TRANSITION MAINTENANCE GUIDE

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TR ANSITIONMAINTENANCEGUIDE

beforeMary JaneLost 170 lbsHas maintainedfor 4 years** Individual results may vary.

WELCOME TO TRANSITIONMAINTENANCECongratulations! We know how hard you’ve worked to reachyour goal weight. Upon reaching your goal weight, you willthen “Transition” from the Medifast 5 & 1 Plan into a phase wecall “Maintenance”. Transition and Maintenance provide thekeys to maintaining your weight loss results long-term. DuringTransition and Maintenance, you will be reintroduced to foodsyou previously put on hold – foods such as fruits, low-fat dairyproducts, whole grains, and higher-carbohydrate vegetables.Remember, Medifast is a lifestyle change, not just a short-term weightloss solution. Transition and Maintenance are the primary buildingblocks necessary to form your new, healthy lifestyle. This guidewill further explain and emphasize the importance of Transitionand Maintenance as they relate to long-term weight loss.C H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 71

TABLE OF CONTENTSREMEMBER YOUR GOALS . . . . . . . . . . . . . . . . . . page 3TEN REASONS TO MAINTAIN WEIGHT LOSS . . . page 3TRANSITION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . page 4TRANSITION PLAN CHARTS . . . . . . . . . . . . . . . . page 6SAMPLE TRANSITION MEAL PLANS . . . . . . . . . page 9MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . page 15CALCULATING YOUR BASAL METABOLICRATE (BMR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . page 17TOTAL ENERGY EXPENDITURE ( TEE) CHARTS . page 18EATING HEALTHY . . . . . . . . . . . . . . . . . . . . . . . . . page 20SAMPLE MAINTENANCE MEAL PLANS . . . . . . . page 28MONITOR, MONITOR, MONITOR. . . . . . . . . . . page 30THE MEDIFAST BLITZ . . . . . . . . . . . . . . . . . . . . . . page 31PLAN FOR SUCCESS . . . . . . . . . . . . . . . . . . . . . . . page 32PORTION CONTROL . . . . . . . . . . . . . . . . . . . . . . . page 33DRINK WATER . . . . . . . . . . . . . . . . . . . . . . . . . . . . page 34SUPPORT HELPS . . . . . . . . . . . . . . . . . . . . . . . . . page 35HELPFUL HINTS . . . . . . . . . . . . . . . . . . . . . . . . . . page 37FINDING OUT ABOUT DINING OUT . . . . . . . . . . page 39GET EXERCISING . . . . . . . . . . . . . . . . . . . . . . . . . page 40MEDIFAST WALKING PROGRAM . . . . . . . . . . . . page 432

REMEMBER YOUR GOALSTransition and Maintenance are times to reflect upon your reasonsfor wanting to lose weight initially. Revisit the goals you set priorto beginning the 5 & 1 Plan – those motivating factors that inspiredyou to take this weight loss journey.You’ve likely come to realize that while some goals may seemdaunting on the surface, they become much easier to attain oncethey’re broken down into small, easy-to-accomplish steps. Whenorganized properly, the time and energy required to reach yourgoals decreases significantly.Write down 10 reasons why you want to keep your weight off.Make sure these are personal reasons – not what others want.Anytime you need motivation, refer to this list!1.2.3.4.5.6.7.8.9.10.C H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 73

TRANSITIONTransition is the next phase of the Medifast Program. During Transition,you will be reintroduced to fruits, low-fat dairy products, wholegrains, and higher-carbohydrate vegetables. You’ll begin Transitiononce you’ve reached your goal weight. Transition gradually adds caloriesback into your regimen, while giving your body the appropriate timeit needs to adjust to its new level of calories and carbohydrates.Transition also helps you to control portion sizes while reintroducingyou to a variety of foods that you prepare yourself.It is best not to stop the 5 & 1 Plan suddenly, but rather to transitioncarefully. So, stick with the 5 & 1 Plan for one additional week prior tobeginning Transition. A careful transition will protect you from“rebound” weight gain – as well as give your digestive system achance to get used to handling other types of food again.During Transition, you incrementally increase your daily caloric intakeby reintroducing a different food group each week. The actual numberof calories you need during Transition is individual, and varies depending on factors such as: height, weight, gender, your lean musclemass, and activity level. In order to help pinpoint a calorie levelappropriate for you, please refer to Calculating Your Basal MetabolicRate (BMR) on Page 17.The information provided below will give you an idea of how longyou should remain in Transition – depending upon the amount ofweight you lost:* If you lost less than 50 pounds, allow 8 weeks to transition* If you lost 50–100 pounds, allow 12 weeks to transition* If you lost more than 100 pounds, allow 16 weeks to transition4

The first four weeks of Transition are similar for everyone. You’llincrementally increase your daily caloric intake with a different foodgroup each week. This is done in weekly “Stages”:* Stage 1:* Stage 2:* Stage 3:* Stage 4:Additional VegetablesFruitsDairyWhole GrainsFor your convenience, we’ve included Sample Transition Plan Charts.These sample guides are tailored to those looking to ultimatelymaintain their weight loss results with a 1,500 per day meal plan.LauraLost 110 lbsHas maintainedfor over 5 months*before* Individual results may vary.C H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 75

TRANSITION PLAN CHARTSThe key to transitioning from the 5 & 1 plan is to gradually increase yourcaloric intake over time.TRANSITION PLAN CHARTfor weight loss of less than 50 pounds, allow 8 weeks to transitionStage 1: Additional VegetablesWeek 1 (900-1050 calories)Any of your favorite vegetables can now beadded back as your selection.Stage 2: FruitsWeek 2 (900-1050 calories)Fresh fruit is desired but if canned fruit isused, choose unsweetened or packed injuice - not syrup.Stage 3: DairyWeek 3 (1000-1150 calories)Dairy includes low-fat and/or sugar-freeyogurt, milk, or lactaid product.Stage 4: Whole GrainsWeeks 4-8 (1350-1500 calories)Whole grain can be 1 slice of whole grainbread, ½ whole grain English muffin,3/4 cup high fiber cereal1/2 cup whole-wheat pasta,1/2 cup brown rice.65 Medifast Meals1 Lean & Green Meal1 additional cup vegetables4 Medifast Meals1 Lean & Green Meal1 additional cup vegetables1 medium-size piece of fruitor 1/2 cup cubed fruit or berries4 Medifast Meals1 Lean & Green Meal1 additional cup vegetables1 medium size piece of fruit or1/2 cup of cubed fruit or berries1/2 cup low-fat or fat-free dairy3 Medifast Meals1 Lean & Green Meal1 additional cup vegetables –raw or cookedAdditional 4- 6 oz. of meat, chicken,fish or seafood that is baked,poached or broiled (not fried)2 medium sized pieces of fruit or1 cup of cubed fruit or berries1 cup low-fat, or fat-free dairy1 serving of whole grain

TRANSITION PLAN CHARTfor weight loss of 50 -100 pounds, allow 12 weeks to transitionStage 1: Additional VegetablesWeek 1 (900-1050 calories)Any of your favorite vegetables can now beadded back as your selection.Stage 2: FruitsWeek 2 (900-1050 calories)Fresh fruit is desired but if canned fruit isused, choose unsweetened or packed injuice - not syrup.Stage 3: DairyWeek 3 (1000-1150 calories)Dairy includes low-fat and/or sugar-freeyogurt, milk, or lactaid product.Stage 4: Whole GrainsWeeks 4-12 (1350-1500 calories)Whole grain can be 1 slice of whole grainbread, ½ whole grain English muffin,3/4 cup high fiber cereal1/2 cup whole-wheat pasta,1/2 cup brown rice.5 Medifast Meals1 Lean & Green Meal1 additional cup vegetables4 Medifast Meals1 Lean & Green Meal1 additional cup vegetables1 medium-size piece of fruitor 1/2 cup cubed fruit or berries4 Medifast Meals1 Lean & Green Meal1 additional cup vegetables1 medium size piece of fruit or1/2 cup of cubed fruit or berries1/2 cup low-fat or fat-free dairy3 Medifast Meals1 Lean & Green Meal1 additional cup vegetables –raw or cookedAdditional 4- 6 oz. of meat, chicken,fish or seafood that is baked,poached or broiled (not fried)2 medium sized pieces of fruit or1 cup of cubed fruit or berries1 cup low-fat, or fat-free dairy1 serving of whole grainC H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 77

TRANSITION PLAN CHARTfor weight loss of more than 100 pounds, allow 16 weeks to transitionStage 1: Additional VegetablesWeek 1 (900-1050 calories)Any of your favorite vegetables can now beadded back as your selection.Stage 2: FruitsWeek 2 (900-1050 calories)Fresh fruit is desired but if canned fruit isused, choose unsweetened or packed injuice - not syrup.Stage 3: DairyWeek 3 (1000-1150 calories)Dairy includes low-fat and/or sugar-freeyogurt, milk, or lactaid product.Stage 4: Whole GrainsWeeks 4-16 (1350-1500 calories)Whole grain can be 1 slice of whole grainbread, ½ whole grain English muffin,3/4 cup high fiber cereal1/2 cup whole-wheat pasta,1/2 cup brown rice.5 Medifast Meals1 Lean & Green Meal1 additional cup vegetables4 Medifast Meals1 Lean & Green Meal1 additional cup vegetables1 medium-size piece of fruitor 1/2 cup cubed fruit or berries4 Medifast Meals1 Lean & Green Meal1 additional cup vegetables1 medium size piece of fruit or1/2 cup of cubed fruit or berries1/2 cup low-fat or fat-free dairy3 Medifast Meals1 Lean & Green Meal1 additional cup vegetables –raw or cookedAdditional 4- 6 oz. of meat, chicken,fish or seafood that is baked,poached or broiled (not fried)2 medium sized pieces of fruit or1 cup of cubed fruit or berries1 cup low-fat, or fat-free dairy1 serving of whole grainYour ending calorie level during Transition is essentially yourstarting point for Maintenance. In Maintenance, you’ll learn tosustain your weight loss results by making healthy food choicesand living an active lifestyle.8

SAMPLE TRANSITION MEAL PLANS*for weight loss of less than 50 pounds.Week 1(900-1050 calories)Breakfast:Medifast CappuccinoMid Morning: Medifast Scrambled EggsLunch:Medifast Cream of Broccoli Soup, 2-cupsof salad greens with 1/2-cup dicedcucumber, tomato and green pepper(add 1-2 tablespoons reduced-caloriesalad dressing if desired)Mid Afternoon: Medifast Tropical Punch Fruit DrinkDinner:5-ounces lean beef, 1-cup grilledportabella mushroomsEvening:*All meal plansinclude 8glasses(64 oz total)of waterthroughoutthe day.Medifast Oatmeal Raisin BarWeek 2(900-1050 calories)Breakfast:Medifast Blueberry OatmealMid Morning: Medifast Dutch Chocolate Shake with1 teaspoon sugar-free cherry syrupLunch:Medifast Beef Vegetable Stew, 2-cups ofsalad greens with 1/2-cup diced cucumber,tomato and green pepper (add1-2 tablespoons reduced-calorie saladdressing if desired)Mid Afternoon: 1/2-cup cantaloupe cubesDinner:5-ounces grilled tuna, 1-cup asparagus (cooked)Evening:Medifast Chocolate PuddingC H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 79

SAMPLE TRANSITION MEAL PLANS cont.*Week 3(1000-1150 calories)Breakfast:Medifast Hot CocoaMid Morning: Medifast Orange Crème ShakeLunch:6-ounces skinless turkey (white meat),1-cup broccoliMid Afternoon: Medifast Vanilla Pudding blended with1 small banana slicedDinner:Medifast Cream of Chicken Soup, 2-cups ofsalad greens with 1/2-cup diced cucumber,tomato and green pepper (add 1-2 tablespoonsreduced-calorie salad dressing if desired)Evening:1/2-cup low fat, sugar-free yogurtWeek 4 to Week 8(1350-1500 calories)Breakfast:1/2-cup high-fiber breakfast cereal ( 5 gramsof fiber per serving) with 1-cup skim milk and1 cup of fresh strawberriesMid Morning: Medifast Chai LatteLunch:4-ounces deli turkey over 2-cups of saladgreens with 1/2-cup diced cucumber,tomato and green pepper (add 1-2tablespoons reduced-calorie saladdressing if desired)Mid Afternoon: Medifast Chicken Noodle SoupDinner:5-ounces poached salmon, 1-cup green beansEvening:Medifast Banana Pudding with1-teaspoon fat-free whipped topping10*All meal plansinclude 8glasses(64 oz total)of waterthroughoutthe day.

SAMPLE TRANSITION MEAL PLANS*for weight loss of 50 to 100 pounds.Week 1(900-1050 calories)Breakfast:Medifast CappuccinoMid Morning: Medifast Scrambled EggsLunch:Medifast Cream of Broccoli Soup, 2-cupsof salad greens with 1/2-cup dicedcucumber, tomato and green pepper(add 1-2 tablespoons reduced-caloriesalad dressing if desired)Mid Afternoon: Medifast Tropical Punch Fruit DrinkDinner:5-ounces lean beef, 1-cup grilledportabella mushroomsEvening:*All meal plansinclude 8glasses(64 oz total)of waterthroughoutthe day.Medifast Oatmeal Raisin BarWeek 2(900-1050 calories)Breakfast:Medifast Blueberry OatmealMid Morning: Medifast Dutch Chocolate Shake with1 teaspoon sugar-free cherry syrupLunch:Medifast Beef Vegetable Stew, 2-cups ofsalad greens with 1/2-cup diced cucumber,tomato and green pepper (add1-2 tablespoons reduced-calorie saladdressing if desired)Mid Afternoon: 1/2-cup cantaloupe cubesDinner:5-ounces grilled tuna, 1-cup asparagus (cooked)Evening:Medifast Chocolate PuddingC H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 711

SAMPLE TRANSITION MEAL PLANS cont.*Week 3(1000-1150 calories)Breakfast:Medifast Hot CocoaMid Morning: Medifast Orange Crème ShakeLunch:6-ounces skinless turkey (white meat),1-cup broccoliMid Afternoon: Medifast Vanilla Pudding blended with1 small banana slicedDinner:Medifast Cream of Chicken Soup, 2-cups ofsalad greens with 1/2-cup diced cucumber,tomato and green pepper (add 1-2 tablespoonsreduced-calorie salad dressing if desired)Evening:1/2-cup low fat, sugar-free yogurtWeek 4 to Week 12(1350-1500 calories)Breakfast:1/2-cup high-fiber breakfast cereal ( 5 gramsof fiber per serving) with 1-cup skim milk and1 cup of fresh strawberriesMid Morning: Medifast Chai LatteLunch:4-ounces deli turkey over 2-cups of saladgreens with 1/2-cup diced cucumber,tomato and green pepper (add 1-2tablespoons reduced-calorie saladdressing if desired)Mid Afternoon: Medifast Chicken Noodle SoupDinner:5-ounces poached salmon, 1-cup green beansEvening:Medifast Banana Pudding with1-teaspoon fat-free whipped topping12*All meal plansinclude 8glasses(64 oz total)of waterthroughoutthe day.

SAMPLE TRANSITION MEAL PLANS*for weight loss of greater than 100 pounds.Week 1(900-1050 calories)Breakfast:Medifast CappuccinoMid Morning: Medifast Scrambled EggsLunch:Medifast Cream of Broccoli Soup, 2-cupsof salad greens with 1/2-cup dicedcucumber, tomato and green pepper(add 1-2 tablespoons reduced-caloriesalad dressing if desired)Mid Afternoon: Medifast Tropical Punch Fruit DrinkDinner:5-ounces lean beef, 1-cup grilledportabella mushroomsEvening:*All meal plansinclude 8glasses(64 oz total)of waterthroughoutthe day.Medifast Oatmeal Raisin BarWeek 2(900-1050 calories)Breakfast:Medifast Blueberry OatmealMid Morning: Medifast Dutch Chocolate Shake with1 teaspoon sugar-free cherry syrupLunch:Medifast Beef Vegetable Stew, 2-cups ofsalad greens with 1/2-cup diced cucumber,tomato and green pepper (add1-2 tablespoons reduced-calorie saladdressing if desired)Mid Afternoon: 1/2-cup cantaloupe cubesDinner:5-ounces grilled tuna, 1-cup asparagus (cooked)Evening:Medifast Chocolate PuddingC H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 713

SAMPLE TRANSITION MEAL PLANS cont.*Week 3(1000-1150 calories)Breakfast:Medifast Hot CocoaMid Morning: Medifast Orange Crème ShakeLunch:6-ounces skinless turkey (white meat),1-cup broccoliMid Afternoon: Medifast Vanilla Pudding blended with1 small banana slicedDinner:Medifast Cream of Chicken Soup, 2-cups ofsalad greens with 1/2-cup diced cucumber,tomato and green pepper (add 1-2 tablespoonsreduced-calorie salad dressing if desired)Evening:1/2-cup low fat, sugar-free yogurtWeek 4 to Week 16(1350-1500 calories)Breakfast:1/2-cup high-fiber breakfast cereal ( 5 gramsof fiber per serving) with 1-cup skim milk and1 cup of fresh strawberriesMid Morning: Medifast Chai LatteLunch:4-ounces deli turkey over 2-cups of saladgreens with 1/2-cup diced cucumber,tomato and green pepper (add 1-2tablespoons reduced-calorie saladdressing if desired)Mid Afternoon: Medifast Chicken Noodle SoupDinner:5-ounces poached salmon, 1-cup green beansEvening:Medifast Banana Pudding with1-teaspoon fat-free whipped topping14*All meal plansinclude 8glasses(64 oz total)of waterthroughoutthe day.

MAINTENANCEMaintenance essentially is the process of sustaining your weight lossresults by making healthy food choices and living an active lifestyle.You’ll soon discover that Maintenance is a perpetual “calorie balancing &monitoring act.” The ultimate goal of Maintenance is to help you remainat a healthy weight for the rest of your life.During the weight loss phase, your goal was to take in less energy(calories) than you were burning until you reached your goal weight. Nowthat you have reached your goal weight, you will want your energy intaketo be more or less equal to the energy you burn. This is the point at whichyour body weight is in balance with your food intake and activity level.For many individuals, Maintenance begins with a meal plan of around1,500 calories per day. However, the actual number of calories youneed to maintain a stable weight over the long term is individual – andvaries depending on factors such as height, weight, gender, your leanmuscle mass, and activity level. You may need to experiment withdifferent calorie levels during Maintenance in order to find what levelis right for you.In order to help pinpoint a calorielevel appropriate for your height,weight, age and gender, please referto Calculating Your Basal MetabolicRate (BMR) on Page 17. This sectionwill help you determine your TotalEnergy Expenditure (TEE). TEE isbased upon your Basal Metabolic Rate(BMR), Thermic Effect of Food (TEF),and Physical Activity Level (PAL).PAL25-30%TEF10-15%BMR60-75%Total Energy Expenditure(TEE) FactorsC H O O S E M E D I FA S T . C O M 8 0 0 . 6 3 8 . 7 8 6 715

BMR refers to the amount of energy (calories) expended while at rest.TEF refers to the energy used to metabolize food and use it for fuel.PAL is the most variable piece of the equation and is based on howphysically active you are. Determining your TEE (and sticking with ameal plan calorie level based around your TEE) greatly improves yourchances of sustaining the weight loss results you’ve worked so hardto achieve.The 5 & 1 Plan helped you develop healthful eating habits. Eatingsmall, frequent meals (6 times per day) of portion controlled,nutritious food is a great habit to carry over into Maintenance. Manycustomers who have worked hard to achieve a healthy weight findsuccess by continuing to eat 2–3 Medifast Meals each day. This is aconvenient way to keep calorie levels within range, and also helpsyou stick with your 6-times-per-day meal schedule.One of the most common reasons people gain weight back afterdieting is that they see their diet as the beginning and the end of theweight control process. Don’t allow yourself to get into that mind set.The idea of balancing your food intake with the calories you burnis the key to weight maintenance. Remember to make healthy foodchoices and live an active lifestyle. Don’t slip back into yourold habits!The two TEE Charts on Pages 18-19 can be used as a reference. Onechart is based on a 5’4” female; the other is based on a 5’10” male. Tomore accurately determine your recommended Maintenance calorielevel, please refer to Calculating Your Basal Metabolic Rate (BMR) onPage 17.You can also use the “MyPlan” section of MyMedifast to determineyour recommended Maintenance calorie level. MyMedifast calculatesyour BMR by using specific values you entered during registration.16

Calculating Your Basal Metabolic Rate (BMR)In order to determine your BMR, use the following equation:Mifflin-St Jeor Equation for Basal Metabolic Rate (BMR)**:Predictive energy equations are used to provide an estimateof the Basal Metabolic Rate (BMR). Of the four most commonlyused predictive energy equations, the Mifflin-St Jeor equationsgive the most reliable results.Men10 x (weight x 0.455) 6.25 x (height x 2.54) - 5 x (age) 5 BMRWomen10 x (weight x 0.455) 6.25 x (height x 2.54)

Stage 3: Dairy Week 3 (1000-1150 calories) Dairy includes low-fat and/or sugar-free yogurt, milk, or lactaid product. Stage 4: Whole Grains Weeks 4-8 (1350-1500 calories) Whole grain can be 1 slice of whole grain bread, ½ whole grain English muffin, 3/4 cup high fiber cereal 1/2 cu

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