(1) The Weight-Loss Consumer Bill of Rights shall consist of the following provisions:
(A) WARNING: RAPID WEIGHT LOSS MAY CAUSE SERIOUS HEALTH PROBLEMS. RAPID WEIGHT LOSS IS WEIGHT LOSS OF MORE THAN 1 1⁄2 TO 2 POUNDS PER WEEK OR WEIGHT LOSS OF MORE THAN 1% OF BODY WEIGHT PER WEEK AFTER THE SECOND WEEK OF PARTICIPATION IN A WEIGHT LOSS PROGRAM.
(B) CONSULT YOUR PERSONAL PHYSICIAN BEFORE STARTING ANY WEIGHT-LOSS PROGRAM.
(C) ONLY PERMANENT LIFESTYLE CHANGES, SUCH AS MAKING HEALTHFUL FOOD CHOICES AND INCREASING PHYSICAL ACTIVITY, PROMOTE LONG-TERM WEIGHT LOSS.
(D) QUALIFICATIONS OF THIS PROVIDER ARE AVAILABLE UPON REQUEST.
(E) YOU HAVE A RIGHT TO:
(1) ASK QUESTIONS ABOUT THE POTENTIAL HEALTH RISKS OF THIS PROGRAM AND ITS NUTRITIONAL CONTENT, PSYCHOLOGICAL SUPPORT AND EDUCATIONAL COMPONENTS.
(2) RECEIVE AN ITEMIZED STATEMENT OF THE ACTUAL OR ESTIMATED PRICE OF THE WEIGHT LOSS PROGRAM, INCLUDING EXTRA PRODUCTS, SERVICES, SUPPLEMENTS, EXAMINATIONS, AND LABORATORY TESTS.
(3) KNOW THE ACTUAL OR ESTIMATED DURATION OF THE PROGRAM.
(4) KNOW THE NAME, ADDRESS, AND QUALIFICATIONS OF THE PHYSICIAN, DIETICIAN OR NUTRITIONIST WHO HAS REVIEWED AND APPROVED THE WEIGHT- LOSS PROGRAM ACCORDING TO 468.505(1)(I), FLORIDA STATUTES.
Nu Image Medical is a weight loss, anti-aging and wellness provider. Our doctors and medical staff directly prescribe all required tests and review and confirm all test results. Your health care provider may also perform physical exams, consult with primary physicians, and validate and verify submitted medical information. Patients who are found to have signs and symptoms of a legitimate medical and/or health condition are referred to a medical specialist in that field for diagnosis and treatment in a specialized and monitored program. Providers reserve the right to recommend and use internal and/or external medical specialists for any patient and all patient information will be protected under all HIPAA laws and regulations. Nu Image Medical is not an internet pharmacy and does not dispense, ship, or distribute medications from our facilities or web sites. Any and all medication prescribed by affiliated doctors and/or associated medical associates for medical treatment will be dispensed from a US FDA approved pharmacy. All patients are required to fulfill and follow all of the medical instructions and procedures prescribed by doctors and contact their doctors immediately if they have any problems, questions, or concerns. Patients found to have submitted fraudulent information will be terminated from any health program offered by Nu Image Medical or any of its affiliates. Any medication prescribed is only for the use of the patient and is not to be transferred, distributed, modified, or used by any other party.
“Off Label” Use of HCG
I understand that this therapy includes “off-label” use of the FDA approved medication HCG (Human Chorionic Gonadotropin). I understand that this medication is FDA approved for other medical treatment modalities including female fertility and has not been approved for the purpose of weight loss. (“Off-label” use means the use of FDA approved drugs for purposes other than those for which the FDA has approved them.) “Off-label” prescribing in this manner is a legal and common practice by physicians in the United States.
Statement from the FDA
I have been notified that since 1975, the FDA has required labeling and advertising of HCG to state: “HCG has not been demonstrated to be an effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or ‘normal’ distribution of fat, or that it decreases the hunger and discomfort associated with calorie-restricted diets.”
I have read and understand the above acknowledgments.