How much water should I be drinking? Drink at least 2 liters (64 fl oz) of water per day. Coffee and diet sodas are not a substitute for water.

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4760 Red Bank Expressway Cincinnati, Ohio 45227 Phone: (513) 984.2700 Fax: (513) 984.2703 www.uniqueumedicalweightloss.com info@uniqueumedicalweightloss.com KETOGENIC PHASE

What is a Ketogenic Diet? The ketogenic phase is a high protein, adequate fat, very low carbohydrate diet. The diet mimics aspects of starvation by forcing the body to burn fat rather than carbohydrates. Normally, the carbohydrates in food are converted into glucose, which is then transported around the body and is particularly important in fuelling the brain. However, if there are very little carbohydrates in the diet, the liver converts fat into fatty acids and ketone bodies. The ketone bodies pass into the brain and replace glucose as an energy source. When the body produces ketone bodies, it is a state known as ketosis. What is Ketosis? Ketosis is a state in metabolism occurring when the liver excessively converts fat into fatty acids and ketone bodies which can be used by the body for energy. Adipose tissue consists of highly specialized cells which store energy in the form of a triglyceride and release it upon hydrolysis in a process known as lipolysis, yielding three fatty acids and one glycerol molecule. These ketone bodies are a by-product of the lipid metabolic pathway after the fat is converted to energy. Special things needed for this diet! Medications (as directed by Physician) Multivitamin, Potassium, and Glucose Support Supplement (provided by UniqueU) B12/MIC injections done at UniqueU for the purposes of helping with energy and break down fat. Weekly blood pressure checks by UniqueU s medical staff to ensure health. How much water should I be drinking? Drink at least 2 liters (64 fl oz) of water per day. Coffee and diet sodas are not a substitute for water. Should I be exercising? You should be doing 30-40 minutes of low intensity cardio first thing in the morning on an empty stomach (example: Walking, treadmill, riding a stationary bike, etc.) Cardio Options Option 1: First Thing in the morning Option 2: Weight train following a meal, then the cardio work to follow the weight training, and then have a meal Option 3: Fast for at least 1-1/2 hours prior to cardio training, then a meal to follow

Take Shape For Life The Take Shape for Life program is a highly effective weight loss program in and of itself. Take Shape for Life is a ketosis-based program that is available to UniqueU patients at no additional costs or start-up fees to join. The program includes scientifically formulated meals to ensure ketosis, which will cause our bodies to burn fat. How Take Shape for Life works The Take Shape for Life program incorporates Medifast Meals, which are individually portioned, calorie-and carbohydrate-controlled, and low-fat. Every meal provides adequate protein and is fortified with vitamins and minerals. Medifast products were developed by physicians and have been clinically proven safe and effective for weight loss. The 5 & 1 Plan creates a fat-burning state in your body while keeping you feeling full. You can lose weight quickly while preserving muscle tissue. With The 5 & 1 Plan... You eat 6 meals a day, so you won t feel hungry. You lose weight fast. With a Variety Package, you pay about $11 per day - less than the $16 per day that the average American spends on food. Your Medifast Meals go with you anywhere, so the 5 & 1 Plan fits in with even the busiest lifestyles. If you elect to participate in the Take Shape for Life program, which the medical staff at UniqueU does recommend, a staff member of UniqueU will help you register. This will ensure no additional start-up fees will be charged, as the start-up fees are included in your UniqueU fees. The website is www.uniqueu.tsfl.com/hp Go to the website and follow these steps: 1. Click on Shop Online. 2. For the first order, UniqueU recommends the variety packages, so click on Variety Packages. 3. For the first order, UniqueU recommends the Medifast for Men (4 week supply), even if a woman, so click on Medifast for Men (4 week supply). 4. Click Checkout. 5. Click Proceed to Checkout. 6. Click New Customers. 7. Complete Log-in / e-mail section. 8. Complete the Personal Info/Shipping Info section. 9. Complete the Billing Address section. 10. Complete the About You section. 11. Use Sponsor #30202776 (this will notify Medifast that you are a UniqueU patient). 12. Click Continue to complete your order.

(If not doing the meal replacement program, Take Shape For Life) Ketogenic Diet: Breakfast: Female Pick 2 choices Male Pick 3 Choices 1 Egg fixed anyway you like (*) ½ cup Low-Fat Cottage Cheese (*) ½ cup of Egg Whites or Egg Beaters 2 oz of lean breakfast meat ½ scoop of Protein Supplement -16 oz Water or Green Tea (Coffee is allowed but not a substitute) (*) Do not combine these two choices for breakfast Supplements: 1 Multivitamin, 1 Glucose Support Supplement, Vitamin D and 1 Potassium -Optional Snack: 1 Item off Snack List Lunch: -3 to 5 oz Protein from list Female -6 to 8 oz Protein from list Male -1 cup Salad with 1-2 tbsp Light Low Carb/Sugar Salad Dressing (max 2g Sugar) -1 cup of green Vegetables (broccoli, asparagus, spinach, fresh green beans, kosher dill pickle) -16 oz of Water or Green Tea Supplements: 1 Multivitamin -Optional Snack: 1 Item off Snack List Dinner: -3 to 5 oz Protein from list Female -6 to 8 oz Protein from list Male -1 cup Salad with 1-2 tbsp Light Low Carb/Sugar Salad Dressing (max 2g Sugar) -1 cup of green Vegetables (broccoli, asparagus, spinach, fresh green beans, kosher dill pickle) -16 oz of Water or Green Tea (decaffeinated) Supplements: 1 Multivitamin and 1 Glucose Support Supplement * It only takes 2g of sugar, per meal, to be out of ketosis * No Alcohol

Protein List: Chicken or Turkey (no skin, white meat), Cornish Hen (no skin), Lean Pork, Low Fat Deli Meat (turkey, chicken, ham, roast beef) Shellfish (crab, lobster, shrimp, scallops, oysters, clams) Fish (Cod, Haddock, Trout, Halibut, Smoked Salmon (lox), Tuna, Grouper, Tilapia, Swordfish, Catfish, Orange Roughy, Salmon, Sea Bass, etc.) Veal or Lamb (chop or roast) Steak (sirloin or top round), 93/7 Lean Ground Beef (Try to limit to 3 times a week.) Condiments: Max 2g Sugar Per Serving Mustard (not honey mustard) Horseradish Hot Sauce (no sugar) Spray Butter (Olivio, Parkay) Light Soy Sauce Heinz-One Carbohydrate Ketchup White or Red Wine Vinegar Any Herbs and Spices Walden Farms (Ketchup, Cocktail Sauce, BBQ Sauce) Salad Dressings: Max 2g Sugar Per Serving Wishbone Salad Spritzers Red and White Wine Vinegar Olive Oil Newman s Own Light Dressing Snack: Up to 100 Calories Sugar Free Jello with Cool Whip Free Sugar Free Natural Peanut Butter Assorted Nuts (Almonds, Cashews, Walnuts, etc.) Lean Meat (2-2 ½ oz) Kraft Cheese Singles or String Cheese Noodle Substitute - Shirataki Noodles 1/2 Scoop of a Protein Supplement Female 1 Scoop Protein Supplement Male Sugar Substitutes: Stevia