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For a lighter future

For a lighter future Your best chance to build a healthy body

Dr Mogens Poppe, FRNZCGP

• MD, PhD, Hamburg
• Diploma O&G
• Diploma Paediatrics
• Certificate Dive Medicine
• Certificate Emergency Medicine
• Fellow American Academy of Anti-Ageing

Medicine

• Declaration: Medical Director and Shareholder of

HCG Doctors New Zealand

The Problem of Obesity

• Ministry of Health figures from September

2011 indicate that 65% of New Zealand adults are either overweight(37%) or obese (28%).

• Obesity is a major risk factor not only for

diabetes, hypertension, heart disease and

• steoarthritis, but also for cancer, kidney

failure, dementia and gastric reflux, as well as sleep apnoea and snoring.

Other Symptoms of Obesity

• Fatigue
• Depression
• Low self esteem
• aches and pains
• Constipation
• Osteoarthritis: 32 fold increase in lifetime risk
• f needing a knee joint replacement

What is Obesity?

Obesity is defined as a BMI of greater than 30 However, Dr Daniel Belluscio in Buenos Aires calls

• besity: “ a clinical disorder characterized by the

capacity of the hypothalamus to accumulate fat well above daily requirements and store it in conspicuous body areas”

What went wrong?

• Obesogenic environment (Food Industry – low fat food

and high fat consumers)

• Driving our cars everywhere, sitting in front of

computer or television screens for many hours most days, eating too much of the wrong food too often, drinking too many sugary drinks or too much alcohol ?

• Using food as a reward or a substitution for other

emotional pleasures plays a role

• Imbalance of energy input versus energy output
• Genetic disposition (descendants of famine survivors)

and epigenetics

How did I find out about HCG?

• Medical conference in Melbourne 2010
• Coinciding with discontinuation of Reductil
• I researched HCG and found Dr Daniel

Belluscio in Buenos Aires

• I attended a 4 day course with Dr Belluscio

in early 2011

Hypothalamus: Appetite and Satiety Centres

The Hypothalamus

• The hypothalamus, the major gland in our brain, is an

assemblage of small but vital nuclei, situated within the diencephalon. It harbours the nerve centres for hunger and satiety.

• The “feeding or appetite centre” has been pinpointed

to the lateral hypothalamus, while the ventro-medial hypothalamus holds the “satiety centre”. The reciprocal and distinct functional roles of these structures were determined by the effect on animal behaviour of selective surgical destruction of different parts of the hypothalamus.

Lipostatic theory

• in adult life the amount of body fat that an

individual carries is remarkably constant

• despite variations to daily energy intake and

expenditure contributing to fluctuations in weight, in the long term, the body remains balanced as complex mechanisms ensure that homeostasis is maintained.

• plus our body wants energy stores for bad

times – like the next famine…

Bad Food

• Trans-fatty acids
• Sugars
• Artificial sweeteners
• White bread and white rice
• Salt
• Other bad fats, like some saturated fats
• Plus Food Additives and Food residues

Too much Food

• ADDICTION TO FOOD- addiction centres are

located very close to the hypothalamus

• "I hardly eat anything, doctor“
• Food allergies and food intolerances
• Bowel dysfunction
• Intrauterine obesity
• Obese children
• Epigenetics: Obese grandchildren

Currently obese adults: Two Groups

• 1) obese as children and then obese as

adolescents and obese as adults

• 2) used to be slim and healthy - most of the

second group seem oblivious to the very gradual changes in body composition and the resulting very small and gradual changes in medical risk factors

BMI 20 BMI 31 Slow Change – Big Difference

How can we fix the Obesity Problem?

• Smoking allegedly kills 5000 people in New

Zealand every year

• How many Kiwis suffer premature death as a

result of being seriously overweight, considering that being obese increases a woman's risk of developing breast cancer by up to 40%?

• It might be anybody's guess; all I can say is

that it has to be a very substantial number.

Change the Food Environment

• The ways food is perceived, presented, used,

advertised, broadcast, priced, taxed, written about, talked about, felt about, thought about – all this has to change in order to effect a change in attitude towards food, resulting in

• ur eating and buying behaviours to improve.
• “Added Sugar Tax” – has time finally come for

this tax?

How can a Doctor help?

• Good Advice: “ eat less and exercise more...“
• Duromine – a variation of speed
• Reductil – long gone (? cardiac SE)
• Xenical – flatulence
• Refer to bariatric surgeon – change the human

anatomy rather than the food environment!

• Show empathy and don’t use the f-word

(advice given at last year’s conference here)

Dr Albert Simeons, 1900-1970

• Englishman, who went through school in

Germany and graduated as a doctor from the University of Heidelberg in Germany.

• the 1920s he worked at the Hospital for Tropical

Disease (“Tropeninstitut”) in Hamburg

• travelled to Africa and India, developed a

treatment for malaria and obesity

• well known for successfully treating obese

patients from all over the world at the Salvador Mundi Hospital in Rome, Italy.

Three Types of Fat Tissue(Dr Simeons)

• First: the “Structural Fat” is an essential part
• f our muscles, organs and other areas like for

example the soles of our feet.

• Second: the normal “Reserve Fat” which is freely

available to our metabolism and is in constant exchange with our active metabolic balance.

• Third: the “Abnormal Fat” which acts like a “term

deposit” in a bank account, it has been put away for special times (starvation or pregnancy) and is

• ut of reach of our normal metabolism

HCG treatment

• The abnormal fat as visible expression of the

hypothalamic disorder is the primary target of HCG treatment.

• The most experienced HCG practitioner in the

world today is Dr Daniel Belluscio in Buenos Aires who has treated more than 6,000 patients with HCG over the last 30 years

My own experience

• I went to Argentina, completed a course by Dr

Daniel Belluscio in Buenos Aires

• I started treating patients in my general

practice at Ohope Beach, Bay of Plenty

• I lost 15 kg since 2011– from 96kg to 81 kg
• Together with colleagues Mike Cushman and

Cheryl Wiggins developed Renaissanz HCG treatment programme adapted to New Zealand conditions in the 21st century.

First results after 46 patients

• Patients lost an average of 11.04 kilograms or

11.5% of their body weight.

• More recently this figure went up to almost 12

kilos on average

• corresponds to a very significant loss of body fat

and, best of all, a reduction of 12.5 centimetres around the waist.

• Most importantly, our patients overall have

achieved 88% of their initially planned and targeted weight loss!

More important Results

• Diabetes and pre-diabetes reversed
• Hypertension “cured”
• Depression improved or reversed
• Joint and muscle pains relieved
• Snoring and sleep apnoea relieved
• Self - confidence much improved and

generally much more positive outlook on life

Benefits for the doctor

• Finally able to help my obese patients
• Emotionally and intellectually very rewarding
• Witnessing life-changing experiences
• Have often been close to tears in meetings
• Financially rewarding as well
• Beats having to transition patients from

metformin to insulin…or having to add the fifth antihypertensive medication

What is HCG?

• Human Chorionic Gonadotrophin, a naturally
• ccurring polypeptide hormone
• name is derived from its discovery as an

important hormone during the early stages of pregnancy

• during a normal pregnancy, HCG is secreted in

vast amounts, up to 1 million I.U. / 24 hours

• We inject only 125 I.U. of HCG per dose

Role of HCG during the VLCD

• What does HCG actually do in the context of our

weight management ?

• We believe it assists in forcing the hypothalamus

to give up the abnormal fat reserves and enables the body to tolerate the VLCD well

• only two situations when this naturally happens:
• severe starvation
• pregnancy.

Very Low Calorie Diet

• Without HCG it would require almost

superhuman willpower and tenacity to live on 500kcals per day for six or seven weeks and still feel well, while at the same time working and also managing a home environment.

• Very specific diet, ideal composition to effect

maximum weight loss (400grams per day)

• No sugar, no fat, no alcohol

Renaissanz Programme

• Doctor-led HCG Weight Management

Programme

• The management of obesity as a result of a

hypothalamic disorder is a medical procedure under the supervision of a specially trained medical doctor.

• HCG is a pharmaceutical compound that

needs to be prescribed by a doctor

Real HCG

• The HCG that we are using has been imported

from the United States from a FDA- approved compounding pharmacy. This pharmacy in Florida currently supplies more than 600 clinics all over the United States.

• Cheap “so called HCG” on the internet:
• By contrast, any homeopathic or other

preparation, available as drops without a doctor’s prescription, by definition do not contain any single molecule of HCG

Renaissanz Programme

• HCG is only an adjunct to the programme
• Regular weekly doctor-led meetings
• Special supplements and monitoring of health
• Education about food labels
• Education about good food and bad food
• Patient to patient support (group dynamics)
• Weight loss only kick-start to healthier life
• Encouragement to maintain changes
• Encouragement towards exercise after

programme finished

Initial medical assessment

• medical history, thorough examination and

blood tests are a prerequisite before the start

• f the programme
• Current medications including supplements
• Measurements and determination of target

weight loss

• Blood tests
• Review with test results

Blood tests

• Make sure the patient is healthy!
• FBC, CRP, Fe, Fe saturation, ferritin, Folic acid,

B12,

• LFT, U&E, RFT, URIC ACID, PSA in males
• Fasting glucose and cholesterol, MSU
• TSH, T3, T4
• H. pylori serology if on PPIs
• Magnesium, zinc, vitamin D
• Oestradiol, progesterone, testosterone (f/m)

Contraindications to HCG therapy

• Pregnancy
• Childhood
• Active Cancer
• Recent Heart Attack
• Recent Gallbladder Colic
• Active Psychosis
• Type 1 Diabetes

Conditions requiring special care

• Type 2 diabetes patients on insulin
• Type 2 diabetes patients on oral medications
• Hypertension patients on medication
• Gout patients on preventatives or patients

with high uric acid levels

• Patients with thyroid problems
• Women on conventional HRT

Adjustments of medications

• Stop all thyroid supplementation (unless patient

has no functioning thyroid gland)

• Stop all oily supplements including fish oil
• If necessary increase allopurinol
• Review hypertensive patients after gorging and

usually reduce BP meds

• Review diabetic patients after gorging and reduce

(possibly by 50%) anti-glycaemics

• Stop iron tablets
• Review HRT patients prior to programme

Renaissanz Nutrient Support

• Specially formulated for HCG diet
• Formula is in my book “Kilos and Centimetres”
• Acts as liver tonic and source of vital nutrients
• Contains lots of trace minerals, vitamins and anti-
• xidants
• Features key botanicals to support phase I and

phase II detoxification processes

• Helps gut function, sleep and muscles
• prevents food cravings

Assessment of body fat and target weight loss

• Body composition scales
• Callipers
• Normal for males 20% body fat
• Normal for females 25% body fat
• Work out target weight loss as excess fat to loose
• up to 16kg for 40 doses (400grams per day on

average)

• We recommend not to exceed 20kg weight loss

per 6 week treatment cycle – this way no issues with flabby skin

Duration of Programme and 500kcal Food Protocol

• An average weight loss of 400 grams per day is an

achievable goal

• You need a minimum of 23 doses of HCG (for

repeat patients) up to a maximum of 40 injected doses or 42 sublingual tablets

• 4 weeks or 6 weeks of HCG treatment
• After 40 injections we stop, in order to avoid

what Dr Simeons has called ‘immunity”, probably a type of “tolerance to HCG”; besides most patients need a break by then anyway

Body Measurements

Body Measurements

Other measurements

• Height
• Weight
• Waist circumference
• Blood pressure
• Photos

Administration of HCG

• INJECTIONS :
• Intramuscular - at surgery
• Subcutaneous - at home
• SUBLINGUAL TABLETS

Essential Tools

• Electronic bathroom scales
• Electronic kitchen scales
• Good eyesight or reading glasses
• Non-stick Bench-top Grill (George Foreman

type)

• Sandwich Press
• Non-Stick Frying Pan with Lid

Gorging

• First 2-3 days on HCG
• Very clever way to trick the hypothalamus – primes the

body to give up fat stores

• 2-3 days of eating to capacity
• Preferably fatty, creamy and sweet food
• Goes against the grain, but is essential
• Do not gorge without being on HCG !

Very low calorie diet (500ckal/d)

• TWO TO THREE LITRES OF FLUIDS EVERY DAY
• Filtered Water
• Tea (best is Green Tea) and Coffee in any

quantity, no sugar

• One tablespoon of milk is allowed per 24

hours

• Juice of one lemon is allowed per 24 hours
• Absolutely NO FAT, NO SUGAR, NO ALCOHOL

BREAKFAST

• unlimited fluids like tea or coffee or water
• possible: - 1 apple and/or 1 slice of toasted

Vogel’s (deduct from lunch/ dinner allocation) with a small slice of tomato

LUNCH (plus same for DINNER)

• 100 GRAMS OF LEAN MEAT
• BEEF including lean mince, CHICKEN, VEAL, VENISON,
• r GOAT,
• no fatty meat like pork, mutton or lamb
• OR- 100 GRAMS OF WHITE FISH
• no oily fish like salmon, tuna, trout or kahawai
• OR- 100 GRAMS OF CRAYFISH, SHRIMPS OR MUSSELS
• OR- 3 EGGS (two of them without yolk)
• OR- 125 GRAMS of LOW FAT COTTAGE CHEESE
• All visible fat must be carefully removed before

COOKING OR GRILLING – NO FRYING

One Type of Vegetable only per main Meal (Lunch & Dinner)

• Chosen from:
• Spinach or Cabbage or Bok Choy or Silverbeet
• Tomatoes or Onions or Asparagus
• Capsicums or Green Beans or Egg Plant
• Cucumber or Zucchini
• all types of Green Salad incl. Lettuce, Roquette
• Fennel or Chicory or Celery
• Broccoli or Cauliflower or Brussel Sprouts

Use Spices !

• For Seasoning: Salt, Pepper, Vinegar, Mustard

powder, Garlic, Basil, Parsley, Thyme, Marjoram, Curry powder, Chilli powder, Herbs and Spices etc. within normal quantities

• Careful to avoid oily or sugar containing

sauces

No Recipes

• It helps, NOT to provide recipes
• Patients have to take their mind of food
• Part of the treatment is “healing” a

preoccupation with food

• In this regard it helps that the patient only

eats to achieve satiety and remain well

Possible Side Effects of the VLCD

• If at all present then usually only for the first few

days:

• Headaches
• Sleeping Problems
• Constipation
• Feeling hungry
• Hypoglycaemia in diabetic patients
• Hypotension in hypertensive patients
• Gout in predisposed patients

Pitfalls of the VLCD

• Menstruation
• Human Element:
• To err is human
• Trying to cheat is human, too!

What we say about food protocol

• a very cleverly designed combination of particular

food items that all fit together perfectly, tried and refined over decades.

• Please just accept it, do not try to apply what you

feel is common sense in order to vary the composition of the food protocol, just enjoy this result of other people’s hard work, respect it and go with it for the duration of the treatment and be assured that it works ( it’s only six weeks)

Further Medical Assessments during and after treatment

• check-up 2 weeks after starting HCG
• Sometimes more frequent checks
• Assessment 4 weeks after starting HCG
• Assessment before starting stabilisation
• Full assessment before start of maintenance
• Optional: follow-up three months later
• Weekly doctor - patient group meetings

Monitoring Weight Loss

• Weighing every morning
• first thing
• after emptying bladder
• without clothes
• written down on chart
• Average 400grams per day – can vary wildly
• Every kilo of weight loss usually equals 1 cm

less around the waist

Stabilisation

• Once the active treatment phase of HCG

administration has been completed

• After last dose of HCG: 72 more hours of VLCD
• three weeks “stabilisation” period must be
• bserved to make sure the effected changes in

the hypothalamus become consolidated

• No sugars and no starches, but everything else

is allowed in moderation during this phase

On-going weight monitoring during stabilisation

• Patient still needs to weigh every morning
• If weight gain more than 1 kilo:
• Immediate “Steak Day”!
• “Steak Day” – only fluids all day and then one

huge steak for dinner (the bigger the better) with one tomato or one apple only

My wife after loosing 15kg

Maintenance – the rest of your life

• New Chance with a New Body
• Less but better Food
• Much more Exercise
• Healthy eating – Healthy Living
• Good eating habits
• Regular meals sitting at the dinner table
• Eating slowly and chewing food well
• Smaller plates help us eating less!
• Stop eating when you have had enough food
• Food is not a stress relief

On-going weight monitoring during maintenance (rest of life)

• Patient still continues to weigh every morning
• If put on more than 1 kilo:
• immediate “modified steak day”!
• “Modified Steak Day” consists of lots of fluids

and only either tomatoes or apples during the day and then one huge steak for dinner

• Body will want to regain the lost energy stores

(ghrelin and other hormones)

Good Food

• GOOD FATS
• GOOD PROTEINS
• GOOD CARBS
• VEGETABLES
• FRUITS
• GOOD SUGARS ???

Dr Poppe’s 12 Rules to beat

• besity
• Never eat in front of the television!
• Never overeat and always use small plates!
• Never consume soft drinks!
• Only eat sweets or potato chips as a treat
• Only eat when hungry, and not to comfort
• ther emotions!
• Always sit down for your meals, eat slowly and

chew well ( 20 times for every bite)

Dr Poppe’s 12 Rules to beat

• besity
• Always beware of hidden sugars, fats and salt!
• Takeaways are unhealthy and expensive!
• Stop eating before you feel full - it takes half an

hour after a meal to feel satisfied!

• Walk or cycle instead of using the car!
• Use the stairs instead of the lift!
• Exercise 6 times a week for the rest of your life
• Like all good rules you have to follow these most
• f the time!

Subliminal therapist + psychologist + naturopath + osteopath

• New ways to enhance, support and consolidate the

effects of the Renaissanz programme

• Subliminal Therapy is a type of “remote control

hypnotherapy”

• After initial consultation, a personalized recording will

be played on a MP3 player for about 30 minutes before bed for about 4 weeks

• Psychological support can be invaluable for some

patients

• Osteopath helps to adjust and optimise new, lighter

body

• Naturopath offers nutritional and other therapy

Where is the evidence?

• To date no double blind cross-over randomised

controlled studies done – cost between $100,000 and $1,000,000 depending on patient numbers

• Our patients are our evidence!
• I have treated 376 patients in Ohope with a response

(success rate) of around 97%

• Dr Daniel Belluscio has treated more than 6,000

patients with similar success

• Trying the VLCD without being on HCG is very

unpleasant – best proof we have for efficacy of HCG

Results first 46 treatments

Audit of results after 46 treatments

Wellness questionnaire

1 = always 10 = never

1= very low 10 = very high

1 = every day 10 = never

1 = always 10 = never

1 = every day 10 = never

1 = every night 10 = never

1 = every day 10 = never

1 =every day 10 = never

Wellness scale

Results after 87 treatments

• Average weight loss 11.70 kg
• Average loss of waist circumference 12.11 cm
• Average loss of BMI 4.14
• Average achieved targeted weight loss 94.09%
• Average loss of total body weight 12.59%

Further interesting details

• Average age of patients 51.3 years
• 62% female, 38% male
• 67% European, 28 % Maori, 2% Chinese
• Average male weight loss 12.94 kg
• Average female weight loss 10.94 kg
• At this stage no significant differences in

results related to way of HCG administration

• 5

5 10 15 20 25 5 10 15 20 25

Number of Patients Weight Loss (kg)

Distribution of Weight Loss at End of Treatment

AVERAGE

5 10 15 20 25 5 10 15 20 25

Weght Loss (kg) Target Weight Loss (kg)

Weight loss attained

achieved weight loss Linear (Achieved Target)

Results one year after completion of

• ur programme
• Average weight gain 0.610 kg after 1 year
• This still leaves a net weight loss of 11.09 kg

compared to before the programme started

• Compares favourably to JAMA article from 2007

where at 1 year the average loss was for Atkins 4.7kg, Zone 1.6kg, LEARN 2.2kg and Ornish 2.6kg)

• Or New England Medical Journal from 2008

where low fat diet 3.3kg, Mediterranean diet 4.6kg and low carb diet 5.5kg weight loss respectively

0.00 2.00 4.00 6.00 8.00 10.00 12.00 5 10 15 20 25

Number of Patients Weight Loss (kg)

Distribution of Weight Loss 1 year following completion

AVERAGE

• 2

2 4 6 8 10 12 14 16

• 15
• 10
• 5

5 10 15 20

Number of Patients Weight Change (kg)

Difference in weight 1 year later

Patient Feedback

• “I Feel fantastic”
• “Best thing I have done for years”
• “You have changed my life”
• “You have saved my life”
• Patients feel in control of their bodies
• Patients are suddenly interested in their health
• They are conscious of food contents, appropriate

portion sizes, and have learnt how to read labels

• “ I Recommend it to everyone I know”
• “Just put your mind to it. It’s Easy!”

Renaissanz Programme

• Doctor-led weight management programme based on HCG and

VLCD, education and support

• We believe we are successful because of the comprehensiveness of
• ur programme
• Safe because of close medical supervision
• Successful patient outcome is most important parameter
• Seminars to train and accredit doctors –next seminar Saturday 12

July in Auckland 2-5pm

• Overwhelming benefits for patients
• Significant benefits for doctors on emotional and financial levels -

plus vastly increased job satisfaction

• Cost of programme usually saved in food and beverages
• Information on website: Renaissanz.co.nz
• Email drmpoppe@gmail.com

Room for improvement

• Further emphasis on how to keep patient on

track – additional meeting 3 months later

• Subliminal therapy and further support through

psychologist, naturopath and osteopath

• “Eat, fast and live longer” – “fast” once a week
• Read “Sweet poison” – stay away from sugar

(especially fructose)

• Association with gym and pool
• On-going email messages –
• Facebook forum