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Unable to loss weight in-spite of controlled diet - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Weight Loss
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
Doctor :   Hi
Doctor :   Iam.Dr.xxxx
Doctor :   Please post your query
User :   inspite of having a controled diet.....i am putting on weight...pls help
Doctor :   May i know your age?
User :   39 years...
Doctor :   May i know your weight and height?
User :   my height is 5'10" and weight in 90 Kgs
Doctor :   ok you are over weight
Doctor :   as per BMI index
User :   yes i know
Doctor :   So do you do regular exercise
Doctor :   Do you take junk foods ?
Doctor :   Apart from total body fat mass, accumulating data suggest that regional fat distribution substantially affects the incidence of comorbidities associated with obesity.
Doctor :   High abdominal fat content (including visceral and, to a lesser extent, subcutaneous abdominal fat) is strongly correlated with worsened metabolic and clinical consequences of obesity.
Doctor :   As a result, android obesity, which is predominantly abdominal, is more predictive of adipose-related comorbidities than gynecoid obesity, which has a relatively peripheral (gluteal) distribution.
Doctor :   do you take too much oily foods?
User :   i will answer 1 by one...
Doctor :   ok sure
User :   i dont exercise regularly because of the fact that if i get up early i am unable to complete my sleep quota and often suffer with migraine...
Doctor :   ok
User :   i do not take junk food...
Doctor :   when you go to sleep?
Doctor :   ok good
Doctor :   The balance between calorie intake and energy expenditure determines a person's weight.
Doctor :   If a person eats more calories than he or she burns (metabolizes), the person gains weight (the body will store the excess energy as fat).
User :   i go to sleep around 11- 11:30
Doctor :   ok till when you sleep
User :   and as you mentioned rightly the maximum fat is around the of the body is shapely
Doctor :   Therefore the most common causes of obesity are overeating and physical inactivity.
User :   i get up at 6 AM
Doctor :   so you are more prone to diabetes and cardiac problem
Doctor :   in future
User :   what do you suggest ..
Doctor :   thats is a good long sleep
Doctor :   start exercise from 6 am
Doctor :   do 30 min brisk walk daily
User :   ok....
User :   brisk walk of 2-3 kms....
Doctor :   A person is more likely to develop obesity if one or both parents are obese
Doctor :   yes for 30 min minimum
User :   my mom is obese but dad is absolutely fit
Doctor :   waving your hands
User :   ok....
Doctor :   Genetics also affect hormones involved in fat regulation. For example, one genetic cause of obesity is leptin deficiency.
Doctor :   Leptin is a hormone produced in fat cells
Doctor :   Leptin controls weight by signaling the brain to eat less when body fat stores are too high
Doctor :   If, for some reason the body cannot produce enough leptin, or leptin cannot signal the brain to eat less, this control is lost, and obesity occurs.
Doctor :   Overeating leads to weight gain, especially if the diet is high in fat.
Doctor :   Foods high in fat or sugar (for example, fast food, fried food, and sweets) have high energy density (foods that have a lot of calories in a small amount of food).
Doctor :   simple carbohydrates (sugars, fructose, desserts, soft drinks, beer, wine, etc.) contribute to weight gain
Doctor :   because they are more rapidly absorbed into the blood-stream than complex carbohydrates (pasta, brown rice, grains, vegetables, raw fruits, etc.)
User :   i dont drink or smoke....and i am a strict vegan
Doctor :   good
User :   do you suggest any activity after dinner as well?
Doctor :   people who eat small meals four or five times daily, have lower cholesterol levels and lower and/or more stable blood sugar levels than people who eat less frequently (two or three large meals daily)
User :   my diet is as under: Doctor :   after dinner wait for atleast 1-2 hours before you go to sleep
Doctor :   There is a say
Doctor :   eat like a king in the morning
Doctor :   like a XXXXXXXX in the afternoon
User :   Breakfast at 8:30 - 1 plate upma with a glass of milk...
Doctor :   and like a pauper in the night
User :   11:00 - 200 gms of Chhena (Paneer)
Doctor :   you can avoid milk
User :   ok
Doctor :   since it will give a lot of excess calorie
Doctor :   Diseases such as hypothyroidism, insulin resistance, polycystic ovary syndrome and Cushing's syndrome, are also contributors to obesity.
User :   can i replace milk with butter milk....
Doctor :   physical inactivity was strongly correlated with weight gain in both sexes.
Doctor :   no
User :   than tea or coffee??
Doctor :   for some time avoid all milk products
Doctor :   you can take tea with milk
User :   ok....
Doctor :   but green tea is the best
User :   ok....
Doctor :   In order to loose your body fat start drinking green tea instead of drinking your regular tea.
Doctor :   You can drink green tea at least two to three times in a day.
Doctor :   Green tea is highly effective in reducing weight fast, as it helps the digestive tract to digest the food fast.
User :   sure i'll
Doctor :   Start your morning with having one glass of warm lemon water
Doctor :   There is no need to skip any part of the meals. Instead just modify your meals.
User :   i drink 2 glasses of normal water
Doctor :   Instead of eating three bigger meals have five to six small meals.
Doctor :   thats also good
Doctor :   For 1 month just have vegetable soup for dinner and see how fast you loose your body weight.
User :   oh i can try that definately...
Doctor :   A person's weight during childhood, the teenage years, and early adulthood may also influence the development of adult obesity.
User :   i was quier lean and thin till i got married in 2008...
Doctor :   ok
Doctor :   so it is very easy for you
Doctor :   use only sunflower oil
Doctor :   take a lot of salads
Doctor :   take fibre rich diets
User :   fibre rich
Doctor :   do try to walk rather that using vehicles
Doctor :   like long beans ,beans,papaya,spinach,
Doctor :   etc
User :   so if i may summarise doctor
User :   brisk walk for 30 minutes every morning
User :   followed by diet suggested by you
Doctor :   yes
User :   replacing dinner with veg soup for at least a month...
Doctor :   Cabbage is considered to be an excellent home remedy for obesity. Recent research has revealed that a valuable chemical called tartaric acid is present in this vegetable which inhibits the conversion of sugar and other carbohydrates into fat.
Doctor :   try if poz
User :   but cabbage is not available through out the year
User :   sure i will doctor....
Doctor :   Increase the quantity of fruits and vegetables and low calorie foods.
User :   thanks a ton doctor...
Doctor :   Eat tomato in the morning and in salad. Make it a regular habit.
Doctor :   Mint is very beneficial in losing weight. Have some salads, vegetables with it
User :   will spk to you again soon....
User :   thanks a lot.....
Doctor :   Use vegetable oil instead of butter or stick margarine.
Doctor :   Prefer eating steam, boiled, microwave vegetables
Doctor :   Replace whole milk with skim or low fat milk for your preparation
Doctor :   Roast, bake or boil meat, fish, to destroy all the fat present
User :   i will avoid milk completely
Doctor :   yes you can have it with tea
User :   i am a vegan
Doctor :   once or twice
Doctor :   ok
User :   just one last query....
Doctor :   then take other protein rich foods
Doctor :   like beans etc
User :   can i replace the morning brisk walk with skipping...
Doctor :   Drink 8-10 glasses of water daily to avoid fluid retention.
User :   rope skipping i mean
Doctor :   yes
User :   how many jumps....
Doctor :   but some will have difficulty
Doctor :   skipping with overweight
User :   i do not think i will have difficulty....
Doctor :   will develop knee pain etc
Doctor :   ok good
User :   so how many skips???
User :   to star with...
Doctor :   that depends on your ability
Doctor :   try 20-25 first
Doctor :   wait for 5 min
Doctor :   then again
Doctor :   do that minimum 30 min
Doctor :   but i would recommend
Doctor :   you to be cautious
Doctor :   try walking also
User :   oh sure....i will be cautious....
Doctor :   Exercise is an important part of any weight reduction plan. A workout for at least 30 minutes to an hour every morning is beneficial.
Doctor :   Walking is the best exercise to begin with. Other exercises include swimming, bicycling, trekking and so on.
Doctor :   For three months, eat food by chewing a single morsel at least 50 times, so that it turns into almost a liquid before gulping it down. It has very effectively reduced the obesity of many people.
Doctor :   Have a disciplined, regular lifestyle.
User :   so i put it this way.....if i get enough time i will go for the walk or else i will go for skipping..
Doctor :   Have a balanced diet and include as much fresh fruits and vegetables as possible. Drink lots of water.
Doctor :   Have six small meals instead of 3 big ones. Weigh yourself once every week and stop obsessing about it.
Doctor :   ok sure
User :   thanks a lot was nice and very informative session..
Doctor :   Is there anything else i can help you with now?
Doctor :   THANKS FOR CONSULTING....................
Doctor :   NICE TALKING TO YOU.........
User :   no that's again and bye....have a gr8 evening...
Doctor :   BYE FOR NOW..............
Doctor :   TAKE CARE................
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