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My wife have a 80 kg weight and she want

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General & Family Physician
Practicing since : 2010
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Question
My wife have a 80 kg weight and she want to reduce the same, her height is 5foot 4cm , please suggest , how to loss the weight
Posted Mon, 27 Nov 2017 in Weight Loss
 
 
Answered by Dr. Suresh Heijebu 18 hours later
Brief Answer:
Please provide further information

Detailed Answer:
Hello Sir

I can certainly understand your concern

Before guiding you further, I would like to know the following

1. The age of your wife?

2 . Is there any associated menstrual cycle irregularities or thyroid gland disorders?

3. Did she take any tests like Ultrasound scan of the abdomen?

4. When was the weight gain first noticed?

I will guide you further once I receive the answers.

Awaiting..

Thank you
Above answer was peer-reviewed by
 
Follow-up: My wife have a 80 kg weight and she want 5 hours later
age 27 yrs
no irregularities in menstrual cycle
thyroid test was ok
no ultrasound
after my delivery before 5 yrs
 
 
Answered by Dr. Suresh Heijebu 2 hours later
Brief Answer:
Lifestyle modification should be the main stay of treatment initially

Detailed Answer:
Hello Madam

I received and noted your response.

Weight reduction should be a gradual process

The ideal weight in your case should be in the range of 55 to 60 kgs.

In the initial course it's advisable to reduce the 20 to 25 kgs gradually over 3 to 6 months.

Conservative measures_ Diet and lifestyle modification should be the corner stone in the initial 3 to 6 months.

Medications are required only if there is no improvement noted after 6 months.

Limit the total calorie intake to less than 1800 kcal/day

Consume oatmeal daily for breakfast

Avoid fried and fatty food stuff

Include green leafy vegetables on daily basis

Regular exercise( brisk walk) for 20 minutes a day for 5 days a week.

Limit intake of high calorie diet.

Include chapati/pulka for dinner.

Get the following tests and review with reports

1. Fasting lipid profile

2. Thyroid profile ( if not taken in the last 3 months)

3. Fasting and post prandial glucose estimation.

4. Ultrasound abdomen scan

Review with reports to determine further course of action

Post your further queries if any
Thank you




Above answer was peer-reviewed by
 
Follow-up: My wife have a 80 kg weight and she want 2 hours later
sir
can u please share the diet chart..
 
 
Answered by Dr. Suresh Heijebu 2 days later
Brief Answer:
Diet chart provided

Detailed Answer:
Hello Madam

I apologise for the delayed response owing to my hectic work schedule.

I am here providing you with the required duet chart.

Early Morning (6:30 – 7:30 a.m) 1 cup fenugreek soaked water

Breakfast (7:30 – 8:30 p.m) 4 idlis with 1 cup sambar and ¼ cup coconut chutney + 1 cup green tea + 3 almonds

Mid-Morning (10:00 – 10:30 a.m) 1 cup milk/soy milk or fruit juice( pomegranate or orange juice)

Lunch (12:30 – 1:00 p.m) 3 rotis + 1 serving of white rice + 1 cup dal + 1 cup mixed vegetable curry or chicken curry + 1 cup salad + 1 cup buttermilk (after 20 minutes)

Post Lunch (3:30 – 4:00 p.m) 1 cup bean sprouts, 20 peanuts with salt pepper and lemon to taste Or 1 cup cucumber and carrot slices

Dinner (7:00 – 7:30 p.m) 3 rotis + 1 cup mixed vegetable curry / chickpeas / fish + ½ cup yogurt + ½ cup salad + 1 cup warm milk with a pinch of turmeric before bed.

This diet will ideally keep the total calorie intake to less than 1800 per day.


Post your further queries if any.

Thank you
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