HCG - WRS Health



HCG

HCG Informed Consent

HCG is a prescription medication used by Dr. Sharon Bent-Harley @ Harley Anti-Aging Institute in its weight loss program.

With any drug there is the possibility of an allergic reaction. Stop using the medicine and call doctor.

HCG is virtually free of negative side effects, but because you must follow a very low calorie, low fat diet that can sometimes trigger a gallbladder attack in individuals who are genetically pre-disposed to gallbladder disease.

Your medication will be discontinued if there is a severe adverse reaction.

I understand that the program and medications may involve risk I have read and understand the information given to me about the medications. I have asked and had answered any questions that I may have after reading this form. I understand the possible side-effects and agree to advise Dr. Harley should they occur. I understand that I may quit the program at any time. I agree to stop HCG if I become pregnant and agree to advise Dr. Harley should I decide to become pregnant. No adverse side effects or complications are expected, but in the event that an illness does occur, I understand that I need to contact Dr. Harley @ Harley Anti-Aging Institute. If I experience an emergency situation, I understand that I need to go to an emergency facility; I authorize Dr. Harley @ Harley Anti-Aging Institute to use my photos for advertising purposes as needed.

YOUR SIGNATURE BELOW INDICATES THAT YOU HAVE READ THE INFORMATION ABOVE, HAVE HAD YOUR QUESTIONS ANSWERED, HAVE HAD POTENTIAL SIDE EFFECTS EXPLAINED AND AGREE TO NOTIFY DR. HARLEY @ HARLEY ANTI-AGING INSTITUTE OF ANY CHANGE IN YOUR HEALTH STATUS.

________________________________ ____________________________

Client’s Name (PLEASE PRINT) Client’s Signature Date

HCG

Dr. Sharon Bent-Harley @ Harley Anti-Aging Institute

1800 Peachtree Street, Suite 455

Atlanta, GA 30309

(678) 904-5999 - Tele

(678) 904-5998 – Fax

Day 1 and 2 = Take the HCG in the morning and evening as directed. Eat as much as your want, especially high fat. It’s important to get the HCG in your system before you start the diet plan.

Day 3-30 (min 23 days/max 40 days = Continue HCG as directed, begin the HCG plan. You must follow it very strictly or you will not lose the desired fat.

When you Reach Your Goal Weight = Stop the HCG. Continue diet for 3 more days.

The Following 3 weeks = You can now add fat to your diet, but continue diet modification with NO SUGAR, NO STARCH, NO ALCOHOL for 3 weeks. Eat fat, and proteins in any quantity, just don’t eat Sugar or starch.

DO’S

Do keep the HCG refrigerated

Do take your potassium supplement (1wk)

Do take a multi-vitamin daily with food

DON’TS

Do not take any fat soluble vitamins (ADEK, omega 3, Flax-Seed, Coconut oil) while you are following the HCG Diet Plan.

How to Take HCG

Use the syringe that is marked with a line to indicate dosage

Fill the syringe to just below the 0.25 line with HCG

Squirt it under tongue

Hold it there for 1 minute, and then swallow

Wait 10 minutes to eat or drink anything

Take HCG morning and night – Do not miss doses or this will throw you off track!

HCG Frequently Asked Questions

1. What is HCG and how does it work?

HCG - a hormone naturally produced in the body. It has many functions and is used medically to treat a variety of conditions. It is the pregnancy hormone, but during pregnancy the levels double every two days. This hormone allows the body to mobilize fat and use it as energy for both mother and fetus. This hormone allows the body to mobilize fat and use it as energy for both mother and fetus. This acts as a “fail-safe” mechanism when energy is needed immediately. For weight loss, we use only a very small amount of HCG to capitalize on this same mechanism. Using HCG in this way does not mimic pregnancy; in fact, it can be safely used by both men and women.

2. Is HCG safe?

HCG is extremely safe. All women experience very high levels during the nine months of every pregnancy with no adverse effects. The small amount we use for weight loss has absolutely NO side effects.

3. If HCG works so well for weight loss, why don’t pregnant women lose weight?

HCG works to mobilize fat for utilization by the body only when there is a significant decrease in calories and fat. A starvation state must exist for HCG to work. For weight loss, we use a very low calorie diet to trigger HCG to help rid the body of fat.

4. Will my metabolism slow down if I’m on a very low calorie diet?

Yes, normally when we cut back our calories and fat, our bodies store fat and our metabolisms slow down. This happens because fat is really a life-saving source of stored energy. When a very low calorie diet is used in conjunction with HCG, the hormone signals the body to use stored fat for energy, and eliminates excess fat reserves. It’s a natural process, so no ill effects on your metabolism will result.

5. Wouldn’t I lose the same amount of weight eating a very low calorie diet without HCG?

You can lose weight by simply eating fewer calories and fat, but because the body stores fat during times of deprivation, you will most likely lose muscle and bone before fat. This causes cellular metabolism to slow down, so in the long run, it would make gaining weight easier, as well as decreased bone density and muscle mass. By using HCG with the low calorie diet, extra fat is mobilized for energy and the rest is eliminated; the low calorie diet is vital in preventing immediate refilling of emptied fat cells. You benefit by preferentially getting rid of excess fat without affecting your bone and muscle.

6. The HCG diet is very low calorie, will I get hungry?

Because HCG mobilized fat and makes it available to the body as an energy source, it naturally reduces appetite. So even though you are taking in fewer calories, your body can access the energy you have stored in fat cells. After about 2 days, many patients notice a significant decrease in their appetite. Overall, most people have plenty of energy and feel good while on the program.

7. Will HCG interfere with any medications I am currently taking? What about birth control pills or Depo Provera injections?

HCG does not interact with ANY medications, including birth control pills or Depo Provera, so there are NO side effects.

8. Will I experience any changes in my menstrual cycle while taking HCG?

Because the amount of HCG is so small, there are no changes to your menstrual cycle. Likewise, HCG will not affect your ability to become pregnant, nor will it increase your changes of getting pregnant.

9. Why are some people calling HCG the “Weight Loss Cure”?

HCG is also being called the “Weight Loss Cure” because after taking it for weight loss, it reprograms your body to use stored fat for energy when calories are reduced for a period of time. Or put another way, it helps maintain your weight and not regain the pounds you’ve lost.

10. How much weight can I expect to lose on the program?

On average, our patients lose around 20 pounds per month. Often, people lose 10 to 12 lbs in the first week.

11. Does the weight loss slow done after the first month?

Many times what we see is a large amount of weight loss in the first month, then a plateau or leveling off. This does not mean that your weight loss has stopped. Typically; inches are being loss continuously while on the program, and after a period of time, patients will experience another large drop on the scale. Weight loss is thus achieved in this stair-step fashion.

HCG FOOD GUIDE

Breakfast: 1 to 2 eggs any style NO OIL ONLY PAM OLIVE SPRAY (boiled egg, scrambled). Fluids in any amount. (See fluid options below)

Protein Foods: 4-6 oz’s cooked twice daily (Lunch and Dinner)

Example: About the size of a makeup compact

Choose only lean meats particularly

• Veal or Steak Publix or Whole Foods Market

• Fresh White Fish (Halibut, Swordfish, Bass, Tilapia, Flounder, Pike, Brooke trout, Jew Fish, John dory, Snapper, Crab Meat, Lobster, Shrimp)

• Chicken – no skin (publix = breast tenderloins)

All visible fat must be removed before cooking and the protein should be weighed raw. It must be cooked without additional fat.

Salcom, eel, tuna fish, herring, DRIED, PICKLED or SMOKED fish are not allowed. Ground Beef is not allowed.

Fresh Vegetables: Min 3 ½ oz’s selected vegetables twice daily (Lunch and Dinner)

• Spinach, Chard, Chicory, Beet-greens, Green Salad, Tomatoes, Celery, Fennel, Onions, Red Radishes, Cucumbers, Asparagus, Cabbage, Broccoli, Cauliflower, Zucchini, Scallions, Cilantro, Green Beans, Mushrooms, Collard Greens, All Peppers ok.

• NO Pumpkin, Beetroot, Potatoes, Carrots, Peas, or Corn

Fruite: Two portions per day, at least 6 hours apart

• Apple, Strawberries (6 large) Orange, ½ Grape fruit

Fluids: A minimum of two liters of water daily

Each day a MINIMUM OF TWO LITERS (10 GLASSES) of water should be consumed.

• Tea/coffee (in any quantity), Soda Water, Mineral Water

• Crystal Light – Any less than 6 calories (sunrise)

Little Extras

• Use artificial sweeteners. NO SUGAR!!! (splenda, stevia)

• Salt, Pepper, Vinegar, Mustard, Mustard Powder, Garlic, Sweet-Basil, Parsley, thyme, marjoram, and other spices are freely available as seasonings

• NO Margarine, Butter, Oil, Dressing

• Juice of 1 Lemon Daily

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