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Nutrition

Very Low-Calorie Diet (VLCD)

A very low-calorie diet, or VLCD, provides fewer than 800 calories a day, usually as meal-replacement shakes, and can produce rapid early weight loss.

Plain English

Patient-Friendly Explanation

A very low-calorie diet, or VLCD, provides fewer than 800 calories a day, usually as meal-replacement shakes, and can produce rapid early weight loss. Because it is so restrictive, it must be done under medical supervision to stay safe and get enough nutrients. It is used for a limited time, not as a permanent way of eating.

Medical

Clinical Definition

A VLCD is a nutritionally complete dietary regimen providing 400 to 800 kcal per day, typically via formulated meal replacements, used to induce rapid weight loss in medically appropriate patients. It requires medical supervision and often micronutrient supplementation; contraindications include pregnancy, eating disorders and certain medical conditions. VLCDs are effective for short-term weight loss, but maintenance requires a structured transition back to conventional eating.

Key Insight

Why It Matters

For patients needing rapid, clinically significant weight loss, such as before surgery or to improve metabolic health, a supervised VLCD can be very effective. Dr Joseph Wang determines who is suitable and monitors safety throughout.

Sources

Reviewed against standard medical references.

Medically reviewed by

Dr Joseph Wang

Family Physician & Registered Acupuncturist, Accord Medical Clinic. MBBS (NUS), Graduate Diploma in Family Medicine (NUS), Graduate Diploma in Acupuncture (Singapore College of TCM).

Last reviewed: August 2026

This page is general health education, not medical advice. Whether any treatment is appropriate for you is a decision made in consultation after assessment.

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