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Hi this is Dr. Susan Riegg from susanrieggmd.com!
Today I am on day number fifteen of my HCG diet!
My starting weight was 187 pounds. Today
I am at one 179.0! So I am down
8 pounds in 15 days.
I have a picture here
just to show you what five pounds of fat looks like
and five pounds of muscle.
If you're on a HCG weight loss journey,
don't fall for the trick that people tell you that five pounds of fat
weighs more than five pounds of muscle. I've had people tell me that
and it's a joke, of course. Five pounds of fat
has more volume than five pounds of muscle,
but they weigh the same, of course.
This week I received an email question from Lynda,
and it's a great question. She said that she has over
a hundred pounds to lose, but as I've discussed before the,
HCG protocol extends for roughly 50 days
and Dr. Simeons described it
lasting for forty injections. So she wants to know, why can't I stay on the HCG
protocol until she gets her hundred-pound
weight loss goal? So great question, Lynda. So going back
to the, "Pounds and inches" manuscript, why
don't we, or why can't we for the most part keep patients
on the HCG until they get to their
hundred-pound weight loss goal? Well, it's pretty
simple. What happens
is that most patients have the majority of their weight loss
in the first three to four to five weeks
and then the weight loss really slows down. What happens is
that the part of the brain that's being affected by the HCG
becomes essentially resistant to the effect of the
HCG and that's the hypothalamus. This is a screenshot
from Dr. Simeons manuscript, "Pounds and inches," and he described it
as "immunity." I actually call it
"resistance." But in the manuscript he writes, "The reason for limiting the
course 240 injections is that
by then some patients may begin to show signs of HCG immunity.
Though this phenomenon is well known, we cannot, as yet, define the
underlying mechanism. Maybe after a certain length of time the body learns
to break down
and eliminate HCG very rapidly, or possibly prolonged treatment
leads to some sort of counter-regulation which anulls for diencephalic effect."
And just to remind you what is the diencephalon?
Thats actually both
the thalamus and the hypothalamus. So this is a little diagram.
So Dr. Simeons called it immunity,
again I prefer to call it resistance.
What happens is, after forty injections
the affect is lost,
and it doesn't happen everybody but in some patients
they can tell that the HCG is not working anymore because
either they get very, very hungry or
the stop losing weight and just stall,
or both of those things happen. If that's the case they need to do the
three-day washout and go on to maintenance
and take a break from the HCG.
If that doesn't happen, in
in my practice the way I handle it is if patients are still losing weight
and doing great, not feeling hungry and they want to keep going,
I do help them keep going because I want them
to achieve their weight loss goals. That's where I kinda
do go off of protocols as far as what
Dr. Simeons wrote because my goal is to get patients
the weight loss that they want so long as they're safe
and they're feeling great and there are no risks,
and they want to keep going.
This is from Simeons protocol.
He actually, in his practice,
he limited it to 40 injections and his policy
was not to take a patient more than 34 pounds of weight loss.
He would stop treatment at 34 pounds of weight loss or forty injections.
Whichever came first.
Dr. Simeons would make an exception in cases of "grotesquely"
obese patients. He would allow them to lose an additional five to six pounds.
I personally have had
male patients lose much more
than forty pounds. Particularly if they had significant underlying health
problems such as diabetes, hypertension
and hypercholesterolemia I will
so long as they're medically safe I will take them
as far as we can with the weight loss to try and help them
overcome their underlying health problems.
So once a patient has
reached the point of resistance to the HCG effect,
they will come off the HCG and take a break.
There will be an interval where
they will be on maintenance and then usually
they will want to go back on the HCG. So there will have to be in Interval, and
Dr. Simeons describes this in a lot of detail
in his manuscript. This is what he described
The nterval between the first round and the second round of HCG would be six
weeks.
Interval between the second and third round is eight weeks. Third and fourth round
is 12 weeks. Fourth and fifth round, 20 weeks.
Fifth and sixth rounds, six months,
and that's all detailed here.
I go off protocol little bit and have really good results with sticking
to an eight-week rule. I discourage patients from jumping in at six weeks.
In my experience they do not have good results if they're
jumping in this quickly. I try and
get patients to wait eight weeks and
I have seen really good results if they just
wait eight weeks between each round.
In general, they will reestablish sensitivity to the HCG
and when they go back on the HCG their generally losing weight very, very well.
In my experience, the first round is always the best
and then subsequent rounds, every round seems to be a little bit different.
It's not unusual for second round to not go nearly as well as the first round,
but
there is still pretty substantial weight loss.
In general the longer you wait
the better the second round will be,
but every patient is different and
every round generally does have pretty good weight loss.
Then the opposite question, is what about patients with only five to 10 pounds to
lose?
What do we do about that? There are a fair number of
patients who come in and just have 10 pounds that they want to loose. Well
do they have to do forty days? Well absolutely not,
but for female patients if they're only losing about half of a pound a day,
and they only want say five pounds of weight loss, they could get there in 10
days.
Well if they just do 10 days of HCG and then come off of it
they will not be able to stabilize at that
five-pound weight loss. It won't be enough time for the hypothalamus to
really stabilize at that weight loss. So the minimum
number of days is really 23 days
of HCG treatments and then the three-day washout regardless
of how many pounds. So what we'll do is for somebody with
say, five to 10 pounds of weight loss,
we will put that patient on
the HCG protocol exactly as described, and once they get to that goal, whatever
it is, we'll up the calories
to say, a 1000 or 1200.
Keep them on the protocol until we hit the 23-day mark and then do the
three-day washout and the maintenance exactly as described.
Wee really have to have
the exact same protocol so that the weight,
the 10 pounds doesn't back and that's all described
in Dr. Simeons manuscript. Just one more comment i'd like to make about
treatment during ***. I do recommend for my patience a little bit
different
protocol than what is described in the manuscript. Dr. Simeons
instructed his patients to
come off of the HCG during their. period, and we do not do that
So for women who are having menstrual periods, we tell them to go ahead and
stay on the HCG even though they're having their menstrual period.
Very often during the menstrual period there will be no weight loss.
Actually there's very often a little bit of a stall or even a weight gain.
Patients are instructed not to be worried about that.
Just to stick with the protocol. Keep using the HCG and when the menstrual
period is over
they will catch up very quickly with the weight loss.
I hope you found this video helpful and if you have any other questions
please go ahead and give us a call or send us an email.
We can be found at www.susanrieggmd.com!
Bye!