Patient Preparation
Individual has been resting for 10-15 minutes in the waiting room.
Individual has not eaten for at least 4 hours.
Individual has not exercised (cardiovascular or strength training) for at least 4 hours.
Individual has not consumed caffeine for at least 4 hours.
Individual has not consumed nutritional supplements or medications containing
ephedra, Ma Huang, or pseudoephedrine for at least 4 hours.
Individual has not consumed nicotine for at least 1 hour.
Device Preparation
Plug in the MedGem or BodyGem device.
Ensure that the flow tube is firmly inserted into and flush with the device.
Insert the single-use mouthpiece into flow tube.
Place the device upright on a flat surface, away from vents, fans, or forced air.
Press the start button to begin self-calibration – do not move the MedGem device during this period.
Begin the measurement within one minute from the time the indicator light flashes green, and the device beeps once.
If the measurement is not started in time, device will go into standby mode
Place device upright on a hard, flat surface, and press the start button again to recalibrate
Measurement
Individual has nose clip on and a tight seal around the mouthpiece.

Individual is in a relaxed position and breathes normally throughout the measurement. Avoid distractions such as watching television or reading. Ask the individual to keep both feet on the floor and refrain from fidgeting during the duration of the measurement.
Measurement is complete when the MedGem or BodyGem device beeps and the indicator light changes back to amber
If the power cord becomes dislodged after the measurement, simply plug the cord back into the device and the last measurement will be displayed on the LCD screen
Remove the nose clip and discard the single-use mouthpiece.
Do not dislodge or discard the flow tube.
Record the RMR result displayed from the LCD screen onto the Analyzer Patient Questionnaire.
Inform patient to schedule follow-up (7-14 days) or SMV with receptionist
Proceed to the Analyzer software program to generate the patient’s nutritional and exercise plan.
Click here for a printable 1-page measurement protocol checklist in PDF
Get more information on the BodyGem and MedGem indirect calorimeters
Call me directly at 720-431-1461 or send me an email to get your questions answered.
I wish you the best of health!
David Wilcoxson