Hi everyone,

I'm 23 years old, and I am extremely overweight.  I've joined Weight watchers and I'm following that and I've just joined a gym.  I need to lose 150-200 lbs to be to a normal weight.  Between the gym and weight watchers, is that a good start or do I need to do more?

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Telling him to eat less will put him on the road to obesity , starving himself will loose weight but as soon as eats a big meal his body will store it as fat . He needs to eat more but only whole foods no processed foods and exclude everything with sugar .

It is a start.  The issue is 1)Keeping to it, and then 2)Keeping the weight off

 

I have just lost a massive amount of weight, and have a lot more to go (I'm 3 digits down, want to drop another 65) - can be done, good luck

 

I started a ketogenic diet and am down from 245 to 226 since Christmas. No Sugars, no carbs (less than 20g per day) and high protien, high fat.

Those diets work but are hard on the ole' kidneys. Hope you are drinking tons of water with it.

At least 64 oz a day. This is also a very temporary diet. I'm also on my third round of Insanity. I just need to shed this layer of fat. My muscles are trapped!

My abs are trapped. I know they are in there somewhere.

We all have abs, they are indeed buried.

That's why they say abs are made in the kitchen and not the gym.

My very strong suggestion is to seek out qualified medical supervision.  You will need clearance from your doctor for any serious program and frequent continuous monitoring of cardiac and endocrinologic function throughout your course of weight reduction.  You will need frequent blood work and you must maintain hydration.  I was the administrator of a large group medical practice that provided a medically supervised weight loss program.  Patients were on a liquid diet and examined by a physician bi-weekly. You will also need the help of a trainer for exercise therapy and a registered nutritionist to set up a maintenance diet that you must stick to in order to keep the weight that you will shed off permanently. Through this period your body chemistry will change and any medications you take will need dose adjustments. Medical supervision should be a significantly important component of your planning.

Martin, I'm not discounting your advice if we're talking about something as severe as a liquid diet.  But honestly, as a successful Weight Watcher who lost ninety pounds and am now trained as a leader, I simply can't imagine why anyone would put himself or herself through this.  Ditto stomach surgery, one-meal-a-day diets, or for that matter, ANY of these crazy fad diets that are out there.  People simple don't need all of that.  Yes, if they're on medication, then they need to be seeing their doctor about dosage---common sense---but on a sensible weight-reduction program that is rooted in a bona fide change in habits and eating lifestyle (as opposed to some crash diet, medically supervised or otherwise), people don't need continuous medical monitoring---what they're doing to lose weight isn't nearly so dangerous as what they're doing to themselves by staying fat. 

The need to lose between 150 to 200 lbs references serious morbid obesity and should be medically monitored, even, just to be on the safe side. I am also not suggesting a severe or a liquid diet. That was just the program offered in the practice I managed. I am only suggesting the importance of an internal medicine doc as part of a cooperative care team.

Yes - I'm actually monitored by 2 MDs and a nutritionist

Charlie

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I think the problem lies with the idea of "major" or "rapid" weight loss. There can be medically-supervised rapid, major weight loss that needs to be medically supervised. And there can be slower weight loss (1% of body mass per week sounds about right) that doesn't need more than common sense and maybe a 1x or 2x/year visit to a GP.

I know I was a bit disappointed when I took the standard advice (at the time) to get a physical before I started my exercise program and was told I both didn't need the physical and didn't need to exercise (but my BMI was below the 25th percentile at the time). The standard advice for women beginning an exercise program has since changed - If you're generally healthy, you can begin a moderate exercise program without seeing a doctor first.

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