Summary: Sustained significant weight loss requires medical, exercise, behavioral, and nutritional care. For best results, chronic commitment is essential. Obesity means there is too much fat when too many calories are eaten compared to the calories used. Obesity requires confronting the issues that have led to excess weight. Chronic commitment is essential to change foods consumed, increase exercise and understand how obesity occurred in you. Changing to foods with low calories such as more vegetables and fruits that contain water and fill the stomach are very effective foods to promote weight loss. You need protein found in the higher calorie foods, but not as much as many people eat. Three meals a day, even with snacks is fine, if it keeps caloric intake low. You need to plan what you eat, even if you’re eating out. In addition, several 10 minute walks contribute to weight loss. A small pedometer in your pocket counts the steps each day. Building to 10,000 steps/day is a good weight maintenance goal. People need to know why they want to lose weight because commitment is essential to maintain weight loss. One set of goals can be to maintain better health. Regular feedback about high blood pressure, cholesterol levels, Diabetes and sleep apnea help maintain motivation. Follow up visits are most often necessary to first take off weight and then keep it off.
