Our expert says:
If you are morbidly obese you actually need the assistance of a clinical dietitian to assist you to reduce your energy intake and to assess if you require more drastic interventions such as a gastric bypass to achieve the type of massive weightloss that you may require. 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. From a logical point of view you actually need to cut down on your total energy intake, so I would first cut down on fat intake (37 kJ per gram), rather than carbohydrates which contain 16 kJ per gram (quite a difference!) or less if they have a high fibre content. Please see the dietitian so that she/he can assess your situation.
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