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Why is it recommended that people take Sole Source for no more than four consecutive weeks?

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Why is it recommended that people take Sole Source for no more than four consecutive weeks?

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This advice complies with the recommendations in the 1987 DHSS report by the Committee on the Medical Aspects of Food Policy (COMA) entitled The Use of Very Low Calorie Diets in Obesity: “As the Sole Source of nourishment, the use of VLCD should not exceed the period recommended by the manufacturers (up to 3 to 4 weeks at a time) without reverting to a normal mixture of foods”. The above recommendation from COMA was not based on any research, but when the doctors who participated in Cambridges clinical trials were asked what was the maximum time they would recommend the diet be used sole source, without medical supervision, the consensus of opinion was four weeks. If you want to forego the Add-a-meal week, you can only do so with your doctors written consent.

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