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<blockquote data-quote="ringi" data-source="post: 1645446" data-attributes="member: 410240"><p>A bit of history will help understand this, there is a diet company called “LighterLife” that uses shakes very much like the ND along with group cognitive behaviour therapy. This has been operating for a long time (before ND started) with a business model like “weight watchers”. They require everyone to get a letter of approval from their doctor before doing it due to risks of Hypos etc, if they are taking any drugs.</p><p></p><p>Now to quote from my GP’s website:</p><p></p><p style="margin-left: 20px"><em>Will a Doctor sign my "Lighterlife" form upon commencement of this Programme?</em></p> <p style="margin-left: 20px"><em></em></p> <p style="margin-left: 20px"><em>Unfortunately we are not able to commit to the degree of monitoring that is required by this Programme, after consideration of the National Institute For Clinical Excellence guidance we have concerns about being able to sign these form so sorry, no.</em></p><p></p><p>This is due to doctors having change people meds a daily bases to keep BG in the NICE defined target range. </p><p></p><p>The recent ND study was looking at how well the ND works in a GP setting, hence they needed to remove all objection GPs could have over the workload it created. By just excepting higher BG, all the needed support could be provided by a nurse at a once weakly appointment. </p><p></p><p>(Likewise possible GI issue with having Metformin with the shakes leading to GP apointments. Personly if it is possible I think Metformin should be kept going taken with the once a day "veg meal".)</p><p></p><p>One issue with LighterLife is a lot of people stop paying for the meatings once they have completed the shakes stage, and hence don't get the surport needed to reintroduce food in a controled method. This process was well defined with the recent ND study.</p></blockquote><p></p>
[QUOTE="ringi, post: 1645446, member: 410240"] A bit of history will help understand this, there is a diet company called “LighterLife” that uses shakes very much like the ND along with group cognitive behaviour therapy. This has been operating for a long time (before ND started) with a business model like “weight watchers”. They require everyone to get a letter of approval from their doctor before doing it due to risks of Hypos etc, if they are taking any drugs. Now to quote from my GP’s website: [INDENT][I]Will a Doctor sign my "Lighterlife" form upon commencement of this Programme? Unfortunately we are not able to commit to the degree of monitoring that is required by this Programme, after consideration of the National Institute For Clinical Excellence guidance we have concerns about being able to sign these form so sorry, no.[/I][/INDENT] This is due to doctors having change people meds a daily bases to keep BG in the NICE defined target range. The recent ND study was looking at how well the ND works in a GP setting, hence they needed to remove all objection GPs could have over the workload it created. By just excepting higher BG, all the needed support could be provided by a nurse at a once weakly appointment. (Likewise possible GI issue with having Metformin with the shakes leading to GP apointments. Personly if it is possible I think Metformin should be kept going taken with the once a day "veg meal".) One issue with LighterLife is a lot of people stop paying for the meatings once they have completed the shakes stage, and hence don't get the surport needed to reintroduce food in a controled method. This process was well defined with the recent ND study. [/QUOTE]
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