Hi i appreciate your concern you can reduce weight even without taking any medications because such medicines causes a lots off side effects strictly follow your schedule of exercise and diet control in my opinion you should do the following don t skip the meal small and frequent feeding 3 meals and 3 snacks in between avoid carbonated drinks fatty and junk food have well cooked home made food more of boiled vegetables and salads have plenty of fluids lukewarm water and fresh juices 2 to 3 liters a day i would advise you for abdominal exercises and yoga, start with brisk walking followed by jogging and slowly build your stamina Have dietary fibers in diet to keep the colon healthy multivitamin supplements thanks for your question on HCM i hope you find my response will be informative and helpful please feel free to ask for follow up questions i will be happy to help you wishing you a very good health Regards