and maintain health and wellness naturally, and the services provided by our office are based upon a natural and preventative ap-proach, it is rare that this program is covered by insurance companies. Weight loss, in general, is rarely covered by insurance companies. For this reason, we do not accept or bill insurance for this program. Once labs are done, the physical is performed, and the treatment is started, we cannot honor any refund requests based on scheduling conflicts, missed doses, unsatisfactory results, etc.

If blood work is indicated, the test will be conducted by a licensed lab and the fee added to your initial visit fee.

I have read and understand all of the above and have been informed of potential side effects and risks that may be associated with the hCG protocol. I fully understand what I am signing and here-by request and consent to weight-loss treatment using injections of hCG. I understand that results may vary and once I have begun the protocol I am committed to seeing it through. I have been offered and have had the opportunity to review the HIPAA disclosure form: _____ Patient Signature: ____________________________________________ Date: _____________ Legal guardian or parental signature: ____________________________ Date: ______________


It is very important to replenish the vitamins and minerals we neglect in our diet via intravenous supplementation for our body to sustain a rigorous diet and exercise regimen. Without replenishing these nutrients, the patients commonly end up with fatigue, hair loss, dehydration, impaired immune system, and appear haggard. Consequently, they are more like-ly to fail their weight loss attempt.

Delivering micronutrient (vitamins and minerals) support directly into the blood-stream guarantees their availability in the tissue and cellular level where they can be utilized. This is even more so important for patients who have had gastric bypass, or other malabsorption conditions. Patients who receive micronutrient intravenously report increased energy level, an overall better sense of well being, improved sports and exercise performance, improved heal-ing and recovery from sports and work out “wear and tear,” enhanced immune support, and stress relief, which are all so very important for somebody who is com-mitted to a weight loss protocol.

Why is Intravenous Micronutrient Supplementation

Vital While on a Weight Loss Program

Vitamin supplementation is an essential part of any weight loss program. Even the best diet cannot guarantee optimal nutrient levels. As we limit portion and caloric intake, nutritional gap worsens. This is because it is normal to have food preferences. And as we limit intake and stick with the options that we like the best, our nutritional intake narrows.


MIC

Lipotropic agents are a class of substances that play important roles in the body’s use of fat. Many substances have lipotropic properties of which choline, inositol and methionine are among the most noteworthy. Through their involvement in lipid (fat) metabolism, lipotropics help maintain a healthy liver.

Choline & InositolCholine and inositol are co-enzymes that are required for the proper metabolism of fats, and have the ability to remove fat from the liver. Choline’s function in fat metabolism is tied to its role in bile production because bile acts as an emulsifier (allowing water and lipids to combine) to more readily transport fats. Without choline, fats can become trapped in the liver, where they can block normal metabolic functions. Both of choline and inositol are important building blocks for cell walls (choline being a key component of phosphatidyl, choline, or lecithin). Choline (as a part of the neurotransmitter acetylcholine) and inositol are necessary for normal nerve and brain function.

The body can produce choline, with the help of vitamin B12, folic acid and methionine. Natural choline production however, may not always be adequate to meet daily needs. Studies show that diets deficient in choline lead to undesirable changes to liver, kidney and brain functions. There is no established daily recommended intake for choline, but the average diet supplies between 500 mg and 1,000 mg of choline daily. The best dietary sources of choline are eggs, liver and other organ meats, brewer’s yeast, wheat germ and soybeans. A lack of inositol has been shown to produce an accumulation of triglycerides in the liver. The average dietary intake of inositol, which is found in a wide variety of foods, is 1,000 mg daily.

MethionineMethionine, an essential sulfur-containing amino acid, has lipotropic properties similar to those of choline. Two other important amino acids: cysteine and taurine, depend on adequate levels of methionine for their biosynthesis in the body. Methionine is one of the nutrients required during the body’s manufacture of choline and a deficiency of this amino acid will adversely af-fect fat metabolism. Choline is a 1ipotopic factor (fat emulsifier) which aids in emulsifying cho-lesterol so that it doesn’t settle on arterial walls. Choline also works well with inositol to utilize fats and cholesterol.

Choline also works well with methionine in detoxifying amines which are by-products of protein metabolism.

Inositol metabolizes fats and cholesterol and aids in transporting fat in the blood system. Thus, inositol is an aid in the redistribution of body fat and can help to lower cholesterol levels. It is a member of the B-Complex group and is a lipotropic agent.

Methionine is a lipotropic amino acid which reduces fat and aids in lowering cholesterol. It can be substituted for choline which aids in reducing liver fat (lipotropic agent) and detoxifies arnines which are by-products of protein metabolism. Methionine seems to act as a catalyst for choline and inositol thus speeding up their function. (A deficiency may lead to fatty degenera-tion and cirrhosis of the liver).


Chromium picolinate is the most at absorbable form of chromium, a rare metal. Probably 99% of the American population does not get enough chromium in their diet. A higher sugar diet can increase the excretion of chromium. Researchers believe that a chro-mium deficiency leads to Type II diabetes which is really out of control in the U.S. Chromium lowers the level of bad cholesterol (LDL). It increases good cholesterol (HDL.) and is a good remedy for elevated blood cholesterol and triglycerides. Chromium works well in combination with inositol to lower LDL and increase HDL levels. Many physicians use chromium to treat Type II diabetes or insulin resistance, a condition where the body produces enough insulin but cells don’t use it efficiently resulting in a rise in blood sugar levels.

References:

1. Newberne PM, Nauss KM, and de Carnargo JL. Lipotropes, immuno-competence, and cancer. Cancer Res 1983;43:2426S-2434S2. Ghoshal AK New insight into the biochemical pathology of liver in choline deficiency Crit Rev Biochern Mol Biol 1995;30(4):263-:2733. Holub BJ. The nutritional significance, metabolism, and function of rnyo-inositol and phosphatidylinositol in health and disease. Adv Nutr Res 1982;4:107-1414. Zeisel SH Choline deficiency J Nutr Biochein I990;7(1):332-3485. Anonymous Choline A conditionally essential nutrient for humans. Nutr Rev 1992;50(4); l :-114 6. Zeisel SH Da Costa K, Franklin PD, et al, Choline, an essential nutrient for humans. FASEB J 1991;5:2093-26987. Holub BJ Metabolisrn and function of myo-inositol and inositolphospholipids. Ann Rev Nutr 1986;6:563-5678. Zeisel SH. Choline deficiency , J Nutr Biocbern, 1990;1(7):332-348 9. Holub BJ. The nutritional significance, metabolism and function of myoinositol and phosphatidyl inositol in health and disease. Adv Nutr Res 1982;4:107-14110. Ibid11. Rafique S Guardascione M. Osman E. et al. Reversal. of extrahepatic membrane cholesterol deposition in patients with chronic liver diseases by S-adenosy1-L¬-methi onine. Clin Sci 1992;E (3):353-35612. Chawla RK Bonkovsky HL, and Galambos JT Biochemistry and pharmacology of S-adenosyl-L-methionine and rationale for its use in liver disease. Drugs. 1990;40(supp13):98-113. Ellis FR, Nasser S. A pilot study of vitamin B12 in the treatment of tiredness. Br J Nutr 1973;30;277-83.

* Citation: Johnston CS, Beezhold BL, Mostow B, Swan PD. Plasma vitamin C is inversely related to body mass index and waist circumference but not to plasma adiponectin in nonsmoking adults. J Nutr. 2007 Jul;137(7):1757-62


BiotinBiotin (Vitamin B7) helps to metabolize carbohydrates, fats and amino acids. Biotin must be present in order to convert and use these macronutrients for energy and to carry out physical activities. It also plays a major part in maintaining the health of our hair, nails and skin.

Ascorbic AcidAscorbic Acid (Vitamin C) is a powerful antioxidant with diverse uses in health promo-tion and disease prevention. Vitamin C may help boost up the immune system, reduce the risk of cardiovascular and cancer, help detoxification of our body, and assist with Diabetes and hypertension. Lower vitamin C levels were significantly correlated with higher BMI, percentage of body fat, and waist circumference in one study.

Calcium GluconateYour body needs calcium to build and maintain strong bones. Your heart, muscles and nerves also need calcium to function properly. Some studies suggest that calci-um, along with vitamin D, may have benefits beyond bone health: perhaps protecting against cancer, diabetes and high blood pressure.

L-carnitineCarnitine is an amino acid that is naturally produced by the body in the liver and kid-neys—and stored in the body’s most metabolically active organs: the muscles, brain, and heart. It transports fatty acids from the blood into the mitochondria so that they can be used as energy.

MagnesiumMagnesium is a co-factor in more than 300 enzyme systems in the body and regulates diverse biochemical reactions. This includes protein synthesis, muscle and nerve func-tion, blood glucose control, and blood pressure regulation. It may help increase ener-gy, reduce anxiety, relieve muscle spasms, and relieve headaches.

TaurineTaurine is an amino acid that is found in large amounts in the brain, retina, heart, and platelets. Taurine can help improve overall health is by fighting obesity. Various animal studies have shown the anti-obesity and lipid-lowering capabilities of taurine


Est. Total Treatment time:______________________ Check infusion method below.Final osmolarity: ______________________________ 23g Butterfly set:______________________Desired drip rate (ml/min.): ____________________ 24g Angiocath:________________________ Cath tip OK on removal:________________Site of injection:________________________ Time IV started:___________________________IV Started By: _________________________ Time IV finished:___________________________Vital signs before IV Tx. : BP________ Pulse________ Resp_____ Temp____ Taken By:_____ Vital signs after IV Tx. : BP_________ Pulse________ Taken by: __________ (initials)

Progress Notes: _______________________________________________________________________________________ Number of Treatments Received: _______________________________ Date: _____________Nurse/Tech signature: ________________________________________ Initials: _____________

Doctors signature: ____________________________________________ Initials: ____________

Est. Treatment time:1 hour, Desired IV Drip Rate: 1 drop/sec or 3-4ml/min

IV Treatment Record Ultimate Weight Loss Date: ____________________________

Patient Name: ________________________________________Date of Birth: __________________________

Nutrient mg/mL mL mOsm/mL mOs-m*vol

Exp.Date

1. Ascorbic Acid 500mg/mL 8mL

2. Biotin 10mg/mL 1mL3. Calcium Gluconate 50mg/mL 5mL

4. Chromium 200mcg/mL 1mL

5. Dexpanthenol 250mg/mL 1mL6. Hydroxocobalamin 2mg/mL 1mL

7. L-Carnitine 500mg/mL 3mL8. Magnesium Chloride 200mg/mL 3mL9. MIC 25/50/50mg/mL 3mL10. Normal Saline 0.9% 250mL

11. Pyridoxine 100mg/ml 1mL12. Taurine 50mg/mL 2mL

13. Vitamin B Complex 100mg/mL 2mLTotals: 281 mL14 Glutathione (PUSH) 200mg/mL 3 mL plus 7 ML H20 added at the end of bag

Check the following at specified times

Start of Tx

10 mins 30 mins 1 hour 1.5 hours 2 hours

Drip rate (ml/min.)

Check line for leaks, bubblesCheck the site for infiltration, swell-ing, bleeding


Phase TWO:

Focus on Nutritional Diet and Supplementation

Food is a vital part of every weight loss program.

Our bodies must have enough of the basic nutrients to properly function.

We have combined food plans in this section for all phases and they must be tailored to each patients likes, sensitivity and metabolism. Calorie counts and food intake should be monitored and recorded daily.

The food list for the HCG diet is shared as well as a list for the Ketogenic diet. For more information on phasing back in foods after the HCG is completed please refer to the Pounds and Inches manuscript in the resource section.

Depending on the Detox plan you select to use, you will want to follow the guidelines of the plan as each has their own food requirements.


VEGETABLES - weighed and calories counted· Any kind of lettuce, spinach, beet greens, chard, cabbage · Any kind of onions· Any kind of tomatoes· Fennel· Cucumber · Radishes· Celery· Asparagus* Broccoli*Cauliflower

PROTEINS - 100 grams (3.5 oz) - weighed RAW two times a dayYour meats/poultry cannot be cooked on the bone. All meats trimmed of visible fat (and skin)· White Fish· Lobster· Crab· Shrimp· Extra Lean Beef (steak, 96% premium lean ground beef, pot roast, grass fed) · Chicken( breasts only, organic)· Veal

FRUIT -weighed and calories counted· Apple 1/2 Grapefruit · Blue Berries, Blackberries or 6-8 Strawberries ( one of the above eaten at two separate meals)

DRINK & OTHERS· Coffee· Herbal Tea· Bottled Water/ mineral water· Melba Toast classic, or Grissini Breadsticks (total of two per day)·Juice of one lemon daily· Steevia (natural sweetener, any flavor)· Braggs Liquid Amino (this is a soy sauce type of product) · Mustard· Apple Cider Vinegar· Any natural herb or spice, salt and pepper, garlic- one tablespoon milk daily for coffee or tea

.

HCG Food List List

There are plenty of great resources on line for recipes and ways to create some varia-tions within this menu.

Simply start an internet search for free HCG recipes, explore what Pinterest and other social media sites have to offer. Several medical clinic sites also post free reciepes as well. It is vital in This phase to weigh all food and count calories.


Vegetables Portion Calories

Asparagus 4 ounces 20Beet Greens 1 cup 25Broccoli 4 ounces 30Brussel Sprouts 1 cup 50Raw Cabbage 1 cup 30Raw Cauliflower 1 cup 30Celery 1 stalk 5Collard Greens 1 cup 25Cucumber 8” 15Dandelion 4 ounces 50Endive/Escarole 1 cup 10Green Beans 4 ounces 40Raw Kale 1 cup 40Leeks 1/2 cup 16Lettuce 1 cup 15Romaine Lettuce 4 ounces 25Green Onions 6 small 25Raw White Onions 4 ounces 40Green Sweet Peppers 1 medium 20Red Sweet Peppers 1medium 25Radishes 4 small 8Spinach 1 cup 10Squash/Zucchini 1 cup 40Tomato 1 medium 20

FruitsApple 1 medium 95 ( best to weigh by Oz)1/2 Grapefruit 1/2 medium 826 strawberries large 35 calories

search internet for free calorie counters fitday.com or caloriecount.com are a couple options

Common HCG Food Calorie Counts


Nuts and Seeds in limited amounts almonds hazelnuts macadamia’s pecans pinenuts pistachios pumpkin seeds sign up seeds sesame seeds sunflower seeds walnuts cashews Chia seeds various nut butters

FatsFats play a huge part in the ketogenic diet they make up the majority of your calorie intake so we make sure that you were taking plenty and plenty of healthy fats avocado oil Ghee coconut oil lard tallow olive oil macadamia oil red palm oil palm shortening duck fat butter coconut butter cocoa butter walnut oil Sesame oil MTC oil

Drinks watch out for hidden sugar and all drinks coconut milk almond milk cashew milk broth or bouilloncoffeetea herbal teas water seltzerclub soda sparkling mineral water

The goals of a Low Carb High Fat Diet are to 1) have your body burn fat for fuel, 2) keep blood glucose stable, 3) keep insulin levels low, and 4) minimize hunger by giving your body saturated fat.

Eat only when physically hungry. If you wake hungry, eat. If you aren’t hungry in the morn-ing, you should wait until you are hungry to eat. You may find that you only want two meals per day, which is fine. A good rule of thumb is to let at least three or four hours pass between meals with no foods or snacks in between; however, do not limit portions or count calories unless instructed to do so.

Ketogenic Lifestyle


Ketogenic Lifestyle Foods

VegetablesStick to green leaf vegetables and avoid root vegetables to keep your daily carbohydrate intake low.

olives lemoncranberry

garlicjicamakale leeks leafy greens various kinds lettucemushroomsmustard greens okraonions Parsley peppers all kindspumpkinradishes rhubarb romain lettuce scallion

shallots seaweed spaghetti saucesquash spinach Swiss chard tomatoes turnip greenswatercress zucchini fermented vegetableskimchee sauerkraut

arugulaartichokesasparagus bell peppersbok choybroccoli brussels sproutsbutter head lettucecabbagecarrots cauliflowercelery chard chicory greenschives cucumberdandelion greenseggplant endive

FruitsMost fruits are off-limits on the ketogenic diet. Some small amounts of berries are considered okay but watch how much you eat and count the carb calories.

limeraspberry strawberry

avocadoblack berryblueberry

Other foods that don’t fit neatly into the categoriesMade with good oils only:mayonnaise salad dressings ranchceasarblue cheeseeggs shredded coconut

gelatin vanilla extract 100% dark chocolate Steviaalmond flour /meal coconut flour Kako powder unsweetened

pork rindsbeef jerky pickles cod liver oil or fish oil vinegar’s Sugar free and make sure you check the ingredientsmost mustards hot saucegluten-free tamari sauce or coconut amino’s fish sauce

lemon and lime juice in small amounts


MeatsAll of the animals are good to eat but too much protein may hamperketosis so watch the amount you eat .

beef bison chickendeerduckelkgoat goose pheasant

Herbs and Spices experiment with herbs and spices and some make your food tastes really delicious make sure you check the ingredients on any spice blends to avoid added sugar or MSG

sea salt black pepper white pepper basil italian seasoning chili powder cayenne peppercurry powder cumin oregano thymedill

pork quail rabbit sheep snake turkeywild boarwild turkey

Premade meats sausages deli meat (watch sugar)hotdogspepperonisalami bacon

Organ Meats are very nutritious eat any of the following from pretty much any animal: heart liver kidney bone marrow tongue tripe

Shellfish and other seafood apart from organ meats shellfish is the most nutrient dense food you can eat off expensive but worth it .

abalone caviar clams crabs lobster

rosemary sage tumericparsley cinnamonnutmeg cloves allspiceginger cardamom paprika vanilla

Dairynot everyone can tolerate dairy, but if you can use grass fed and full fat dairy products.full fat sour cream full fat yogurt butter not margarine - grass fed butter’s best full fat cottage cheese.cream cheese (count the carbs)heavy whipping cream cheese

Fish is highly nutritious , buy wild caught fish whenever possible

anchoviesbass codeel flounderhaddockhalibut herring mahi-mahi orange roughy perch red snapper

muscles oysters shrimpscallopssquid

rockfish salmon sardinestilapia tunasolegrouperturbo trout shark


Stall Options

1. When on the HCG portion you may choose to do an “Apple Day” or a “Steak Day”, Please read the Pounds and Inches Manuscript for more de-tails.

2. Schedule a Colon Hydrotherapy Session. Also known as colonics, colon irrigation or colon therapy. Colon Hydro-therapy is a safe and gentle procedure that uses warm, purified water to gently assist in eliminating stored fecal matter, gas, mucus and toxic substances from the colon. Many people have digested waste material trapped inside their colon, and this treatment can help to eliminate these toxins, which will improve the functioning of the digestive system and en-hance overall health. Practitioners can interview and locate a service near them to develop a reciprocal referral network.

3. Take a Water Fast. For Two DaysDrink at least one quart of water per day, some recommend 2 quarts/day. Use the highest quality available or distilled. Some water fasters add a slice of lemon to their water, as it not only imparts a bit of flavor, but it adds beneficial enzymes and is cleansing in nature. You can also add a couple teaspoons of organic apple cider vinegar.

“..the chances are much better for permanent weight-control after fasting than after any diet whatsoever.”

During fasting “profound changes take place. These changes revise at-titudes about food and put appetite into alignment with the body’s real needs for energy.”

from Fasting: The Ultimate Diet, by Alan Cott, M.D.

4. Have your patient retake their body measurements.

5. Consider eating only in a 6 hour window per day - say eat first meal at 11:30 and last meal at 5:30pm

6. Consider intermittent fasting - some days not eating breakfast or some days skipping dinner.


Balancing Hormones with Bioidentical HormoneReplacement Therapy

Central Drugs team of clinical Pharmacists will partner with you in learning how to prescribe hormones through our 30/30 Prescriber Success Program.

Review the sample forms and information here in our 30/30 BHRT Kit:

http://letstalkhormones.weebly.com/3030-bhrt-kit-contents.html

Then contact us to set an appointment for you to review your patients labs to help your weight loss patients regain energy and mitigate any symptoms they may be experiencing due to peri-menopause, menopause or andropause.

For your clinical consult: California Practitioners please call our Fullerton location (714) 515- 1530All other states please call our La Habra location (562) 691-6754 x 119

http://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/dr-simeons-manuscript.pdf

http://letstalkhormones.weebly.com/3030-bhrt-kit-contents.html


Additional Resources

1. Ultimate Weight Loss Protocol Patient Loghttp://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/ultimate_weight_loss_protocol_patient_log.pdf

2. Asceptic Technique mixing a Piggy Baghttps://www.youtube.com/watch?v=mDv-IkXBKM8

3. Hood Informationhttp://www.centraldrugsrx.com/pdf/2017_Hood_Information.pdf

4. Pounds and Inches Manuscripthttp://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/dr-simeons-manuscript.pdf

http://www.centraldrugsrx.com/pdf/2017_Hood_Information.pdf

http://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/ultimate_weight_loss_protocol_patient_log.pdf

http://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/ultimate_weight_loss_protocol_patient_log.pdf

https://www.youtube.com/watch?v=mDv-IkXBKM8

http://www.centraldrugsrx.com/pdf/2017_Hood_Information.pdf

http://letstalkhormones.weebly.com/uploads/1/9/2/9/19297885/dr-simeons-manuscript.pdf

90 days - letstalkhormonesletstalkhormones.weebly.com/uploads/1/9/2/9/... · and discuss hcg diet...

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