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Conference rocks::weight_control

Title: Weight Loss and Maintenance
Notice:**PLEASE** enter notes in mixed case (CAPS ARE SHOUTING)!
Moderator:ASICS::LESLIE
Created:Mon Jul 09 1990
Last Modified:Tue Jun 03 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:933
Total number of notes:9931

699.0. "Opti-Fast Liquid Diet" by --UnknownUser-- () Wed Oct 16 1991 20:49

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699.1NODEX::GREENLong Live the Duck!!!Thu Oct 17 1991 16:146
    
    I heard something about the fasts on the news this morning.  Something
    about misleading advertisment... does anyone know more?  
    
    Amy
    
699.2ASICS::LESLIEProminent member of the adhocracyThu Oct 17 1991 17:376
    Consider the fact that all *fast* diets are not long-term. Simply look
    at Oprah to see that.
    
    Sensible eating is better.
    
    	- andy
699.3NODEX::GREENLong Live the Duck!!!Thu Oct 17 1991 18:458
    
    Yes Andy, I know that, and have so far lost over 40 lbs by doing just
    that.  (Though to be fair there probably some people
    who this would work for... they are just ready... some, but now too
    many)  Anyway, what I meant by the question is what is the
    bill/law/suit????  about.
    
    Amy
699.4The Opti-Fast is gone.JOKUR::KEATINGThu Oct 17 1991 23:4814
    
    I think it's the FDA who's on the backs of liquid diet manufacturers
    because some of them (Opti-Fast was one of them) are somehow claiming 
    that it's easy to keep the weight off once you lose it.  
    And, of course, it isn't.
    
    The whole controversy about whether or not they're harmful for you is
    another story, as is the theory of behavior modification being the
    better way to go.
    
    BTW, the boxes are gone.  I gave them to someone who has been on the
    diet before so she's aware of the pitfalls.
    
    - C.J.
699.5Doesn't work in the long runELWOOD::CHRISTIEMon Oct 21 1991 21:218
    My roommate went on one of those medically supervised liquid diets.
    She had been on it so many times before that her doctor told her
    it was the last time.  She now weighs MORE than she did before 
    the diet.  It takes the weight off, but without behavior/diet
    modification, the weight comes back +.
    
    Linda
    
699.6Balderdash!RANGER::PESENTIOnly messages can be draggedWed Oct 23 1991 14:5268
    I find this attitude rather amazing...
    
    My Optifast group was told that the fast only did 2 things:
    	1) fast weight loss
    	2) a break from food related habits
    Specifically, it was NOT:
    	1) a long term solution
    	2) a miracle cure
    	3) without dangers
    
    We were also told that the secret to long term success was to
    understand why we ate and attempt to modify and control our eating
    behaviour.  In addition, we were told that the paying attention to the
    readings, reviewing them, and attending some form of long term
    maintenance sessions had a high correlation to maintaining the loss.
    
    In the beginning, we were told that we had a greater than 60% chance of
    gaining the weight back.  We were also told about the behavior patterns
    that were typically associated with successful maintenance.  Out of the
    10 people that completed the fast in my group, 4 of us are still in
    some form of maintenance group, and are successfully controlling our
    weight.  Most of the rest did not make it to their goal, dropped out of
    the maintenance program, and at least some of them have regained.
    
    It sounds to me like .-1's roommate either did not have a very good
    supervision group (by the way, not all supervised fasts are the same,
    and not even all Optifast groups), or didn't pay much attention to what
    they had to offer.  Maybe both.  My group is VERY particular about
    allowing people to repeat.  They usually require the approval of a
    personal physician, and not just the desires of the participant (the
    first time just requires the approval of the group's physician).
    
    I have to ask what is meant by the phrase "Doesn't work in the long
    run"?  
    
    The Optifast program has 2 distinct parts:  The fast for weight loss,
    and Behavioral Education for maintenance.  
    
    The fast works for as long as you fast.  At 400 calories per day, you
    can reach about 40 lbs, unless you die first.  That's why it's
    medically supervised.
    
    The behavioral education doesn't work at all, unless you do.  It's
    kinda like going to a "touchy feely" course at digital.  It presents
    information, and gives you tools.  Whether or not you use it is
    entirely up to you.  It's more than just wanting it, though.  You have
    to be willing to work hard for it.  In Optifast, the tools they provide
    include establishing an exercise program, nutritional guidelines, meal
    planning guidelines, food diaries, calorie counters, group therapy
    sessions, and a whole lot more.  The more tools you put to use, the
    easier it is to accomplish your long term control goals.
    
    Well, I guess you can see you touched on one of my hot buttons.  I feel
    that people who make generalizations like .-1 are as bad as the ones
    who claim to have the miracle pills.  Of course, based on the info that
    MY group provided, I'm having a hard time understanding what beef the
    FDA (or whoever it was) is having, but you can be sure we'll talk about
    it at this week's meeting.
    
    By the way, I started in January '90, lost 140 lbs, and I've been
    maintaining ever since.  Of course, I walk, count calories, plan my
    food-exercise routine and attend the sessions religiously, so I use
    quite a few of the tools provided.  I also expect to work hard at this
    for the rest of my life.
    
    Doesn't work in the long run, indeed.  Harumph!
    
    			-JP
699.7Opti-fast may be safe but not FOOL proofTLE::DBANG::carrollA woman full of fireWed Oct 23 1991 20:4220
The problem, JP, is that some people go in with closed ears.  Opti-fast,
etc, can talk all they want about long-term maintainance etc...but
what people see is that they had a friend who was obese, and 4 months 
later is now THIN, and they want the same miracle cure.  

While Opt-fast and other programs may not be at fault for this 
misperception and selective listening of their clients, they do
provide the means for such people do go on fasts that are 
very unhealthy for them (either because they lose too much weight too
fast, or because they gain it all back immediately and that's even
worse, health-wise).

It's just another example of something that has great potential when
used wisely, but that has a very high potential to be dangerous to
those who are less wise, and thus the government has an interest in
protecting those in the latter category.

I won't even interject *my* opinion of it...

D!
699.8ASICS::LESLIEAndy LeslieThu Oct 24 1991 10:299
    Not forgetting that the advertising, despite any messages given later,
    doesn't make it clear at all that opti-fast is no more than a short
    term expedient.
    
    I *will* give my opinion, as someone who lost 100+lbs and has still
    done so, by sensible eating and behavioural change - fasting is not a
    good solution for the vast majority of the human race who are obese.
    
    	- andy
699.9More thoughts...RANGER::PESENTIOnly messages can be draggedThu Oct 24 1991 15:0126
Well, we did talk about this last night.  Evidently, Sandoz has advertised a 
few too many half truths in their literature.  That's what the feds have taken 
issue with.  After group, I also watched channel 5 Boston's Chronicle program on
dieting.  I found that interesting, too.

On the show, however, a dietician made a comment that the slower the weight loss
the better the chances of maintaining it.  This made me wonder.  I understand 
that there is a positive correlation between the two.  I don't believe that the
relationship is cause and effect, though.  My personal feelings are that a 
gradual weight loss thru "sensible eating habits" and a quick weight loss 
followed by a respectable period of maintenance thru sensible eating habits
yeild the same chances of maintaining for the long term.  


I do agree with Andy.  Fasting is dangerous.  It should not be considered unless
you are at great risk due to weight (as I was).  The chances are very good that
any diet that does not deal with a person's food related behavior will not 
result in long term success.  By the way, I will NEVER go on a fasting diet 
again, because I refuse to allow myself to regain weight to the point where it 
is necessary.

Let me add that I tried many diets, including the "eat like this", "don't eat 
any...", "eat only...", and working with a dietician to learn sensible eating 
habits.  The reason why none of these were successful in the long term was 
because none of them ever dealt with my relationship to food: WHY DO I EAT??
For me that's why Optifast worked.