Our expert says:
I am personally opposed to the use of diet pills and products, including herbal perparations because they cost a lot of money, often don't produce the desired results and can cause serious side-effects. Click on 'Diet' at the top of this page and then on 'Weigh loss' and 'Diet Detective' to read articles on the ingredients used in herbal slimming preparations and their side-effects and/or lack of efficacy. 40 kg is a great deal of weight to lose, so I would recommend that you a) discuss the use of Xenical with him or her. Xenical can help you to start losing. It is used together with a very-low-fat diet which will reduce your energy intake and promote weightloss. b) Consult a clinical dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area), either for a very-low-fat diet if you use Xenical or a low-fat, low-glycaemic index (GI) diet if you have insulin resistance. The dietitian will assist you with your weightloss. c) If you find that you are not losing weight with these regimens then I would recommend that you contact the Bariatric Centres of Excellence in regard to having a gastric bypass to assist weightloss. You can contact Jana Derksen at the Call Centre for the Netcare Bariatric Centres of Excellence on 0861-623-7489 or contact her at: firstname.lastname@example.org or call her on her cell phone at: 072-373-0155 or visit their Website at www.netcare.co.za to discuss this option if you have a great deal of weight to lose. d) As you start losing weight and get more mobile, include 30 min of exercise each day - for example, going for walks. Increase how fast and far you walk as you get fitter. Exercise is excellent for promoting weightloss.
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