1. Make a pre-treatment record of the following :
- Pulse Rate
- Blood Pressure
2. Rule out the following conditions :
- Thyroid imbalances (Hypothyroidism/Hyperthyroidism)
- Diabetes Mellitus (Type I /Type II) / Insulin Resistance
- High Prolactin level state
- Liver Dysfunction
- Kidney Dysfunction
- Electrolyte Imbalance
- Nutritional Deficiency states (Vit B12 , Vit D3 , Folate , Iron etc.)
- Uterine Fibroids/Myoma/Adenomyosis
- Gall Stones
- Grade III Fatty Liver
- Present or Past history of Malignancy (Breast, Prostate,Ovaries,Uterine etc.)
- Deep Vein Thrombosis
3. Suggested Investigations :
- TSH, Free T3, Free T4
- Lipid Profile/Liver Profile / Kidney Profile
- PSA (Men > 40 yrs of age and/or clinically relevant)
- Vit B12/Vit D3/Serum Folate/Serum Iron Studies/Ferritin/Complete Haemogram/ESR
- Serum Prolactin
- LH and FSH
- Progesterone and Estradiol (In menstruating women)
- Testosterone (Men)
- Optional (Cortisol , DHEAS , DHT)
- USG (Whole abdomen/Pelvis)
- Other Investigations/Imaging as per clinician’s advice
4. We recommend patients to take the HCG protocol under supervision of a medical doctor who has experience in Obesity management and has understanding of this protocol.
5. We recommend you to take guidance of your doctor to plan a diet as mentioned in the literature below. The recipes provided with the additional information booklet will help your health care provider to prepare a culturally/economically feasible diet plan with a good palatability.
6. We recommend that the baseline medical and hormonal evaluation of the patient should be done before starting HCG protocol.
7. The ongoing medication should be explained to the consultant doctor before starting HCG protocol to avoid any adverse interaction.
8. HCG protocol should not be instituted to any patient having underlying malignancy, uterine fibroids, Gall Stones.
9. Nutritional assessment of the patient is mandatory before starting HCG protocol to avoid aggravation of nutritional deficiency (Especially the Fat Soluble Vitamins like A, D, E and K).
10. Nutritional supplements (Essential amino acids, Vitamins, Essential fatty acids, minerals etc. Need to be added in the regimen as per the discretion of your doctor/Health care provider.
11. The use of cosmetics containing hormones and fat are not allowed during HCG protocol.
12. The use of hair oil and oil/fat containing skin lotions are not allowed during HCG protocol.
13. The results of HCG protocol may vary. The expected weight loss obtained with a compliant HCG protocol would be 1-2 Kg/week.
14. Obesity is a complex phenomenon. No single treatment should be claimed as the single best solution/treatment of obesity.
15. HCG protocol is not an alternative to conventional medical or surgical management of Obesity. It can work as a complimentary to the conventional management.
16. Kindly keep in mind that HCG protocol is not a miracle to eliminate the Obesity epidemic. It’s an attempt which in conjunction with the conventional Obesity management and Life Style modification can modify the outcome.
Adverse Effects :
- Menstrual irregularities in women
- May give false positive urine pregnancy test if the menses are delayed for few days
- Breast enlargement may occur in women
- Hypotension and giddiness may occur, though rare
- Excessive sweating and palpitations may signal the onset of hypoglycaemia
- May cause paradoxical increase of weight if the protocol is not followed properly
Legal Disclaimer : The FDA has not approved HCG for weight loss. Its use as a weight loss aid is considered an "off label" use of HCG for the treatment of obesity and weight loss.
The FDA Disclaimer is: "HCG has not been demonstrated to be an effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or normal distribution of fat, or that it decreases the hunger and discomfort associated with calorie-restricted diets."
The FDA has approved it for: Cryptorchidism, Hypogonadism, Infertility, Oligospermia, Ovulation induction, Prepubescent Cryptorchidism, Kaposi‟s sarcoma, Froehlich's syndrome.