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PROTEIN SPARING MODIFIED FAST DIET
This approach has to be reserved to patients with an severe obesity
(overweight above 70 %) without metabolic disorders and for whom
a fast and significant weight loss is advisable.
The aim is to achieve a fast weight loss in the shortest period of
time. Protein sparing modified fast diet requires a close clinical and
metabolic monitoring, in particular for the risk of cardiac arrhythmia
and severe ketosis.
Protein sparing modified fast diet allows only meat, fish and
vegetables. It provides a caloric intake equal to or less than 800
kcal/die; protein intake ranges from 1.5 to 2.5 g/kg/die (the
percentage is from 50 to 65 %), remaining calories come from lipids
(40%) and carbohydrates from vegetable sources (10%).
During the treatment, daily supplementations must be given: calcium
(800 mg), KCl (25 mEq/l), vitamins and micronutrients, non-caloric
drinks (2 litres).
Protein sparing modified fast diet produces considerable weight loss up
to 1 kg per week and this can induce adolescent to associate weight
loss to drastic diet and to continue an unbalanced diet for a long
period of time.
There is not demonstration that in long-term management this diet gives
better results than hypocaloric balanced diet.
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