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UltraMeal, UltraMeal Bar & UltraMeal Plus
Q: Is there caffeine in UltraMeal Chocolate?
A: Yes, there is 20 mg of caffeine per serving. To put that in perspective, a cup of brewed coffee generally contains 150 mg of caffeine, so the amount of caffeine in UltraMeal is probably too low to significantly affect most people.
Q: What is unique about UltraMeal?
A: Clinically tested UltraMeal is a nutrient-dense medical food made of specifically selected proteins, carbohydrates, and fats that, as part of a balanced dietary and regular exercise program, has been clinically shown to help reduce fat while preserving lean muscle mass. UltraMeal also offers great variety for your palate and lifestyle. UltraMeal comes in a variety of delicious powdered soy flavors, rice and whey protein options, and a bar. UltraMeal uses only the highest quality ingredients. UltraMeal soy formula provides non-genetically engineered, identity-preserved soy protein isolate containing a significant amount of soy isoflavones. The carbohydrate sources in UltraMeal are a mixture of complex starches from rice, pea, and potato, and simple carbohydrates from low-glycemic-acting fructose (fruit sugar). Olive oil is included as a healthy fat source with its beneficial monounsaturated fatty acids. UltraMeal is additionally fortified with a vitamin and mineral core and provides 35% or more of the RDI (Recommended Daily Intake) levels of all vitamins and minerals (except iron and potassium). It is a particularly rich source of non-dairy calcium for improving bone health. Finally, none of the UltraMeal products are formulated with artificial flavors, colors, preservatives, yeast, egg, or gluten. The products can be used as a balanced meal option or as a healthy snack and the powders mix easily with water.
Q: Can I use salt while on this program?
A: We suggest you use salt sparingly or not at all. If you have been advised to restrict your salt intake, look for salt-free products whenever canned or processed foods are used in the diet. There are many good salt-free seasonings available at your local health food store.
Q: What additional spices or flavorings can I use?
A: Seasonings can enhance the natural flavors of food without added butter, margarine, or salt. There is an abundant array of other herbs and spices that can add flavor and variety to foods. They have practically no calories and can be used in endless combinations. Ask your healthcare provider for suggestions or experiment yourself with the list of herbs and spices we have provided on the shopping list.
Q: Can I drink coffee and tea?
A: This is a decision best left up to you and your healthcare practitioner. We generally recommend consuming water-processed decaffeinated coffee or decaffeinated tea. Many herbal teas are naturally decaffeinated and can add variety and flavor as well.
Q: Can I drink diet drinks?
A: While diet sodas contain no calories, they often leave people desiring other sweet snacks because of their sweet taste. Additionally, there is some research that suggests the artificial sweetener aspartame may be associated with some health problems. We therefore do not recommend diet drinks, although that decision is best left to your healthcare practitioner. We do recommend you consume 6-8 glasses of water a day. Low-sodium seltzer or mineral water may also be used.
Q: Can I use canned vegetables instead of fresh vegetables with this program?
A: Fresh and frozen vegetables retain more of their vitamins and generally have little added salt. If these are unavailable, try to purchase canned vegetables that don't have added salt or fat.
Q: Can I swap menus from one day to the next?
A: Yes, by all means. The menus are meant as a guide for the kinds of dishes you may be consuming. Keep in mind that some of the menu plans are designed for the 1400-calorie dietary program and some for the 1000-calorie dietary program. Choose from the appropriate menu for the program you and your healthcare practitioner have decided upon.
Q: Should I exercise while on this plan?
A: Yes. Exercise is an appetite suppressant, and it also accelerates the burning of calories. Besides acting as an aid in weight stabilization, aerobic exercise will improve cardiovascular and pulmonary fitness. Your exercise program can be as simple as 30 minutes of walking 3 times a week. (This level of exercise led to improved muscle mass in our UltraMeal research studies.)
Q: Is the Program an appropriate for children?
A: No. UltraMeal products should not be the sole source of nutrition for infants or children under age 12. UltraMeal's nutritional content is based on the adult RDIs, and no testing in children has been done at this time. Under the supervision of a healthcare practitioner, however, the program may be appropriate for older children or adolescents, although it may be advisable to start the program at the second week when they would use UltraMeal twice daily. Your healthcare practitioner must help you decide if and how the product may be used with your child.
Q: Can I use this diet if I am pregnant or nursing?
A: No. UltraMeal products have not been tested in these situations; therefore, it is not recommended for use at these times.
Q: Can I take supplements during this program?
A: Yes, although the UltraMeal Program is designed to provide at least 100% of the RDI for all vitamins. Follow your practitioner's recommendations.
Q: How much UltraMeal will I need in order to complete four weeks of the program?
A: For 4 weeks on the UltraMeal Program, you will need to purchase 5 canisters of powder or 7 boxes of the bars. After that, 1 canister or box will last 1 to 2 weeks depending on whether you use the product once or twice daily.
Q: What are some of the benefits of UltraMeal products?
A: UltraMeal has been clinically tested as part of a balanced dietary and regular exercise program and shown to reduce body fat while preserving lean muscle mass. The typical over-the-counter product is an extremely sweet drink or bar with generally small amounts of poor quality proteins. UltraMeal has 15 or more grams of protein per serving. Lower protein products may result in loss of lean muscle mass in body composition programs. Also, the main ingredient in many over-the-counter products is plain table sugar or sucrose. There is no added sucrose in UltraMeal products, which are sweetened only with fructose (fruit sugar). Fructose does not cause the rise in blood sugar that sucrose can. Third, unlike many over-the-counter products, UltraMeal varieties are fortified with a complete vitamin and mineral core supplying valuable sources of all these important nutrients. It is a particularly rich source of non-dairy calcium for improving bone health. Fourth, unlike many other products, UltraMeal shake formulas are formulated to exclude yeast, eggs, hydrogenated oils, sucrose, or gluten. The UltraMeal Bar contains a very similar ratio of vitamins, minerals, proteins, carbohydrates, and fat to the UltraMeal soy powdered drink mix.
Q: Do I have to mix the UltraMeal powder with water?
A: UltraMeal is delicious mixed alone with cold water. It can also be mixed with various fruits and other ingredients. Refer to the section in the Patient Guide on mixing instructions. Remember, however, added ingredients will add calories.
Q: I have heard that liquid diets are unsafe. How does UltraMeal compare?
A: The UltraMeal Program is not a liquid diet. Even the 1000-calorie dietary program includes vegetables, fruits, grains, and proteins. This calorie intake is well above the very low liquid calorie diets of 800 calories per day that may raise safety concerns. UltraMeal has been designed to contain a high quality source of complete protein, along with vitamins and trace minerals essential for maintaining health and protecting lean body mass.
Q: Does UltraMeal contain caffeine or other stimulants?
A: No stimulants are added, but cocoa naturally contains caffeine and theobromine. The natural chocolate from cocoa in UltraMeal Dutch Chocolate, UltraMeal Plus Dutch Chocolate, UltraMeal WHEY Dutch Chocolate, UltraMeal Mocha, and UltraMeal Plus Mocha has approximately 20 mg of caffeine and less than 150 mg of theobromine per serving. UltraMeal Bar Chocolate Raspberry, Chocolate Banana, and Chocolate Fudge contain approximately 10 mg caffeine and 60 mg theobromine per bar. The natural chocolate in UltraMeal RICE has approximately 8 mg of caffeine and less than 150 mg of theobromine per serving. These small amounts are about 1/5 or less the amount found in a cup of brewed coffee.
Q: What if I need additional fiber?
A: On a nutritional program that involves liquid supplementation, some patients may experience a change in bowel habits. Clinical experience has shown that, for some people, an additional fiber supplement may reduce symptoms of diarrhea o constipation. While the UltraMeal products contain 4-5 grams of fiber per serving, your healthcare practitioner may recommend an additional fiber supplement, such as Herbulk® or MetaFiber®.
Q: Can I follow this dietary plan if I am diabetic or hypoglycemic?
A: UltraMeal has been tested for its glycemic index (GI). The GI of a food is an important tool to provide dietary guidance to individuals with blood sugar dysregulation. The GI allows for the classification of carbohydrate foods according to their glycemic response; the higher the GI of a food, the higher its potential for raising blood sugar. UltraMeal has been tested as a low GI food. Therefore, it should be very well tolerated by individuals with these conditions. The complete dietary plan, including the UltraMeal products, should also be well tolerated. You should discuss with your healthcare practitioner the integration of the program into your prescribed dietary plan.
Q: How long do I need to remain on this program?
A: That really depends on your health goals. Staying on the program for a minimum of 4 weeks is suggested before making any further decisions. Working together, you and your healthcare practitioner may decide to continue the program as is, or in some modified version for a longer period of time.
Q: What should I eat when I've completed the program?
A: The dietary portion of the program is a well-balanced, nutrient-dense diet and is suggested as a dietary program for long-term use. You may continue to use 1 serving per day of UltraMeal as a nutritious, delicious, and convenient quick meal option. In consultation with your healthcare practitioner, you may also decide to increase total calories in a maintenance program.
Q: Should I discontinue prescription medications while on this program?
A: No. Medication should be carefully monitored by your healthcare practitioner. Only in conjunction with him or her should you make a decision to change prescriptive medication.
Q: What determines the cost of UltraMeal?
A: UltraMeal products are made from the highest quality ingredients, backed by published research, manufactured with exacting standards, and they are guaranteed for freshness and potency. As the developer and manufacturer of UltraMeal, Metagenics has an uncompromising commitment to manufacturing a product of unmatched quality and integrity. All-natural ingredients are used with no artificial colors, flavors, or preservatives. To complement restricted diets, all UltraMeal shake formulas are formulated to exclude what and dairy (with the exception of UltraMeal WHEY, which is suitable for lactose-intolerant individuals). Because UltraMeal can be used as a meal option, many people find their grocery bills decrease substantially.
Q: Do UltraMeal powders come in flavors?
A: Yes, and all UltraMeal products are naturally flavored. UltraMeal medical food is available in Vanilla, Dutch Chocolate, Raspberry, Country Peach, Mocha, Strawberry Supreme, and Banana Blast. UltraMeal Plus medical food is available in Vanilla, Dutch Chocolate, Mocha, and Banana Blast. UltraMeal Carb Conscious and UltraMeal RICE are both available in Chocolate and Vanilla flavors. UltraMeal WHEY is available in Vanilla and Dutch Chocolate.
Q: Can I use this dietary program if I'm gluten or dairy sensitive?
A: Yes. Except for UltraMeal WHEY, all of the UltraMeal products are formulated without gluten or dairy. UltraMeal WHEY is suitable for lactose-intolerant individuals. Additionally, using the exchange option lists, you can make food choices within the program that are gluten- and dairy-free as well.
Q: Is it true that consumption of soy protein has beneficial effects on heart disease?
A: Yes. The FDA has determined 25 grams of soy protein a day, when included in a diet low in saturated fat and cholesterol, may reduce the risk of cardiovascular disease. Soy protein has also been shown to have cholesterol lowering effects. Every soy-based UltraMeal product contains approximately 17 grams of soy protein per serving.
Q: If I am allergic to dairy products, will UltraMeal supply enough calcium in my diet?
A: UltraMeal, UltraMeal Plus, UltraMeal RICE, and UltraMeal Bar are all excellent sources of non-dairy calcium. Each serving of UltraMeal contains 600 mg of calcium. The recommended daily allowance for calcium is dependent upon your age and sex, but generally you'll need somewhere between 1000 to 1500 mg per day. You can see that 1 or 2 servings a day of UltraMeal can be a healthy start to maintaining healthy bones. UltraMeal WHEY is suitable for lactose-intolerant individuals and provides non-dairy calcium.
Q: Why is folate a featured ingredient in UltraMeal?
A: Folate is an important B vitamin often in short supply in the typical diet, but has been shown to nutritionally support the management of cardiovascular conditions and hormone imbalance. UltraMeal provides ActiFolate®—a proprietary blend of 3 folates to assure your body gets the folate it needs in a body-ready form.
Q: What is unique about soy-based UltraMeal vs. other soy powdered beverages?
A: Not all powdered soy blends are the same. They can vary widely in soy quality, nutrition, and additives-as well as manufacturing quality and purity. And they may not be suitable for those with blood sugar concerns. Some powders may focus solely on protein or reduced calories, but UltraMeal is formulated for total nutrition with targeted ingredients that have been clinically shown to promote healthy body composition. UltraMeal provides quality soy from PharmaSoy®, a technologically advanced nutritional blend of superior soy protein, isoflavones, and dairy-free calcium. Naturally sweetened UltraMeal is fortified with essential vitamins and minerals for optimal nutrition, which makes it an ideal meal option. And soy-based UltraMeal is formulated without artificial ingredients, additives, dairy, gluten, wheat, egg, or yeast. UltraMeal also considers your whole dietary plan, with recommendations for foods and meals that can help you meet daily nutritional guidelines at a variety of calorie levels.
Q: Can I use UltraMeal if I am sensitive to soy?
A: UltraMeal RICE was specifically formulated using quality rice protein for those individuals with a sensitivity to soy. UltraMeal RICE or UltraMeal WHEY functional foods may be used as an alternative within the body composition program wherever an UltraMeal serving is indicated or as directed by your healthcare practitioner.
Q: What is different about UltraMeal Plus?
A: The "plus" in UltraMeal Plus medical food is a proprietary blend of soy protein and plant sterols to nutritionally support conditions associated with cardiovascular disease, such as hyperlipidemia, hypercholesterolemia, metabolic syndrome, and altered body composition. The NIH recommends consumption of 2 grams of plant sterols daily-along with a healthy dietary program, fiber, and regular exercise-to promote cardiovascular health. Plus, the FDA states that foods containing at least 0.65 grams per serving of plant sterol esters, eaten twice a day with meals for a daily total intake of at least 1.3 grams, as part of a diet low in saturated fat and cholesterol, may reduce the risk of heart disease. UltraMeal Plus contains 2 grams of plant sterols per serving. Your healthcare practitioner may recommend an alternative clinically tested dietary plan for UltraMeal Plus depending on your health concerns.
Q: What are plant sterols?
A: Plant sterols (also known as phytosterols) are found naturally in a range of plant sources such as vegetable oils, nuts, grains, and seeds. A typical American daily intake ranges from 200-400 mg per day, far below the NIH recommendations of 2 grams daily. Beta-sitosterol is the most common plant sterol.
Q: Why do I need this dietary program and medical food?
A: It appears that some of your health challenges are associated with the way your body handles certain types and amounts of carbohydrates. This condition is sometimes called dysglycemia or insulin resistance. Underlying this is a problem with using insulin efficiently. The dietary program presented in the Patient Guide, combined with UltraGlycemX medical food, is designed to nutritionally support insulin and glucose utilization.
Q: What is unique about UltraGlycemX?
A: UltraGlycemX is a unique product in many ways. First, it is a nutrient-dense medical food made of specifically selected high-quality proteins, carbohydrates, and fats. It also contains specific fibers, vitamins, minerals, and phytonutrients to nutritionally support stable blood glucose and insulin levels and improve utilization of insulin and glucose.
Q: Can I go on this program if I am pregnant or nursing?
A: No. UltraGlycemX has not been tested in these situations; therefore, it is not recommended for use at these times.
Q: Is this an appropriate program for children?
A: No. This medical food product should not be used for infants or children under the age of 12. The product's nutrition content is based on adult RDAs, and no testing in children has been done. However, under the supervision of a healthcare provider, the product may be appropriate as a meal supplement for children over 12 years of age. Your provider must help you decide if and how the product may be used with your child.
Q: Can I take supplements while on this program?
A: Because UltraGlycemX is formulated with carefully selected nutrients, and since some supplements may contain ingredients that may interfere with the program, we suggest following the recommendations of your healthcare provider.
Q: I am sensitive to soy. Can I use this product?
A: This product contains soy protein; therefore, if you have a soy sensitivity, this product is not recommended.
Q: How long do I need to remain on this program?
A: That really depends on your health goals. Clinical experience suggests that you should begin to see benefit within 4 weeks. Depending on your health goals, and in consultation with your healthcare provider, you may decide to continue the program as is or in some modified version for a longer period of time.
Q: Can I use UltraGlycemX at the same time as other Metagenics medical food products?
A: Possibly. Your healthcare provider will determine which products and programs are best suited to your individual needs.
Q: How many canisters of UltraGlycemX will be needed for a 4-week program?
A: Depending how rapidly you advance in the Step Approach, you will need 3-4 canisters.
Q: Should I discontinue prescription medications while on this program?
A: No. Medications should be carefully monitored by your healthcare provider. Only in conjunction with him or her should you make a decision to change a prescription medication.
Q: This product seems expensive. Why is this?
A: UltraGlycemX is made from the highest quality ingredients and manufactured with exacting standards. The product is guaranteed for freshness and potency. Although it may seem expensive, because it can be used as a meal option, many people actually find their grocery bills decrease substantially while on the program.
Q: Will I be hungry on this program?
A: Depending on what weight goals you and your healthcare provider decide upon, some caloric restriction may be part of your program. There are two different calorie programs in the booklet: a 1300- and a 1600-calorie program. Your health provider may also decide to place you on the program without any calorie restrictions. The dietary program generally takes some adjustment, and you may experience some hunger during this time. However, most individuals adapt to the diet within a week. Even on the lower-calorie program, many people experience no increase in hunger, possibly because the nutritional support helps in balancing insulin and glucose response. If you continue to experience extreme hunger, discuss possible adjustments in your program with your healthcare provider.
Q: Why are sweet potatoes allowed while white potatoes are not?
Certain foods, such as white potatoes, have a high glycemic index, which means the carbohydrates they provide result in a large increase in blood sugar. Although they taste sweeter than white potatoes, sweet potatoes have a lower glycemic index.
Q: What additional spices or flavorings can I use?
A: Seasonings can enhance the natural flavors of food without added butter, margarine, or salt. There is an abundant array of other herbs and spices that can add flavor and variety to foods. They have practically no calories and can be used in endless combinations. Experiment with the list of herbs and spices.
Q: Can I drink coffee and tea?
A: This is an individual decision best left up to you and your healthcare practitioner. Large amounts of caffeine may have an effect on blood sugar and therefore insulin release, so it is generally recommended to consume herbal teas or decaffeinated coffee or tea.
Q: Can I drink diet drinks?
A: While diet sodas contain no calories, because of their sweet taste, they often leave people desiring other sweet snacks. We therefore do not recommend them. We do recommend consuming 6-8 glasses of water a day, and low-sodium seltzer or mineral water may be used.
Q: Can I use canned vegetables instead of fresh vegetables with this diet?
A: Fresh and frozen vegetables retain more of their vitamins with no added salt. If necessary, purchase canned vegetables without added salt or fat. Canned beans and legumes are generally acceptable.
Q: Can I swap menus from one day to the next day?
A: The menus are meant as a guide for the kinds of dishes you may be consuming. Since there are certain types of food you should be eating in a particular day, you will need to pay attention to the exchanges under each menu so as to substitute one comparable menu for another. Keep in mind that some of the menu plans are designed for the 1300-calorie dietary program and some for the 1600-calorie dietary program. Choose from the appropriate menu for the program you and your healthcare practitioner have decided upon.
Q: Do I have to mix UltraGlycemX with water?
A: UltraGlycemX is designed to be mixed in water. However, your healthcare provider may suggest other mixing instructions, such as the recipes we have provided. If you are on a calorie-specific dietary program, calculate the added calories (which are provided under the recipe in the Patient Guide).
Q: Does UltraGlycemX contain caffeine or other stimulants?
A: The original version of UltraGlycemX contains no caffeine. Small amounts of caffeine are present in the natural chocolate flavor of UltraGlycemX Chocolate. Each serving of UltraGlycemX Chocolate contains less than a seventh of the amount of caffeine you would typically find in a regular cup of brewed coffee.
Q: Why is cheese found in the protein group rather than the dairy group in the Patient Guide?
A: Foods in the protein category on this program contain few carbohydrates, while a serving in the dairy group contains a modest 10 grams of carbohydrates. Cheeses better fit the protein group, as they are usually low in carbohydrates and have considerably more protein per serving than the other dairy products listed in this group. However, since most cheeses are quite high in saturated fat, very few cheeses are included in this program.
Q: Why are some vegetables (Category 2) found in a separate food group from others (Category 1) in the Patient Guide?
A: Category 2 vegetables have more calories and a higher glycemic index than most vegetables. They are to be eaten on a more limited basis than those "unlimited" Category 1 vegetables.
Q: Can I substitute foods from one food group for another?
A: Generally not, as each food group has certain characteristics. Because there are some similarities, you may occasionally substitute the dairy group for a fruit group and vice versa. You may also substitute 2 servings oil for 1 serving nuts, and vegetarians may wish to substitute legumes for animal protein.
Q: What can I use as a sweetener?
A: Stevia is an herb that appears to have no negative effects on blood sugar or insulin levels and is many times sweeter than table sugar. Found in most health food stores, stevia is available as a white powder or liquid, and can be used in cooking or added directly to foods. However, if you normally crave sweet foods, you should avoid all sweeteners, including stevia, in order to give your taste buds a chance to appreciate naturally sweet foods such as fruits, carrots, tomatoes, etc.
Q: Can I drink juice?
A: Several pieces of fruit are needed to produce one glass of juice. It is advisable to spread out your 2 or 3 servings of fruit throughout the day rather than to consume them all at once in a glass of juice. Vegetable juice, on the other hand, is mentioned in the "unlimited" Category 1 vegetable list in the Patient Guide and is acceptable when prepared from the vegetables in that list.
Q: Why is flaxseed oil only used in dressings or directly on food?
A: Flaxseed oil is easily oxidized and becomes rancid if heated. Olive or canola oils, which are more heat stable, should be used for cooking.
Q: My digestive system doesn't handle legumes very well. What can I do?
A: Legumes are high in protein and fiber but low in fat. In addition, they have a low glycemic index. To increase your tolerance, increase your intake of legumes slowly over the course of 2-3 weeks. You can try soaking the beans in water for half an hour, then discard the water before cooking. You may also find that certain legumes work better for you than others. Experiment. Lentils and soybeans, for instance, are often easy for many people to tolerate. Enzymatic aids can be used as well.
Q: What should I eat when I've completed the program?
A: Once you have reached your health goals, you and your healthcare provider should reassess your needs to determine whether you should continue with supplements or dietary changes, continue with UltraGlycemX, or possibly, one of the other Metagenics medical foods. A long-term maintenance plan involving the dietary program described in this booklet may help you maintain the health improvements you've made. The dietary portion of the program is a well-balanced, nutrient-dense diet and is acceptable for long-term use.
Q: Why is it important to support my body's ability to excrete or remove estrogen?
A: The ebb and flow of a woman's sex hormones have a natural rhythm, and a woman may experience as many as 500 menstrual cycles from puberty to menopause. A woman's menstrual rhythm may be influenced by factors that include her lifestyle, genetics, chemical exposures, current and past health, history of pregnancy and childbirth, and even her mother's health in pregnancy. The phases of a woman's menstrual cycle depend on certain hormones (such as estrogen and progesterone) triggering one another as their levels naturally rise and fall in a carefully orchestrated fashion. However, in modern times of high stress, pollution, and unbalanced diets, many women's menstrual cycles lose their delicate hormonal balance.
Q: Does estrogen balance affect how I feel?
A: For premenopausal women (generally under the age of 45), problems with estrogen balance may manifest as premenstrual syndrome, irregular menstrual cycles, fibrocystic breast disease, endometriosis, dysmenorrhea (menstrual cramping), and/or menorrhagia (heavy menstrual bleeding). During perimenopause (generally between the ages of 45 and 55) women can also experience problems with estrogen balance, but at this time it may manifest as hot flashes, night sweats, anxiety attacks, and/or heart palpitations.
Q: How important is my diet and regular exercise?
A: Estrogen balance is crucial in the cycle. Lifestyle and other previously mentioned factors can influence estrogens in various ways. Estrogens normally circulate through the body and influence various activities at a cellular level. After a time, they are broken down (detoxified) and excreted. The body can detoxify estrogens in various ways, which may increase or decrease their hormonal strength. A woman's diet, physical activity, stress level, and chemical exposures influence the way her body detoxifies estrogens. Therefore, our lifestyle choices can influence our hormone cycles! A key example of a lifestyle choice is the consumption of foods or beverages that contain saturated fats, alcohol, pesticide residues, or hormones. These can overload our organs responsible for detoxification and excretion or increase our exposure to "foreign" sources of estrogen. However, we can eat in a way that helps us detoxify and excrete estrogens safely. For some women, supporting natural hormone balance through diet, nutrition, and lifestyle modification may provide many health benefits. That's what the Estrium Program is all about.
Q: What are the best choices when eating out?
A: Eating out can be a challenge. Try to stick to organic dairy and meat because of the potential hormone residues. It can be difficult, although not always impossible, to find organic beef, poultry, eggs, and dairy products. Lamb, even when not organic, might be a safer option as it is often grass fed. Vegetarian meals are another healthy option. Ethnic Indian restaurants have many lamb choices and delicious vegetarian meals, as do many Asian restaurants. Seafood restaurants are easy to find and offer cold-water fish, such as salmon, as a healthy alternative. Fast food restaurants should be a last choice; salad bars would be a safer bet here.
Q: Can men follow this program?
A: This program has been designed especially for women, but men may also benefit from following the Estrium dietary plan and/or consuming Estrium. Estrium and the dietary guidelines were studied in relation to women's health concerns, but some research suggests that they might also provide nutritional support for men's health. A man's healthcare practitioner should determine if he could benefit from the product or dietary plan.
Q: Is this program safe for children and adolescents?
A: The nutritional content of Estrium is based on adult Recommended Daily Allowances, and it has not been tested with children or adolescents. However, under the supervision of a healthcare provider, Estrium may be appropriate as a supplement for adolescents. Your clinician must help you decide if and how the product may be used by adolescents.
Q: I am allergic to soy. Can I still follow this program?
A: Yes. Estrium is a rice-based medical food and is free of soy protein. The Estrium dietary plan can be adjusted to be soy-free as well. Estrium is manufactured without soy, wheat, gluten, dairy, egg, corn protein, artificial colors, and artificial flavors. This makes it useful for individuals with food allergies or intolerances.
Q: I am allergic to rice. Can I still follow this program?
A: Possibly. The rice protein in this product is made through a patented process that appears to decrease the allergic potential of rice protein. Consult with your healthcare practitioner.
Q: Does this program work if I am in menopause?
A: This program offers nutritional support for pre- and perimenopausal (before menopause) women when there are wide fluctuations in estrogen levels. Women in menopause have specialized nutritional needs that may not be fully satisfied by the Estrium Program. Your healthcare practitioner can determine if you could benefit from all or part of the program.
Q: Can I use Estrium or this dietary plan as a preventive measure for maintaining hormonal balance?
A: Estrium and the Estrium Program have not been tested in this way. However, long-term use of either the product or the dietary plan may benefit women with these tendencies. Your healthcare practitioner should decide whether or not this is a good option for you.
Q: Should I take supplements during the Estrium Program?
A: Because this product contains therapeutic levels of carefully selected nutrients that provide strategic nutritional support, and because some supplements contain substances that could interfere with hormone detoxification, we suggest that you follow the recommendations of your healthcare practitioner.
Q: For how long will I need to follow this program?
A: Clinical experience suggests that patients usually show benefits within four to eight weeks (or one to two menstrual cycles) on the program. Your healthcare practitioner may, after further assessment, suggest that you continue the program to obtain or sustain these benefits.
Q: Can I follow this program if I am diabetic or hypoglycemic?
A: Probably, but Estrium has not been tested under these conditions. You should make this decision only with the guidance of your healthcare practitioner, discussing integration of this program into your prescribed diet.
Q: Can I follow this program if I am pregnant or nursing?
A: No. Estrium has not been tested under these conditions and it is not recommended for use at these times.
Q: I seem to experience increased gas or bloating while taking Estrium. Why is this?
A: Some patients experience minor symptoms of gas or bloating, which may be due to the fiber or mineral content of Estrium. Generally your body will adjust to this dietary change within one to two weeks. If you experience symptoms as you increase your serving size, you can return to your previous comfortable serving size for a few days before increasing it again. Be sure to drink additional water to help with the increased level of fiber in your diet, and bring any unusual symptom to the attention of your healthcare practitioner.
Q: Do I need to follow this dietary plan or can I just use Estrium alone?
A: Estrium can be used without the accompanying dietary plan. However, for best results, they have been designed to be used together.
Q: Why does this dietary plan specify organic meat and dairy products for those who choose to consume animal products?
A: Livestock that are not raised organically are often administered hormones to increase their weight more rapidly. Unfortunately, small amounts of these hormones may be passed on to those who consume these non-organic animal products. In women with symptoms related to hormone cycles, exposure to "foreign" (not naturally produced by the body) hormones may be undesirable. By consuming organic animal products, you may reduce your exposure to "foreign" hormones found in today's food supply.
Q: What are the brown flecks left in the bottom of the glass after I consume Estrium?
A: This is ground defatted flaxseed, an important ingredient in Estrium. Be sure to drink all of the product.
Q: My digestive system doesn't handle legumes very well. What can I do?
A: Legumes are high in protein and fiber and low in fat. To increase your tolerance for legumes, increase your intake slowly over the course of two to three weeks. You can try cooking the beans with one or two pieces of kombu seaweed, or try soaking the beans in water and discarding the water before cooking. You may also find that certain legumes work better for you than others. Experiment. Lentils and soybeans are generally easy to tolerate. Over-the-counter enzymatic aids can also be used.
Q: I've heard that soy raises estrogen levels. Why is soy in this dietary plan?
A: Soybeans and soy products are often referred to as "phytoestrogens," though they do not raise estrogen levels. In the body, phytoestrogens ("phyto-" means plant) act as weak estrogens that, under some circumstances, compete with or complement the body's stronger estrogens in performing estrogen-related function. Phytoestrogens can behave like the body's estrogens in some ways, but with a fraction of their strength. Therefore, phytoestrogens may actually decrease the "estrogen message" that the body receives. This may be beneficial for women with symptoms related to hormone cycles. Phytoestrogens found in flax, rye, kudzu, and in other legumes have similar properties. These foods nutritionally support hormone detoxification and excretion as well.
Q: I take oral contraceptives (birth control pills). Can I use Estrium?
A: This product has been formulated to support female patients who have been medically determined to have symptoms related to their hormone cycles. Our clinical experience suggests that women who use oral contraceptives and have hormone cycle-related symptoms may benefit from using Estrium. However, in a clinical study we performed, some women using oral contraceptives while using Estrium experienced menstrual bleeding at times other than their usual menstrual period. This product has not been tested for interactions with oral contraceptive medications, and the effectiveness of oral contraceptives for birth control cannot be ensured during use of Estrium. If you are using oral contraceptives as a means of birth control, you may want to consider using an additional method of birth control while you are using this product and for one month after discontinuing use of this product. Please discuss this important concern with your healthcare practitioner.
Q: What is unique about UltraInflamX?
A: UltraInflamX is a medical food designed to nutritionally modulate a disease or condition, and it is supported by published research. This powdered product utilizes high quality, low-allergy-potential rice protein and contains specific amounts and types of proteins, carbohydrates, and fats that are easily absorbed and utilized. Furthermore, specific nutrients and phytonutrients are added to UltraInflamX to support important activities involved in inflammation management.
Q: Can I substitute other medical foods for UltraInflamX in this program?
A: No. UltraInflamX is a medical food product with specific nutrient levels that provide the body with essential carbohydrate, protein, fat, vitamins, minerals, and other phytonutrients. While other products from other manufacturers may exist, UltraInflamX is made from an exclusive rice protein concentrate that is carefully selected and blended to ensure the highest quality medical food product possible. UltraInflamX is unique and is supported by clinical and research experience.
Q: How is UltraInflamX different from the UltraClear medical foods?
A: Each medical food is designed to target a specific condition or disease process by its combination of particular ingredients. Although UltraInflamX is made from the same high quality rice protein concentrate as UltraClear and UltraClear PLUS, it contains a different nutrient profile and is designed to support the body differently. Your healthcare practitioner chose the medical food he or she recommended to you based on your individual, underlying problems.
Q: Can I use UltraInflamX at the same time as UltraClear or UltraClear Plus?
A: Possibly. Your healthcare practitioner will determine which products and programs are best suited to your individual needs.
Q: Could I be allergic or intolerant to UltraInflamX?
A: Any drug, nutritional supplement, additive, medical food, or food product has the potential to cause an allergic reaction. If you know you are allergic to any of the ingredients contained in this product, you should not consume it.
Q: Do I have to mix UltraInflamX with water?
A: This medical food is designed to be mixed with water. However, your healthcare practitioner may suggest other mixing instructions, such as the recipes in the Patient Guide.
Q: There seems to be some "grit" at the bottom of the glass when I consume this product. Is that all right?
A: UltraInflamX is well blended during manufacturing, but the minerals and phytonutrients may not stay in suspension when you mix the product with liquid. Please be sure to consume the entire serving.
Q: What gives UltraInflamX its distinctive color?
A: UltraInflamX contains significant levels of phytonutrients (plant nutrients), including turmeric, ginger, and specific bioflavonoids to nutritionally support you during the program. These plant compounds provide the deep yellow pigment that contributes to the overall color and flavor of the product.
Q: Can I just eat my regular diet while taking UltraInflamX?
A: Your healthcare practitioner has determined that some of your health challenges are associated with issues involving inflammatory processes. The diet in the Patient Guide eliminates foods that may potentially be an underlying cause of this problem. Our experience suggests that following the diet in combination with the targeted nutritional support provided by UltraInflamX is more effective than using the diet or a medical food separately.
Q: Can I take UltraInflamX if I have a sensitivity to rice?
A: Possibly. The white rice protein concentrate in UltraInflamX has undergone a process to enhance its nutritional properties and remove the most common allergy-causing components. The result is a highly nutritious rice protein that many rice-sensitive individuals can tolerate. However, everyone's level of sensitivity is different. Discuss possible rice sensitivity with your healthcare practitioner, and be alert to any symptoms that may arise from this sensitivity.
Q: Can I use this program if I am gluten- and dairy-sensitive?
A: Yes. UltraInflamX is formulated without gluten or dairy.
Q: I've been told to stay away from nightshade vegetables. Why?
A: Some individuals with osteoarthritis appear to react to the nightshade family of vegetables. If you and your healthcare practitioner decide that you want to avoid these vegetables, you should avoid tomatoes, cayenne, eggplant, potatoes, and green and red peppers.
Q: Can I drink coffee and tea?
A: Regular coffee and caffeinated tea have been eliminated from the dietary program, as significant amounts of caffeine can have a negative impact on certain individuals. Decaffeinated coffee still has a small amount of caffeine, so consuming this is a decision best left up to you and your healthcare practitioner. Many herbal teas are naturally decaffeinated and can add variety and flavor to your program.
Q: Does UltraInflamX contain caffeine or other stimulants?
A: The original version of UltraInflamX, as well as the Tropical Mango and Pineapple-Banana flavors, contain no caffeine. UltraInflamX Chocolate Orange contains a small amount of caffeine in the natural chocolate flavoring. Each serving of UltraInflamX Chocolate Orange contains less than a seventh of the amount of caffeine that you would typically find in a regular cup of brewed coffee (or slightly more than you would find in a cup of decaf). So, consuming this particular flavor is a decision best left up to you and your healthcare practitioner.
Q: My healthcare practitioner said I might get a headache from discontinuing caffeine while on this program. What should I do?
A: Discuss the issue with your practitioner. He or she may suggest a natural way to alleviate the pain. Also, be sure to drink plenty of water. If you have any reactions to the products or program, discuss them with your healthcare practitioner.
Q: What can I use as a sweetener?
A: Stevia is a natural, herbal dietary supplement often used as a sweetener that appears to have no negative effects on blood sugar regulation. It is many times sweeter than table sugar. Stevia is found in most health food stores and is available as a white powder or a liquid. It can be used in cooking or added directly to foods. However, if you normally crave sweet foods, you should avoid all sweeteners including stevia in order to give your taste buds a chance to appreciate naturally sweet foods, such as fruits, carrots, etc.
Q: Can I use canned vegetables instead of fresh vegetables with this diet?
A: Fresh and frozen vegetables retain more of their vitamins and generally have less added salt. If they are unavailable, purchase canned vegetables without added salt or fat. Canned beans and legumes are generally acceptable.
Q: What is the best way to wash fruits and vegetables to eliminate pesticide or herbicide residue?
A: Washing produce in a dilute solution of dish soap and rinsing thoroughly works well for some fruits and vegetables. There are also residue cleaning solutions that can be found in many health food stores.
Q: I notice there are legumes in this dietary program. My digestive system doesn't handle legumes very well. What can I do?
A: Legumes are desirable because they are high in protein and fiber but low in fat. Here are a few suggestions that may increase your tolerance:
- Increase your intake slowly over the course of 2-3 weeks.
- Try soaking the beans for half an hour before cooking them, and discard the water.
- Experiment-you may find that certain legumes work better for you than others (lentils, for example, are often easy for many people to tolerate).
- Your practitioner can recommend an enzymatic aid to take with your meal to support healthy digestion.
Q: What if I experience a change in bowel habits?
A: On a nutritional program that involves liquid supplementation, some individuals may experience a change in bowel habits. Clinical experience has shown that, for some people, an additional fiber supplement may reduce symptoms of diarrhea or constipation. Your healthcare practitioner may recommend a low allergy-potential fiber supplement, such as Herbulk® or MetaFiber®.
Q: Can I use salt while I am on this diet?
A: Generally, we over-salt our food. Try to use salt sparingly, or not at all. If you have been advised to restrict your salt intake, look for salt-free products whenever you use canned or processed foods in your diet. There are many good salt-free seasonings on the market. Your local health food store offers a variety of these products.
Q: What additional spices or flavorings can I use?
A: Seasonings can enhance the natural flavors of food without added butter, margarine, or salt. There is an abundant array of herbs and spices that can add flavor and variety to foods. They have practically no calories and can be used in endless combinations. Ask your healthcare practitioner for suggestions, or experiment yourself with the list of herbs and spices we have provided on the "Foods to Include" list in the UltraInflamX Patient Guide.
Q: Is it possible to lose weight on this program?
A: Yes, especially if you mix your powdered medical food in water and eat the minimum amounts of the other listed foods. Some individuals may lose 2 to 5 pounds of fluid weight during their first few days on the program. Since these products are not intended to be used as part of a weight loss or weight management program, you should discuss your calorie needs and weight goals with your healthcare practitioner.
Q: Will I be hungry on this program?
A: Depending on what weight goals you and your healthcare practitioner decide upon, some caloric restriction may be part of your program. Your healthcare practitioner may also decide to place you on the program without any calorie restrictions. Even on the lower calorie program, many people experience no increase in hunger. If you experience extreme hunger, discuss possible adjustments in your program with your practitioner.
Q: How long do I need to remain on this program?
A: Clinical experience suggests that patients usually experience benefit within 4 weeks of following the program. Your healthcare practitioner may, on further assessment, suggest that you continue to follow the program longer to obtain or sustain these benefits.
Q: How many canisters of UltraInflamX will be needed to complete the 25-day program?
A: Three canisters.
Q: This product seems expensive. Why is this?
A: UltraInflamX is made from the highest quality ingredients and manufactured with exacting standards, and is guaranteed for freshness and potency. Although it may seem expensive, because UltraInflamX can be used as a meal replacement, many people actually find their grocery bills decrease substantially while on this program.
Q: Can I follow this program if I am diabetic or hypoglycemic?
A: Probably, but you should make this decision with the guidance of your healthcare practitioner. Together, you can discuss integrating this program into your diet and lifestyle.
Q: Can I go on this program if I am pregnant or nursing?
A: No. UltraInflamX has not been tested in these situations; therefore, it is not recommended for use at these times.
Q: Is this an appropriate program for children?
A: No. This medical food product should not be given to infants or children under the age of 12. Its nutritional content is based on adult recommended daily intakes (RDIs), and testing in children has not been performed. However, under the supervision of a healthcare practitioner, this product may be appropriate as a meal supplement for children or adolescents. Your practitioner must help you decide if and how this product may be used with your child.
Q: Can I exercise while I'm on this program?
A: Yes. However, some people find they get better results when strenuous or prolonged exercise is reduced. Such a reduction in strenuous activity may allow the body to heal more effectively without the physical stress imposed by exercise. Adequate rest and stress reduction is also important to the success of this program.
Q: Can I take supplements while on this diet?
A: Because these products contain therapeutic levels of carefully selected nutrients to nutritionally support the body, and since some supplements may contain allergens that could interfere with the program's effectiveness, we suggest following the recommendations of your healthcare practitioner.
Q: Should I discontinue prescription medications while on this program?
A: No. Medications should be carefully monitored by your healthcare practitioner. Only in conjunction with him or her should you make a decision to change a prescriptive medication.
Q: What do I do after I've completed the 25-day program?
A: You and your healthcare practitioner should reassess your program and progress. Together you should determine the next step, whether that is taking other supplements or medical foods, making other dietary changes, or continuing to use these products.
UltraClear, UltraClear PLUS & UltraClear Plus
Q: What is detoxification?
A: Detoxification is the elimination of toxins from the body that we are exposed to externally from environmental sources, and internally from products generated by ongoing, normal daily cellular processes. Your liver is the principal player in detoxification, and the UltraClear, UltraClear PLUS, and UltraClear Plus pH (as well as UltraClear MACRO and UltraMeal RICE functional foods) are designed to give this organ, as well as other tissues, nutritional support for the detoxification process.
Q: Why do I need a detoxification program?
A: Today, we are all exposed to toxins in the foods we eat, the air we breathe, and the water we drink. In addition, we produce toxins within our bodies in the processes of digestion and elimination, combating disease and infection, and dealing with stress. Some people produce additional toxins as the result of food allergy or "sensitivity" reactions. These various internal and external exposures can overburden our detoxification systems. The nutrient composition of the powdered beverage, the encapsulated supplement, and the complementary diet are designed to give your body nutritional support for the detoxification processes. It is important not only to improve your body's ability to detoxify, but also to take a load off of the detoxification system. The diet can be a critical component in this regard. The goal is a cleansing, regenerating process that nutritionally supports your body's overburdened or compromised detoxification systems, allowing them to begin functioning more efficiently.
Q: What is unique about UltraClear and UltraClear PLUS?
A: UltraClear and UltraClear PLUS are patented medical foods specifically designed for the nutritional support of detoxification. No other medical food product on the market has been patented for this use. These products are powdered beverage drink mixes that contain specific amounts and types of protein, carbohydrates, and fats that are easily absorbed and utilized. A specific core of nutrients and phytonutrients are added to help nutritionally support important detoxification activities. UltraClear Plus pH also has a patent pending.
Q: What is the difference between UltraClear and UltraClear PLUS?
A: UltraClear was developed initially and is used more in individuals with problems associated with Phase I (cytochrome P450) detoxification issues. UltraClear PLUS was developed to give additional nutritional support for individuals with Phase II (conjugation) detoxification problems. Both are supported by published research. Your healthcare practitioner will determine which of these two medical foods is best for you, or if you should take UltraClear MACRO, UltraMeal RICE, and/or a nutraceutical instead.
Q: What is the difference between UltraClear PLUS and UltraClear Plus pH?
A: UltraClear PLUS medical food is designed for those with imbalanced detoxification capacity, or low Phase II activity, who exhibit a urinary pH above 6.6. Such a condition may lead to a build-up of stored toxins and subsequent increase in symptoms and/or tissue damage. UltraClear Plus pH offers the same macro- and micronutrient profile as UltraClear PLUS, with added nutrients to promote an alkaline urinary pH status and enhance Phase II activity for those with a urinary pH below 6.6. An altered urinary pH level may negatively impact the individual's ability to excrete toxins out of the body.
Q: Would the program be helpful for a person who has recently undergone repeated antibiotic therapy?
A: Yes. Medications like antibiotics may place an added burden on your body's detoxification systems. Your healthcare practitioner may recommend starting with UltraClear SUSTAIN® and/or introducing a source of acidophilus or bifidobacteria culture to support healthy intestinal flora and digestion following the use of antibiotics.
Q: Is this an appropriate program for children?
A: No. This program should not be used for infants or children under the age of 12. The product's nutritional content is based on adult RDIs, and no testing in children has been performed. However, under the supervision of a healthcare practitioner, the beverages may be appropriate as a meal supplement for children over 12. Your practitioner must help you decide if and how the product may be used with your child.
Q: Can I follow this program if I am diabetic or hypoglycemic?
A: Probably, but you should make this decision with the guidance of your healthcare practitioner. Discussing integration of the detoxification program into your prescribed dietary program is necessary to avoid upsetting your glucose/insulin balance.
Q: Can I go on this program if I am pregnant or nursing?
A: No. UltraClear products have been tested in these conditions; therefore, this program is not recommended for use at these times.
Q: How many canisters of the beverage product will be needed for a 28-day program?
A: If you are following the program servings exactly, you will need 3 canisters of UltraClear or UltraClear PLUS (21 servings/canister). You will need 5 canisters of UltraClear MACRO or UltraMeal RICE (14 servings/canister). If taking AdvaClear® as part of the program, you will need 1 large size bottle (126 capsules) of this product.
Q: These products seem expensive. Why is this?
A: UltraClear products are made from the highest quality ingredients and manufactured with exacting standards. They are also guaranteed for freshness and potency. Although they may seem expensive, because the beverages can be used as a meal replacement, many people actually find their grocery bills decrease substantially while on the program.
Q: How long do I need to remain on this program?
A: That really depends on your health goals. Clinical experience suggests that patients usually experience benefit within four weeks of following the program. Together, you and your healthcare practitioner can decide to continue the program as is, or to implement a modified version of the program for a longer period of time.
Q: Should I discontinue prescription medications while on this program?
A: No. Your healthcare practitioner should carefully monitor your medications. The decision to change a prescription medication in any way can only be made in conjunction with your healthcare practitioner.
Q: Can I take supplements while on this program?
A: These products contain therapeutic levels of carefully selected nutrients. Since some other supplements may contain ingredients that could interfere with the program, we suggest following the recommendations of your healthcare practitioner.
Q: Can I exercise while I'm on this program?
A: Yes. However, strenuous or prolonged exercise may be reduced during this program if you are restricting calories. You can gain benefit from an exercise program as simple as 30 minutes of walking 3 times a week. You should follow the advice of your healthcare practitioner. Adequate rest and stress reduction are also important to the success of this program.
Q: Can I substitute other products on this program?
A: No. While other "copycat" formulations exist, UltraClear, UltraClear PLUS, and UltraClear Plus pH (as well as UltraClear MACRO and UltraMeal RICE functional foods) are made from an exclusive rice protein concentrate. The ingredients are carefully selected and the formulas scientifically designed to ensure the highest quality products possible. Because the products are unique and supported by years of clinical and research experience, recommendations in the Patient Guide apply only to these products.
Q: How are the UltraClear and UltraClear PLUS medical foods different from the other Metagenics medical food products?
A: UltraClear, UltraClear PLUS, and UltraClear Plus pH are medical foods specifically designed for conditions associated with toxicity such as migraine headaches, fibromyalgia, chronic fatigue syndrome, food allergy/intolerance, etc. These formulas are designed to address certain imbalances in the body that create the symptoms associated with common health conditions. Therefore, they should be used only in particular circumstances as indicated. Your healthcare practitioner can help determine which product(s) is right for you.
Q: Can I use these products at the same time as other Metagenics medical foods?
A: Possibly. Your healthcare practitioner will determine which products and programs are best suited to your individual needs.
Q: Do I have to mix UltraClear, UltraClear PLUS, UltraClear Plus pH, UltraClear MACRO, or UltraMeal RICE with water?
A: UltraClear, UltraClear PLUS, UltraClear Plus pH, UltraClear MACRO, and UltraMeal RICE are designed to be mixed with water. However, your healthcare practitioner may suggest other mixing instructions such as the recipes in the Patient Guide.
Q: What is the "grit" in the bottom of the glass of mixed product?
A: These products are well blended during manufacturing, but a small amount of mineral remains insoluble in the final powder. It is harmless and well absorbed by the body. As you finish drinking it, stir your beverage briskly to get the insoluble minerals into suspension.
Q: What can I use as a sweetener?
A: We have listed some accepted natural sweeteners on the Basic Dietary Guidelines chart. One of those options is stevia. Stevia is a dietary supplement often used as a natural, herbal sweetener that appears to have no negative effects on detoxification. It is many times sweeter than table sugar. Stevia is found in most health food stores and is available as a white powder or liquid and can be used in cooking or added directly to foods. However, if you normally crave sweet foods, you should avoid all sweeteners including stevia in order to give your taste buds a chance to appreciate naturally sweet foods such as fruits, carrots, tomatoes, etc.
Q: Is it possible to lose weight on this program?
A: Yes, especially if you mix your powdered beverage in water and eat the minimum amounts of the other listed foods, while making sure to drink lots of water. Incidentally, edema (water retention) can be a sign that the body needs detoxification. Some individuals may lose 2 to 5 pounds of fluid weight during their first few days on the program. Since these products are not intended to be used as part of a weight loss or weight management program, you should discuss your calorie needs and weight goals with your healthcare practitioner.
Q: Will I be hungry on this program?
A: Depending on what weight goals you and your healthcare practitioner decide upon, some caloric restriction may be part of your program. Your healthcare practitioner may also decide to place you on the program without any calorie restrictions. Even on the lower calorie program, many people experience no increase in hunger. If you experience extreme hunger, discuss possible adjustments in your program with your practitioner.
Q: Can I use canned vegetables instead of fresh vegetables with this diet?
A: Fresh and frozen vegetables retain more of their vitamins and generally have less added salt. If they are unavailable, purchase canned vegetables without added salt or fat. Canned beans and legumes are generally acceptable.
Q: What is the best way to wash fruits and vegetables to eliminate toxins?
A: Washing produce in a dilute solution of dish soap, and rinsing thoroughly, works well for some fruits and vegetables.
Q: I notice there are legumes in this dietary program. My digestive system doesn't handle legumes very well. What can I do?
A: Legumes are desirable because they are high in protein and fiber but low in fat. Here are a few suggestions that may increase your tolerance:
- Increase your intake slowly over the course of 2-3 weeks.
- Try soaking the beans for half an hour before cooking them and discard the water.
- Experiment-you may find that certain legumes work better for you than others (lentils, for example, are often easy for many people to tolerate).
- Try an enzymatic aid that's taken with the meal. Your healthcare practitioner can recommend an appropriate formula. These aids can be quite helpful; however, some people have found that a larger dose than the one suggested on the package is required.
Q: Can I use salt while I am on this diet?
A: Generally we over-salt our food. We suggest that you use salt sparingly, or not at all. If you have been advised to restrict your salt intake, look for salt-free products whenever you use canned or processed foods in the diet. There are many good salt-free seasonings on the market. Your local health food store offers a variety of these products.
Q: What additional spices or flavorings can I use?
A: Seasonings can enhance the natural flavors of food without added butter, margarine, or salt. There is an abundant array of herbs and spices that can add flavor and variety to foods. They have practically no calories and can be used in endless combinations. Ask your healthcare practitioner for suggestions or experiment yourself with the list of herbs and spices we have provided on the Foods to Include list in the Patient Guide.
Q: What if I need additional fiber?
A: On a nutritional program that involves liquid supplementation, some patients may experience a change in bowel habits. Clinical experience has shown that for some people, an additional fiber supplement may reduce symptoms of diarrhea or constipation. An oligoantigenic (low-allergy potential) fiber supplement, such as MetaFiber®, may be useful in these situations. MetaFiber is a blend of insoluble and soluble fibers. Each serving provides 7 grams of fiber. The National Cancer Institute recommends 20-35 grams of fiber per day.
Q: Can I drink coffee and tea?
A: Caffeine has been eliminated from the dietary program as it can have a significant negative affect on detoxification. Decaffeinated coffee still has a small amount of caffeine, so consuming this is a decision best left up to you and your healthcare practitioner. Many herbal teas are naturally decaffeinated and can add variety and flavor to your program.
Q: Do any of these products contain caffeine or other stimulants?
A: None of these products contain caffeine or any added stimulants.
Q: Could I be allergic or intolerant to any UltraClear medical food product?
A: Any drug, nutritional supplement, additive, medical food, or food product has the potential to cause an allergic reaction. If you know you are allergic to any of the ingredients contained in any of these products, you should not consume it.
Q: Can I take these products if I have a sensitivity to rice?
A: Possibly. The rice protein concentrate in the products has undergone a process to enhance its nutritional properties and remove the most common allergy-causing components. The result is a highly nutritious rice protein that many rice-sensitive individuals can tolerate. However, everyone's level of sensitivity is different. Discuss possible rice sensitivity with your healthcare practitioner before use, and be alert to any symptoms that may arise from this sensitivity.
Q: Can I use this program if I am gluten and dairy-sensitive?
A: Yes. All the products in this program are formulated without wheat, gluten or dairy products.
Q: UltraClear, UltraClear PLUS, UltraClear Plus pH, UltraClear MACRO, or UltraMeal RICE is my primary source of protein. Could I become sensitized to it?
A: These products should not result in food intolerance. Due to the very low allergy potential of rice protein concentrate relative to other grain proteins, these products have been well tolerated by individuals who have previously had sensitivity to grain-based proteins.
Q: What should I eat when I've completed the program?
A: Once you have reached your health goals, you and your healthcare practitioner should reassess your program and progress. Together you should determine the next step, whether that be taking other supplements or medical foods, making other dietary changes, or continuing to use these products. A long-term maintenance plan that may include the dietary program recommended in this booklet can help you maintain the health improvements that you've made. The dietary portion of the program is well-balanced and nutrient-dense, and therefore acceptable for long-term use.
Q: How often may I use the products and programs?
A: You may go on the 28-day program as often as every few months, if recommended by your healthcare practitioner.
Q: What is unique about UltraClear SUSTAIN?
A: UltraClear SUSTAIN is a medical food designed to nutritionally modulate a disease or condition, and it is supported by published research. This powdered product utilizes high quality, low-allergy-potential rice protein and contains specific amounts and types of proteins, carbohydrates, and fats that are easily absorbed and utilized. Furthermore, specific nutrients and phytonutrients are added to UltraClear SUSTAIN to support important activities involved in gastrointestinal function.
Q: Can I substitute other medical foods for UltraClear SUSTAIN in this program?
A: No. UltraClear SUSTAIN is a medical food product with specific nutrient levels that provide the body with essential carbohydrate, protein, fat, vitamins, minerals, and other phytonutrients. While other products may exist form other manufacturers, UltraClear SUSTAIN is made from an exclusive rice protein concentrate that is carefully selected and blended to ensure the highest quality medical food product possible. UltraClear SUSTAIN is unique and is supported by clinical and research experience.
Q: How are these medical foods different from the UltraClear medical foods?
A: Each medical food is designed to target a specific condition or disease process by its combination of particular ingredients. Although UltraClear SUSTAIN is made from the same high quality rice protein concentrate as UltraClear, UltraClear PLUS, and UltraClear Plus pH, it contains a different nutrient profile and is designed to support the body differently. Your healthcare practitioner chose the medical food he or she recommended to you based on your individual, underlying problems.
Q: Can I use UltraClear SUSTAIN at the same time as UltraClear or UltraClear Plus?
A: Possibly. Your healthcare practitioner will determine which products and programs are best suited to your individual needs.
Q: Could I be allergic or intolerant to this medical food?
A: Any drug, nutritional supplement, additive, medical food, or food product has the potential to cause an allergic reaction. If you know you are allergic to any of the ingredients contained in this product, you should not consume that product.
Q: Do I have to mix UltraClear SUSTAIN with water?
A: This medical food is designed to be mixed with water. However, your healthcare practitioner may suggest other mixing instructions, such as the recipes in the Patient Guide.
Q: There seems to be some "grit" at the bottom of the glass when I consume this product. Is that all right?
A: UltraClear SUSTAIN is well blended during manufacturing, but the minerals and phytonutrients may not stay in suspension when you mix the product with liquid. Please be sure to consume the entire serving.
Q: Can I just eat my regular diet while taking UltraClear SUSTAIN?
A: Your healthcare practitioner has determined that some of your health challenges are associated with issues involving inflammatory processes. The diet in the Patient Guide eliminates foods that may potentially be an underlying cause of this problem. Our experience suggests that following the diet in combination with the targeted nutritional support provided by UltraClear SUSTAIN is more effective than using the diet or a medical food separately.
Q: Can I take UltraClear SUSTAIN if I have a sensitivity to rice?
A: Possibly. The white rice protein concentrate in UltraClear SUSTAIN has undergone a process to enhance its nutritional properties and remove the most common allergy-causing components. The result is a highly nutritious rice protein that many rice-sensitive individuals can tolerate. However, everyone's level of sensitivity is different. Discuss possible rice sensitivity with your healthcare practitioner, and be alert to any symptoms that may arise from this sensitivity.
Q: Can I use this program if I am gluten- and dairy-sensitive?
A: Yes. UltraClear SUSTAIN is formulated to exclude gluten and dairy products.
Q: I've been told to stay away from nightshade vegetables. Why?
A: Some individuals with osteoarthritis appear to react to the nightshade family of vegetables. If you and your healthcare practitioner decide that you want to avoid these vegetables, you should avoid tomatoes, cayenne, eggplant, potatoes, and green and red peppers.
Q: Can I drink coffee and tea?
A: Regular coffee and caffeinated tea have been eliminated from the dietary program, as significant amounts of caffeine can have a negative impact on certain individuals. Decaffeinated coffee still has a small amount of caffeine, so consuming this is a decision best left up to you and your healthcare practitioner. Many herbal teas are naturally decaffeinated and can add variety and flavor to your program.
Q: Does UltraClear SUSTAIN contain caffeine or other stimulants?
A: No.
Q: My healthcare practitioner said I might get a headache from discontinuing caffeine while on this program. What should I do?
A: Discuss the issue with your practitioner. He or she may suggest a natural way to alleviate the pain. Also, be sure to drink plenty of water. If you have any reactions to the products or program, discuss them with your healthcare practitioner.
Q: What can I use as a sweetener?
A: Stevia is a natural, herbal dietary supplement often used as a sweetener that appears to have no negative effects on blood sugar regulation. It is many times sweeter than table sugar. Stevia is found in most health food stores and is available as a white powder or a liquid. It can be used in cooking or added directly to foods. However, if you normally crave sweet foods, you should avoid all sweeteners including stevia in order to give your taste buds a chance to appreciate naturally sweet foods, such as fruits, carrots, etc.
Q: Can I use canned vegetables instead of fresh vegetables with this diet?
A: Fresh and frozen vegetables retain more of their vitamins and generally have less added salt. If they are unavailable, purchase canned vegetables without added salt or fat. Canned beans and legumes are generally acceptable.
Q: What is the best way to wash fruits and vegetables to eliminate pesticide or herbicide residue?
A: Washing produce in a dilute solution of dish soap and rinsing thoroughly works well for some fruits and vegetables. There are also residue cleaning solutions that can be found in many health food stores.
Q: I notice there are legumes in this dietary program. My digestive system doesn't handle legumes very well. What can I do?
A: Legumes are desirable because they are high in protein and fiber but low in fat. Here are a few suggestions that may increase your tolerance:
- Increase your intake slowly over the course of 2-3 weeks.
- Try soaking the beans for half an hour before cooking them, and discard the water.
- Experiment-you may find that certain legumes work better for you than others (lentils, for example, are often easy for many people to tolerate).
- Your practitioner can recommend an enzymatic aid to take with your meal to support healthy digestion.
Q: What if I experience a change in bowel habits?
A: On a nutritional program that involves liquid supplementation, some individuals may experience a change in bowel habits. Clinical experience has shown that, for some people, an additional fiber supplement may reduce symptoms of diarrhea or constipation. Your healthcare practitioner may recommend a low allergy-potential fiber supplement, such as Herbulk® or MetaFiber®.
Q: Can I use salt while I am on this diet?
A: Generally, we over-salt our food. Try to use salt sparingly, or not at all. If you have been advised to restrict your salt intake, look for salt-free products whenever you use canned or processed foods in your diet. There are many good salt-free seasonings on the market. Your local health food store offers a variety of these products.
Q: What additional spices or flavorings can I use?
A: Seasonings can enhance the natural flavors of food without added butter, margarine, or salt. There is an abundant array of herbs and spices that can add flavor and variety to foods. They have practically no calories and can be used in endless combinations. Ask your healthcare practitioner for suggestions, or experiment yourself with the list of herbs and spices we have provided on the "Foods to Include" list in the Patient Guide.
Q: Is it possible to lose weight on this program?
A: Yes, especially if you mix your powdered medical food in water and eat the minimum amounts of the other listed foods. Some individuals may lose 2 to 5 pounds of fluid weight during their first few days on the program. Since these products are not intended to be used as part of a weight loss or weight management program, you should discuss your calorie needs and weight goals with your healthcare practitioner.
Q: Will I be hungry on this program?
A: Depending on what weight goals you and your healthcare practitioner decide upon, some caloric restriction may be part of your program. Your healthcare practitioner may also decide to place you on the program without any calorie restrictions. Even on the lower calorie program, many people experience no increase in hunger. If you experience extreme hunger, discuss possible adjustments in your program with your practitioner.
Q: How long do I need to remain on this program?
A: Clinical experience suggests that patients usually experience benefit within 4 weeks of following the program. Your healthcare practitioner may, on further assessment, suggest that you continue to follow the program longer to obtain or sustain these benefits.
Q: How many canisters of UltraClear Sustain will be needed to complete the 25-day program?
A: Three canisters.
Q: This product seems expensive. Why is this?
A: UltraClear SUSTAIN is made from the highest quality ingredients and manufactured with exacting standards, and is guaranteed for freshness and potency. Although it may seem expensive, because it can be used as a meal replacement, many people actually find their grocery bills decrease substantially while on this program.
Q: Can I follow this program if I am diabetic or hypoglycemic?
A: Probably, but you should make this decision with the guidance of your healthcare practitioner. Together, you can discuss integrating this program into your diet and lifestyle.
Q: Can I go on this program if I am pregnant or if I am nursing my baby?
A: No. UltraClear SUSTAIN has not been tested in these situations; therefore, it is not recommended for use at these times.
Q: Is this an appropriate program for children?
A: No. This medical food product should not be given to infants or children under the age of 12. Its nutritional content is based on adult recommended daily intakes (RDIs), and testing in children has not been performed. However, under the supervision of a healthcare practitioner, this product may be appropriate as a meal supplement for children or adolescents. Your practitioner must help you decide if and how this product may be used with your child.
Q: Can I exercise while I'm on this program?
A: Yes. However, some people find they get better results when strenuous or prolonged exercise is reduced. Such a reduction in strenuous activity may allow the body to heal more effectively without the physical stress imposed by exercise. Adequate rest and stress reduction is also important to the success of this program.
Q: Can I take supplements while on this diet?
A: Because UltraClear SUSTAIN contains therapeutic levels of carefully selected nutrients to nutritionally support the body, and since some supplements may contain allergens that could interfere with the program's effectiveness, we suggest following the recommendations of your healthcare practitioner.
Q: Should I discontinue prescription medications while on this program?
A: No. Medications should be carefully monitored by your healthcare practitioner. Only in conjunction with him or her should you make a decision to change a prescriptive medication.
Q: What do I do after I've completed the 25-day program?
A: You and your healthcare practitioner should reassess your program and progress. Together you should determine the next step, whether that is taking other supplements or medical foods, making other dietary changes, or continuing to use these products.
Q: Would the program be helpful for a person who has recently undergone repeated antibiotic therapy?
A: Yes. Medications like antibiotics may place an added burden on your body's detoxification systems. Your healthcare practitioner may recommend starting with UltraClear SUSTAIN and/or introducing a source of acidophilus or bifidobacteria culture to support healthy intestinal flora and digestions following the use of antibiotics.