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Optifast and Medifast are very low caloriets for very overweight people, according to "Liquidts," a Vanderbilt University report. In the .The Meals. During the weight loss phase of the program, both Optifast and Medifast use meal replacement foods to help you reduce caloric intake to calories a day.. I'm exploring options and want to know if anyone else has looked at the differences between Optifast and Medifast? I will have wks requiredting prior to surgery and while my Dr is pushing Optifast, I've spoken to others that used other means, such as Medifast..Both Medifast and Optavia are well knownts that can help you lose weight in a relatively short amount of time. They focus on low .Download Full Image