People often ask me about meal replacement shakes (Biggest Loser, Kicstart, Optifast, Celebrity Slim, Betty Baxter, Tony Ferguson, Cambridge Diet) to aid weight loss. Are they safe? How long can you use them? Are you missing out on anything?
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How you buy them. Some meal replacements are sold as single-portion sachets while others come in a large tin with a measuring scoop. You can make them up with water, or low-fat milk for a nicer flavour, and drink them in place of a regular meal.
Are they for you? As a dietitian, I believe that a healthy, reduced kilojoule diet, along with regular exercise is the best long-term method for anyone wanting to lose weight. However meal replacements can play a role at the start of a new eating plan or as a replacement for one meal a day. Let's weigh up their pros and cons - make a mental note if you can live with them or not:
Generally they're made from non-fat milk powder with added vitamins and minerals. Some have a little fibre (psyllium or guar) added so you don't get constipated and also feel fuller. Some have a probiotic or omega-3 or soy protein present so they sound more impressive. Think of them as a milk drink combined with a vitamin pill!
If you replace ONE meal a day (say lunch at work) and eat two balanced meals, I think this is the most practical way to use them. Nutritionally you won't lose out and a recent Australian study show this gives greater satisfaction and lower drop-out rates.
Should you replace three meals day? I wouldn't recommend replacing all three meals unless you're under doctor's orders - not only is it unbalanced but it gets pretty boring after a couple of days!
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Reference: Are meal replacements an effective clinical tool for weight loss? Egger G. MJA 2006; 184 (2): 52-53
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