Our expert says:
Your present BMI = 39,1 which is classified as extreme obesity and dangerously high. On the one hand I would recommend bariatric surgery in your case to help reduce your weight because you need to lose 27 kg to get down to a BMI of 30 (obese) and 41 kg in total to get back to a normal BMI of 25. These are massive amounts of weight to lose, so please consider asking your doctor to refer you to a surgeon or centre where such surgery is performed. On the other hand, a diet that could assist with the hypertension and induce weightloss, is the so-called DASH Diet. click on 'Diet & Nutrition' at the top of this page and then on 'Food as medicine' and 'Hypertension'), which was developed in the USA to lower bp and cause weightloss. The DASH diet is high in calcium and low in sodium which should lower your bp, and the low fat content assists weightloss. If you decide on the DASH Diet, it would also be advisable to consult a registered 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) to guide you through the initial phases and then to keep you motivated for the long haul.
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