The Medifast Program and Anticoagulant Medications. What you and your doctor should know about the Medifast Program and blood-thinning medications
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1 The Medifast Program and Anticoagulant Medications What you and your doctor should know about the Medifast Program and blood-thinning medications
2 Contents Letter from the Director of Nutrition 2 Overview 3 Medifast Meals 4 Vegetables for the Lean & Green Meal 5
3 From Medifast s Director of Nutrition Achieving optimal health and weight control is not always a one-size-fits-all equation. Lifestyle choices and medical conditions can affect both your food preferences and requirements, which in turn have an impact on how you can best lose weight. Medifast began with physicians and other health care professionals developing a safe, effective weightloss method with lasting results. Decades later, the program and products continue to evolve. We thank you for choosing Medifast and encourage you to review the following recommendations with your doctor before you begin. 2
4 Overview What are anticoagulant medications? Anticoagulant ( anti-clotting ) medications are used to prevent blood clots or to stop an existing clot from getting larger. These drugs, sometimes referred to as blood thinners, include warfarin (Coumadin ), dalteparin (Fragmin ), danaparoid (Orgaran ), enoxaparin (Lovenox ), Heparin (Hep-Lock, Hep-Pak, Hep-Pak CVC, Heparin Lock Flush), and tinzaparin (Innohep ). Anticoagulant medications are used for several different conditions but most commonly to prevent blood clots from forming after a surgical procedure and to reduce the risk of stroke or heart attack. Why are anticoagulant medications a concern with the Medifast Program? People who take anticoagulant medications need to be aware of their intake of foods that are high in vitamin K. Vitamin K, a fat-soluble vitamin, plays an important role in helping blood to clot. Anticoagulant medications work to decrease the activity of vitamin K in the body, and a consistent vitamin K intake is needed to help anticoagulant medications work as effectively as possible. The Medifast 5 & 1 Plan provides a consistent intake of vitamin K and works well for people who are taking blood thinners. What s the vitamin K content of the Medifast 5 & 1 Plan? The daily value for vitamin K is 80 mcg (micrograms); each Medifast Meal provides a range of 20 to 35% of the daily value (16-28 mcg per serving) for vitamin K, which means that when following the Medifast 5 & 1 Plan (where five Medifast Meals are consumed), the total average is approximately 80 to 100 mcg per day of vitamin K. 3
5 The Lean & Green Meal can also contribute to the total amount of vitamin K consumed in a day. Careful choices from the recommended vegetable list for the Medifast 5 & 1 Plan can help keep this additional vitamin K to a minimum (see chart on page 5). Your total daily intake of vitamin K is important for your doctor to know so that he/she can closely monitor your International Normalized Ratio (INR) and Prothrombin Time (PT) laboratory tests and adjust your medication as needed. Medifast Meals Medifast Meals LOWEST in vitamin K content Medifast Meals Shakes Cold Drinks Hot Drinks 16 mcg each (20% of daily value) 20 mcg each (25% of daily value) Medifast 55 Shakes (Dutch Chocolate, Swiss Mocha) Appetite Suppression Shakes (all flavors) Medifast Plus for Diabetics Shakes (Strawberry) Medifast Plus for Joint Health Shakes (Vanilla) Medifast Shakes featuring antioxidants (all flavors) Tropical Punch Fruit Drink Cranberry Mango Fruit Drink Peach Iced Tea Raspberry Iced Tea Hot Cocoa Chai Lattè Cappuccino Oatmeal Oatmeal (all flavors) Soups Cream of Broccoli Soup Cream of Chicken Soup Puddings Chocolate, Banana Vanilla Bars Other Meals Crunch Bars (yellow wrapper) (all flavors) Maintenance Bars (green wrapper limit to one per day on the Medifast 5 & 1 Plan) (Caramel Nut) Cinnamon Pretzel Sticks Honey Mustard Pretzel Sticks Parmesan Cheese Puffs Chili Nacho Cheese Puffs Medifast 55 Shakes (French Vanilla, Strawberry Crème, Orange Crème, Banana Crème) Medifast 70 Shakes (all flavors) Ready-to-Drink Shakes (all flavors) Medifast Plus for Diabetics Shakes (Vanilla, Chocolate) Medifast Plus for Joint Health Shakes (Chocolate) Momentum by Medifast Meals (all flavors) Cream of Tomato Soup Chicken Noodle Soup Chicken & Wild Rice Soup Homestyle Chili Beef Vegetable Stew Maryland Crab Flavored Soup Maintenance Bars (green wrapper limit to one per day on the Medifast 5 & 1 Plan) (Oatmeal Raisin, Chocolate Mint) Scrambled Eggs 4
6 Vegetables for the Lean & Green Meal Lower Carb Higher Carb Lowest Vitamin K Content Highest Vitamin K Content Mushrooms, white ( 1 2 cup) Mushroom, portabella Kohlrabi ( 1 2 cup) ( 1 2 cup) Radishes ( 1 2 cup) Fennel bulb ( 1 2 cup) Turnips ( 1 2 cup) Cucumber ( 1 2 cup) Eggplant ( 1 2 cup) Winter squash: spaghetti squash ( 1 2 cup) Sprouts: alfalfa ( 1 2 cup) Celery ( 1 2 cup) Summer squash: scallop ( 1 2 cup) Summer squash: zucchini ( 1 2 cup) Summer squash: straightneck ( 1 2cup) Summer squash: crookneck ( 1 2 cup) Iceberg lettuce (1 cup) Cauliflower ( 1 2 cup) Tomato, red ripe ( 1 2 cup) Sprouts: mung bean ( 1 2 cup) Asparagus ( 1 2 cup) Peppers: green, red, yellow ( 1 2 cup) Spring mix (1 cup) Cabbage ( 1 2 cup) Green or wax beans ( 1 2 cup) Romaine lettuce (1 cup) *Spinach, cooked ( 1 2 cup) Cabbage, red ( 1 2 cup) Butterhead lettuce (1 cup) *Kale, cooked ( 1 2 cup) Okra ( 1 2 cup) Green leaf lettuce (1 cup) Scallions, raw ( 1 2 cup) Watercress (1 cup) Broccoli ( 1 2 cup) Endive (1 cup) *Collard or mustard greens, cooked ( 1 2 cup) *Turnip greens, fresh/raw ( 1 2 cup) *Spinach, fresh/raw (1 cup) *Collard greens, fresh/raw (1 cup) *Mustard greens (1 cup) *Limit these vegetables to only one serving per day. 5
7 SAMPLE Meal Plan Day ONE 1 st Medifast Meal Medifast French Vanilla Shake 2 nd Medifast Meal Medifast Cranberry Mango Fruit Drink 3 rd Medifast Meal Medifast Cream of Chicken Soup 4 th Medifast Meal Medifast Peanut Butter Crunch Bar Lean & Green Meal 6 ounces broiled swordfish 1 cup iceberg lettuce 1 2 cup diced tomatoes and 1 2 cup diced cucumber 2 Tbsp low-carbohydrate salad dressing 5 th Medifast Meal Medifast Chocolate Pudding SAMPLE Meal Plan Day TWO 1 st Medifast Meal Medifast Dark Chocolate Shake with antioxidants 2 nd Medifast Meal Medifast Lemon Meringue Crunch Bar Lean & Green Meal 5 ounces grilled pork chop cups steamed asparagus 3 rd Medifast Meal Medifast Peach Iced Tea 4 th Medifast Meal Medifast Cream of Broccoli Soup 5 th Medifast Meal Medifast Hot Cocoa Vitamin K is an important vitamin for all people to include in a healthy diet; however, while taking anticoagulant medications it is crucial to get a consistent intake of vitamin K. If you are currently taking any anticoagulant medications, we highly recommend discussing the vitamin K content of Medifast Meals and products with your physician before starting the Medifast 5 & 1 Plan. All other trademarks are the property of their respective owners.
8 For more information about this specialized program, call (800) Medifast and Anticoagulant Medicine 2008: Medifast, Inc. Owings Mills, Maryland MD-BOK0809_CoagMed
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