Three-phase care plan

PHASE I · Startup period

Let treatment be connected with daily life first

Understand the medical history, current medications, dietary and activity habits, and then let the physician evaluate appropriate treatment. The focus at this stage is to be able to adapt to your body, be able to eat your meals, and know how to ask for help when you feel uncomfortable.

• Drugs:Start and gradually adjust according to the applicable instructions and doctor's instructions. Do not use medium and high doses as the starting point for everyone.
• Diet:Establish regular meals and protein sources, and adjust calories and portions based on nutritional status.
• Activity:Start with the walking and muscle-strengthening exercises that you can do, and gradually add them according to your physical ability. There is no need to wait for the next stage.
• Key points for follow-up consultation:Appetite, gastrointestinal discomfort, fluid intake and daily physical strength.

Preparation for first diagnosis · How to eat when you have a small appetite

PHASE II · Optimization period

Improve diet, muscle strength and efficacy together

Re-examine meals, activities, and treatment schedules as weight and lifestyle changes. The focus is on finding ways to continuously improve your health and taking care of your strength and nutrition.

• Drugs:Evaluate whether to adjust the comprehensive effects and side effects, and do not automatically reduce the dose based on the stage name.
• Diet:Reviewing actual intake and training needs, protein targets are converted by the team into achievable portions per day and at each meal.
• Activity:Gradually establish a regular schedule for aerobic and muscle strength, and pay attention to recovery.
• Key points for follow-up consultation:Weekly weight trend, waist circumference, physical strength and health indicators to track as needed.

Dead period checklist · Home strength exercises

PHASE III · Maintenance period

Keep health achievements in your life

Once you get close to the jointly set goals, gradually shift to diet and activities that can be maintained for the long term. After reaching the target, you still need to follow up; when the weight comes back, you can adjust it early, and you don’t have to wait until you return to your original weight before seeking help.

• Drugs:Based on the discussion of benefits and risks of continued treatment, discontinuation is not a necessary endpoint for everyone.
• Diet:Mainly focus on adequate nutrition and appropriate maintenance calories; it is not necessary for everyone to adopt a caloric surplus, and there is no guarantee that gradually increasing calories can avoid obesity.
• Activity:Maintain regular aerobic and muscle strength to meet work, family and recovery needs.
• Key points for follow-up consultation:Increased appetite, continuous weight gain, or fatigue, inability to eat, and decreased function.

Discussion on maintenance and discontinuation after reaching the target · What records should I bring with me for a return visit? · Daily nutrition choices

How do I order my protein target?

Protein requirements are related to body size, age, activity level, total calories and kidney function. Please ask your doctor or nutritionist to confirm the weight and daily grams used for calculation, and then convert them into food portions; do not regard the range of stages in the clinic chart as a prescription that everyone must achieve.

Patients with renal disease or special dietary restrictions require additional evaluation. Can read firstProtein food and nutrition label conversion, bring commonly eaten products to the discussion.