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Diet and fitness regime for weight Loss - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
Doctor :   hi
Doctor :   how can I help you?
User :   hello doctor
User :   i need advise on diet & fitness
Doctor :   ok
User :   I am female, 29, height 5'1 , weight 65 Kgs
User :   Please let me what is the ideal weight for my height and ways to reduce weight effectively
User :   r u there doc?

Doctor :   Hi, Please give me a min.
User :   ok
Doctor :   Yes , please continue now. Sorry for the inconvenience.
Doctor :   for 5'1 hight you idle weight should be between 51.5 to 55.2 KG.
Doctor :   You need to reduce around 10 KG now.
Doctor :   I will help you for reducing weight.
Doctor :   Are you with me?
User :   yes
User :   sorry
Doctor :   ok
Doctor :   i will like to know some thing about your daily diet
User :   ok
Doctor :   plz tell me in detail
User :   cofee around 7.30
Doctor :   ok
User :   break fast b/w 8.15 to 8.30 comprises of mainly of idli,dosa or some rice item
User :   lunch b/w 1-30 to 2, consists of 1 chapathi, dal and some vegetable
User :   tea by 4.30
Doctor :   ok
User :   dinner by 9.30 consists of rice and sambar and occassionaly egg (white)
Doctor :   ok
Doctor :   I can see from your previous history that you had boderline hypothyroidism

User :   i have fat accumulation mainly in my tummy and thigh regions

Doctor :   ok
User :   yes doc am on medication for the same
Doctor :   ok
Doctor :   let me go through your previous history first so that there will not be any repitition of the questions?
Doctor :   is that ok for you?
User :   ok
Doctor :   ok
Doctor :   can we continue now?
User :   yes doctor
Doctor :   so you are taking thyronorm in morning empty stomach
User :   right
Doctor :   ok
Doctor :   so first thing is to know that what foods you cannot take while taking thyronorm
Doctor :   do you know that
User :   no i am aware..i have not been informed about that

Doctor :   ok
Doctor :   you should avoid Walnuts, Soybean flour, Cottonseed meal before and after the table for several hours as these foods can interact with the medicine
Doctor :   also some medications not indicated
User :   ok
Doctor :   like iron capsules, some multivitamins containing iron, calcium tablets, some acidity drugs are taken with care only after consulting with doctor
User :   ok

Doctor :   now regarding the weight loss
Doctor :   i got an idea about your diet
User :   yes

Doctor :   i want to know regarding your daily activity in physical terms, so plz tell me about your daily physical activity
User :   i work a bank and do desk job which does not include any physical activity
Doctor :   ok

User :   at home also i donot do any physical work
User :   do almost no physical activity
Doctor :   ok
Doctor :   your BMI is 27
Doctor :   you fall in obese category
Doctor :   also you are diagnosed with hypothyroidism
Doctor :   you also have borderline diabetes
Doctor :   so a physical activity is must for you
Doctor :   your physical activity should include following components
User :   no i donot have diabetes
Doctor :   it is borderline positive
User :   ok
Doctor :   as i have seen from your history
User :   ok
Doctor :   1 Light Activity (which you are doing in the form of desk work ) for atleast 40 hours per week
User :   ok

Doctor :   2 moderate activity - which includes brisk walk, dancing, jogging for atleast 3-4 hours per week
User :   ok
Doctor :   3 Severe activity - which includes running, jim, swimming, hard cardio exercises
Doctor :   for atleast 3-4 hours per week
User :   ok
Doctor :   you can opt for one of the moderate or severe activity
Doctor :   but the time must be doubled
User :   ok
Doctor :   you got my point
User :   you mean severe or moderate activity either one of it
User :   3-4 hours a week
Doctor :   no
Doctor :   if anyone than 6-8 hours per week
User :   ok

Doctor :   like swimming for 6 hours per week
User :   ok
Doctor :   any doubts regarding activity?
User :   i can do skipping..will it be severe activity
Doctor :   you mean skating?
User :   skipping rope
Doctor :   ok
User :   what time of day would be ideal
Doctor :   yes any activity in which you cannot talk to some one while performing is termed as heavy activity
Doctor :   in the morning time
User :   ok
Doctor :   or in evening before your food
Doctor :   any further doubts regarding physical activity?
User :   no
Doctor :   ok
Doctor :   lets start with diet
User :   ok
Doctor :   acoording to your height and weight
Doctor :   you need some 2100-2300 calories per day
User :   ok
Doctor :   so you should keep in mind that you will have to take only 1500-1700 calories per day
Doctor :   in form of food
User :   ok
Doctor :   i will tell you some low calorie foods
Doctor :   you are veg or non veg?
User :   nonveg
Doctor :   ok
Doctor :   the main idea behind the weight loss will be
Doctor :   in your daily diet you will have a deficiency of some 500-700 calories
Doctor :   and by physical activity you will burn some calories
Doctor :   if you will burn some 7000 calories
Doctor :   you will lose one kg
User :   1 kg per month?
Doctor :   by following this schedule you can lose 2 kgs in 2 weeks
Doctor :   no
User :   ok
Doctor :   combine both food and activity
User :   ok
Doctor :   but you should not skip any meal
Doctor :   what you can do is
Doctor :   in breakfast take egg white, brown bread, skimmed milk which contains 1.5% fat, dried fruits, tea and coffee
User :   ok

Doctor :   than again about 11 Am you can have one of the seasonal fruits and one glass of fruit juice without added sugar
Doctor :   is it better that I send you a diet chart for one month?
User :   yes doctor, that would be great!!

Doctor :   ok
User :   also let me know how after how much time of physical activity i can have breakfast
Doctor :   let me get some information by the time, plz fill the feed back form
Doctor :   Plz confirm your details
Doctor :   Email: YYYY@YYYY

Doctor :   Mobile: 0000

User :   correct

Doctor :   ok
Doctor :   you can have breakfast after 15-20 minutes of physical activity
User :   ok

Doctor :   plz wait a moment
User :   ok
Doctor :   what is your waist circumference?
User :   should be around 34
User :   approx
Doctor :   ok
Doctor :   i have forewarded your request to our team and they will wotk on your diet chart as per your calorie requirements and you will be sent the same within 72 hours
Doctor :   is it ok
User :   will get on my email

Doctor :   yes
User :   ok doctor
Doctor :   you can take a print
Doctor :   it will be for one month
User :   by following this can i reduce upto 4 kgs a month..
Doctor :   yes, if physical activity is maintained as i suggested you
User :   ok
Doctor :   after initial 5 kgs
Doctor :   we will plan that you lose 2 kgs per month only
User :   ok
Doctor :   Is there any thing else I can help you with?
User :   thats all for now doctor..thank u very much
Doctor :   Have you filled the feedback form?
User :   yes
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   sure bye
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