Combined diet with - An integrated dietary protocol to obtain the best compliance of the overweight and obese patient - Dieta Combinata

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Combined diet with - An integrated dietary protocol to obtain the best compliance of the overweight and obese patient - Dieta Combinata
RESERVED FOR NUTRITIONISTS

Combined diet
                                            ®

 with

An integrated dietary protocol
to obtain the best compliance
of the overweight and obese patient.

                                 Dietosystem
                                           Wellbeing as science
Combined diet with - An integrated dietary protocol to obtain the best compliance of the overweight and obese patient - Dieta Combinata
INTEGRATED DIETARY SCHEME

                 + Personalised Diet
The Combined Diet® with PROTEONORM represents the the qualified answer to the need for a rapid weight loss, in
the event of overwight and obesity.
The Combined Diet® protocol with PROTEONORM is divided into 5 phases plus two additional: the preparation pha-
se (optional) lasting one week, pre-treatment diet and phase 0 or pre-bariatric, in which the feeding occurs exclusively
through an amino acidic mixture.
All the protocol phases involve the consumption of PROTEONORM, whose quantity is calculated based on the patient’s
weight as well as with a drastic reduction of carbohydrates. The optional introduction of high-protein hypoglucidic pro-
ducts of the new PROTEOFOOD line is permitted, right from the earliest and most restrictive stages.

		WEIGHT LOSS			TRANSITION		                                                                                MAINTENANCE

 Preparation       Phase 0          Phase 1        Phase 2         Phase 3        Phase 4                        Phase 5

OPTIONAL PHASE – Preparation                     PHASE 2 – Transition diet 1                     PHASE 5 – Maintenance diet
(7 days)                                         (from 7 to 14 days)                             (from 7 to 14 days)
 A slightly hypocaloric detoxifying menu.        Low-calorie diet with a slight introduction    Normocaloric diet on the model of the
   Integration of 1 sachet/day of PROTEO-           of carbohydrates and personalised nu-           Mediterranean diet. Introduction of 1
   NORM amino acidic mixture.                       trition with lean meats and vegetables          sachet/day of PROTEONORM amino
 Integration of 2 DRENORM stick-packs a            with a low glycemic index. Integration of       acidic mixture.
   day to proote the body’s purification and        2 sachets/day of PROTEONORM amino             Use of healthy and balanced foods in
   water balance.                                   acidic mixture.                                 order to maintain a healthy weight.
                                                  Optional introduction of a single food
                                                    item of the PROTEOFOOD line, to be
PHASE 0 – Pre-bariatric diet                        chose from the products allowed in this
(10 days)                                           phase.
 Pre-bariatric surgery diet for patients with
  a BMI ≥ 40                                                                                        The diet requires the intake of at least
 Feeding using only PROTEONORM ami-             PHASE 3 – Transition diet 2                        2 liters of mineal water per day.
  no acidic mixture. About 10-15 sachets/        (from 7 to 14 days)
  days.                                           Low-calorie diet with a slight introduction
                                                    of carbohydrates and personalised nu-           During the protocol we recommend
                                                    trition with lean meats and vegetables          the following:
PHASE 1 – Attack diet                               with a low glycemic index. Integration of       • 2 stick-packs of DRENORM per day
(from 14 to 21 days)                                2 sachets/day of PROTEONORM amino                 to promote the purification and the
 Diet consisting of a drastic reduction of         acidic mixture.                                   water balance of the body
   carbohydrates and the introduction of          Optional introduction of a single food           • 1 sachet per day of PROTEOFOOD
   lean meats and vegetables with a low             item of the PROTEOFOOD line, to be                to promote the basic/acid balance
   glycemic index. Customised protein sup-          chose from the products allowed in this           of the organism.
   plementation using the PROTEONORM                phase.
   amino acd mixture. Approximately 3-4
   sachets/day.                                                                                     PROTEOFOOD foods allow the
 Optional introduction of a single food         PHASE 4 – Transition diet 3                        reintroduction of “forbidden foods”
   item of the PROTEOFOOD line, to be            (from 7 to 14 days)                                guaranteeing the sustainability of the
   chose from the products allowed in this        Slightly low-calorie diet with increased         ketogenic diet treatment with greater
   phase.                                           carbohydrates intake and personalised           patient compliance, The progressive
                                                    nutrition with lean meats and low-glyce-        reintroduction of carbohydrates, in
                                                    mic vegetables. Integration of 2 sachets/       the 3 transition phases, facilitates
                                                    day of PROTEONORM amino acidic                  the stabilisation of weight loss.
                                                    mixture.                                        The maintenance phase is the final
                                                  Optional introduction of a single food           step of the food protocol with a
                                                    item of the PROTEOFOOD line, to be              Mediterranean style menu proposed.
                                                    chose from the products allowed in this
                                                    phase.
Combined diet with - An integrated dietary protocol to obtain the best compliance of the overweight and obese patient - Dieta Combinata
How to proceed
The Combined Diet® with PROTEONORM represents the answer to the need for rapid weight loss where the objective
conditions of the patient allow it.

It is recommended, when undertaking Combined Diet® with PROTEONORM, to monitor at least once a week
the serological parameters of the patient and periodically assess the changes in the FFM compartment and the level
of hydration of the patient with impedance analysis, in addition to verifying the patient’s ketosis.

          FOR ALL NUTRITION EXPERTS (Doctors and Nutritional Biologists)

The Combined Diet® with PROTEONORM can be                                 PROTEONORM is supplied:
processed directly online at www.combineddiet.it                          • To the nutritionist who prescribes it to his patient
after having registered (free of charge). Access to the                     or alternatively
site is exclusively reserved to Doctors and Nutritional                   • To the patient who will purchase the product directly
Biologists, who have been identified through the                            from Dietosystem, through the Contact Centre, Fax
WelfareLink protocol in order to safeguard the patient                      or Website by providing the purchase code*
and guarantee exclusive use to qualified health                                                                                                                                        NOME
                                                                                                                                                                                                             COGN
                                                                                                                                                                                                                                 OME

professionals. After registration, the user accesses his
                                                                                                                                                                                                                                                                 	
  
                                                                                                                                                                                                                                                                                                                         IG	
  BASSO	
  
                                                                                                                                                                                                                                                                                                                                           	
  
                                                                                                                                                                                     Premesse	
  alla	
  Dieta	
  Combinata	
  con	
  PROTEONORM	
  
                                                                                                                                                                                                                                               50	
  
                                                                                                                                          salute.	
   Il	
   menù	
   proposto,	
   unitamente	
   al	
   prodotto	
   Proteonorm,	
              Amararappresenta	
                                      una	
               Avena	
  
                                                                                                                                                                                                                                                                  nto	
                                       25	
   “soluzione	
  
                                                                                                                                                                                                                                                                                                                             Pasta	
  integr
                                                                                                                                                                                                                                                                                                                                                                                         40	
              Bulgur	
  
                                                                                                                                                                                                                                                 Quinoa	
  
                                                                                                                                          urgente”	
  al	
  suo	
  calo	
  ponderale.	
  Per	
  tale	
  ragione	
  le	
  consiglio	
  di	
  seguire	
  i	
  menù	
  per	
  la	
  sola	
  durata	
  
                                                                                                                                                                                                                                                Riso	
  selvatico
                                                                                                                                                                                                                                                                                                             35	
            Kamut	
  
                                                                                                                                                                                                                                                                                                                                                 ale	
  cotta	
  	
                   40	
              Biscotto	
  
                                                                                                                                                                                                                                                                                                                                                                                     40	
                                   frolla	
                                  55	
  
                                                                                                                                                                                                                                                                                                           35	
  
                                                                                                                                          indicata	
   nello	
   schema	
   dietetico	
   senza	
   prolungarne	
   il	
   periodo	
  Farina     e	
   attenersi	
  
                                                                                                                                                                                                                                                            	
  di	
  ceci	
  
                                                                                                                                                                                                                                                                                  	
         a	
   	
   quanto	
          prescritto	
  
                                                                                                                                                                                                                                                                                                                            Pasta	
  integr 	
  
                                                                                                                                                                                                                                                                                                                                            ale	
                                   40	
  
                                                                                                                                                                                                                                                                                                                                                                                                      Riso	
  rosso	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                     55	
  
                                                                                                                                                                                                                                                                                                           35	
            Pane	
  azzimo                                                            Tagliatelle	
  b
                                                                                                                                          pesando	
  inizialmente	
  ogni	
  pietanza.	
  Solo	
  con	
  il	
  tempo	
  imparerà	
  Farina      a	
  riconoscere	
  
                                                                                                                                                                                                                                                        	
  di	
  cocco	
                     il	
  peso	
  35	
  delle	
    porzioni	
  	
  
                                                                                                                                                                                                                                                                                                                          Grano	
  s
                                                                                                                                                                                                                                                                                                                                                                                    40	
            Manioca	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                  en	
  cotte	
                    55	
  
                                                                                                                                                                                                                                                                                                                                      aracen                                   40	
                                                                               55	
  
                                                                                                                                          senza	
   bisogno	
   della	
   bilancia	
   e	
   scegliere	
   autonomamente	
   il	
   cibo	
   nella	
   quantità	
  35	
  e	
   qualità	
                                  Biscotto	
   più	
  o	
                                                  Spaghetti	
  be

• patient data is entered
                                                                                                                                                                                                                                                                                                                                      frolla	
  light	
                       40	
                                               n	
  cotti	
                    55	
  
                                                                                                                                                                                                                                                                                                                                                                                                  Pizza	
  
                                                                                                                                          corretta.	
  Se	
  non	
  potesse	
  seguire	
  tale	
  consiglio,	
  potrà	
  optare	
  per	
  le	
  seguenti	
  alternative:	
   Fiocchi	
  d’avena	
                                                                            40	
                                                                               55	
  
                                                                                                                                                                                                                                                                                              Spaghetti	
  co                                                                                    Pane	
  al	
  
                                                                                                                                                                                                                                                                                                                                                                                                                  latte	
                                      60	
  

                                                                                                                                                                                                                                                           d
                                                                                                                                                                                                                                                                                                                                  tti	
                                     40	
             Ravioli	
  

                                                                                                                                                                                                   tegrate
                                                                                                                                                                                                                                                                                             Farina	
  d                                                                                                                                                     60	
  
                                                                                                                                                  A. ridistribuire	
  gli	
  alimenti	
  a	
  suo	
  piacimento	
  nel	
  corso	
  della	
  giornata	
                                       Grano	
  
                                                                                                                                                                                                                                                                                                                     i	
  quinoa	
                                        40	
             Semola	
  
                                                                                                                                                                                                                                                                                                                                                                         40	
                                 di	
  grano	
  d                              60	
  
                                                                                                                                                  B. scambiare	
  tra	
  loro	
  i	
  vari	
  giorni	
  di	
  dieta	
  evitando	
  di	
  ripeterli	
  

                                                                                                                                          Plan In
                                                                                                                                                                                                                                                                                            Farina	
  d                                                                                    Riso	
  lu                                   uro	
  
                                                                                                                                                                                                                                                                                                                i	
  farro	
                                           45	
                                 ngo	
                                          60	
  
                                                                                                                                                                                                                                                                                        Cous	
  cous	
  in                                                                               Lasagne	
  
                                                                                                                                                  C. sostituire	
   un	
   piatto	
   del	
   1°	
   giorno	
   con	
   quello	
   di	
   un	
   giorno	
   successivo	
   appartenente	
                                   alla	
  
                                                                                                                                                                                                                                                                                                                           tegral                                      45	
                                                                               60	
  

                                                                                                           Dietary
                                                                                                                                                                                                                                                                                      Farina	
  d                                         e	
                                          Orzo	
  perlato

• body composition obtained through the impedance
                                                                                                                                                                                                                                                                                                           i	
  kamut	
                                                                                                                                 60	
  
                                                                                                                                                          stessa	
  categoria	
                                                                                                       Pane	
  di	
  
                                                                                                                                                                                                                                                                                                                                                                     45	
            Farina	
  i
                                                                                                                                                                                                                                                                                                                                                                                                        ntegra
                                                                                                                                                                                                                                                                                                                                                                                                                     	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                       60	
  
                                                                                                                                                                                                                                                                                                         kamut	
                                                    45	
  
                                                                                                                                                                                                                                                                                     Segale	
                                                                                        Pane	
  integra le	
  
                                                                                                                                                                                                                                                                                                                                                                  45	
                                             le	
                              60	
  
                                                                                                                                        Alcune	
  semplici	
  regole	
  comportamentali	
  l’aiuteranno	
  a	
  raggiungere	
  il	
  suo	
  obiettivo	
  cBulgur                    on	
  più	
    	
   facilità:	
  
                                                                                                                                                                                                                                                                                                                                                                                    Pane	
  nero	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                     65	
  
                                                                                                                                                                                                                                                                                                                                                                 45	
            Mais	
  

                                                                                                                                                                                                                                                                                   Riso	
  basmat                                                                                                                                                  65	
  

                                                                                                                                                                                                                                             e	
  Farine
                                                                                                                                                                                                                                                                                                                 i	
  integra                                   45	
           Pane	
  di	
  
                                                                                                                                                -­‐ masticare	
   lentamente	
   consente	
   di	
   digerire	
   e	
   assimilare	
   meglio	
   gli	
   alimenti,	
                raggiungendo	
  
                                                                                                                                                                                                                                                                                 Riso	
  b    asmati	
                                 li	
  
                                                                                                                                                                                                                                                                                                                                                               45	
                                 segale	
                                      65	
  

                                                                                                           with
                                                                                                                                                                                                                                                                              Muesli	
                                                                                        Muesli	
  
                                                                                                                                                                                                                                                                                               light	
                                                                                                                                          65	
  
                                                                                                                                                     anticipatamente	
  la	
  sensazione	
  di	
  sazietà.	
  	
                                                              All	
  Bran	
  
                                                                                                                                                                                                                                                                                                                                                             50	
           Brioches	
  

   method is entered
                                                                                                                                                                                                                                                                                                                                                          50	
                                      a l	
  cioccol                             65	
  
                                                                                                                                                -­‐ bere	
   2	
   litri	
   di	
   acqua	
   oligominerale	
   al	
   giorno	
   favorisce	
   l'eliminazione	
             Barret   delle	
                tossine	
  
                                                                                                                                                                                                                                                                                            ta	
  ai	
  cereali	
                                        50	
  
                                                                                                                                                                                                                                                                                                                                                                           Farro	
                                        ato	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                              65	
  
                                                                                                                                                                                                                                                                            Riso	
  integral                                                                             Farina	
  s
                                                                                                                                                     dall'organismo	
                                                                                                                                    e	
                                            50	
                                emi-­‐integral                                   65	
  

                                                                                                                                                                                                                                        Cereali	
  
                                                                                                                                                                                                                                                                            Pasta	
  integr                                                                             Farina	
  d                                        e	
  
                                                                                                                                                                                                                                                                                                                                                                                            i	
  c                                         65	
  
                                                                                                                                                -­‐ utilizzare	
   i	
   comuni	
   aromi	
   da	
   cucina	
   come	
   prezzemolo,	
   basilico,	
   rosmarino	
  Pane	
  de	
   salvia,	
  rende	
  
                                                                                                                                                                                                                                                                                       i	
  quinoa	
  
                                                                                                                                                                                                                                                                                                       ale	
                       le	
   50	
   Farina	
  di	
  g astagne	
                                                             65	
  
                                                                                                                                                                                                                                                                                                                                                   50	
                                           rano	
  duro	
  
                                                                                                                                                                                                                                                                                                                                                                      Riso	
  co
                                                                                                                                                     pietanze	
  più	
  appetibili	
  senza	
  ricorrere	
  al	
  sale	
                                                  Biscotti	
  
                                                                                                                                                                                                                                                                                        integra                                                   50	
                                mune	
                                            70	
  
                                                                                                                                                                                                                                                                        Cous	
  c                         li	
                                                      Tacos	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                        70	
  
                                                                                                                                                -­‐ i	
   metodi	
   di	
   cottura	
   molto	
   semplici	
   come	
   bollitura,	
   bagnomaria,	
   al	
   forno	
  ous	
           e	
   alla	
   griglia	
   50	
   Gnocc
                                                                                                                                                                                                                                                                                                                                                                                  hi	
                                                70	
  

• the food plan is developed
                                                                                                                      ted by:
                                                                                                                                                                                                                                                                                                                                                 50	
  
                                                                                                                                                     consentono	
  di	
  preparare	
  le	
  pietanze	
  senza	
  l’aggiunta	
  di	
  olio	
                                                                                                                      Tagliatelle	
  
                                                                                                            Elabora
                                                                                                                                                                                                                                                                                                                                                                                                                                     70	
  
                                                                                                                                                                                                                                                                                                                                                                Cereali	
  
                                                                                                                                                     	
                                                                                                                                                                                                                            zuccherati	
                                   70	
  

                                                                                                                                 Name
                                                                                                                                                                                                                                                                                                                                                                Polenta	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                 70	
  
                                                                                                                          e Last LO	
  SCHEMA	
  DIETETICO	
  INTEGRATO	
  	
  
                                                                                                                                                                                                                                                                                                                                                               Fette	
  biscot
                                                                                                                                                                                                                                                                                                                                                                                                                                 70	
  
                                                                                                             Dott. Nam Biologist
                                                                                                                                                                                                                                                                                                                                                                                         tate	
  
                                                                                                                                                                                                                                                                                                                                                           Biscotti	
  
                                                                                                                                                                                                                                                                                                                                                                              comun                                             70	
  
                                                                                                                      nal                                                                                                                                                                                                                                 Corn	
  Flakes	
   i	
  
                                                                                                             Nutritio                   Il	
   menù	
   prevede	
   un’integrazione	
   proteica	
   personalizzata	
   tramite	
   il	
   prodotto	
   Proteonorm.	
                                                                                    Pane	
  bianco	
  
                                                                                                                                                                                                                                                                                                                                                                                                                            70	
  
                                                                                                                                                                                                                                                                                                                                                                                                                           70	
  

• the report with the header of your office is printed
                                                                                                                         sio, 100                                                                                                                                                                                                                       Pane	
  di	
  
                                                                                                              Viale Ceni                Integratore	
   alimentare	
   ad	
   alto	
   indice	
   proteico	
   contenente	
   magnesio,	
   potassio,	
   inositolo,	
   l-­‐                                                                                            riso	
                                           70	
  
                                                                                                                              o                                                                                                                                                                                                                     Brioches	
  
                                                                                                                     - Milan
                                                                                                              20100
                                                                                                                                                                                                                                                                                                                                                                                                                          70	
  
                                                                                                                                        carnitina,	
  niacina	
  e	
  cistina	
  in	
  quantità	
  conforme	
  ai	
  fabbisogni	
  consigliati.                                                                 	
                                 Miglio	
  	
  
                                                                                                                                                                                                                                                                                                                                                                                                                         70	
  
                                                                                                                                                                                                                                                                                                                                                  Pane	
  azzimo
                                                                                                                                                                                                                                                                                                                                                                               	
                                   70	
  
                                                                                                                                        Il	
  prodotto	
  non	
  è	
  addizionato	
  da	
  aromi	
  al	
  fine	
  di	
  rendere	
  possibile	
  l’eventuale	
  assunzione	
  con	
  altre	
   Cialda	
  wafers	
                                                                                                    70	
  
                                                                                                                                                                                                                                                                                                                                                Crackers	
  
                                                                                                                                        bevande	
  tipo	
  caffè,	
  tea	
  e	
  cacao	
  amaro	
  se	
  graditi.	
                                                                                                                             Riso	
  so
                                                                                                                                                                                                                                                                                                                                                                                                                   75	
  
                                                                                                                                                                                                                                                                                                                                                                ffiato	
                                         80	
  

• the prescription of PROTEONORM which includes
                                                                                                                                                                                                                                                                                                                                              Gallette	
  
                                                                                                                                                                                                                                                                                                                                                                                                                 85	
  
                                                                                                                                        Si	
   raccomanda	
   di	
   non	
   superare	
   la	
   dose	
   giornaliera	
   consigliata	
   e	
   non	
   utilizzare	
   il	
   prodotto	
   come	
   Pane	
  al	
   di	
  riso	
  
                                                                                                                                                                                                                                                                                                                                                               latte	
                                       85	
  
                                                                                                                                        sostitutivo	
  di	
  una	
  dieta	
  equilibrata.	
                                                                                                                                               Pop	
  corn	
  
                                                                                                                                                                                                                                                                                                                                                                                                             85	
  
                                                                                                                                                                                                                                                                                                                                          Maizena	
  
                                                                                                                                                                                                                                                                                                                                                                                                            85	
  
                                                                                                                                                                                                                                                                                                                                      Farina	
  d
                                                                                                                                        Come	
  utilizzare	
  Proteonorm:	
                                                                                                                                                          Riso	
  a	
  c
                                                                                                                                                                                                                                                                                                                                                          i	
  grano	
  b
                                                                                                                                                                                                                                                                                                                                                                              ianca	
  
                                                                                                                                                                                                                                                                                                                                                                                                           85	
  
                                                                                                                                                                                                                                                                                                                                                        ottura	
  r                                       85	
  
                                                                                                                                                                                                                                                                                                                                    Tapioca	
                            apida	
  
                                                                                                                                                                                       	
                                                                                                                                                                                                              85	
  
                                                                                                                                        Versare	
  il	
  contenuto	
  della	
  bustina	
  in	
  una	
  tazza	
  o	
  in	
  un	
  bicchiere	
  capiente	
  ed	
  aggiungere	
  acqua	
  o	
  

   the purchase code* is printed
                                                                                                                                                                                                                                                                                                                                   Pane	
  bianca	
  
                                                                                                                                                                                                                                                                                                                                                                 no	
  glutine	
                     85	
  
                                                                                                                                        altra	
   bevanda	
   non	
   zuccherata	
   (caffè,	
   orzo,	
   cacao	
   amaro,	
   tisane,	
   tea,	
   camomilla)	
   	
   a	
   temperatura	
                                      Farina	
  d
                                                                                                                                                                                                                                                                                                                                                   i	
  riso	
                                      90	
  
                                                                                                                                                                                                                                                                                                                                 Fecola	
  
                                                                                                                                        ambiente	
  nof:     elle	
  quantità	
  che	
  ne	
  permetta	
  la	
  completa	
  solubilizzazione.	
                                                                                                                                                    95	
  
                                                                                                                                                     ort                                                                                                                                                                    	
  
                                                                                                                                  scientific supp                                                                                                                                                                                                                                                100	
  
                                                                                                                       With the

          FOR DIETOSYSTEM USERS

If you are already a user of the Dietosystem Nutritional Suite®, request the free Combined Diet® with PROTEONORM
module and receive an updated software that will allow you to manage the patient, prescribe the DIET and PROTEO-
NORM as well as manage and monitor the nutritional state, if equipped with impedanceometry and plicometry.

From the software module the prescription will be available for printing, including the purchase code*

                                                                                                                                                                                                                                                      PRESCRIZIONE INTEGRATORI
                                                                                                                                                                                                                                                      A SUPPORTO DELLA DIETA COMBINATA

                                                                                                                                                                                                                                                      ELABORATA DA                                                                                                          PER

                                                                                                                                                                                                                                                                        Dott. Nome Cognome                                                                                                Nome Cognome Paziente
                                                                                                                                                                                                                                                                        Biologo Nutrizionista
                                                                                                                                                                                                                                                                        Viale Cenisio, 100
                                                                                                                                                                                                                                                                        20100 - Milano
                                                                                                                                                                                                                                                                                                                                                                                                                                       Data visita 09/01/2017

                                                                                                                                                                                                                                                      Per il trattamento dietetico della durata di 21 giorni le ho prescritto

                                                                                                                                                                                                                                                      N.     ___ confezioni di PROTENORM                                                                          N.     ___ confezioni di BISCOTTO MORBIDO AL CIOCCOLATO
                                                                                                                                                                                                                                                      N.     ___ confezioni di PROTENORM MOUSSE                                                                   N.     ___ confezioni di BARRETTA AL CARAMELLO /LAMPONE
                                                                                                                                                                                                                                                      N.     ___ confezioni di DRENORM                                                                            N.     ___ confezioni di BARRETTA AL CIOCCOLATO
                                                                                                                                                                                                                                                      N.     ___ confezioni di DIETOLIP                                                                           N.     ___ confezioni di WAFER AL CIOCCOLATO
                                                                                                                                                                                                                                                      N.     ___ confezioni di PROTEOBASIC                                                                        N.     ___ confezioni di PALLINE DI SOIA AL CIOCCOLATO
                                                                                                                                                                                                                                                      N.     ___ confezioni di ELLEDIELLE                                                                         N.     ___ confezioni di CIOCCOLATO FONDENTE
                                                                                                                                                                                                                                                      N.     ___ confezioni di GLYMELA                                                                            N.     ___ confezioni di CRACKER AI SEMI DI GIRASOLE
                                                                                                                                                                                                                                                      N.     ___ confezioni di BISCOTTI ALLA VANIGLIA                                                             N.     ___ confezioni di PATATINE AROMA BARBECUE
                                                                                                                                                                                                                                                      N.     ___ confezioni di BISCOTTI ALL’ARANCIA                                                               N.     ___ confezioni di PANE NERO CON SEMI VARI
                                                                                                                                                                                                                                                                                                                                                                  N.     ___ confezioni di PASTA

                                                                                                                                                                                                                                                      Per una scelta dell’azienda produttrice e per contenere il costo del trattamento potrà acquistare direttamente
                                                                                                                                                                                                                                                      il prodotto da DS Medica Srl, con una delle seguenti modalità:

                                                                                                                                                                                                                                                          ONLINE                                                                       TELEFONO                                                                     FAX
                                                                                                                                                                                                                                                          www.dietacombinata.it
                                                                                                                                                                                                                                                          selezionando sulla colonna                                                   Chiamando il                                                                 Inviando il FORM sotto riportato
                                                                                                                                                                                                                                                          a sinistra il tasto                                                          Call Center consumatori                                                      debitamente compilato al numero
                                                                                                                                                                                                                                                          “ORDINA PROTEONORM”                                                          02 2800 5725                                                                 02 8718 1182

                                                                                                                                                                                                                                                      Indirizzo fiscale                                                                                                    Ragione sociale ____________________________________________
                                                                                                                                                                                                                                                      Cognome ______________________________________________________                                                       Indirizzo di spedizione (se diverso)
                                                                                                                                                                                                                                                      Nome _________________________________________________________ Via ____________________________________________________________
                                                                                                                                                                                                                                                      Via ____________________________________________________________ CAP ___________________ Città __________________________________
                                                                                                                                                                                                                                                      CAP ___________________ Città __________________________________
                                                                                                                                                                                                                                                      Telefono ___________________ Cellulare ___________________________                                                     Note: _______________________________________________________
                                                                                                                                                                                                                                                      eMail ___________________________ @_____________________________                                                       _____________________________________________________________
                                                                                                                                                                                                                                                      C.F. |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

                                                                                                                                                                                                                                                      Il costo del prodotto è fissato dall’azienda:                             Glymela € 22,00 a confezione                                                        Wafer al cioccolato € 24,00 a confezione
                                                                                                                                                                                                                                                      Proteonorm € 57,50 a confezione                                           Biscotti alla vaniglia € 22,50 a confezione                                         Palline soia cioccolato € 24,00 a confezione
                                                                                                                                                                                                                                                      Proteonorm Mousse € 27,50 a confezione                                    Biscotti all’arancia € 15,00 a confezione                                           Cioccolato fondente € 15,00 a confezione
                                                                                                                                                                                                                                                      Drenorm € 20,00 a confezione                                              Biscotto morbido cioccolato € 16,00 a confez.                                       Cracker semi girasole € 23,00 a confezione
                                                                                                                                                                                                                                                      Dietolip € 16,00 a confezione                                             Barretta al caramello € 21,00 a confezione                                          Patatine barbecue € 18,00 a confezione
                                                                                                                                                                                                                                                      Proteobasic € 22,00 a confezione                                          Barretta al lampone € 21,00 a confezione                                            Pane nero semi vari € 20,00 a confezione
                                                                                                                                                                                                                                                      Elledielle € 18,00 a confezione                                           Barretta al cioccolato € 24,50 a confezione                                         Pasta € 28,00 a confezione

                                                                                                                                                                                                                                                      Inviando il FAX si viene ricontattati dal Call Center per confermare l’acquisto e le modalità di spedizione.
                                                                                                                                                                                                                                                      In ogni contatto indichi il codice di prescrizione sotto riportato.
                                                                                                                                                                                                                                                            CONTRASSEGNO (costo aggiuntivo di € 5,00 IVA compresa)
                                                                                                                                                                                                                                                         BONIFICO BANCARIO
                                                                                                                                                                                                                                                                                                                                                                           CONSENSO AL TRATTAMENTO DATI PERSONALI
                                                                                                                                                                                                                                                         CARTA DI CREDITO
                                                                                                                                                                                                                                                                                                                                                                           Acconsento liberamente ai sensi dell’ART. 13 del D. Lgs 196/2003
                                                                                                                                                                                                                                                      Spese di spedizione € 7,00 IVA compresa.                                                                             al trattamento e alla comunicazione e diffusione dei miei dati personali
                                                                                                                                                                                                                                                                                                                                                                           nei limiti della stessa.

                                                                                                                                                                                                                                                                                                                                                                                                                              FIRMA
                                                                                                                                                                                                                                                                                                                                                                           _______________________________________________________________

(*) Every single prescription generates a purchase code that guarantees that PROTEONORM is distributed exclusively on the basis
of a non-repeatable nutritionist’s prescription.
Combined diet with - An integrated dietary protocol to obtain the best compliance of the overweight and obese patient - Dieta Combinata
SCIENTIFIC RATIONALE

Combined diet
                                               ®

with

                          Traditional methods for weight reduction include low calorie diets (800 –
                          1500 kcal/day) balanced in nutrients and accompanied by regular physical
                          exercise. A “low carbohydrate diet” is a diet that includes less than 60 grams of
                          carbohydrates a day and is slightly high in protein, that foresees the intake of
                          protein based on the ratio of 1 to 1.5g per kilo of ideal body weight.
                          G.L. Blackburn (Harvard Medical School) coded the minimum amount of protein
                          needed to protect the organisms lean body mass in 1,2 – 1,5 grams per Kilo
                          of ideal weight1 and applied it in the low-calorie-protein-sparing diets (Protein
                          Sparing Modified Fast) identified by the acronym PSMF.

                          In 1993, the PSMF nutritional dietary protocol was validated by the FDA2, with
                          the coding of the minimum daily amount of protein needed to ensure the
                          equilibrium of the nitrogenous balance to avoid the mobilisation of protein
                          reserves and the consequent reduction of lean mass.

                          The application protocol was then further improved by the Swedish school3.
                          From 2003 to 2010 the Dutch Ministry of Health, as part of the obesity prevention
                          program, indicates the low-calorie, protein-saving diet treatment among the
                          first-level treatments for the treatment of obesity4.

                                                                  Glucose
                                                                   Reduction
                                                                                              Protein
                                                                                                Increase
                         Lipolysis

                                                Decreases
                                                  insulin
                                                Increases
                                                glucagon

                          Triglyceride                                                Lean body mass
                          Catabolism                                                    protection

                  Free Fatty
                    Acids           Glycerol

                                     40%
                        60%
                        beta
                                                                                                           Gluconeogenesis
                        oxidation          Lactates

                                                                                     Gluco-dependant
                                                                                     cells

                                                            INSULIN                       GLUCOSE

                    Corpi
                  chetonici
                                                            Krebs Cycle          Energy
                                         Oxidation

                                                                      Acidosis
Combined diet with - An integrated dietary protocol to obtain the best compliance of the overweight and obese patient - Dieta Combinata
Combined Diet® with PROTEONORM is a high protein and low carbohydrate
                                                  content scheme. It generates two important processes, at metabolic level.

                                                                                       Carbohydrates

                                                           Proteins

                                                  Modest Ketosis
                                                  Thanks to this you obtain a reduction in the feeling of hunger, helping you
                                                  to avoid giving up the treatment and implement changes to your lifestyle,
                                                  in a healthy way5, 6.

                                                  Gluconeogenesis
                                                  With the reduction of carbohydrates, a rapid drop in insulin is obtained, which
                                                  prevents fat storage and stimulates lipolysis, especially in those areas where fat
                                                  deposits are located. The organism activates hepatic gluconeogenesis once the
                                                  energy reserves (glycogen) are used up – this usually occurs after 48 hours. This
                                                  process is critical in ensuring the amount of glucose for gluco-dependent cells,
                                                  such as red blood cells, the brain and the retina.

INDICATIONS AND CONTRAINDICATIONS
Like all medical treatments, even the low-calorie protein-saving diet has indications and contraindications that are
already defined in the protocol7-8.

Indicated in cases of:                                                        Contraindicated in cases of:
• Obesity: BMI > 30                                                           • Type 1 (insulin dependent) diabetes mellitus
• Overweight: > 25 BMI < 29                                                   • Renal impairments
• Overweight associated with risk factors:                                    • Severe hepatic insufficiency
  – Diabetes mellitus type 2                                                  • Heart failure
		 (and insulin resistance)                                                   • Previous strokes
  – Dyslipidaemia                                                             • Pregnancy and breastfeeding
  – Metabolic Syndrome                                                        • Severe psychiatric disorders
  – Asthma                                                                    • Evolutionary neoplasms
  – Sleep Apnoea                                                              • Boys/girls in developmental age
  – Locomotor system Disorders                                                • Senior citizens
• Aesthetic reasons                                                           • Psychogenic compulsive feeding disorders
  – Localised Adiposity
• Pre-Surgery
• Intense Physical Activity

References                                                                    5. Asia Pac J Clin Nutr. 2006;15 Suppl:49-54. State of the science: VLED (Very
1. Diabetes. 1976 Jun;25(6):494-504.                                             Low Energy Diet) for obesity. Delbridge E, Proietto J.
2. The National Task Force on the Prevention and Treatment of Obesity. Very   6. Finnish Diabetes Association. Development Programme for the Prevention
   Low-Calorie Diets. JAMA 1993;270:967-74                                       and Care of Diabetes in Finland DEHKO 2000-2010.
3. Lancet 1997; 350: 423-6                                                    7. Nutr Diabetes. 2014 Feb 10;4:e105.
4. DEHKO– Finnish Diabetes Association 2003                                   8. Int J Environ Res Public Health. Feb 2014; 11(2): 2092–2107.
For a constant updating of scientific works, refer to the news published on www.combineddiet.com
21 sachets of 20 g

             Food supplement made of soluble whey protein, enriched by Inositol, L-Carnitine,
             L-Cistine, Niacin, Magnesium, Potassium.

             PROTEONORM is a food supplement useful in case of increased need or decrea-
             sed protein intake in the diet.

DOSAGE       As recommended by the nutritionist.

DIRECTIONS   Pour the contents of the sachet into a large cup or glass and add water or other
             unsweetened beverages (coffee, barley, bitter cocoa, herbal tea, tea, chamomile)
             at room temperature in quantities that allow complete solubilisation.

PROTEONORM   Whey protein: micro and ultra-filtered with high solubility, is made up of oligo-
COMPONENTS   peptides that is highly assimilable by the organism and passed directly through
             the intestinal mucous membranes without undergoing digestive processes. Whey
             protein does not contain traces of lactose or fat, so it does not favour intolerance
             or allergic reactions. Whey protein has a very low glycemic index and contains all
             the essential, non-essential and semi-essential amino acids with a significant con-
             tent of branch chain amino acids.

             Inositol: facilitates the detoxification processes of the organism, especially in the
             liver. It also contributes to the metabolism of fats and helps reduce the concentra-
             tion of cholesterol in the blood. Useful in case of constipation since it has a stimu-
             lating effect on the muscular action of the alimentary canal.

             L - Carnitine: amino acid that the body uses to convert fatty acids into energy. In
             particular, it facilitates the entry of long chain fatty acids into the mitochondria.
             Here, they undergo an oxidation process in order to produce energetic molecules
             that can be used by the body.

             L - Cystine: essential amino acid for the production of reduced glutathione, a mo-
             lecule with an antioxidant detoxifying function for the body and in particular for
             the liver. Its action promotes the proper functioning of the immune system.

             Niacin: acts in its two forms, the NAD and the NADP. It becomes part, in coenzy-
             matic form, as an electron acceptor in many reactions concerning the metabolism
             of carbohydrates, fatty acids and amino acids. NAD intervenes in particular in the
             reactions of glycolysis, lipolysis and in the Krebs cycle. NADH intervenes in the
             metabolism of fats and steroids.

             Magnesium: is involved in more than 300 enzymatic reactions in the body. It con-
             trols the nervous and muscular activity and participates in the metabolic processes
             of fats and protein synthesis.

             Potassium: present in the form of an ion, mainly inside the cells but also in the
             extracellular fluids, influences the activity of the skeletal muscles and the myocar-
             dium. In particular, it regulates neuromuscular excitability, acid-base balance, wa-
             ter retention and osmotic pressure.
INGREDIENTS                         		                                         per 100g         per 3 sachets
AND NUTRITIONAL                     Energy                                   257.60 Kcal          154.56 Kcal
VALUES                              		                                  (1078.31 KJoule)      (646.98 KJoule)
                                    Fats                                          0.21 g               0.12 g
                                    — Saturated Fats                              0.04 g               0.03 g
                                    Carbohydrates                                 1.75 g               1.05 g
                                    — Sugars                                      1.75 g               1.05 g
                                    Whey Protein                                 75.10 g              45.06 g
                                    Salt                                          0.14 g               0.09 g
                                    Amino acidic Profile (in g)
                                    L-Glutamic Acid                              12.67 g               7.59 g
                                    L-Leucine                                     8.10 g               4.86 g
                                    L-Aspartic Acid                               7.70 g               4.62 g
                                    L-Lysine                                      6.90 g               4.14 g
                                    L-Isoleucine                                  6.00 g               3.60 g
                                    L-Valine                                      5.17 g               3.09 g
                                    L-Phenylalanine                               4.69 g               2.82 g
                                    L-Threonine                                   4.69 g               2.82 g
                                    L-Proline                                     3.85 g               2.31 g
                                    L-Alanine                                     3.50 g               2.10 g
                                    L-Serine                                      3.22 g               1.92 g
                                    L-Histidine                                   3.00 g               1.80 g
                                    L-Methionine                                  3.00 g               1.80 g
                                    L-Tyrosine                                    1.82 g               1.08 g
                                    L-Tryptophan                                  1.70 g               1.02 g
                                    L-Cystine                                     1.54 g               0.93 g
                                    L-Arginine                                    1.47 g               0.87 g
                                    L-Glycine                                     0.98 g               0.60 g

                                    with 			                                                                    %NRV* (per 3 sachets)
                                    Inositol             5.00 g 3.00 g
                                    L-Citrulline         1.00 g 0.60 g
                                    L-Ornithine          1.00 g 0.60 g
                                    L-Carnitine          1.00 g 0.60 g
                                    L-Cystine            0.50 g 0.30 g
                                    Niacine              0.05 g 0.03 g                                                       187.4 %
                                    Potassium Citrate    7.35 g 4.41 g
                                    — of which Potassium 2.50 g 1.50 g                                                        75.0 %
                                    Magnesium Citrate    2.67 g 1.59 g
                                    — of which Magnesium 0.40 g 0.24 g                                                        64.0 %

                                    *NRV = nutritional reference values (in accordance with the regulation UE 1169/2011)

WARNINGS
• Do not exceed the daily dose recommended
  by the nutritionist.
• Do not use during pregnancy and in children,
  or for prolonged periods of time or if suffering from
  any pathology, without consulting the doctor.
• Contains a source of phenylalanine.
• Keep out of reach of children below three years of age.
• The product must not be considered a substitute
  of a balanced diet and a healthy lifestyle.
• Keep in a cool and dry place.
• Do not use the product after the expiry date shown
  on the box and on each sachet.
Rev. 02/2018
                           www.combineddiet.com

Contact center +39 02 2800 5700

Fax +39 02 2817 2299

nutrizione@dsmedica.info

www.dsmedica.info

                                       Dietosystem

                                       a DS MEDICA division
                                       Office:   Milan 20125, Viale Monza 133
                                       Branches: Rome, Viale Regina Margherita 302
                                                 Naples, Via Jannelli 646

                                       Certified UNI EN ISO 9001:2008 e UNI EN ISO 13485:2012
                                       by KIWA CERMET
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