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Dr. Ravoof
Dr. Ravoof, Doctor
Category: Medical
Satisfied Customers: 5966
Experience:  Experienced Physician in the field of Medicine and Surgery.
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I am trying hard to loose weight,but seem to be suffering from

Customer Question

i am trying hard to loose weight,but seem to be suffering from fluid retention, swolen anklrs
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Ravoof replied 2 years ago.
Dear customer, What is your weight and height? What measures are you taking at present to lose weight? Thanks.
Customer: replied 2 years ago.

I am 5feet 6 inches, and weigh 14.5 stones

Expert:  Dr. Ravoof replied 2 years ago.
Dear customer,Thanks for your reply.Body mass index (BMI) is a formula that estimates body fat using weight and height. This formula is useful since it has been shown that excess body fat is related to serious health conditions.BMI values and their interpretation:Underweight: Less than 18Normal weight: 18.5-24.9Overweight: 25-29.9Obesity: BMI of 30 or more30 to <35 Stage I obesity35 to <40 Stage II obesity&ge;40 Stage III obesityYour BMI is 33 and are classified stage I obese.Weight gain can be due to genetic, hormonal, physical inactivity, as well as excess calorie intake. Also certain medications may cause weight gain. One of the most important investigation which can be done is thyroid hormone test since when there is inadequate thyroid hormones in the body this may lead to weight gain and an inability to lose weight despite exercising.Even a weight loss such as 5 to 10 pounds a year has been shown to cause a substantial benefit such as a 25% decline in mortality. A realistic goal is the loss of 5-10% of your body weight and then maintaining the resultant body weight over a period.You must eat whenever you are hungry, but just enough to satisfy your hunger. You can have a balanced diet of small meals 4-6 times every day.Managing calorie intake is the right step towards managing weight. A healthy diet helps.Regarding your diet the following advice will be beneficial:Increasing starches:Wholemeal Bread. Eat plenty of cereal products such as bread, breakfast cereals, rice, pasta, noodles.Porridge or high fiber wholegrain cereals.Eat more root vegetables and starchy fruits such as potatoes, plantain,green bananas.Potatoes, pasta or riceInclude pulses and vegetables in meat dishesWholemeal flour in bakingDecreasing fat:Use as little oil or fat as possible when food is prepared or cooked.Avoid fryingChoose lean cutsTrim off visible fatDon't add meat fat to graviesAvoid pies and sausagesCook in vegetable oil which Is changed frequentlyLow fat polyunsaturated margarine'sUse semi-skimmed milk. low fat cheese, or low fat yogurt.Eat fewer cakes. pastries,confectionery, and biscuits as these can contribute considerable amounts of fat.Increasing fruit/vegetables:Increase use of wider range in saladsTwo vegetables at each mealFruit as a desert instead of puddingsBowls of fruit on display for easy accessInclude vegetables In meat dishes, e.g.stews and curriesDecreasing Salt:Fresh food in preference to tinned or packagedUse more herbs and spices to add flavorMinimum use in cooking and at tableReduce meat and vegetable extractsDecreasing Sugars:Decrease use in cooking and at tableArtificial sweetenersFresh or dried fruit can add sweetness to tasteLow calories or sugar free drinksAvoid confectioneryTo summarize basically to achieve optimal health outcomes you need a diet rich in complex carbohydrates, particularly whole grains, fruits, and vegetables, along with healthful oils and lean protein sources. Also you need to stop going hungry for extended periods each day, as this will not be beneficial, and you can have free access to low-calorie foods such as fresh fruits, fresh vegetables, nonfat dairy, dried fruit, whole grain breads or cereals.Though there are many diets and eating plans to help lose weight, the only proven long-term and safe method is to burn more calories than are ingested.You need to embrace a healthy eating lifestyle by choosing a variety of nutrient-rich foods, including fruits, vegetables and whole grains and small amounts of energy-dense foods like olive oil, nuts and dried fruits, along with exercise, and you can ask your doctor about the right type of activities for you, since even small amounts of activity provide immediate benefits.Exercise is a must and is an adjunctive to weight loss.You can also try out low-impact exercises, such as water aerobics and water resistance training. You need to develop a graded exercise regimen in consultation with your doctor.Start small with a few exercises initially and keep adding new exercises as you progress. approach would be Cognitive behavioral therapy which is helpful in changing and reinforcing new dietary and physical activity behaviors.You also need to sleep adequately with 8 hours of sleep daily to prevent to prevent visceral fat accumulation. Oversleeping and decreased sleep time can cause visceral fat to accumulate.Lastly decreasing your stress levels will also be beneficial in preventing further visceral fat accumulation, and exercising will also be helpful in decreasing the stress levels.Take care.