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Weight Management Clinics
What is the fastest way to lose weight?Rapid weight loss from a diet based on extreme calorie restriction is difficult to maintain. The most effective way to achieve long term weight loss is to create a gradual calorie deficit. For example, one pound is the equivalent of 3,500 calories. To lose one pound in a week, a person would need to eat 3,500 calories less than base energy needs, or burn 3,500 calories more each week - or ideally, a combination of these two efforts. An individual’s specific energy needs are determined by an evaluation with a registered dietitian. We see better long term results when an individual makes gradual lifestyle changes.
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Why do I have to exercise?Exercise is very important in helping you lose weight and keeping it off long term. It helps create the calorie deficit necessary for weight loss, and the bonus effect is that calories continue to be burned long after the exercise is finished. An individual can build muscle mass with regular cardiovascular exercise in combination with resistance training. We know muscle burns more calories than fat.
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I used to be able to take weight off easily when I was younger; why can’t I lose weight now?As we get older, we need fewer calories to maintain weight. This is mainly due to loss of muscle mass with age and decreased activity overall.
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I have diabetes. When I lose weight, can I stop taking insulin?Many times, an individual with type 2 diabetes (a condition where the body still produces insulin, but the cells are resistant to the effects of insulin) can get off of insulin when they make the necessary lifestyle changes, such as following a wholesome meal plan and exercise routine. As the weight is lost, insulin requirements are often less. As more and more weight is lost and insulin requirements dwindle, a decision can be made with your healthcare team as to whether insulin is necessary. People who have type 1 diabetes will always require insulin.
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Can I be started on a weight loss medication?Currently available weight loss medications are not for everyone and may have limited efficacy. In addition, there are very few medications approved by the Food and Drug Administration for weight loss. Appetite suppressants are only effective with diet and exercise and can only be prescribed for people who don’t have complicated health histories. Many people suffering from obesity are not candidates. Gradual lifestyle modification through diet and exercise is the most effective way to reduce weight long term.
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Last Review Date: Feb. 15, 2010 Online Editor(s): Richard Petre
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