What are meal replacements?

They are portioned controlled products (shakes, bars, smoothies, soups) that are fortified with vitamins and minerals and replace one or two meals in the day allowing one low calorie balanced meal using normal food. The plan normally provides 1200-1600kcals/day. Ask your Dietitian for advice on different meal replacements available.

How effective are they?

Research has shown that people who follow a meal replacement plan can lose around 5-10 percent of their weight at six months, which is similar weight loss results as people following a healthy balanced diet.

What does a typical day look like on the plan?

Breakfast: Replace with a meal replacement product - a shake, bar, smoothie, soup

Snack: From snack list

Lunch: Replace with a meal replacement product - a shake, bar, soup, smoothie, soup

Snack : From snack list

Evening Meal: A balanced meal

Snacks: From snack list

Drinks: 2 litres of low calorie drinks such as water, tea, diet drinks.

What are some of the advantages of following this plan?

Some people who have used meal replacements have found them quick and convenient, helped them understand the calorie value of food and given them a break from food so they can work on some of their reasons for overeating.

They have also felt reassured the products provided them with all the nutrition they needed when combined with a balanced evening meal.

What are some of the difficulties with following the plan?

Some people who have used meal replacements report that the plan is boring and they have felt hungry whilst on the plan. They felt that you needed a lot of self discipline and they found it especially difficult at the weekend and holidays and when eating with friends.

How long do I stick to the plan for?

Normally people would follow the plan for three months and then gradually replace normal food into their diet. Some people remain on one meal replacement a day to help maintain the weight loss they have achieved.

Who is not suitable to start Meal Replacements?

Meal Replacements are not suitable for children, adolescents, pregnant women and women who are breastfeeding. Please check with your Doctor or Dietitian before starting the plan.

Top tips to help you stick to your plan

Below are some ideas that people who have followed a meal replacement plan have found useful to help them stay on track:

  • Keep a list of reasons for losing weight up on the fridge, cupboard or in your purse or wallet. Having these at hand will help you during those times when you might be tempted to come off plan
  • If you are experiencing a craving to eat something try to do something else to distract yourself e.g. doing the dishes, going for a walk, moving to a different room, going on the computer
  • Remove any foods that you know will make it hard for you to stick to the plan. Make food such as biscuits, crisps, sweets less visible. Either don’t buy them or place them in a cupboard
  • Place stickers inside cupboard doors and the fridge to remind you to ‘stop’ and ‘think’
  • Really enjoy your evening meal —sit down at the table and make an event of it and eat slowly. Try to avoid eating your meal in front of the television or computer
  • Make sure you drink plenty during the day. Thirst can often be mistaken for hunger
  • Try a range of meal replacements with different flavours to help prevent you becoming bored with the plan
  • Reward yourself whilst on the plan. You are working hard and deserve a reward . Think about what you would like to do. Maybe a day out at the end of the month or for a more regular treat a favourite magazine or book or just sometime out’ such as a bath or walk.

Remember to get support whilst you are on the plan. Attend the regular weigh ins and remember the Dietitian is always at the end of the phone. Sign up for the free support offered by certain companies.

When you are ready to introduce food back into your day, see below for some ideas. People often find it useful to aim to introduce a new meal every two weeks.

Breakfast Ideas:

Weetabix:

2 Weetabix with 125 ml of semi-skimmed milk 

4 strawberries and 2 tablespoons of blueberries                                                                        

Total: 255 kcal

Porridge:

1 sachet of porridge oats with 180 ml of semi-skimmed milk

1 small banana                                                                                                                               

Total: 250 kcal

Poached egg on toast:

2 slices of wholemeal bread

1 teaspoon of low fat margarine

1 poached egg                                                                                                                               

Total: 255 kcal

Omelette:

2 eggs

Mixed vegetables (mushroom, pepper, onions)

1 slice of wholemeal bread

Total: 260 kcal

Yoghurt:

100g Fat free greek yoghurt

20g Nuts

Bran Flakes:

40g of Bran flakes with 150ml of semi skimmed milk

1 ½ tablespoons of raisins/sultanas                                                                          

Total: 250 kcal

 Bacon Muffin:

Wholemeal muffin

2 rashers of grilled bacon – grilled with fat removed    

1 tablespoon of brown sauce/ketchup                                                                         

Total: 265 kcal

 English Breakfast:

1 slice of wholemeal bread

1 poached egg

1 low fat sausage – slice in half and grill

1 large grilled mushroom

½ tin of tinned tomatoes                                                                                                        

Total: 280 kcal

Pilchards on toast:

100g of pilchards

2 small slices of wholemeal bread

Total: 280 kcal

 

Lunch and Evening Meal ideas

Ham/turkey salad sandwich:

2 slices of wholemeal bread or 1 wholemeal pitta

3 slices of wafer thin ham/turkey

1 cup of iceberg lettuce, sliced cucumber

2 satsumas or 2 plums                                                                                                               

Total: 255 kcal

Beans/sardines on toast:

2 slices of wholemeal bread

100g of baked beans or ½ tin of sardines in tomato sauce

1 grilled medium sized tomato                                                                                                     

Total: 260 kcal

Cottage Cheese jacket potato:

100g Small jacket potato

75g/3oz Low fat/light cottage cheese

1 low fat yoghurt   

Total: 265 kcal

Soup:

1 tin of low fat or homemade soup

1 slice of granary bread or 2 crispbread

1 slice of pineapple                                                                                                                      

Total: 245-255kcal

Homemade Pizza:

¼ homemade pizza with side salad                                                                                             

Total: 250 kcal

Crispbread:

3 multigrain crispbread

2 tablespoons of reduced fat hummus

½ red pepper, 1 cup of mixed lettuce

1 satsuma                                                                                                                                       

Total: 255 kcal

Chicken or Salmon:

Small chicken breast or salmon fillet

½ jacket potato or 3 new potatoes

Side salad or 3 heaped tablespoons of cooked vegetables                  

Total: 260 kcal                                       

Ready Meal:

250kcal Ready Meal

Side salad or 3 heaped tablespoons of cooked vegetables 

Total: 290 kcal                                                      

Chicken Fajita:

1 Tortilla

½ chicken breast

3 heaped tablespoons of vegetables

 

Snacks

Choose from the snacks below for your 2-3 snacks during the day:

 

Snack

Amount

Fresh fruit

 

Medium sized e.g. apple, pear,
banana or 2 small sized e.g.
clementines, plums

Dried fruit

2 tablespoons

Canned fruit (in natural juices)

6 tablespoons

Low fat yoghurt

Small pot (125g/5oz)

Sugar free jelly

5 tablespoons

Rice cake with low fat cheese spread

1 triangle

Carrot/celery/pepper sticks with low fat hummus

2 tablespoons of low fat hummus

Malt loaf

1 small slice

Plain biscuit (e.g. morning
coffee, rich tea or garibaldi)

2 small

Oat cakes

2 small

Nuts

6-8 (unsalted)

Lean ham, chicken or turkey

2 thin slices

Hot chocolate drink (low calorie)

e.g. Options, Highlights

Our patients matter

Mersey Care NHS Foundation Trust listens and responds to patients and their carers to help improve the services we deliver.

If you have any comments, compliments or concerns you can speak with a member of staff or contact our Patient Advice and Liaison Service (PALS) and Complaints Team

Telephone: 0151 471 2377 
Freephone: 0800 328 2941 
Email: palsandcomplaints@merseycare.nhs.uk


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Approval date: 23 July 2026

Review date: 22 July 2027

Version number: 1