![]() The support is usually provided in meetings, either in a group or one-on-one, with trained counsellors. After this, you meet the counsellor on a monthly basis to manage your diet. Then the counsellor will help you start to re-introduce food. First you replace your entire diet with substitutes like shakes, soups, and bars, which altogether provide between 800 and 1,200 calories per day. But the authors of the study hope that such treatments could one day be available on the NHS. At the moment, a diet like this is expensive. The idea is simple: a specialised diet is combined with weekly meetings with a counsellor, who gives you tailored support. Total diet replacement (TDR) programmes are not a new concept. With the support of the counsellors, the study shows that this did not happen up to a year after starting the diet.Īfter one year, the participants who had been involved with the TDR programme had lost on average 11 kilograms, while the rest had lost 3kg. But the study, which is the first to look into a large group of adults, shows otherwise. “A common but unsupported perception is that such programmes are unacceptable to most people, possibly unsafe, and lead to rapid weight regain” the authors say. This could mean that when the dieter starts to eat food again, they are susceptible to gain weight quickly. ![]() This is because the body gets used to surviving on fewer calories. Like any kind of liquid diet, or a diet where the number of calories consumed is dramatically cut, a person's metabolism starts to slow down after a while. ![]()
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