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Description:
To assist with compliance, Optifast VLCD is supplied in both sweet milkshake (vanilla, chocolate) and savoury soup flavours (tomato).
Ingredients:
Milkshakes:
Vanilla: Calcium caseinate (26%), skimmed milk powder (25%), maltodextrin, sugar, sodium caseinate (12%), vegetable oil, potassium citrate,
sodium chloride, magnesium carbonate, sodium citrate, vanilla flavour, potassium phosphate monobasic, calcium phosphate tribasic, lecithin
(emulsifier), Vitamin C, ferric pyrophosphate, zinc sulfate, sodium saccharin (sweetener), nicotinamide, copper gluconate, manganese sulfate,
Vitamin E acetate, calcium pantothenate, sodium fluoride, ascorbyl palmitate (antioxidant), Vitamin B1 hydrochloride, Vitamin B6 hydrochloride,
Vitamin B2, betacarotene (colour), Vitamin A acetate, chromium chloride, folic acid, sodium molybdate, potassium iodide, biotin, sodium
selenite, Vitamin K1, Vitamin D3, Vitamin B12.
Chocolate: Calcium caseinate (26%), skimmed milk powder (25%), sodium caseinate (12%), maltodextrin, sugar, vegetable oil, cocoa powder,
potassium citrate, sodium chloride, magnesium carbonate, sodium citrate, chocolate flavour, potassium phosphate monobasic, calcium
phosphate tribasic, Vitamin C, lecithin (emulsifier), sodium saccharin (sweetener), ferric pyrophosphate, zinc sulfate, vanillin, nicotinamide,
copper gluconate, manganese sulfate, Vitamin E acetate, calcium pantothenate, sodium fluoride, ascorbyl palmitate (antioxidant), Vitamin B1
hydrochloride, Vitamin B6 hydrochloride, Vitamin B2, Vitamin A acetate, chromium chloride, folic acid, sodium molybdate, potassium iodide,
biotin, sodium selenite, Vitamin K1, Vitamin D3, Vitamin B12.

Composition:
Composition
Measure
Optifast VLCD milkshake
Optifast VLCD Soup
Serving
g
40
50
Energy
kcal
152
190.5
kJ
635.3
796.5
Protein
g
17.3
16.7
Carbohydrate
g
15
24
Fat
g
2.3
3.6
Fibre
mg
2.4
Sodium
mg
332
600
Potassium
mg
668
775
Vitamin A
IU
1100
1182
Vitamin C
mg
25
23.8
Thiamine
mg
0.53
0.6
Riboflavin
mg
0.667
0.6
Niacin
mg
6
4.8
Calcium
mg
300
346
Iron
mg
5
4.8
Vitamin D
IU
66.67
48
Vitamin E
IU
4.4
4.8
Vitamin B6
mg
0.667
0.7
Folic Acid
mcg
133
95.5
Vitamin B12
mcg
1
0.7
Phosphorus
mg
268
300
Iodine
mcg
50
35.5
Magnesium
mg
116
86
Zinc
mg
5
3.55
Copper
mg
0.833
0.7
Biotin
mcg
67
24
Pantothenic Acid
mg
2.67
2.4
Vitamin K
mcg
33
19
Chloride
mg
400
955
Manganese
mg
1
1.2
Selenium
mcg
17
24
Chromium
mcg
33
24
Molybdenum
mcg
67
59.5
Actions:
Rationale: The use of modified fasting is well established as a safe and effective method of rapid weight loss provided that medical supervision is
maintained. Weight loss rates are comparable to those achieved by total fasting, but the disadvantages of severe ketosis and loss of lean body
mass are minimised. Adequate nutritional status is also maintained. Individuals have undertaken modified fasting regimens for many months but
are advised to seek the advice of a doctor or healthcare professional to review progress. Progress should be reviewed at least twice monthly if the
duration of modified fasting exceeds one month.
Indications:
Total food replacement for the overweight: Optifast VLCD is intended for use as part of the management of the moderately to severely overweight,
even when there is associated secondary pathology e.g. non-insulin-dependent diabetes, hypertension, osteoarthritis, hypothyroidism corrected
by replacement therapy, gynaecological disorders, hyperlipidaemia or where obesity is an impediment to surgery.
Contra-indications:
Acute cerebrovascular or cardiovascular disease, renal disease, hepatic disease, juvenile onset diabetes, porphyria or overt psychosis.
Use in Pregnancy:
Contraindicated.
Use in Lactation:
Contraindicated.
Use in Children: Modified fasting is not recommended for treatment of childhood weight problems.
Precautions:
Individuals with recent myocardial infarction should be referred to a cardiologist to determine suitability for modified fasting. Individuals should be
screened for gall bladder disorders prior to commencement of modified fasting using Optifast VLCD.
Individuals receiving medication for diabetes, hypertension, hyperlipidaemia or those on lithium therapy may require a reduction in dose or
withdrawal of treatment whilst undergoing modified fasting. Such individuals should be monitored carefully in the first weeks of an Optifast VLCD
program.
Individuals with a history of hepatic or renal disease should also be monitored carefully.
Individuals on lithium therapy require more frequent monitoring of blood lithium levels.
Alcohol should not be consumed when using Optifast VLCD.
Monitoring: At the commencement of the program, individuals should be checked for normal renal and hepatic function and thereafter regular
checks for weight, blood pressure and urinalysis.
Adverse Reactions:
Initial transient effects have been observed: sensitivity to cold, dry skin, temporary rash, postural hypotension, fatigue, diarrhoea, constipation,
muscle cramps, halitosis, irritability, menstrual disturbances. These are generally insufficient in magnitude or duration to warrant cessation of the
program. In some rare cases, numbness and the appearance of previously unsuspected gallstones have been reported.
Rapid weight loss occasionally leads to higher serum uric acid levels and might precipitate an acute attack of gout in a predisposed individual.
This may be ameliorated by ensuring adequate fluid intake, but in severe cases therapy such as allopurinol may be indicated.
Although Optifast VLCD contains adequate electrolytes for the needs of most individuals, some individuals may become hyponatraemic or
hypokalaemic, especially if they are receiving diuretic therapy. In such circumstances, electrolyte supplements may be required.
Dosage and Administration:
Preparation: Add one sachet of Optifast VLCD to 200 mL of cold or warm water. Stir, blend or shake to dissolve. Do not use boiling water. If
desired, more water may be added.
Administration: Optifast VLCD should replace all food. Each sachet to be taken at meal times.
Milkshakes Alone: Three sachets per day (52g protein, 7g fat, 1,906kJ/456kcal)
or
Soups Alone: Four sachets per day (67g protein, 14g fat, 3,186kJ/762kcal)
or
Combination of Soups and Milkshakes: Two sachets of Soup and two sachets of Milkshake per day (68g protein, 12g fat, 2,864 kJ / 685kcal).
Supplement this with at least 2 L of energy-free liquids (e.g. water, diet soda or mineral water). Up to two cups per day of green vegetables (or
low starch vegetables), cooked without fat or oil, is also recommended. A program of regular light exercise enhances wellbeing and, therefore,
likelihood of success.
Overdosage:
Symptoms of overdosage would become apparent after prolonged ingestion of at least 22 sachets per day. Such symptoms would be due to an
intake of over 25,000 IU per day of vitamin A (from over 22 sachets per day) or over 600 microgram of selenium (from over 35 sachets per day). A
yellow colouration of the skin may result due to the excessive intakes of the carotenes derived from the vitamin A, but disappear when the
carotenoid intake is reduced. Signs of selenium toxicity may include loss of hair and nails. Potential toxicity may also result when persistent
ingestion of large amounts of vitamin D (cholecalciferol) exceed the recommended allowance by severalfold, and may result in hypercalcaemia
and consequent calcification of soft tissues.