The Modified Fast
Although it is a major departure from normal eating, most patients
experience little hunger after the first few days of a Modified Fast.  This
program will appeal to the person who wishes to minimize food
decisions and preparation, but prefers to eat real food versus protein
supplements.  Small portions of lean meat, fish, or poultry provide daily
protein.  A few salad items are included for variety and texture.  You
may occasionally substitute a powdered protein supplement for added
flavor and convenience.  In addition to water, you may have low calorie
beverages including coffee, tea and sugar-free soft drinks.  You will
also need a daily vitamin and mineral supplement, which we will supply.
 The Modified Fast may be used safely until goal weight is reached, or
as a way to get your weight loss program off to a quick start before
switching to the Exchange Plan.  The menu may seem limited, but
those who follow it closely experience little hunger, maintain good
energy levels, and generally feel well.
Meal Plans
The Exchange Plan
We are excited to announce that our Exchange Program was
completely rewritten in 2006 to reflect the latest concepts in nutritional
thinking.  This is the most flexible of the weight loss programs, and is
designed to provide a variety of foods as well as quick weight loss.  If
you cook for others or travel frequently, this may be the plan for you.  
Your Registered Dietitian will design a menu that includes lean meat,
fish, poultry, vegetables, fruit, grains, and low fat dairy products.  You
may make your own food choices or we can provide sample menus to
simplify decision making.  This is also an excellent plan to maintain
weight loss as it is based on healthy eating recommendations.
Nutrifast
The Nutrifast program utilizes high quality protein supplements that are
available in over 30 hot and cold flavors.  These supplements should
only be used under appropriate medical supervision and should not be
confused with over-the-counter products.  Patients who follow the
Nutrifast Program closely also lose weight rapidly, experience little
hunger, maintain good energy levels and generally feel well.  This
program also may be used for the duration of the weight loss phase, if
desired.
At CNC, we recognize and treat every person as an individual and that no two
individuals are exactly alike.  For this reason, each person's meal plan is
individualized, with close supervision from a highly experienced registered
dietitian.  While the following three programs form the backbone of our meal plan
approaches, please explore any special requests such as food preferences, food
intolerances, nutritional practices (vegetarian, kosher, gluten-free, low cholesterol),
etc. with your dietitian.
Fasting Programs
Fasting is the quickest possible way to lose weight.  However, there
are safe and unsafe ways to fast.  
Some patients with certain
medical problems should not use fasting programs of any type.  
Further, they should only be used for individuals requiring at least 15
pounds (Modified Fast) to 30 pounds (Nutrifast) of weight loss or more.
 We will be happy to provide additional information if you have
questions regarding either of the fasting programs.

As the name suggests, the Protein Sparing Modified Fast eating plan
was modified from a total fast in which no food was permitted, to one
that includes enough high quality protein to maximize fat loss and
minimize the loss of muscle tissue.  Protein may be eaten in the form of
either small portions of lean meat, fish and poultry, or as a high quality
protein formula or drink.
The Maintenance Program
It may seem premature to think about a maintenance program before
we even begin, but weight maintenance is the most difficult part for
many people.  What is the value in losing weight if it is only to be
regained?  Repeated cycles of weight loss and gain are not only
demoralizing, but also often result in weighing even more.

Before you start dieting, commit to a maintenance program!  
Maintenance programs are individualized to match lifestyles and food
preferences.  Weekly counseling visits are strongly encouraged until
you are confident in your ability to maintain.  At that time, the
frequency of office visits may be decreased to bi-weekly or monthly.

Our most successful patients continue their maintenance visits
after reaching their goal weight.  
We encourage you to participate in
a maintenance program; it is crucial to your success!  We can also
help the individual who has lost weight by some other means and is
having difficulty maintaining.  Most commercial weight loss programs
do not offer a thorough maintenance plan.