The hCG Diet Plan Dangers and Misleading Weight Loss Promises


Photo: Johanna Parkin/Getty Images

True story: A few years ago, a fabulously fit friend of mine was paid a substantial amount of money by a popular diet pill company to use his image in their advertising. The catch? His current competition-ready state was the “after” picture—and then he had to quickly gain some weight, lose his tan, and pose pouty for the “before” shot.

This kind of duplicity, along with photo retouching, misleading labeling, and other trickery is rampant in the diet supplement industry and has been for a long time. That’s why it was so surprising when the FDA came down hard on the hCG diet, declaring it “fraudulent,” “dangerous,” and “illegal.” What’s so bad about this particular diet supplement that makes it so much worse than all the other fakes on the market?

What is the hCG diet plan?

Human chorionic gonadotropin, or hCG, is a hormone produced during pregnancy to help the baby grow. While it has been used for different purposes in the medical community for decades, it has recently become the centerpiece of the hCG fad diet that uses hCG drops, shots, or pills to suppress appetite and cause weight loss. Here’s what you need to know about the hCG diet plan:

1. The hCG diet will probably help you lose weight, but there’s a catch.

What can you eat on the hCG diet? Turns out, not much. Following the rules set forth in Pounds and Inches: A New Approach to Obesity, by A.T.W. Simeons, M.D., which is the recognized protocol for the diet, means you only consume 500 calories a day. (To put that in context, the average active adult woman requires 2,200 to 2,400 calories a day, according to the National Institutes of Health.) And those 500 calories are limited to specific kinds of animal protein (chicken breast, beef, veal, fresh white fish, crab, lobster, or shrimp), and certain vegetables, fruits, and grains. One noticeable thing that you can’t eat on the hCG diet: oils—even if they are healthy cooking oils such as avocado and EVOO. With all that restrictive dieting and energy intake, it’s easy to see how someone might lose weight on the hCG diet plan. But, FYI, cutting calories to lose weight will almost certainly backfire. 

2. Almost none of the hCG supplements actually contain the hCG hormone.

Even if the hCG hormone or the hCG diet did work to suppress appetite, true hCG requires a doctor and a prescription to dispense. In fact, the FDA clearly states that “hCG is not approved for OTC sale for any purpose” and hCG products are illegal. Confused? Most of the supplements sold over the counter to the public are labeled and sold as “homeopathic,” which means they have leniency regarding what’s actually in these products, because supplements are not regulated and controlled by the FDA.

3. What’s more, these hCG supplements, pills, shots, and drops are not actually “homeopathic.”

To be considered a homeopathic treatment by the FDA, it needs to appear in the Homeopathic Pharmacopoeia of the United States (HPUS), which is essentially the official list of active ingredients that can be used in homeopathic drugs. To be included, a product has to meet very specific and thorough criteria, which these hCG supplements do not. “HCG is not on this list and cannot be sold as a homeopathic medication for any purpose,” says Elisabeth Walther, a pharmacist at the FDA.

4. There are dangerous side effects of the hCG diet.

Besides being cranky and hangry, taking illegal hCG shots and pills (yikes) could lead to headaches, fatigue, and more irritability. The severe calorie restriction could set you up for gallstones, an irregular heartbeat, or even an imbalance of the electrolytes that keep the body’s muscles and nerves functioning properly, as we previously reported (Government Cracks Down on HCG Weight-Loss Supplements).

5. There are no clinical trials or rigorous studies that support the hCG diet plan.

There just isn’t any science-backed evidence that says the hCG diet works, nor that hCG should be used as a weight-loss tool. In fact, the hCG hormone is more often safely used to treat fertility issues, as the hormone is produced by the placenta during pregnancy. “In the case of the homeopathic hCG remedies, people think that if they’re losing weight, hCG must be working,” says Elizabeth Miller, acting director of the FDA’s division of non-prescription drugs and health fraud, in a statement. “But the data simply does not support this—any weight loss is from severe calorie restriction. Not from the hCG.”

Bottom line: The hCG diet only adds to the weight-loss confusion out there. (Be sure you’re not falling for any of the top nine most popular diet myths.) Quick fixes can be tempting for anyone trying to lose weight, but you should definitely skip this extreme diet and opt for good nutrition and regular exercise instead. BTW, that’s called the anti-diet, and it’s the healthiest diet you could ever be on. It’s not as exciting, but your body will thank you—and if you do lose weight the traditional way, you’re much more likely to keep the weight off for good.



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What You Need to Know About the hCG Diet Plan


True story: A few years ago, a fabulously fit friend of mine was paid a substantial amount of money by a popular diet pill company to use his image in their advertising. The catch? His current competition-ready state was the “after” picture and then he had to quickly gain some weight, lose his tan, and pose pouty for the “before” shot.

This kind of duplicity, along with photoshop, misleading labeling, and other trickery is rampant in the diet supplement industry and has been since the turn of the century. And I mean the one 113 years ago. That’s why it was so surprising when the FDA came down hard on the hCG diet, declaring it “fraudulent”, “dangerous,” and “illegal.” What’s so bad about this particular diet supplement that makes it so much worse than all the other fakes on the market?

What is hCG? Human chorionic gonadotropin—a hormone produced during pregnancy to help the baby grow, and while it has been used for different purposes in the medical community for decades, it has recently become the centerpiece of a fad diet that uses hCG drops, shots, or pills to suppress appetite and cause weight loss. Here’s what you need to know about the hCG diet plan:

1. The hCG diet works for weight loss. My dad lost 30 pounds in 40 days on the hCG diet plan… except that he was too cheap to buy the hCG drops so instead he just did the prescribed diet plan. How does the hCG diet work? You eat about 500 calories each day of specific types of protein (limited to  chicken breast, beef, veal, fresh white fish, crab, lobster, or shrimp), certain vegetables, fruits, and grains, according to Dr. A.T.W. Simeons, M.D.’s book Pounds and Inches: A New Approach to Obesity, which is the recognized protocol for the diet. It turns out when you only eat 600 low-carb calories per day, you lose a lot of weight. Go figure. (BTW cutting calories to lose weight will almost certainly backfire.)

2. Almost none of the hCG supplements contain actual hCG. Even if the hormone did work to suppress appetite, true hCG requires a doctor and a prescription to dispense. Most of the supplements are sold as “homeopathic,” which is industry code for containing no real hCG.

3. It’s not “homeopathic.” To be considered a homeopathic treatment by the FDA it needs to appear in the Homeopathic Pharmacopoeia, which hCG does not. Elizabeth Miller, the FDA’s team leader on internet and health fraud, concludes, “So they are unapproved drugs and are illegal.” She adds the drugs are also not approved for weight loss.

4. It’s often very, very expensive. And price is no indicator of whether you’re even getting the real thing.

5. There are no clinical trials or rigorous studies that support the hCG diet plan. Miller says, “In the case of the homeopathic hCG remedies, people think that if they’re losing weight, hGC must be working. But the data simply does not support this—any weight loss is from severe calorie restriction. Not from the hCG.”

The hCG diet only adds to the weight-loss confusion out there. (Be sure you’re not falling for any of the top nine most popular diet myths.) Quick fixes can be tempting for anyone trying to lose weight, but definitely skip this extreme diet and go for good nutrition and regular exercise instead. It’s not as exciting, but your wallet and waistline will thank you—and you’re much more likely to keep the weight off for good.



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