The hCG protocol, created by Dr. A.T.W. Simeons back in the 50’s and 60’s, is a multi-stage program designed to melt the abnormal fat from your body, reset your hypothalumus to keep you at a ‘normal’ weight, and help you learn to eat correctly to maintain that weight FOR LIFE, so that you’ll never have to diet again. Followed correctly, it will cure you of the disease of obesity.

It is important to understand that this is NOT A DIET. It is a scientifically designed protocol that utilizes a combination of very specific foods at 500 calories per day and the use of hCG (either injected, taken sublingually or via homeopathic application) to CHANGE THE WAY YOUR BODY PROCESSES FOOD. Because of this, you should not look for food substitutions, nor look for ways to add ‘calorie free’ foods, as you might upset the nutritional balance that is designed in the protocol. Doing so may impair your weight loss, and/or possibly keep you from resetting. If followed, this protocol WORKS.

This is a very precise process, so cheating can not only affect your weight loss, but your ability to stabilize later, and you won’t know until you get there if you messed up your stabilization when you cheat.

Here is the basic process:

  1. Loading (or the Gorge) – While taking your .125 dose of hCG (or 125iu 2x per day if sublingual or 6 drops 3x per day if homeopathic), you eat as high fat as possible, gorging to the point of nausea, for 2-3 days (3-4 days if you are coming off a diet process such as Weight Watchers/Atkins/etc.). This will be hard. You *MUST* eat to capacity. This will stock up your fat cells, and both help you lose, and help to stave off hunger while on the VLCD (very low calorie diet) portion of the protocol. Dr. Simeons says: “Patients in a satisfactory general condition and those who have not just previously restricted their diet start forced feeding on the day of the first injection. Some patents say that they can no longer overeat because their stomach has shrunk after years of restrictions. While we know that no stomach ever shrinks, we compromise by insisting that they eat frequently of highly concentrated foods such as

    • milk chocolate,
    • pastries with whipped cream sugar,
    • fried meats (particularly pork),
    • eggs and bacon,
    • mayonnaise,
    • bread with thick butter and jam, etc.

    The time and trouble spent on pressing this point upon incredulous or reluctant patients is always amply rewarded afterwards by the complete absence of those difficulties which patients who have disregarded these instructions are liable to experience.”

  2. Step 2: the VLCD (very low calorie diet) – while continuing the dose of hCG, continue on with the VLCD (below) until 40 injections/dosage days have been reached. Drink at *least* 3 liters of water per day. It is recommended while this is going on to take potassium (99 mg 3 times per day) to help with sleep, hunger and to stave off cramps, as your body will shed potassium with all the water. You may also wish to consider taking magnesium as well to help keep you having regular movements (BM’s). L-glutamine will help with cravings for ‘comfort foods’ too. If you have energy issues, consider B-12 to keep energy levels up.
    Do *NOT* stop taking your medications, check with your doctor for that.
  3. When 40 effective (number of injections after the load) injections have been reached, stop taking hCG and stay on the VLCD for the next 72 hours, to allow the hCG to leave your system. When you take your last shot/dose (LIW/LDW), record that weight, it is your goal for this round. Don’t worry about any weight you lose during the 72 hours, it will almost always come back when you start eating for maintenance.
  4. After 72 hours have passed, check our calculators to see your recommended caloric intake for your weight/height (at this time), and get the information for the Atkins Induction Diet and this will be your guideline for Phase 3 eating. No sugars or starches (which are carbs). You’ll not be able to eliminate them, but you *must* minimize them. This is critical to ensure a proper reset. Make sure you eat *enough*, the Number 1 reason people cannot reset in this part of the protocol is by not eating enough!! And keep up your water, water is essential to maintaining your weight and your health. Spend a couple days ramping up to your recommended calories. Your goal here is NOT TO LOSE, but to maintain your LIW within 2 lbs above or below, to reset your system to your new weight. Do this for minimum 3 weeks.
  5. After 3 weeks of maintenance, you can start *carefully* adding in sugars and starches, remembering that you must stay within the 2lb limit above or below. Remember that you must reduce fats/protein when adding carbs, to keep in your calorie limits. Do this for 3 *more* weeks (minimum, and it lengthens depending on your round).
  6. If you are not yet at your goal weight, do a second round, starting again at #1. Dr. S says: “Patients requiring the loss of more than 34 lbs. must have a second or even more courses. A second course can be started after an interval of not less than six weeks, though the pause can be more than six weeks. When a third, fourth or even fifth course is necessary, the interval between courses should be made progressively longer. Between a second and third course eight weeks should elapse, between a third and fourth course twelve weeks, between a fourth and fifth course twenty weeks and between a fifth and sixth course six months. In this way it is possible to bring about a weight reduction of 100 lbs. and more if required without the least hardship to the patient.”
Breakfast: You may have tea or coffee in any quantity without sugar. Only one tablespoonful of milk allowed in 24 hours. Saccharin or Stevia may be used.
Lunch: 100 grams of veal, beef, chicken breast, fresh white fish, lobster, crab, or shrimp. All visible fat must be carefully removed before cooking, and the meat must be weighed raw. It must be boiled or grilled without additional fat. Salmon, eel, tuna, herring, dried or pickled fish are not allowed. The chicken breast must be removed from the bird.
One type of vegetable only (per meal) to be chosen from the following:

  • spinach
  • chard
  • chicory
  • beet-greens
  • green salad
  • tomatoes
  • celery
  • fennel
  • onions
  • red radishes
  • cucumbers
  • asparagus
  • cabbage
  • One breadstick (grissini) or one Melba toast (a melba toast in this context is the size of 1/2 piece of bread – vicky)
  • An apple, orange, or a handful of strawberries or one-half grapefruit.
Dinner : The same four choices as lunch (above.)

Drinks and Seasonings

  • The juice of one lemon daily is allowed for all purposes.
  • Salt, pepper, vinegar, mustard powder, garlic, sweet basil, parsley, thyme, majoram, and other spices (make sure they contain no sugar or starches), may be used for seasoning, but no oil, butter or dressing.
  • Tea, coffee, plain water, or mineral water (2-3 liters of water per day *minimum* is recommended) are the only drinks allowed, but they may be taken in any quantity and at all times.
  • The fruit or the breadstick may be eaten between meals instead of with lunch or dinner, but not more than than four items listed for lunch and dinner may be eaten at one meal.
  • No medicines or cosmetics other than lipstick, eyebrow pencil and powder may be used without special permission. If you are on prescription medications, please check with your doctor before going off *any* medication!! NOTE: Many people do ok using their regular shampoos/conditioners and makeup, you’ll have to determine for yourself what works here. I used all my regular stuff, and used Bare Minerals makeup with no problem. <==== NOTE: We have discovered that cosmetics in this period were loaded with oil, so if you use cosmetics or skin products, use oil free.

Portions and specially prepared unsweetened, low calorie foods

“In many countries specially prepared unsweetened and low Calorie foods are freely available, and some of these can be tentatively used… the total daily intake must not exceed 500 Calories if the best possible results are to be obtained, that the daily ration should contain 200 grams of fat-free protein and a very small amount of starch.” From Dr Simeon’s “Pounds and Inches.” Read the complete manuscript here

Important Highlights:

  • The 500 calorie limit must always be maintained. You can be below, but must try to have *no more* than 500 calories.
  • 2 small apples are not an acceptable exchange for “1 apple”. Two small apples may have more calories than 1 regular apple, so just use regular apples.
  • You may use your apples and breadsticks as snacks if you wish (no food less than 2 hours before sleeping)
  • Very occasionally egg is allowed – boiled, poached or raw – to patients who develop an aversion to meat, but in this case they must add the white of three eggs to the one they eat whole.
  • Cottage cheese made from skimmed milk is ok, 100 grams may occasionally be used *instead* of the meat, not in addition to it.

Personal Care and Beauty Products on the hCG Diet:

  • We do permit the use of lipstick, powder and such lotions as are entirely free of fatty substances. We also allow brilliantine to be used on the hair but it must not be rubbed into the scalp. Obviously sun-tan oil is prohibited.
  • Aspirin and birth control are allowed on the hCG Diet.
  • No massage of any kind is allowed during the protocol

Loading is just that, loading your body with fat for 2 days to prepare it for the VLCD to come. Start your injections or sublingual, and for the first two shots, gorge until you’re ready to throw up. I mean it. Stuff yourself. Dr. Simeons says to ‘eat to capacity’ on high-fat products.

Do NOT try to limit your food during these days; the fattening food is necessary for the diet to work correctly, and more importantly to re-establish the structural fat that’s been reduced or lost by years of fad-dieting. The more you eat, the better you will lose weight during the VLCD stage. If you don’t load to the fullest extent, you will feel extreme hunger during the VLCD. Loading to the max will cause you to have very little hunger. My first round, I was hungry for the first 10 days because I didn’t load properly. You SHOULD gain weight on the loading days (I gain around 5 lbs), you will lose it all within the first week, probably even the first 2 days!

Be sure to take pictures and measurements at this beginning stage so you can see the difference in your body and watch those inches melt away! The best thing to remember is to always measure in the same location.

The idea is to load up on fatty items, more than carbs. You can eat carbs if you wish, but you really should concentrate on the fats more. Many people find this a bit confusing, and aren’t sure what to eat. Well, here is where it gets fun! Ice cream, cheese, eggs, bacon, milkshakes, Outback Steakhouse Cheese Fries with Ranch Dressing, Wendys Triple Bacon Cheeseburgers, all the things you so carefully avoid during ‘regular’ diets are *encouraged* during the Load.

Here are some sample foods to eat, both the ‘healthy’ fats and the ‘unhealthy’ ones. You choose which to eat, just make sure you eat a *lot* of them!!

  • Healthy Cold Pressed Oils
  • Drizzle Extra Virgin Olive Oil, Sesame Oil, Coconut Oil on everything!
  • Avocados
  • Nuts: Especially Walnuts, Macadamia Nuts, Pecans, Pine Nuts, in that order, can really boost your fat gram load
  • Nut Butters & Tahini
  • Seeds: Sesame, Sunflower, Pumpkin are all great!
  • Peanut butter!!
  • Coconut: The oil, the milk, the meat
  • Olives: Green or black, and stuff them with Tahini!
  • Eat foods that you crave that are especially high in fat such as Dairy Queen, cakes, cookies, custards, creams, pastries, chocolate, etc. as it has a psychological effect of saying good bye (for now!)
  • cheeses, especially French cheeses that are creamy and fatty, like brie
  • Bacon, eggs, sausage! Make huge omelets with meats and cheeses
  • Pizza!!!!
  • Mexican food
  • Focus on high caloric creamy foods.
  • Drink whatever you want on your load days; including soda, beer, wine, liquor, sake, etc.
  • Fast food: Hardys Thickburgers, Wendys Triples, Outback Cheese fries, Bloomin Onions, go for it!
  • Dr. Simeons specifically lists milk chocolate, pastries with whipped cream, sugar, fried meats (particularly pork), eggs and bacon, mayonnaise, bread with thick butter and jam, etc.

Some things I have eaten on loads:

  • Pizza
  • Shrimp and grits
  • Corned Beef and swiss with thousand island dressing
  • Chocolate Bobka
  • Red Velvet Cake
  • Sushi
  • Blintz
  • Knish
  • Milkshakes
  • Ben & Jerry’s Ice Cream
  • Bacon
  • Eggs & Cheese
  • Naan
  • French Fries
  • Bread Pudding
  • Fried Chicken
  • Biscuits
  • Donuts
  • Outback Steakhouse Loaded Fries with Ranch Dressing
  • Subway sandwiches
  • Chinese food
  • Heavy Cream in my tea

Some of the fast food items you can look at when loading (not healthy, but you’ll only be doing this for 2 days):

  • Wendy’s Triple Burgers and fries
  • Outback Steakhouse Aussie Cheese Fries with Ranch Dressing – This weapon of mass construction is the caloric equivalent of eating 14 Krispy Kreme doughnuts, before your dinner arrives. Even if you split this “starter” with 3 friends, you’ll have downed a meal’s worth of calories. 2,900 calories, 182 g fat, 240 g carbs
  • Applebee’s Quesadilla Burger, a beef patty with cheddar cheese, pepper-Jack cheese, bacon, Mexi-ranch sauce, pico de gallo tucked into two white flour tortillas served with fries. It packs 1,820 calories, 46 grams of saturated fat and 4,410 milligrams of sodium. The chain suggests diners can top the dish with fries with chili and still more cheese.
  • Chili’s Big Mouth Bites, four bacon cheeseburgers with sides of fries, onion strings and jalapeno ranch dipping sauce. The tally: 2,350 calories, 38 grams of saturated fat, 3,940 milligrams of sodium.
  • Uno Chicago Grill’s Mega-Sized Deep Dish Sundae, a monster chocolate chip cookie topped with a large portion of ice cream and covered with whipped cream and chocolate sauce drizzle. It has 2,800 calories and 72 grams of saturated fat.
  • Olive Garden’s Tour of Italy with lasagna, lightly-breaded chicken Parmigiana and creamy chicken alfredo served in one entree for 1,450 calories, 33 grams of saturated fat and 3,830 milligrams of sodium. The tally goes up if diners add breadsticks for 150 calories each and a plate of garden fresh salad with dressing for 350 calories.
  • The Cheesecake Factory’s Chicken and Biscuits, a chicken breast served over mashed potatoes with shortcake biscuits, mushrooms, peas and carrots and covered with country gravy. Total: 2,500 calories. It’s almost equal to eating a KFC 8-piece Original Recipe bucket plus five biscuits, which has 2,380 calories and 56 grams of fat.
  • The Cheesecake Factory Fried Macaroni and Cheese, crispy crumb-coated macaroni and cheese balls with a creamy marinara sauce. It equals 1,570 calories, 69 grams of saturated fat and 1,860 milligrams of sodium. You might be better off eating an entire stick of butter with 57 grams of saturated fat and 800 calories..
  • Quizno’s Classic Italian sub (large) – 1,510 calories, 82 g fat, 3,750 mg sodium, 106 g carbs
  • Uno Chicago Grill Chicago Classic Deep Dish Pizza – 2,310 calories, 162 g fat, 123 g carbs, 4,470 mg sodium
  • Hardee’s Monster Biscuit -When they say “Monster,” they mean it. This 700-calorie behemoth should be enough to scare anyone: It contains nearly a full day’s worth of sodium and saturated fat. Instead, try the Sunrise Croissant with Bacon. It’s not exactly diet-friendly, but if you’re stuck at Hardee’s, it’s a way to escape without too much damage. 710 calories, 51 g fat (17 g saturated), 2,250 mg sodium, 37 g carbohydrates
  • On the Border Dos XX Fish Tacos with Chipotle Sauce and Refried Beans and Rice – Fish is normally a wise, lower-calorie meat option than heavy burgers or steaks, but these tacos defy that logic. There’s only three of them in this dish, but together they account for the caloric equivalent of 43 Chicken McNuggets. Add the carbohydrate-loaded refried beans and Mexican rice, and you’re looking at over a full day’s worth of calories in one sitting. 2,440 calories, 159 g fat (36 g saturated), 184 g carbohydrates, 5,390 mg sodium
  • Romano’s Macaroni Grill Dessert Ravioli – Would you eat a Quarter Pounder for dessert? How about four? That’s how many it takes to match to calorie-load of this decadent dish.  1,630 calories, 74 g fat, 33 g saturated fat, 1150 mg sodium, 223 g carbohydrates
  • P.F. Chang’s Tam’s Noodles – You’d have to eat 42 Krispy Kreme Glazed Doughnut Holes to match the fat content in these noodles. 1, 678 calories, 93 g fat (17 g saturated fat)
  • Chili’s Buffalo Chicken Fajitas with The Works (Ranch Dressing, Guacamole, Sour Cream, Cheese, and Pico de Gallo + 4 tortillas)  – Here are a few offenders to choke on: fried chicken, Buffalo sauce, blue cheese, ranch dressing, and sour cream. All make this the sodium equivalent of single-handedly downing three and a half baskets of Chili’s bottomless tostada chips or eating 3 ½ pounds of salted peanuts. Add rice and beans, and you’ve just ordered 3 days’ worth of sodium and an entire day of calories. 1,730 calories, 117 g fat (31 g saturated fat), 5,690 mg sodium
  • Chili’s Smokehouse Bacon Triple-The-Cheese Big Mouth Burger with Jalapeno Ranch Dressing – You know this burger’s in trouble when it takes more than 20 syllables just to identify it. If you think the name’s a mouthful, just wait until the burger hits the table. You’ll be face to face with two-and-a-half day’s worth of fat-a full third of which is saturated. To do that much damage with roasted sirloin, you’d have to eat about eight 6-ounce steaks. It’s nearly three days’ worth of saturated fat. 2,040 calories, 150 g fat (53 g saturated), 110 g protein, 4,900 mg sodium
  • Uno Chicago Grill Pizza Skins (full order) – This appetizer is like eating a Large Domino’s Hand-Tossed Sausage Pizza! Would you ever think of saying to a waiter: “Why don’t you start us off with a large meat pizza?” If you’re ordering for a party of more than 5 it might be OK, but for smaller groups, it’s tilting toward gluttony gone wild. Order the Thai Vegetable Pot Stickers instead-the only item carrying fewer than 800 calories. 2,400 calories. 155 g fat (50 g saturated), 3,600 mg sodium
  • Baskin Robbins Large Chocolate Oreo Shake – It¹s soiled with more than a day’s worth of calories and three days worth of saturated fat, and, worst of all, usually takes less than 10 minutes to sip through a straw. 2,600 calories, 135 g fat (59 g saturated fat, 2.5 g trans fats), 263 g sugars, 1,700 mg sodium

Calories for the main protocol foods. Weigh your food, and use this to calculate your calorie intake.

  • Apple 15 cal/oz
  • Orange 13 cal/oz
  • Grapefruit 9 cal/oz
  • Strawberries 9 cal/oz
  • Asparagus 6 cal/oz
  • Beet Greens 6 cal/oz
  • Cabbage 7 cal/oz
  • Celery 4 cal/oz
  • Cucumber 3 cal/oz
  • Lettuce, iceberg 4 cal/oz
  • Onion, 12 cal/oz
  • Radish 5 cal/oz
  • Spinach 7 cal/oz
  • Tomato 5 cal/oz
  • Chicken Breast 31 cal/oz
  • Flounder/Sole 26 cal/oz
  • Halibut 31 cal/oz
  • Scallops 25 cal/oz
  • Shrimp 30 cal/oz
  • Cod 23 cal/oz
  • Ground Beef 95% 39 cal/oz
  • Top Sirloin Steak 37 cal/oz
  • Lemon Juice/wedge 1 cal/oz

Any interruption of the normal loss of weight (NOTE: Normal loss of weight ALWAYS includes slowdowns and stalls, this is entirely natural) which does not fit perfectly into one of those categories is always due to some possibly very minor dietary error. Similarly, any gain of more than 100 grams is invariably the result of some transgression or mistake, unless it happens on or about the day of ovulation or during the three days preceding the onset of menstruation, in which case it is ignored. In all other cases the reason for the gain must be established at once.


The patient who frankly admits that he has stepped out of his regimen when told that something has gone wrong is no problem. He is always surprised at being found out, because unless he has seen this himself he will not believe that a salted almond, a couple of potato chips, a glass of tomato juice or an extra orange will bring about a definite increase in his weight on the following day.


Very often he wants to know why extra food weighing one ounce should increase his weight by six ounces. We explain this in the following way: Under the influence of HCG the blood is saturated with food and the blood volume has adapted itself so that it can only just accommodate the 500 Calories which come in from the intestinal tract in the course of the day. Any additional income, however little this may be, cannot be accommodated and the blood is therefore forced to increase its volume sufficiently to hold the extra food, which it can only do in a very diluted form. Thus it is not the weight of what is eaten that plays the determining role but rather the amount of water which the body must retain to accommodate this food.


This can be illustrated by mentioning the case of salt. In order to hold one teaspoonful of salt the body requires one liter of water, as it cannot accommodate salt in any higher concentration. Thus, if a person eats one teaspoonfull of salt his weight will go up by more than two pounds as soon as this salt is absorbed from his intestine.


To this explanation many patients reply: Well, if I put on that much every time I eat a little extra, how can I hold my weight after the treatment? It must therefore be made clear that this only happens as long as they are under HCG. When treatment is over, the blood is no longer saturated and can easily accommodate extra food without having to increase its volume. Here again the professional reader will be aware that this interpretation is a simplification of an extremely intricate physiological process which actually accounts for the phenomenon.

While we are on the subject of salt, I can take this opportunity to explain that we make no restriction in the use of salt and insist that the patients drink large quantities of water throughout the treatment. We are out to reduce abnormal fat and are not in the least interested in such illusory weight losses as can be achieved by depriving the body of salt and by desiccating it. Though we allow the free use of salt, the daily amount taken should be roughly the same, as a sudden increase will of course be followed by a corresponding increase in weight as shown by the scale. An increase in the intake of salt is one of the most common causes for an increase in weight from one day to the next. Such an increase can be ignored, provided it is accounted for. It in no way influences the regular loss of fat.

Patients are usually hard to convince that the amount of water they retain has nothing to do with the amount of water they drink. When the body is forced to retain water, it will do this at all costs. If the fluid intake is insufficient to provide all the water required, the body withholds water from the kidneys and the urine becomes scanty and highly concentrated, imposing a certain strain on the kidneys. If that is insufficient, excessive water will be with-drawn from the intestinal tract, with the result that the feces become hard and dry. On the other hand if a patient drinks more than his body requires, the surplus is promptly and easily eliminated. Trying to prevent the body from retaining water by drinking less is therefore not only futile but even harmful.

An excess of water keeps the feces soft, and that is very important in the obese, who commonly suffer from constipation and a spastic colon. While a patient is under treatment we never permit the use of any kind of laxative taken by mouth. We explain that owing to the restricted diet it is perfectly satisfactory and normal to have an evacuation of the bowel only once every three to four days and that, provided plenty of fluids are taken, this never leads to any disturbance. Only in those patients who begin to fret after four days do we allow the use of a suppository. Patients who observe this rule find that after treatment they have a perfectly normal bowel action and this delights many of them almost as much as their loss of weight.

When the reason for a slight gain in weight is not immediately evident, it is necessary to investigate further. A patient who is unaware of having committed an error or is unwilling to admit a mistake protests indignantly when told he has done something he ought not to have done. In that atmosphere no fruitful investigation can be conducted; so we calmly explain that we are not accusing him of anything but that we know for certain from our not inconsiderable experience that something has gone wrong and that we must now sit down quietly together and try and find out what it was. Once the patient realizes that it is in his own interest that he play an active and not merely a passive role in this search, the reason for the setback is almost invariably discovered. Having been through hundreds of such sessions, we are nearly always able to distinguish the deliberate liar from the patient who is merely fooling himself or is really unaware of having erred.

When we see obese patients there are generally two of us present in order to speed up routine handling. Thus when we have to investigate a rise in weight, a glance is sufficient to make sure that we agree or disagree. If after a few questions we both feel reasonably sure that the patient is deliberately lying, we tell him that this is our opinion and warn him that unless he comes clean we may refuse further treatment. The way he reacts to this furnishes additional proof whether we are on the right track or not we now very rarely make a mistake.


If the patient breaks down and confesses, we melt and are all forgiveness and treatment proceeds. Yet if such performances have to be repeated more than two or three times, we refuse further treatment. This happens in less than 1% of our cases. If the patient is stubborn and will not admit what he has been up to, we usually give him one more chance and continue treatment even though we have been unable to find the reason for his gain. In many such cases there is no repetition, and frequently the patient does then confess a few days later after he has thought things over.


The patient who is fooling himself is the one who has committed some trifling, offense against the rules but who has been able to convince himself that this is of no importance and cannot possibly account for the gain in weight. Women seem particularly prone to getting themselves entangled in such delusions. On the other hand, it does frequently happen that a patient will in the midst of a conversation unthinkingly spear an olive or forget that he has already eaten his breadstick.


A mother preparing food for the family may out of sheer habit forget that she must not taste the sauce to see whether it needs more salt. Sometimes a rich maiden aunt cannot be offended by refusing a cup of tea into which she has put two teaspoons of sugar, thoughtfully remembering the patient’s taste from previous occasions. Such incidents are legion and are usually confessed without hesitation, but some patients seem genuinely able to forget these lapses and remember them with a visible shock only after insistent questioning.


In these cases we go carefully over the day. Sometimes the patient has been invited to a meal or gone to a restaurant, naively believing that the food has actually been prepared exactly according to instructions. They will say: “Yes, now that I come to think of it the steak did seem a bit bigger than the one I have at home, and it did taste better; maybe there was a little fat on it, though I specially told them to cut it all away”. Sometimes the breadsticks were broken and a few fragments eaten, and “Maybe they were a little more than one”. It is not uncommon for patients to place too much reliance on their memory of the diet-sheet and start eating carrots, beans or peas and then to seem genuinely surprised when their attention is called to the fact that these are forbidden, as they have not been listed.

When no dietary error is elicited we turn to cosmetics. Most women find it hard to believe that fats, oils, creams and ointments applied to the skin are absorbed and interfere with weight reduction by HCG just as if they had been eaten. This almost incredible sensitivity to even such very minor increases in nutritional intake is a peculiar feature of the HCG method. For instance, we find that persons who habitually handle organic fats, such as workers in beauty parlors, masseurs, butchers, etc. never show what we consider a satisfactory loss of weight unless they can avoid fat coming into contact with their skin.


The point is so important that I will illustrate it with two cases. A lady who was cooperating perfectly suddenly increased half a pound. Careful questioning brought nothing to light. She had certainly made no dietary error nor had she used any kind of face cream, and she was already in the menopause. As we felt that we could trust her implicitly, we left the question suspended. Yet just as she was about to leave the consulting room she suddenly stopped, turned and snapped her fingers. “I’ve got it,” she said. This is what had happened : She had bought herself a new set of make-up pots and bottles and, using her fingers, had transferred her large assortment of cosmetics to the new containers in anticipation of the day she would be able to use them again after her treatment.


The other case concerns a man who impressed us as being very conscientious. He was about 20 lbs. overweight but did not lose satisfactorily from the onset of treatment. Again and again we tried to find the reason but with no success, until one day he said:“I never told you this, but I have a glass eye. In fact, I have a whole set of them. I frequently change them, and every time I do that I put a special ointment in my eyesocket.. Do you think that could have anything to do with it?” As we thought just that, we asked him to stop using this ointment, and from that day on his weight-loss was regular.


We are particularly averse to those modern cosmetics which contain hormones, as any interference with endocrine regulations during treatment must be absolutely avoided. Many women whose skin has in the course of years become adjusted to the use of fat containing cosmetics find that their skin gets dry as soon as they stop using them. In such cases we permit the use of plain mineral oil, which has no nutritional value. On the other hand, mineral oil should not be used in preparing the food, first because of its undesirable laxative quality, and second because it absorbs some fat-soluble vitamins, which are then lost in the stool. We do permit the use of lipstick, powder and such lotions as are entirely free of fatty substances. We also allow brilliantine to be used on the hair but it must not be rubbed into the scalp. Obviously sun-tan oil is prohibited.


Many women are horrified when told that for the duration of treatment they cannot use face creams or have facial massages. They fear that this and the loss of weight will ruin their complexion. They can be fully reassured. Under treatment normal fat is restored to the skin, which rapidly becomes fresh and turgid, making the expression much more youthful. This is a characteristic of the HCG method which is a constant source of wonder to patients who have experienced or seen in others the facial ravages produced by the usual methods of reducing. An obese woman of 70 obviously cannot expect to have her pued face reduced to normal without a wrinkle, but it is remarkable how youthful her face remains in spite of her age.