Our expert says:
There can be many diverse reasons why patients either do not lose weight at all, or lose very slowly. In the case of your client, she has been using unbalanced and inappropriate diets if she suffers from insulin resistance. I trust that she is receiving thyroid hormone replacement therapy with medication such as Eltroxin? if not, then she must discuss this with her medical dr. It is essential for anyone with insulin resistance (IR) to consult a clinical dietitian, because the correct diet is one of the most important factors in treatment. Please tell your client to 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. The dietitian will take her IR, medications and other conditions such as overweight, into account when working out a diet for her, which will be based on low-fat foods with a low glycaemic index (GI). Also tell her to click on 'Diet' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. She can also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. Also keep in mind that weightloss of 9,5 to 1 kg per week is ideal. Patients may regard this as "too slow", but it is actually preferable to rapid weightloss that then causes a rebound effect with patients gaining more weight than they have lost!
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