LOSE WEIGHT SUCCESSFULLY
Losing weight is not easy and not always without risk. So you should go see a serious practitioner to be well supported on the medical plan. It will help you develop a real plan of action for achieving your goals. In terms of overweight, as to leave nothing to chance!

Generally speaking, thinness is the ideal rule. The definition of overweight is however quite different for healthcare professionals. For your doctor, you’re overweight if your body mass index (BMI) greater than or equal to 25. Go see a practitioner you will appreciate at its proper level the importance of your overweight. Your doctor may also take into account other clinical parameters that have prognostic value for health, as the degree of abdominal adiposity, as assessed by simply measuring the waist (usually less than 90 cm in women and 100 cm in men). The doctor may also be measured using a compass skin fold thickness in different body areas (abdomen, shoulder, hip) in order to appreciate the importance of body fat.

First consultation is essential because it allows the practitioner not only to specify the type of obesity in question but also and especially to assess factors that may have contributed to you being overweight: a history of obesity in the family , unbalanced diet, lack of exercise or, more unusually, thyroid disease, etc. The examination is usually long and painstaking because the decision to lose weight and start a diet should never be taken lightly. Weight loss causes a change in body image, which can cause psychological problems in people sensitive and careful practitioner must always ensure that the time is right before you propose to help you lose weight. When obesity is not a life threatening, but is mainly a source of psychological distress, priority may also be to fight against social rejection and restore self-image rather than struggle against the scales. Do not be surprised if the doctor who receives you, ask you in detail about how you live your overweight and even if you advise to take before or in conjunction with a conventional treatment approach psychological.

WHEN DOES OVERWEIGHT THREATEN YOUR LIFE?
During the first interview, the practitioner will also appreciate the potential dangers posed your overweight for your health and it will look especially factors that could contribute to increase the impact of overweight on your cardiovascular system (hypertension, diabetes, etc). Repercussions on the articular system (osteoarthritis of the hips and knees), respiratory problems, sleep apnea, are also elements which are involved in treatment choices and modulate support, which is never limited to weight loss. Some basic tests like blood glucose, lipid profile, or sometimes additional tests may therefore be prescribed during this initial consultation.

After the interview, the practitioner will ask you in general to undertake a food survey with a dietician. During one week, you will note in a notebook all the foods you eat each day during meals, which will identify errors and help you diet, then, to correct them.

The therapeutic goals that you define with the doctor should be realistic and able to be maintained throughout the course. The aim is that the weight loss obtained after about six months persists for long without relapse that could lead to a higher weight initially.

In most cases, a weight loss of 5-15% will be sought. To this end, we advise you to practice regular physical activity, whose importance is now recognized as it not only help control weight long term, but it also improves the metabolic situation. No need to do it to compete. 30 minutes of walking at a steady pace each day is already profitable. On a diet, you should avoid overeating and snacking and eating a balanced diet. Given the results of the dietary survey, your doctor may also recommend a reduction in food intake from 15 to 30% (eg, 2 000 to 2 500 calories per day if the usual intakes were 3000 calories). Finally, if the previous measures have failed or if a significant weight reduction is necessary due to clinical complications, your doctor may need to prescribe drugs obesity like Xenical. The first acts in the intestine, preventing absorption of fat. The second is appetite suppressant acting in the brain, it requires greater medical attention. More rarely, surgical treatments (balloons, gastric) are proposed to decrease the sensation of hunger in some people, who have a very significant obesity (BMI over 40).

Still, it takes a huge desire to achieve change your bad habits. To increase the chances of lasting success (which alone is important, because remember losing a few pounds for a few months of no interest), it is better to be very well attended. The pace of consultations will be determined by your doctor but studies have shown that their repetition every 4 to 6 weeks is useful, at least during the first 6 months, and it reduces the risk of relapse. Mentoring programs, real health coaching can also be implemented; they allow better monitoring of diet and physical activity and avoiding common mistakes. Psychological support is also essential and medical care may include psychotherapy, cognitive-behavioral in case of trouble following the recommendations (diet and physical activity) or where the overweight is accompanied by a depressive component or eating disorders. In people with overweight or having already experienced several failures, a multidisciplinary management in a department or a specialized center may be necessary.

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