@AliGal also I noticed that you were doing Alevere. You're doing great on it - I always wondered what it was about as I see it advertised in many places! Is it the same principle as Cambridge or slightly different?
Different in some ways because it's medically supervised and has treatments. There are blood tests, supplements (magnesium, potassium, salt, evening calcium and salt, and disgusting mineral drops) and monthly doctor's reviews. That means they can also keep you on the vlcd without having to have a food week.
Not everyone is approved if the bloods aren't OK or the doctor thinks you aren't ready. For example, she talked to me about my marital situation to make sure I was taking on too much whilst depressed. One young person was told they couldn't start until they'd finished their exams.
So blood sugars and other things are monitored. They monitor blood pressure weekly, and fat/muscle monthly - so you are certain to loose fat not muscle. You don't feel weak or headachey. Still need the loo a lot at first! One patient was sent to A&E last year as the doc had picked up signs he'd had a heart attack. Life saved.
I have 5 sachets a day ( 100 -130 calories and 15-18g protein with vitamins) so you have one every 2-4 hours. It stablilises the blood sugars so cravings are eliminated. They are drinks, soups, savory meals, some sweet deserts, including brownies and pancakes. As I'm very overweight, I can have a 6th when I need it. 2-3 litres of water daily.
Lowest carb salad and veg at lunch and supper, with up to 200g a day of other veg such as tomatoes, onions, cauliflower. Some oil daily. It trains you to eat more veg & salad. I'm having a big green salad daily with a few tomatoes and cucumber ( those small turkish ones from Lidl), and a vinagrette using some of the oil, and veggies in the evenings - often including mushrooms, celery or aubergine. I like this as I can eat with family
Alevere test for your metabolic rate - so make a plan based on that. For example, I will put on weight eating more than 1600 calories even carrying 2O stone around. Explains why I could put on weight eating a 1800 calorie diet plan!
So it's worked out how long it will take to get to a goal that is sustainable. Mine is at a BMI of c33 - so overweight still but so much healthier than I've been for most of my adult life.
There are weekly clinic visits with felt melting and skin hoovering. The fat melting is ultrasound on fatty deposits under the skin which respond poorly to a diet because blood circulation is less good and it's difficult for the fat cells to release their contents into the blood vessels. For me, that's belly, hips and thighs particularly. It is relaxing.
The "hoovering" is LPG, slightly less comfortable - but feels good afterwards. It improves the skin’s elasticity as weight is lost so very few people have hanging loose skin after significant weight loss. It also improves the circulation of blood and lymph (great as I have swollen calves) and assists the removal of fats. I feel really alive afterwards - like really effective skin brushing or exfoliation feelings. The therapists also check your blood pressure, how you are feeling, and sort out any problems and make sure all is well each week.
You start to phase food back in you've lost 70% of the weight - so learn how to re-incorporate regular meals and shed the remaining 30%. The doctor helps you establish a plan for stabilising your weight at goal. They've started giving free monthly monitoring for at least the first year to keep you on track. So it's a significant investment in time and money - but typically less than a gastric bypass, without taking life threatening surgery. I am using my savings to do it - and don't mind driving a 12 year old car and forgoing holidays.
I feel good on it, and like the probability that my skin will shrink as I lose 100lbs+. I know I'm medically safe - and am able to sustain it in a way that weight watchers and SW didn't work for me.
This is my second time as I lost the plot (and my marriage, caring for my ma in law, a few other bereavements, loosing people I love, lost job and more over the past 6 years). This time, they have free monthly monitoring , and I will work as hard at maintaining as I am at shedding!