Obesity-waist_circumferenceWeight Management

The epidemic of obesity in this country is complex.

A variety of factors contribute.

We feel the Family Practice setting is one of the best places to address these issues.

We offer a tailored approach to your problem in a confidential environment.

Options vary from traditional weight watchers approaches to HCG injections to various gastric modifications.

Our motto is:

  • Little problems, little solutions
  • Medium problems, medium solutions
  • Big problems, big solutions

HCG Weight Loss Program  2015 –

Presented by Dr. Karen Raben
This program is based on the work of Dr. Simeons who developed a protocol and used it successfully for over 30 years at European weight loss clinics. His full manuscript can be found free online and is called “Pounds and Inches” by Dr. A.T.W. Simeons. It is certainly worth your reading as you become more involved in the program. I also recommend Kevin Trudeau’s Weight Loss Cure. Although it is an intense read and no one can be expected to completely adhere, it is a good idea of how the program would be implemented in a perfect world. It also lists a very nice summary of what you can eat both during the program and on maintenance after you complete the first 3 phases. Phase 1 is not part of the original diet. Unfortunately, since Dr. Simeons wrote his manuscript our foods have become much less natural and are filled with additives and chemicals as well as antibiotics and hormones. Phase 1 is an added guide for dealing with our modern situation.


This diet is based on a strictly reduced caloric intake. What makes it different is the use of human chorionic growth hormone (HCG) which during the course of the program resets your brain so that you don’t gain the weight back and allows the body to take its source calories from your abnormal fat depots rather than your necessary fat depots. The drug is given subcutaneously and you will be instructed on how to do this. It is similar to how people with diabetes inject their insulin.

HCG, the chemical that facilitates this unique approach, appears naturally in the body and is produced in very high quantities during pregnancy.

Because of the effect of HCG on the brain there are many accompanying benefits including decreased cravings for food and improved mood and libido. Temporary side effects may include change in your sleep pattern, mild constipation, hair loss, leg cramps and cold intolerance.

Exercise is a part of all attempts to improve your health. Walking 20 minutes a day is enough; but, if you are already involved in an exercise routine there is no need to change it.

During the diet it is very important that you keep a precise food journal. This is the only way to avoid mistakes during your busy day and the only way to truly incorporate these new eating habits that will be with you for the rest of your life.

Phase 1 – First 2 days – Begin the subcutaneous injections. Set a regular time in the morning that best fits your schedule. Eat as much as you can these first two days. High sugar and high fat. This is to saturate your fat stores and is very important to get you off on the right metabolic pathway.

Phase 2 – Day 3 – day 43 – cyclic injections of HCG, six days on and one day off. After the 40th day, you stop the injections but continue the 500 calorie diet for another 3 days. If you have less than 20 pounds to lose you may do a 26 day cycle with daily injections. Same protocol at the beginning and end as the 43 day cycle.

Beverages (unlimited) At least a half gallon a day:

Water, tea (especially green teas), coffee (one tbsp of milk per day).

Foods – During each 24 hour period you are allowed two servings from each category. Eat when you feel hungry but eat your evening meal at least four hours before going to bed. Have only one serving from each category per meal. You can’t double up. No oils, butter or dressings are allowed but you can have the equivalent of one lemon per day. Seasonings may include salt, pepper, vinegar, mustard powder, garlic, basil, parsley, thyme.FullSizeRender

Meat (preferably organic) – Each serving is 100 grams that should be weighed raw. Includes skinned chicken breast, lean beef, white fish, lobster, shrimp, crab and veal. Should be boiled, 2C6AB093-3AD9-45FF-B2C3-1DA3B147646Bbaked or grilled with no added fat. You can substitute 3/4 cup of cottage cheese for a meat
serving 3 times a week. You may also substitute one whole egg combined with 3 egg whites for a meat serving 3 times a week.

Vegetables – Each serving is one cup if cooked or solid and two cups if raw or leafy. Only one type of vegetable per serving. Includes cabbage, spinach, celery, tomato, fennel, onion, radishes, cucumber, and asparagus.

chickenWafflesFruit – one apple, one cup of strawberries, one half grapefruit, one orange

Bread – one Italian breadstick or one piece of melba toast




Eating at restaurants is very difficult. It is best to avoid this unless you can just sit and enjoy the company of the people you are with. You have to be careful of food additives and this is very hard when you eat out. It also makes you focus on food too much at a time when you are trying to mindfully change your relationship with food.

Don’t chew gum or use mints.

Using the wrong food additives. Check all food ingredients for sugar, corn syrup or oils.

Drink enough fluids

Phase 3 – Weight maintenance through the creation of a new body weight set point.

For the first 3 weeks, eat what you want, when you want, excluding all sugars and starches. Eat when you are hungry and stop when you are full. Consume a minimum of 1500 calories per day. You want to eat all that you can to establish your new caloric point. Weigh yourself daily and if you gain 2 pounds from your weight at the end of Phase 2, than you must take a “steak day”. This means that you skip breakfast and lunch, drink plenty of fluids all day and in the evening have a huge steak with either an apple or a raw tomato.

For the second 3 weeks, you slowly begin to introduce sugar and starch back into your diet. Keep your daily weight record and take a “steak day” if you go over 2 pounds.

Phase 4 – The rest of your life. Your new relationship with food.

Drink plenty of water, preferably filtered. Continue eating protein, fresh fruits and vegetables. Eat organic as much as possible. Exercise. Take probiotics. Take daily fish oil.









Recommended readings:

  • “Weight Loss Cure” by Kevin Trudeau
  • “HCG Diet Made Simple” By Harmony Clearwater Grace

Please see the following blogs for additional HCG information: