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Frequent weight gain and loss - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
User :   Hi in my previous chat i was told i will be sent a diet and excercise chart as i need to loose weight. i havnt recieved the same till now.
User :   My height is 5'8"

User :  
weight is 66 kgs
User :  
waist circumference 83 cms
User :   Pls respond

Doctor :   Hi
User :   Hi

User :   ?
how are you
Doctor :   I am sorry, did not see your message. Just give me a moment to read it.

User :   sure no problem

Doctor :  
fine
Doctor :  
how are yu
User :   I am good

Doctor :  
please proceed
User :   i am slightly overweight and need to loose weight
Doctor :   i need a min to go through previous histroy
User :   sure
User :   The chat will be on 18th May afternoon

Doctor :  
ok
Doctor :  
yes
Doctor :  
ok
Doctor :  
i am fine
Doctor :  
yu said your wt is 5.8
Doctor :   wt- 66 kgs
Doctor :  
ht- 5.6
User :   ht is 5"8inches
Doctor :   ok
User :  
weight 66kgs
Doctor :  
body mass index is 22
Doctor :  
BMI is 22
Doctor :  
BMI is to assess obesity
User :   yes

Doctor :  
your ideal wt is 64- 68 kgs
User :   i have very frequent weight gain and loss
Doctor :   so you have the ideal wt
User :   every year my weight fluctuates from 65-75 kgs
Doctor :  
ok
Doctor :  
wats your age
Doctor :  
do yu have any medical illness
User :   i am 27 yrs old, no medical problems

Doctor :  
ok
Doctor :  
are yu on any medications
User :   no
Doctor :   do yu have family history of obesity
User :  
yes
Doctor :  
ok
Doctor :  
let me guide yu in this
User :   family history of obesity, hypertension and diabetes
Doctor :  
and also give yu few medical tips to maintain the normal wt
Doctor :  
ok
User :   i am planning to start a family in the next year or so, was a little concerned
Doctor :  
ok
Doctor :  
not to worry
Doctor :  
i will help yu in this
Doctor :  
morning wat do yu have
Doctor :  
for breakfast
User :   usually milk and cornflakes, paranthas or poori aalo once a week

Doctor :  
ok
User :   i have bed tea with biscuits too
Doctor :   ok
Doctor :  
skimmed milk is good as it contains less saturated fat
User :   ok

Doctor :  
or even a diluted milk is ok
User :   ok
Doctor :   corn flakes+ milk= 2-3 chopped fruits is very good
User :   ok
Doctor :  
chickoo, or banana, or apple even mango
Doctor :  
parathas and poori is good
Doctor :  
but oily content to be reduced
User :   ok
Doctor :   yu can take 5-6 badams or cashews every alternate day
Doctor :   or atleast 3 times in a week
User :   ok
Doctor :   regarding biscuits wheat brand is good
User :   ok

Doctor :  
good day and others contain more cheese and butter so take 1-2 good day biscuits
Doctor :  
this is for break fast
User :   ok
Doctor :  
next is lunch
Doctor :  
wat do yu have
User :   usually rice or roti with sabji and daal in the afternoon . i usually have fruits also around noon

Doctor :  
for your wt
Doctor :  
2 rotis
Doctor :  
a cup of rice
Doctor :   small cup of sambhar
Doctor :  
a veg salad
Doctor :   a veg curry
Doctor :  
and curd in lassi form is good
User :   ok
Doctor :  
the lunch should contain adequate green leafy veg
Doctor :   and other veg
Doctor :   do yu have non veg?
User :   ok

User :  
no
Doctor :  
ok
User :  
i am a vegetarian
Doctor :  
not even egg
User :  
sometimes have omlette though
Doctor :  
ok
Doctor :  
ok
Doctor :  
the white portion of egg is good
Doctor :  
the yellow portion contains more fat
User :   ok
Doctor :   its better to avoid in obese induviduals
Doctor :  
but yu can have
Doctor :   as yu are not taking regularly
User :   ok
Doctor :  
for snacks
Doctor :  
wat do yu have
User :   usally fruits or tea with biscuits and sometimes salted namkeen
Doctor :  
thats good
Doctor :  
it better to have seasonal fruits
User :   ok
Doctor :  
need to avoid fried/oily items in the chats
Doctor :  
fruits in juice form or chopped mixed fruits
Doctor :  
next is dinner
Doctor :  
wat do yu have
User :   for diner usually roti and daal and sabji and later at bed time i take milk.
Doctor :  
ok
Doctor :   its ideal yu can have it
User :   ok
Doctor :  
but make habit of veg salad
User :   ok
Doctor :  
means cucumber , cabbage, spinach, and carrots
User :   ok
User :   i have a sweet tooth
Doctor :   yu mean decayed tooth
User :  
can u guide me how much sugar i can take in day
User :  
no as in i am very fond of deserts and sweets
Doctor :  
i will guide yu
Doctor :   ok
Doctor :  
yu can have 3-4 deserts per week
User :   ok
Doctor :  
the content of sugar is more in rasagulla, malai, and other concentrated foods
Doctor :  
yu have this weekly once
Doctor :  
ice creams 2 times in a week
User :  
i have a very flabby and loose skin because of frequent weight gain and loss, wht kind of excercise would u suggest?
Doctor :   yes i was about to
Doctor :  
its very important what ever food yu have
Doctor :  
its not the criteria
Doctor :  
yu need to burn the food in the form of calories
User :   ok
Doctor :  
this can be done only by exercises
User :   ok
Doctor :   if yu wont do it will acumalate in the body as fat
Doctor :   do yu do any exercises
User :   yes i go to the gym about 3 times a week
Doctor :  
there are 2 types of exercises
User :  
for about an hour
Doctor :   ok
User :  
i do both cardio and weight training
User :   but it has helped me much
Doctor :  
1) is aerobic exerises
Doctor :  
thats good
User :   hasnt helped
Doctor :  
2) cardio exercises
User :   ok
Doctor :   for flabby and loose skin
Doctor :  
aerobic exercises will help
User :   like running?
Doctor :   a) brisk walking
Doctor :  
b) jogging
Doctor :  
c) cycling
Doctor :  
d) swimming
Doctor :  
advantages of aerobic exercises
Doctor :  
it reduces the bad cholesterol thats LDL cholesterol
User :   ok
Doctor :  
and increases good cholesterol thats HDL
Doctor :  
it also releases a hormone like substances
Doctor :  
called ENDORPHINS which will reduce the body stress and tension levels
Doctor :  
and keep yu in elevated mood
Doctor :  
lastly it tightens the skin
User :   ok
Doctor :  
and increases the skin thickness
Doctor :  
do yu know what brisk walk is
User :  
yes
Doctor :  
1. speed less than jogging, more than walking
User :   ok
Doctor :  
2. even the movements of hands , so that legs and abdomen all the 3 are inaction
Doctor :  
3. done for 5 days in a week
Doctor :  
4. for 30 min daily
Doctor :  
5. to walk on plain surface
Doctor :  
do yu have any quires regarding exercises
Doctor :  
hi are yu there
User :   no this is fine

User :  
thanks doctor
Doctor :  
ok
Doctor :  
Please fill the feed back form
Doctor :  
is there any thing else i can help u with
User :   thats all
User :  
thanks
Doctor :  
ok
Doctor :   have yu filled the feed back form
User :  
yes
Doctor :   ok thanks

Doctor :  
take care bye for now
User :   thanks
User :  
u too
Doctor :  
have a healthy life
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