Many obese people turn to surgery to lose weight when dieting does not make a dent in their weight loss goals. Others go further than a standard weight loss plan and try extreme diets, such as the very low-calorie diet. A very low calorie diet VLCD is an intense diet that advises participants to eat no more than calories per day, which is less than half of the standard recommendation of about 2, calories per day. The diet is typically reserved for people who are struggling with obesity, not the average dieter looking to shed those extra few pounds. Even for someone who is obese, it is recommended to only undergo a VLCD under medical supervision, or in some cases do it in conjunction with a standard low calorie diet. For example, someone may follow a VLCD eating plan two or four days per week, and eat more calories on the other days of the week. A proper VLCD goes beyond just limiting food intake. Rather, participants consume pre-prepared meals in liquid form, or occasionally meal replacement bars, rather than eating normal meals. Though meals are in liquid form, a legitimate VLCD will be formulated to include most of the necessary vitamins, minerals, micronutrients, fatty acids, and proteins to still be a nutritionally healthy diet. Still, malnutrition is a concern for long-term dieters following a VLCD. VLCDs can be an effective way for someone who is obese to lose weight faster than they would on other diets.
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