THE HCG INSTITUTE

PROGRAM GUIDE
 Table of Contents

Mixing Instructions for 5K IU hCG vials Pages 2-3

Drawing hCG for Injections Page 4
Mixing Instructions for 9mg Sermorelin vials Pages 5-6
Drawing Sermorelin for Injections Page 7
Drawing Semaglutide for Injections Page 8
Subcutaneous (SQ) Injection Instructions Pages 9-12
Taking hCG Sublingual Pellets Page 13
Summary of Typical Day on the hCG Diet Page 13
hCG Diet Rules, Tips, and Tricks Pages 13-14
hCG Diet FAQ Pages 14-16
hCG Diet Allowed Foods Pages 16-18
hCG Diet Recipes Pages 19-23
hCG Apple Day Regimen Page 24
hCG Steak Day Regimen Page 24
hCG Maintenance Phase Regimen* Pages 24-25
Allowed Maintenance Phase Foods* Pages 25-26
Foods to Avoid During Maintenance Phase* Page 27
Semaglutide Diet Information Page 28
Sermorelin Diet Information Page 28

*The hCG diet Maintenance Phase is recommended for Semaglutide and Sermorelin patients

Page 1
 Mixing Lyophilized 5,000 IU hCG Vials

1. Gather all supplies needed:

 hCG vial (only mix one vial at a time, before you are ready to start using that vial)
 bacteriostatic water
 mixing syringe

These supplies will come with the hCG injection kit. Make sure that you wash your hands
with soap and water and dry well or use an alcohol-based hand-cleaning product before
mixing your hCG lyophilized powder.

2. How to mix your hCG injection powder:

1. Remove the brightly colored plastic cap or small circular

metal cap to expose the center of the inner rubber stopper
on the hCG vial and the bacteriostatic water vial. Tap down
the hCG vial to ensure that all powder is collected at the
bottom of the vial. Place them on a flat surface.
2. Open the syringe and needle from their packaging and
connect the two, if necessary. Make sure the syringe and the
needle are completely tight so that no liquids can leak, even
if they came already connected. This also prevents
accidental disconnection of the needle.

3. To draw bacteriostatic water from the vial, pull back on the plunger and pull air
into the syringe equal to the amount of liquid you will need to draw. Pull the

Page 2
 needle cap straight off the needle and insert the needle straight through the
rubber stopper. Push the plunger of the syringe down and inject air into the
vial. The bacteriostatic water vials are under vacuum with negative oxygen
pressure, rendering it harder to tug the fluid out. Thus, injecting air helps
alleviate the vacuum-like pressure pulling against you.
4. Hold the bacteriostatic water vial upside down and withdraw the amount of
bacteriostatic water needed to dilute the hCG powder.

 5,000 IU Add 5 ml of bacteriostatic water into the vial of your hCG

You will be filling your daily injection syringes to the 25 syringe unit mark for 5,000
IU vials that are mixed with 5mL of bacteriostatic water.

5. Clear the air bubbles out of the syringe by tapping it with your finger to get all
the air bubbles to the top. Push up on the plunger slightly until they are all gone.
6. When measuring the amount of water, read from the top ring (closest to the
needle) and not the bottom ring or the raised section in the middle of the plunger.
Make sure the top ring of the rubber seal is at the correct mark.
7. Insert the diluent into your vial of powdered hCG. Swirl gently until the hCG
powder is completely dissolved. Don't shake.

Page 3
 Drawing hCG for Injections
1. Get your insulin syringe and with the needle cover still on the needle, pull back on
the plunger and pull air into the syringe.

2. Turn the vial upside down and slowly pull back on the plunger and let the hCG
hormone enter the syringe, filling up to the 25 syringe unit mark. Again, read from
the top ring and not the bottom ring.
3. Gently tap the syringe until the air bubbles rise to the top of the syringe barrel.
Then push the plunger, forcing the air out of the syringe. Once again pull the
plunger back to the 25 syringe unit mark. Repeat these steps if needed.
5. Prefill all syringes and store them inside the refrigerator.
6. Clean the injection site with an alcohol prep pad before administering the hCG
injection. Please see page 6 of the Program Guide for Subcutaneous Injection
instructions.
7. Immediately discard all used syringes in a sharps disposal container to reduce the
risk of needle sticks, cuts, or punctures from loose sharps. If you don’t have or did
not purchase this together with your medication, you can use a heavy-duty plastic
household container as an alternative (an empty liquid laundry detergent
container is a good example) that’s able to close with a tight-fitting, puncture-
resistant lid, without sharps being able to come out.

Page 4
 Mixing Lyophilized 9mg Sermorelin Vials

3. Gather all supplies needed:

 Sermorelin vial (only mix one vial at a time, before you are ready to start using that vial)
 bacteriostatic water
 mixing syringe

These supplies will come with Sermorelin vials. Make sure that you wash your hands with
soap and water and dry well or use an alcohol-based hand-cleaning product before
mixing your hCG lyophilized powder.

4. How to mix your Sermorelin injection powder:

8. Remove the brightly colored plastic cap or small circular

metal cap to expose the center of the inner rubber stopper
on the sermorelin vial and the bacteriostatic water vial. Tap
down the sermorelin vial to ensure that all powder is
collected at the bottom of the vial. Place them on a flat
surface.
9. Open the syringe and needle from their packaging and
connect the two, if necessary. Make sure the syringe and the
needle are completely tight so that no liquids can leak, even
if they came already connected. This also prevents
accidental disconnection of the needle.

10. To draw bacteriostatic water from the vial, pull back on the plunger and pull air
into the syringe equal to the amount of liquid you will need to draw. Pull the

Page 5
 needle cap straight off the needle and insert the needle straight through the
rubber stopper. Push the plunger of the syringe down and inject air into the
vial. The bacteriostatic water vials are under vacuum with negative oxygen
pressure, rendering it harder to tug the fluid out. Thus, injecting air helps
alleviate the vacuum-like pressure pulling against you.
11. Hold the bacteriostatic water vial upside down and withdraw the amount of
bacteriostatic water needed to dilute the Sermorelin powder.

 5,000 IU Add 5 ml of bacteriostatic water into the vial of your hCG

You will be filling your daily injection syringes to the 30 syringe unit mark.

12. Clear the air bubbles out of the syringe by tapping it with your finger to get all
the air bubbles to the top. Push up on the plunger slightly until they are all gone.
13. When measuring the amount of water, read from the top ring (closest to the
needle) and not the bottom ring or the raised section in the middle of the plunger.
Make sure the top ring of the rubber seal is at the correct mark.
14. Insert the diluent into your vial of powdered Sermorelin. Swirl gently until
the Sermorelin powder is completely dissolved. Don't shake.

Page 7
 Drawing Sermorelin for Injections
1. Get your insulin syringe and with the needle cover still on the needle, pull back on
the plunger and pull air into the syringe.

2. Turn the vial upside down and slowly pull back on the plunger and let the
mixed Sermorelin enter the syringe, filling up to the 30 syringe unit mark. Again,
read from the top ring and not the bottom ring.
3. Gently tap the syringe until the air bubbles rise to the top of the syringe barrel.
Then push the plunger, forcing the air out of the syringe. Once again pull the
plunger back to the 30 syringe unit mark. Repeat these steps if needed.
4. Prefill all syringes and store them inside the refrigerator.
5. Clean the injection site with an alcohol prep pad before administering the
Sermorelin injection. Please see Page 6 of the Program Guide for Subcutaneous
Injection instructions.
6. Immediately discard all used syringes in a sharps disposal container to reduce the
risk of needle sticks, cuts, or punctures from loose sharps. If you don’t have or did
not purchase this together with your medication, you can use a heavy-duty plastic
household container as an alternative (an empty liquid laundry detergent
container is a good example) that’s able to close with a tight-fitting, puncture-
resistant lid, without sharps being able to come out.

Page 7
 Drawing Semaglutide for Injections
You will be injecting amounts based on the following two Semaglutide dosing
schedules. Inject on the same day every week.

Standard Dosing Schedule

Weeks 1-4: 0.25mg (10 syringe marks) once weekly
Weeks 5-8: 0.5mg (20 syringe marks) once weekly
Weeks 9-12: 1mg (40 syringe marks) once weekly
Weeks 13-16: 1.7mg (68 syringe marks) once weekly
Week 17 and after: 2.4mg (96 syringe marks) once weekly

Semaglutide Max Dosing Schedule

Week 1: 0.5mg (20 syringe marks)
Week 2: 1mg (40 syringe marks)
Week 3: 1.5mg (60 syringe marks)
Week 4: 2mg (80 syringe marks)
Week 5 and after: 2.4mg (96 syringe marks)

1. Get your insulin syringe and with the needle cover still on the needle, pull back on
the plunger and pull air into the syringe.
2. Swap the rubber stopper on the vial with an alcohol prep pad and push the needle
through the stopper and into the vial.
3. Turn the vial upside down and slowly pull back on the plunger and let the
Semaglutide enter the syringe, filling up to the correct syringe mark. Read from
the top ring (closest to the needle) and not the bottom ring.
4. Gently tap the syringe until the air bubbles rise to the top of the syringe barrel.
Then push the plunger, forcing the air out of the syringe. Once again pull the
plunger back to the correct syringe mark, repeating if necessary until there are no
bubbles and the correct amount of Semaglutide is in the syringe.
5. Clean the injection site with the alcohol prep pad before administering the
Semaglutide injection. See the Subcutaneous Injection Instructions on page 6 for
further instructions.
6. Immediately discard all used syringes in a sharps disposal container to reduce the
risk of needle sticks, cuts, or punctures from loose sharps. If you don’t have or did
not purchase this together with your medication, you can use a heavy-duty plastic
household container as an alternative (an empty liquid laundry detergent
container is a good example) that’s able to close with a tight-fitting, puncture-
resistant lid, without sharps being able to come out.

Page 8
A subcutaneous injection, also known as an SQ Injection is given in the fatty layer of tissue
just under the skin. Syringes for Subcutaneous Injections will use smaller needles than
those used for injections into the muscle. The typical Insulin or TB syringes will have a
half- inch or less needle length because it only needs to go slightly below the skin level.
Only certain types of medications such as hCG, lipotropics, l-lysine, and vitamin
injections can be given subcutaneously.

Subcutaneous injections can be given straight in at a 90-degree, or 45-degree angle. You

can give the shot at a 90-degree angle if two inches of the skin can be grasped between
your thumb and index finger. If only one inch of skin can be grasped, give the shot at a
45- degree angle.

Page 9
Page 10
Upper Arm:

Uncover the arm to the shoulder to see the whole arm. Have the person getting the shot
stand with hand on hip. Stand next to and a little behind the person. Find the area in the
middle part of the arm, halfway between the elbow and shoulder. Gently grasp the skin at
the back of the arm between your thumb and first 2 fingers. You should have 1-2 inches
of skin.

Abdomen:

Uncover the abdomen to see the whole area. Find the waist area. You may give a shot
bounded by these landmarks: below the waist, to just above the hip bone, and from
where the body curves at the side to about 2 inches from the middle of the abdomen. Use
the natural line in the middle of the body as a marker. It may be hard to see, but it is
there unless it was covered by surgery. Avoid the surrounding area 2 inches from the belly
button.

Thigh:

Uncover the entire leg. Find the area between the knee and hip. The middle of the thigh,
from mid-front to mid-side, on the outside part of the thigh, is a safe site. Gently grasp
the area to make sure you can pinch 1-2 inches of skin.

What items do I need to give a subcutaneous injection?

 One alcohol wipe

 The vial containing the injectable medication
 The correct size needle and syringe (included in your package)

HOW DO I INJECT MEDICATION INTO SUBCUTANEOUS SITES?

Please read the section all the way through before giving the shot. It is important to get a
general idea of what you are about to do before you begin. You may read this step-by-
step procedure again as you do it.

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1. Wash your hands thoroughly with soap and dry them completely. Open the foil
covering the alcohol wipe. Wipe the area where you plan to give the shot. Let the
area dry.
2. Take the cover off the needle. Hold the syringe with your writing hand and pull the
cover off with your other hand, like taking a cap off a pen.
3. If you will give the shot at a 45-degree angle, hold the syringe with your writing
hand. Place the syringe between your thumb and your index and second fingers.
The needle should be pointing upwards or downwards at the 45-degree angle you
plan to use.
4. If you will give the shot at a 90-degree angle, hold the syringe with your writing
hand. Hold the syringe under your thumb and first finger. Let the barrel of the
syringe rest on your second finger. (Many people hold a pen this way when they
write)
5. Grasp the skin with the hand not holding the syringe. Holding the syringe barrel
tightly with your writing hand, use your wrist to insert the needle through the skin.
Sometimes the needle goes in easily. Some people have tougher skin and a little
more pressure or quickness will be required. Once the needle is all the way in,
push the plunger down slowly to inject the syringe’s contents.
6. Remove the needle at the same angle you put it in.

Page 12
 Correct Method For Taking hCG Pellets
1. Place pellet under your tongue and let it dissolve completely.
2. Do not eat or drink anything for at least 20 minutes after the pellet has dissolved.
3. Please note: Pellets do not need to be kept refrigerated.

hCG Diet Typical Day

1. Wake up in the morning, use the restroom, weigh yourself, and inject your hCG (or
take pellet).
2. Breakfast will be only black coffee/black tea and a piece of melba toast or 1 to 2
crunchy breadsticks (20-25 calories total for melba toast or breadsticks).
3. Wait for at least 2-3 hours after your injection before eating your first main meal
(lunch).
4. Lunch and dinner will be lean protein and a vegetable from the approved foods list.
5. If you have remaining calories, you can fit in snacks between meals or after dinner,
but no food any later than an hour before your bedtime.

hCG Cycle Rules, Tips, and Tricks

1. No more, and no less, than 500 calories per day, unless otherwise directed by the
prescribing physician or patient care coordinator.
2. Meal prep is highly advised to adhere to food restrictions.
3. We highly recommend keeping a food diary, whether it’s on paper or using a
smartphone app.
4. Weigh yourself at the same time every day.
5. All serving sizes listed are precooked amounts.
6. When determining your meal plan and calorie count for the day, it is best to start
with your proteins, determine their calories, and then fill in the rest of your daily
500 calories for the day with vegetables and snacks.
7. No carbs or fats are allowed, other than what is already contained in your lean
protein/veggies/fruits.
8. NO ARTIFICAL SWEETENERS!
9. Drink 2 liters of water daily. (Y o u ca n h a ve cl u b so d a a s w e ll , j u st
n o th i n g w it h an y ar t i f i ci a l swe e t en e r s.) Many patients are afraid to
drink so much because they fear that this may make them retain more water.
This is a wrong notion as the body is more inclined to store water when the
intake falls below its normal requirements.

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 10. The HCG Institute does not recommend loading/gorging days before starting the
HCG Diet.
11. Exercising is a great way to increase your caloric intake with the HCG diet.
Consider 500 net calories; if you were to burn 100 calories during your daily
exercise you could add 100 calories to your diet. Please also note that estimates
provided from exercise equipment or any tools about the number of calories
burned are typically inaccurate measurements of actual calories lost.
12. If you find yourself unable to follow the 500 calorie diet to completion you can
increase your caloric intake up to as much as 800 calories per day; however,
weight lost on a higher calorie restriction is less than with a 500 calorie diet. We
advise checking with a Patient Care Coordinator before modifying your diet.
13. The juice of one lemon daily is allowed for all purposes.

Frequently Asked Questions

Question: Are you sure that’s enough hCG for my 20 (or 40) day cycle?
Answer: Yes, you’ll only be injecting .25mL daily, so although it doesn’t look like there is a
lot of fluid in the syringe, the math is correct. If you have 5mL of liquid injected at .25mL
per day, it will last 20 days. If you have 10mL per liquid and are injecting .25mL per day, it
will last for 40 days.

Question: How do I know that this is legitimate hCG?

Answer: You can purchase an at-home pregnancy test and put 10-15 drops of the
liquid/mixed hCG on the test and you will get a positive result.

Question: What do I do if my weight loss stalls?

Answer: It is not unusual for patients to have a day in which they don’t lose any weight.
You should show a loss the next morning. If you go 2-3 days without losing any weight
(hitting a plateau), or if you start gaining weight, please email or call in to speak with a
Patient Care Coordinator to go over your diet and see if anything needs to be changed.

Question: How long before I can do another cycle?

Answer: The HCG Institute does not recommend doing The hCG Diet for more than 40
days straight. If you need to do another cycle after your 40-day cycle, you will first need to
complete the 3-week Maintenance Phase before starting another cycle. If you just did
a 20-day cycle, you can do the Maintenance Phase after, or you can immediately go
into another 20-day cycle.

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Question: Can I eat breakfast?
Answer: No. You will not be eating a full breakfast. You can have black coffee or tea, and
a piece of melba toast or 1-2 breadsticks.

Question: Wouldn’t I be losing the same amount of weight if I only ate 500 calories per
day without the hCG?

Answer: No. In fact, if you reduce your daily calories to 500 without hCG, your body will
go into starvation mode, which basically shuts down your metabolism and then your body
tries to convert everything you are eating into fat, as it thinks you are starving. The hCG is
what keeps your metabolism going, thereby forcing your body to burn your stored fat for
energy due to the caloric deficit. We DO NOT recommend doing a 500 calorie-per-day diet
without hCG.

Question: Why can’t I have artificial sweeteners if they have no calories?

Answer: Even though artificial sweeteners have no calories, your metabolic processes can
react to them the same way that they react to sugar, which can throw off your diet and
weight loss.

Question: If I’m not losing weight as fast as I want, should I try an apple or a steak day?
Answer: Contact a Patient Care Coordinator (PCC) if your weight loss is slowing down or
has plateaued. It may only take some changes to your diet to get back on track. It is not
recommended to do an apple or a steak day without consulting with a PCC first.

Question: I’m a vegetarian/vegan. What options do I have with the hCG Diet?
Answer: The difficult thing for vegetarians is for you to get adequate protein in your diet,
but without added carbs. Some protein options for vegetarians/vegans are listed below:

 Cottage Cheese: ½ cup, fat-free

 One whole egg + 3 egg whites
 Tofu-one serving MUST have between 75-140 calories and between 15-21g
protein. It must have less than 5g fat & less than 5g of carbohydrates
 The following proteins can be used no more than twice weekly, as they are highly
processed foods:
o Morning Star Farms Grillers-Original Flavor Only
o Boca Original Vegan Burger
o Morning Star Farms Sausage Patties – Original Flavor only
o Boca All America Flame Grilled Burger
o Boca All America Classic, made with non-GMO soy

Page 15
Question: Why can I have some vegetables, but not others?
Answer: Vegetables are healthy foods for any diet, but their blood sugar spike potential
varies vastly. Approved vegetables do not spike your blood sugar, like broccoli, cabbage,
lettuce, onions, and peppers, which all have a glycemic index (GI) of 10. (Glycemic index
measures food blood sugar impact). Tomatoes, cauliflower, and eggplant also have a low
glycemic index of 15. Raw carrots have a glycemic index of 16, but boiled carrots jump up
to a GI of 41. Frozen green peas and sweet corn have GIs of 39 and 47, respectively. These
examples illustrate why some vegetables are allowed and others are not.

List of Approved Foods & Calorie Counts

Protein Options
Protein serving size is 100g or 3.5 oz, precooked weight. All visible fat must be removed carefully
before cooking and meat must be weighed raw, prepared without any additional fat and removed
from the bone.
Beef, ground, 95% lean: broiled – 150 calories
Beef broth: 1 cup - 20 calories
Buffalo meat, ground: broiled - 120 calories
Chicken, breast, thigh or drumstick, boneless, skinless: roasted - 100 calories
Chicken, breast, thigh or drumstick , boneless, skinless: stewed - 90 calories
Chicken, breast, thigh or drumstick, boneless, skinless: grilled - 120 calories
Chicken stock: 1 cup - 20 calories
Crab: baked or broiled – 160 calories
Egg: hardboiled - 75 calories
Flounder, fresh: broiled - 150 calories
Flounder, fresh: baked - 150 calories
Lamb, leg or chops, lean: roasted - 140 calories
Lobster: steamed or boiled – 115 calories
Salmon: baked - 150 calories
Scallops, fresh: broiled, 1 cup - 150 calories
Shrimp: steamed or broiled – 140 calories
Turkey, white meat: roasted – 100 calories
Turkey, dark meat: roasted – 130 calories
Tilapia, fresh: broiled- 150 calories
Tilapia fresh: baked - 150 calories
Tuna, canned in water – 120 calories
Whitefish: steamed - 75 calorie

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Vegetables
Asparagus: 1 two inch spear – 1 calorie
Asparagus: 3 ½ oz. – 20 calories
Broccoli: 1 five inch spear – 11 calories
Broccoli: 1 cup – 30 calories
Broccoli: 3 ½ oz. – 34 calories
Beets: 1 cup - 55 calories
Celery: 1 five inch stalk - 2 calories
Celery: 1 cup - 15 calories
Celery: 1 cup, cooked, no salt - 25 calories
Cabbage: 1 cup, raw, shredded - 22 calories
Cabbage: 1 cup, cooked, shredded - 35 calories
Carrot: 1 cup, fresh, chopped -50 calories
Carrot, fresh: 1 five inch long - 20 calories
Cauliflower: 3½ oz. – 22 calories
Cucumber: 3 ½ oz. – 12 calories
Eggplants: 1 cu, steamed - 25 calories
Garlic: 1 clove or 1 tsp. chopped - 4 calories
Ginger: 1 tsp. fresh, grated - 6 calories
Lettuce, shredded: 1 cup - 8 calories
Lettuce: 1 leaf - 2 calories
Lettuce: 1 head - 45 calories
Mushrooms: 1 cup cooked - 40 calories
Onion: 1 tbsp., chopped - 5 calories
Onion: 1, small - 30 calories
Onion: 3 ½ oz., medium - 40 calories
Pepper: medium, seeded, yellow or green - 20 calories
Pickle: 1, spear - 5 calories
Radish: 2 calories
Radish: 3.5 oz. – 12 calories
Red Cabbage: Prepared 3.5 oz. – 30 calories
Scallions: 1 four inch long piece - 5 calories
Spinach: 3 ½ oz. frozen – 23 calories
Spinach: 1 cup, frozen – 41 calories
Spinach: 3 ½ oz., cooked – 31 calories
Spinach: 1 cup, cooked – 48 calories
Spinach: 3 ½ oz. – 20 calories
Spinach: 1 cup, raw – 7 calories
Squash: Summer, 1 cup chopped – 30 calories
Tomato: cherry – 3 calories
Tomato: plum – 11 calories
Tomato: 3 ½ oz. – 20 calories
Tomato, juice: 1 oz. - 5 calories
Zucchini (1 cup) – 30 calories

Page 17
Fruits
Apple: 5 oz., unpeeled - 80 calories
Cherry-1: 5 calories
Grapefruit: half of 1: 50 calories
Lemon: raw with peel - 25 calories
Lemon: raw without peel - 20 calories
Lemon juice: fresh- 12 calories
Lime: raw with peel- 15 calories
Lime: raw without peel - 10 calories
Lime juice: fresh - 10 calories
Orange-1: 60 calories
Strawberries-1: 5 calories

Seasonings and Spices

Basil, fresh: 1 tbsp. – ½ calorie
Basil, fresh: 5 leaves - 1 calorie
Basil, dried: 1 tbsp., leaves - 5 calories
Basil, dried: 1 tbsp., ground - 10 calories
Balsamic vinegar: 1 tbsp. - 6 calories
Bay leaf, crumbled: 1 tbsp. - 6 calories
Cardamom, ground: 1 tsp. - 6 calories
Chili powder: 1 tsp. - 8 calories
Cider vinegar: 1 tsp. - 3 calories
Cinnamon, ground: 1 tsp. - 6 calories
Cooking spray: 1 second spray – 7 calories
Cumin powder: 1 tsp., ground - 8 calories
Curry powder: 1 tsp., ground – 7 calories
Dill: 1 tsp., dried - 15 calories
Mint, Fresh: 1 sprig - 0 calories
Nutmeg, ground: 1 tsp. - 12 calories
Oregano, dried: 1 tsp., ground - 6 calories
Paprika, dried: 1 tsp. - 6 calories
Parsley, fresh: 1 cup - 20 calories
Parsley, Fresh: 1 tbsp. - 1 calorie
Parsley: 1 sprig, fresh with stem- ½ calorie
Parsley: 1 tsp., dried - 1 calories
Red Pepper Flakes: 1 tsp. - 3 calories
Rosemary: 1 tsp., fresh leaves - 1
Soy sauce: 1 tsp. - 2 calories
Tabasco Sauce: 1 tbsp. - 1 calorie
Tarragon: 1 tsp., dried leaves- 2 calories
Tarragon: 1 tsp., dried, ground - 5 calories
Thyme: 1 tsp., fresh or ground - 15 calories
Turmeric: 1 tsp., ground - 8 calories

Page 18
 Recipe List

Easy Crock Pot Chicken Recipe

Calories: 160, makes 4 servings
4 chicken breasts, skinned
2 med onions, quartered
1 tbsp. oregano
5 cloves garlic, smashed
2 tomatoes with oregano and basil
1 lg. handful fresh basil
1 cup parsley with stem
1 cup celery chopped in pieces
Salt and pepper to taste
Put all ingredients a crock pot and cook for 6-8 hours.

Easy Baked Chicken

Calories: 180, makes 4 servings
1 tbsp. dried parsley and basil, divided
4 skinless, chicken breasts
4 cloves garlic, thinly sliced
Salt and pepper to taste
½ tsp. red pepper flakes
2 tomatoes
Preheat oven to 350° F.
Sprinkle parsley and basil evenly over the bottom of a non-stick baking pan. Arrange chicken in
dish; sprinkle evenly with garlic slices and pepper flakes and top with tomato slices, cover, and
bake for 25 minutes. Remove cover and continue baking 15 minutes, or until chicken juices run
clear.

Apple Chicken Salad

Calories 160, makes 2 servings
8 oz. diced chicken slices
2 apples, diced with skins
1 spring of fresh mint
5 stalks celery, sliced
6 tbsp. lemon juice
1/2 tsp. cinnamon
1/2 tsp. cardamom
1/2 tsp. nutmeg
Combine ingredients. Chill for a half hour then serve over lettuce

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Citrus Basil Chicken
Calories: 160, makes 1 serving
3½ oz. chicken trimmed of visible fat
3½ oz. chopped tomatoes
1 orange, peeled & cut into small pieces
Juice from ½ a lemon
Basil (fresh or dried), as desired
Salt and pepper, as needed
Place a medium-sized skillet onto stove top; coat with cooking spray. Add chicken and lightly coat
with salt and pepper; drizzle with lemon juice and extra water. Cook 3-4 minutes. Add chopped
tomatoes, chopped orange, and basil. Simmer on low, turning halfway through.
Serve chicken on lettuce leaves.

Grilled Chicken Kabobs

Calories: 170, Makes 6 servings
1 tbsp. paprika
1 tsp olive oil
2 tsp. garlic powder
2 tsp. dried thyme, crushed
2 tsp. dried oregano, crushed
1 tsp. salt
1 to 1¼ lb. skinless boneless chicken breast, cut into 1-inch pieces
2 small yellow summer squash cut into chunks
In a large bowl combine paprika, oil, garlic powder, thyme, oregano, and salt. Add chicken, toss
gently to coat. Cover and marinate for 1 to 24 hours tossing once or twice. On 8-inch skewers
thread chicken and squash leaving a ¼ inch between pieces. Grill over medium heat for 8 to 10
minutes or until the chicken is no longer pink.

Lamb Tacos with Cherry Salsa

Calories: 200, makes 4 servings
1 lb. lean ground lamb
1 cup finely chopped onion
1 tsp. curry powder
½ cup chopped fresh cherries
1 tbsp. lemon juice
¼ tsp. salt
¼ tsp. ground black pepper
In a large skillet cook ground meat and onion on medium-high heat until meat is brown and onion
is tender. Drain off fat. Add curry powder, continue to cook, and stir for 1 minute. Stir cherries,
lemon juice, salt, and pepper into the meat mixture

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Crab Cakes
Calories: 160, makes 1 serving
3½ oz. crab
1 garlic clove minced
1 tbsp. garlic powder
½ tsp. lemon juice
½ tsp. sea salt
¼ tsp. pepper
1 tablespoon parsley
Mix all of the ingredients and form into 2 small patties. Take a small baking dish; squeeze the
lemon juice into the bottom. Place the cakes into the baking dish and bake for 15 minutes at
350 degrees.

Barley, Vegetable, Chicken Soup

Calories: 140, makes 8 servings
8 cups reduced-sodium chicken broth
½ cup regular barley
1 to 1¼ lb. skinless, boneless chicken breast halves cut into ¾ inch pieces
1½ cup sliced celery
1½ cup sliced carrots
½ cup chopped onion
¼ cup fresh parsley
1 tbsp. fresh sage or rosemary
¼ tsp. ground, black pepper
1 cup chopped yellow, green, or red bell pepper
In a 4-quart cooking pot bring broth to boiling; add barley. Return to boiling; reduce heat.
Simmer, covered for 30 minutes, and then add chicken, celery, carrots, onion, parsley, sage, and
black pepper. Return to boiling; reduce heat. Simmer, covered about 15 minutes or until chicken
is no longer pink and vegetables are tender. Stir in sweet pepper.
Let cool for 15 minutes then serve.

Lemon Pepper Beef and Cabbage

Calories: 260, makes 1 serving
3½ oz. grams lean ground beef
2 cups minced cabbage
1 cup beef broth
1 tbsp. minced onion
1 tsp. onion and garlic powder
2 lemon slices
1 bay leaf
Freshly ground black pepper to taste

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½ cup water (or more as needed)
Brown the ground beef with the onion. Pat off any excess oil carefully. Sprinkle spices on the meat
and add beef broth, bay leaf, and lemon slices. Bring to a boil and add cabbage and water.
Sprinkle liberally with fresh ground pepper and simmer until water is absorbed and the pan begins
to brown. Add a little more water to deglaze the pan and continue cooking until cabbage is tender
and most of the liquid is absorbed again. Remove lemon slices and bay leaf and serve hot. Garnish
with a lemon wedge and additional black pepper.

Shrimp Ceviche
Calories: 110, makes 4 servings
1 lb. shrimp, fresh or frozen, raw or cooked, peeled and deveined, tail-on or off
¾ cup freshly squeezed lemon juice
¾ cup freshly squeezed lime juice
Tabasco sauce, to taste (optional)
1 tbsp. fresh garlic, minced
1 mild to medium pepper, seeded and chopped
1 cup red onion, finely chopped 2 cups tomatoes, chopped
1½ cups cucumbers, peeled and diced into 1/2-inch pieces
½ cup fresh cilantro, chopped
½ cup fresh parsley, chopped
Sea salt and fresh ground black pepper to taste
Thawed or raw shrimp, bring a pot of water to boil and cook the shrimp for a minute or two until
opaque white and reddish—do not overcook the shrimp. Rinse shrimp under cold water.
Combine juices of lemons and limes in a large bowl (not metal) or large Ziploc bag and add shrimp.
Cover and refrigerate for 30 minutes to marinate. Large shrimp could be cut into smaller chunks to
speed up marinade time. Add the tabasco, garlic, onion, and pepper and toss/mix evenly.
Return to refrigerator for another 30 minutes. Serving, toss the marinated shrimp mixture in a bowl with
cilantro, parsley, tomatoes, cucumbers, and add sea salt and black pepper to taste.

Grilled Tilapia Lettuce Wraps

Calories: 175, makes 4 servings
1 lb. fresh or frozen Tilapia
4 large iceberg lettuce leaves
2 cups fresh baby spinach
¾ cup chopped, seeded tomato
2 tbsp. fresh cilantro
1 tbsp. finely chopped, seeded fresh jalapeño pepper
1 tbsp. lime juice
Thaw fish if frozen, Rinse fish, pat dry with paper towels. Season with salt and pepper
Add fish to the grill for 4 to 6 minutes per ½ inch thickness of fish. Turn the fish over once halfway
through grilling. In a bowl, combine spinach, tomato, cilantro, jalapeño, and lime juice.
To serve divide fish and spinach mixture among the lettuce leaves.

Lemon Pepper Fish

Calories: 110, makes 1 serving
3 ½ oz. whitefish
½ lemon

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2 cloves minced garlic
½ tsp. black pepper
¼ tsp. salt
¼ tsp. turmeric
Place fish in a small bowl. Add garlic, black pepper, salt, cumin, and turmeric. Ensure to coat
both sides. Cover & marinate for at least 1 hour in the refrigerator. Preheat oven to 400. Place
the fish in a non-stick baking dish, & cover with the marinade. Bake 10-20 minutes depending
on thickness until fish easily flakes. Squeeze with lemon juice.

Citrus Tilapia
Calories: 175, makes 1 serving
3 ½ oz. tilapia
1 tbsp. fresh lemon juice
1 tbsp. fresh lime juice
1 garlic clove, minced
¼ teaspoon dried dill
¼ tsp. pepper
¼ tsp. salt
Mix lemon juice, lime juice, garlic, salt, and pepper to taste. Place in a shallow dish, turn to coat and
marinate at room temperature for 15 minutes. Grill over medium heat 4 - 5 minutes per side.

Balsamic Red Onion and Tomato Salad

Calories: 80, makes 2 servings
1 med. red onion, sliced
1 cup tomatoes, chopped
3 tbsp. balsamic vinegar
1 packet stevia
1/4 cup chicken stock
Salt and pepper (to taste)
1 large tomato, sliced
2 large lettuce leaves
In a medium frying pan sauté the red onion with about 1 tbsp. water to fry.
Stir constantly so it doesn’t burn. Sauté for 6 minutes or until they are wilted, stir in the stevia and
continue cooking for another minute as the onions caramelize.
Add the chopped tomatoes and continue cooking for another 2 minutes. Stir in the balsamic
vinegar scraping the brown bits from the bottom of the pan and cooking until all the liquid has
disappeared.
Set aside to cool or put in the refrigerator to cool.
In the meantime, slice a large tomato into about 4 thick slices and place on a large lettuce (or
cabbage) leaf. Spoon cooled balsamic red onions over the top.

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 Apple Day Regimen
To break the stall of the plateau phase, the Apple Day technique was introduced. When
people on the diet experience a plateau and have consulted with a Patient Care
Coordinator, he or she should start his or her apple day. The Apple Day starts from
lunchtime to the next lunchtime the next day. During this time duration, the person
should take and eat 6 big apples. He or she is instructed that whenever he feels like he
wants to eat or feel the appetite to eat, he or she should eat one apple. But, only until 6
apples he or she should consume. They are also instructed that aside from water, an apple
is the only food they can eat.

Steak Day Regimen

This is when the dieter abstains from certain foods for the majority of the day. Literally, he or
she should not eat breakfast and even lunch. He or she should maintain an increased water
intake or take coffee or tea for the fasting period. Then, during dinner, he or she should enjoy
eating a large (8-10 oz) steak. The steak should be cooked and eaten with a raw tomato or
an apple as a side dish.

Maintenance Phase
The Maintenance Phase is a minimum 3-week period after you finish your injections. Dr.
Simeons outlines a few rules here:

 Gradually increase your calories up to no more than 1,500 per day

 You must weigh yourself every day
 You must remain within 2 pounds of your last injection weight (over *OR* under). If you
go over the 2 pounds, you must immediately do a steak day.
 You cannot eat sugars and starches (which is carbohydrates minus the fiber)
 B12 (Methylcobalamin) or Ultra Lipotropic 10 injections are strongly
recommended during this period
 It is extremely important to eat plenty of protein during this period. Many patients can eat
at least 100 grams of true protein (about 400 grams of actual meat, precooked weight).
 After the third week, you can gradually reintroduce sugars and carbs back into your diet.

It takes about 3 weeks before the weight reached at the end of the treatment becomes stable,
i.e. does not show violent fluctuations after an occasional excess. During this period
patients must realize that the so-called carbohydrates, that is sugar, rice, bread, potatoes,
pastries, etc, are by far the most dangerous. If no carbohydrates whatsoever are eaten, fats can
be indulged in somewhat more liberally and even small quantities of alcohol, such as a glass
of wine with meals, does not harm, but as soon as fats and starch are combined things are very
liable to get out of hand. This has to be observed very carefully during the first 3 weeks after
the treatment is ended otherwise disappointments are almost sure to occur.

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The day that you give yourself your last injection, you count 72 hours (continuing with the
500 calorie diet for those 72 hours) from that last shot, then you start your
maintenance/stabilization phase. It is critical that you follow this phase as faithfully as you did the
injection phase because now is when your hypothalamus will reset, clearing off all the 'bad old
days' of yo-yo dieting and poor eating habits. That weight that you were the morning of your
last injection is the weight that you use as a basis for your maintenance phase. Many call this
LIW (Last Injection Weight). Anything OVER two pounds from that weight calls for a steak day.

Maintenance Phase Foods You Can Eat

Allowed Proteins: At least 100 grams per serving

 Fish (herring, salmon, sole, tuna, trout, flounder)
 Any type of prepared eggs
 Cheeses (cheddar, feta, gouda, mozzarella, Swiss, parmesan)
 Fowl (chicken, Cornish hen, quail, turkey, duck, goose)
 Shellfish (clams, mussels, shrimp, squid, oysters)
 Meat (beef, ham, lamb, pork, venison, veal)

Allowed Vegetables: You should aim for two cups of these per day
 Cucumbers
 Bok choy
 Cabbage
 Mushrooms
 Snow peas
 Leeks
 Brussel sprouts
 Tomatoes
 Okra
 Carrots
 Water chestnuts
 Pumpkin
 Summer squash and Zucchini
 Bamboo Shoots
 Avocado
 Radishes
 Broccoli
 Cauliflower
 Hearty greens (collards, mustard greens, kale)
 Scallions
 Eggplant

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 Artichoke hearts
 Asparagus
 Onions
 Turnips
 Peppers

Allowed Low Sugar Fruits: Watch your calorie counts with these fruits
 Apples
 Apricots
 Grapefruit
 Plums
 Peaches
 Pears
 Guava
 Cherries
 Papaya
 Cranberries
 Strawberries
 Raspberries
 Blackberries
 Mellon
 Rhubarb

Allowed Salad Dressing: You can use one to two tablespoons of a dressing with no added
sugar, and carbs at a max of two grams per serving.

Allowed Fats, Oils, and Sweeteners:

 Olive oil
 Walnut oil
 Sunflower oil
 Safflower oil
 Butter
 Grapeseed oil
 Artificial sweeteners (Splenda, Stevia, Truvia) at a max of 1 gram

Allowed Beverages:
 Club soda or Seltzer water with lemon or lime
 Diet soda (watch calories)
 Coffee and tea
 Water (filtered, mineral, or tap)
 Clear broth (no added sugar)

Allowed Alcohol: Watch amounts, and types with the least amount of sugar or starch are
distilled liquors (vodka, rum, whiskey, etc)
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 AVOID These Foods During Maintenance Phase

AVOID these Fruits: AVOID these Starches:

 Grapes  Any flour, wheat, rice
 Tangerines  Pasta
 Pineapple  Bread or bread product
 Kiwi  Crackers
 Bananas  Oatmeal
 Dried Fruit  Potatoes
 Mangos  Pancakes
 Muffins
AVOID these Vegetables:  Grains
 Corn  Cereals
 Parsnips  Popcorn
 Peas  Cornbread
 Plantains  Croutons
 Potatoes  Rice cakes
 Acorn and butternut squash  Beans
 Pretzels
Avoid all these sugar-containing foods:  Taco shells
 Candy  Chips
 Baked goods  Yams
 Soft drinks  Majority of root vegetables
 Ice cream
 Granola
 Yogurt
 Donuts
 Corn syrup
 Fructose
 Lactose
 Malt
 Maple syrup
 Rice syrup
 Molasses

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 Semaglutide Diet Information

Note for Semaglutide Max Patients: Lipotropic troches are taken every day upon
rising. Place the troche under your tongue to dissolve. The BPC troches are taken 1/2
at a time, daily upon rising. Do not eat or drink for 15-20 minutes after the troche
completely dissolves.

 Daily calories should be between 1000 to 1500.

 Exercise is recommended, as it can enhance your weight loss results.
 If you have issues with an upset stomach, please reach out to a Patient Care
Coordinator.
 If your weight loss plateaus, please reach out to a Patient Care Coordinator.
 If you miss more than one weekly dose of Semaglutide, you may need to
start back at a lower weekly dose to avoid an upset stomach. Please reach
out to a Patient Care Coordinator if you miss two or more weeks of your
Semaglutide dose.

Please refer to the hCG Diet Maintenance Phase section on pages 24-27 for allowed
foods and foods to avoid.

Sermorelin and Sermorelean Diet Information

Note for Sermorelean Patients: Lipo Trim Spray should be used in the morning.
Naltrexone should be taken before bed.

 Daily calories should be between 1000 to 1500.

 Exercise is recommended, as it can enhance your weight loss results.
 If your weight loss plateaus, please reach out to a Patient Care Coordinator.

Please refer to the hCG Diet Maintenance Phase section on pages 24-27 for allowed
foods and foods to avoid.

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