Total food replacement in the obese or severely overweight with assoc pathology

Precautions:

Recent MI; diabetes; hypertension; hyperlipidaemia; history of renal, hepatic disease; gall bladder disorder; monitor renal, hepatic function, weight, BP, urinalysis; progress twice monthly if program greater than or equal to 1 month

Adverse Reactions:

GI upset; rash, dry skin; hypotension; halitosis; menstrual disturbances; temporary hair loss; fatigue, irritability; cramps; hyperuricaemia; hyponatraemia; hypokalaemia; numbness; gallstones

Interactions:

Li (monitor blood levels); alcohol

Dose:

Replace all food with Optifast VLCD; take sachet mixed in water at mealtimes. 3 sachets/day; supplement with greater than or equal to 2 L energy free liquids, less than or equal to 2 cups green or low starch vegetables/day