Why I decided to not attend Nepal Respiratory society conference 2025?

I am a super-specialist doctor. Hence, when I learned about the pulmonology conference in Nepal in September 2025, I thought of attending it since I was there for some other work.  But I ultimately decided against attending the Nepal Respiratory society conference. You will agree that 'the first impression is the last impression'. And my first impression about the conference and organizers, unfortunately, was bad.  Reasons: 1. Incomplete information on internet  No proper directions on internet. There was incomplete and wrong information.  2. No office When anyone makes a medical society or association, it needs to have a proper physical address, phone number, and email id. But this, Nepal respiratory society, lacked all of this.  3. Piecemeal information  Initially, the registration details had no details about registration for international delegates. Later, this was added. But again, there was improper info on it. At one place, the fees was 12k npr and a...

What is Ideal Protein Alternative Diet Plan? What it comprises of and what are its disadvantages?

People are increasingly becoming weight-conscious for cosmetic and health reasons. People want to stay trim and fit. Hence, various diet regimes are present that target the excess fat of an individual. Ideal Protein Alternative Diet Plan is one such diet regimes to bring in weight loss and maintain it. It is a keto style regime that is high in proteins and low in carbs. 

What is Ideal Protein Alternative Diet Plan?

This is a type of modified keto style diet regime. It has brought success in many obese people. Strict adherence to the plan is essential. French doctor Tran Tien Chanh, MD, founded this plan in 2004. Anne Danahy, a dietitian says:

"A true keto diet has only about 5 percent of calories from carbs, (which can be as low as 30 grams per day) and about 75 to 80 percent from fats,"

4 phases of the plan

This plan has 4 phases:

1. Initial Weight Loss
2. Transition
3. Pre-Stabilization
4. Maintenance

Phase 1

In this, the doctor decides how much weight is to be lost after consultation with the patient. This varies in different individuals. The diet makes the person loses all the kilos that is decided to be lost. It lasts for 5 to around 12 weeks. 

Protein alternatives (Source: Pinterest)

Breakfast consists of one meal replacement, along with multivitamins and fish oil. The patient can have tea or coffee but with sparse amount of milk or creamer. The Lunch is one meal replacement and the vitamins and fish oil. A maximum of 4 cups of approved vegetables is allowed. 

In late afternoon, at high teatime, there is snack or dessert with calcium or magnesium supplements. And the dinner is 6-8 oz of whole protein. Certain non-fat, non-sugar and zero carbs foods can be consumed intermittently.

Phase 2

In this phase of transition a modified form of phase 1 is done. Lasting 2 weeks, its aim is to help the person succeed and maintain the diet plan. 

Breakfast and snacks are IPA meal and in lunch and dinner there is be 6-8 oz of proteins. Supplements are as usual and 2 cups of approved vegetables with main meals of the day are allowed. And one can eat other raw vegetables as much as wanted.

Phase 3

This phase also is for 2 weeks. In this phase, only snacktime is IPA meal and breakfast, lunch, and dinner are each 6-8 oz of proteins. Normal supplements and vegetables are allowed. One can additionally add 2 cups of approved vegetables in lunch and dinner.

Phase 4

By this time, you are used to and very much into this healthy lifestyle. You can skip a week off this regime and go back later into it.

Problems of this diet

As other things, this regime has its plus points and also disadvantages. It is supervised in a clinic and requires finance. It is costly since special foods have to be purchased. 

Many patients complain of excessive tiredness, headache, giddiness, and feeling of fogginess. Anne explains:

"I personally don't like the use of special foods and especially packaged foods. I feel like many of these fall into the 'ultra-processed' category, which research has linked to weight gain, not loss."

There could be vitamin and other deficiencies with the plan. Food is monotonous and lacks variety and can be boring to eat. Anne says optimistically:

"It's not necessarily harmful for most (healthy) people to follow a ketogenic diet for several weeks or longer. Many people do lose weight and improve their metabolic markers."

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