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VLCD's can be very successful but only when used over a 6-12 week period. Because the body is essentially starving, it is burning up its fat stores and lowering its metabolic rate. As soon as the diet ceases and normal food is consumed again, there is an immediate increase in weight. Short-term use of VLCDs (1-4 weeks) will have little, if any, benefit for the dieter as the increase in weight will negate the weight lost in the first place. Once the full course of the diet is finished, it is up to the successful dieter to maintain their current weight via exercise and sensible eating, otherwise they will put on weight again. VLCD's put a great deal of strain on a person's body, and should only be undertaken with medical consultation.

The only "safe" method of weight loss is to eat a sensible healthy diet with a moderately decreased caloric intake from your norm, and to increase exercise gradually until weight loss results. It should be noted that people may follow these guidelines and not actually lose weight, but may see health improvements.

Affecting the "energy out" component is the focus of fitness and exercise programs. These might also be included in a comprehensive "diet".

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