Our expert says:
Your present BMI = 39,3 which is very, very high. To get back into the normal range with a BMI of 25 you would need to weigh 75 kg, thus you need to lose 44 kg. Now this is a massive amount of weight to lose and I would recommend 4 things: a) Have a medical checkup to see if you suffer from conditions such as underactive thyroid or insulin resistance which the dr will have to treat for you. When you see the dr, 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.
Good luck with your new year resolutions
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