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None of the teens in this site was on a very low-calorie diet (VLCD), sometimes used for obese children and teens under strict medical supervision. Typically, such diets provide 600 to 900 calories per day, mainly from carefully calculated amounts of high-quality protein foods such as lean meat, poultry, or fish, along with several cups of low-carbohydrate vegetables. Vitamin and mineral supplements are prescribed, along with plenty of water. The goal is to maximize body fat loss without losing body protein from organs and muscles. VLCDs are typically used for short periods of time with teens, usually four to twelve weeks.

There’s some evidence that these strict diets do not have an advantage over diets that are less restrictive. In fact, Dr. James Anderson, who has conducted research on VLCDs in adults, feels that there is no advantage to having teens on such diets. "I think teens who need an intensive approach do as well when eating 1,000 to 1,200 calories per day, and I no longer use diets that are lower in calories than this," he says.

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