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I start my pre-pre-op diet today! shake for Breakfast and lunch and a bar and lean Protein / veggies for dinner. THE Optifast IS DISGUSTING! it has 20g of sugar and 14g of protein when PREMEIRE Protein shakes are 30g of protein and 1g of sugar and tastes way better. Does anyone know what in this shake "shrinks your liver" vs. the premier shakes? or is a crock of BS? For 3 dollars a shake it does not justify to me at all! =( I have to buy them at my doctors office which makes it super pricey. I can't find them online anywhere.