Unfortunately your body will often try to oppose changes, hence why it can be difficult to lose weight and why a "yo-yo" pattern is commonly seen amongst patients who try to lose significant weight.
Too often, people will be in the very same situation you are in and weight is not falling as fast as they were thinking it would - and after two or three weeks and not the expected result - they quit.
Achieving weight loss isn't purely about a number - and that is what I tell many of my patients. It is very normal to have a "goal weight" and getting demoralised when you don't get to your goal weight. However, what is more important is that you have a "goal lifestyle" that you manage to achieve.
It is advisable to see a dietician for education on food groups and meal planning. If you are not able to see a dietician, one thing to consider is the composition of your diet. It is very common for people to be eating for too much carbohydrates for their level of physical activity.
Weight-loss surgery is the most effective and reliable way to achieve significant and sustained weight-loss. If your BMI is over 35 + comorbidities or BMI is over 40, then bariatric surgery such as a sleeve gastrectomy or gastric bypass may be something to consider. In some cases, surgery is appropriate for patients with a BMI between 30 and 35 where comorbidities are also present. Other options such as a gastric balloon is an option for patients with a BMI below 28, however tolerability of this device over 6 months can be variable with some patients having the balloon removed prematurely. Otherwise a supervised weight management programme is a good option.
Dr Jason Wong
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