OTC recommendations for weight loss?

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crossurfingers

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What do you recommend to people wanting OTC weight loss/appetite suppressants? I'm a bit clueless at the moment when it comes to Hydroxycut versus Slimquick versus any other weight loss/appetite stimulant out there. People don't like it when I just tell them to fix their diet and exercise more. And what about those colon cleanses? I've been trying to research this online but so far all I come across is propaganda.
 
What do you recommend to people wanting OTC weight loss/appetite suppressants? I'm a bit clueless at the moment when it comes to Hydroxycut versus Slimquick versus any other weight loss/appetite stimulant out there. People don't like it when I just tell them to fix their diet and exercise more. And what about those colon cleanses? I've been trying to research this online but so far all I come across is propaganda.

Yeah, people don't like it because it actually requires discipline, hard work, and motivation. Gotta love America.
 
What do you recommend to people wanting OTC weight loss/appetite suppressants? I'm a bit clueless at the moment when it comes to Hydroxycut versus Slimquick versus any other weight loss/appetite stimulant out there. People don't like it when I just tell them to fix their diet and exercise more. And what about those colon cleanses? I've been trying to research this online but so far all I come across is propaganda.

The reason why you only come across propaganda is because they're all crock. Load up on caffeine, ma huang (caffeine), guarana (caffeine), ephedra (pseudospeed) and other stimulants and it's amazing how little you need to eat. Of course it's their heart, brain, etc that will suffer. Diet and exercise is the #1 weight loss solution.
 
I recommend a food journal as well, I don't know if any of the patients I recommend it to ever do it but I think they are effective. I used one when i was trying to lose some fat and it worked pretty well.

Write everything down and review it.
 
Put the fork down and exercise.

Your couch will miss you...

There is really only two ways to lose weight (though there are several mechanisms to make it happen)

A. Decrease you caloric intake (diet, stimulants, etc)
B. Increase your caloric usage (exercise, catabolism stimulants)
 
It's not your job to recommend something just because they don't like the truth. In fact, it's your responsibility as a healthcare provider to remind them that a healthy lifestyle truly is the key to weightloss. Here's what I tell people:

Most OTC weightloss supplements are just caffeine and herbals. You'd probably be just as well off (and save some money) if you just had a cup of coffee or tea in the morning.

I'd rather tell people the truth and have them choose not to take my advice than recommend some bullcrap supplement just because it's what they want to hear.
 
Alli is supposed to be effective but it must be supplemented with exercise and healthy eating.
 
Alli is supposed to be effective but it must be supplemented with exercise and healthy eating.

Orlistat is effective, but like any OTC or Rx diet product it must be combined with diet/exercise. Diet is especially important with orlistat since the side effects can be unpleasant if you continue a high fat diet.
 
The problem is once you take off the alli, the weight comes back (since you are not blocking the fat anymore and there is no change in diet...). You also have the side effects.
 
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I just read about "thrifty genes" for about an hour or so. To put it in a nutshell, according to this genetic theory, circa 1960's to present, some people are predisposed to being overweight and at risk for diabetes, because they carry genes that salvage more dietary nutrients (i.e. fat, carbs, calories, etc.) than people who were either previously exposed to famine-free periods and survived or decedents of people who were not exposed to famine due to wealth, geography, agriculture, etc. and survived.

Effectively, these genes help people make it through the "tough times", but they also bite back during the "good times" in the form of an increased risk for diabetes and obesity.

http://www.college.ucla.edu/news/03/diabetes.html

http://www.sciencedirect.com/scienc...serid=10&md5=78c7dedcf9ca2914c66ebcfbb4771a0e



I have to fight tooth and nail to lose weight, i.e. a 1,200 calorie/day diet give or take some calories if I factor in exercise, and my ancestors were immigrants from Northern/Eastern Europe; so, this theory seems to make a lot of sense, at least for me, as to why I have to fight so hard to lose weight. :idea:
 
me too. I run 5-8 miles a day, work out with weights excessively and have to diet really hard to lose any weight.
 
i tell em to get on a treadmill and give them a business card of a buddy of mine who does nothing but gastric bypass 🙂
 
me too. I run 5-8 miles a day, work out with weights excessively and have to diet really hard to lose any weight.
How do your joints fare? That's a lot of running!
 
This sort of topic really bothers me! 😡 I wish people would just take the money that they would be spending on these nonsense "diet" pills and use it for a gym membership or maybe to visit a registered dietician for help figuring out how to eat more healthy. Even if there was a magic pill to help you lose fat, it would do nothing beneficial for your heart, bones, mind etc.

Exercise is a natural (people love this word) antidepressant and in my opinion, if more people exercised on a regular basis there would be FAR less people on antidepressants long-term and all sorts of other medications for that matter. Even if you do have trouble losing weight, your cardiovascular system will still thank you!
 
This sort of topic really bothers me! 😡 I wish people would just take the money that they would be spending on these nonsense "diet" pills and use it for a gym membership or maybe to visit a registered dietician for help figuring out how to eat more healthy. Even if there was a magic pill to help you lose fat, it would do nothing beneficial for your heart, bones, mind etc.

Exercise is a natural (people love this word) antidepressant and in my opinion, if more people exercised on a regular basis there would be FAR less people on antidepressants long-term and all sorts of other medications for that matter. Even if you do have trouble losing weight, your cardiovascular system will still thank you!

👍

When they whine about prescription cost, let them know they could most likely cut their medication usage over 50% if they just dropped some weight.
 
I suppose we could consider other reasons for having gained weight. Antipsychotics, thyroid disorders, etc.

Definitely can consider them but definitely not the majority cause of obesity.

twolargeladiesvz7.jpg
Damn hypothyroidism!
 
Definitely can consider them but definitely not the majority cause of obesity.

twolargeladiesvz7.jpg
Damn hypothyroidism!

These are the worse... I filled two zyprexa scripts last week - I mentioned monitoring weight, and to bring it up to your physician. I didn't stress it though - I really really want them to take there meds.
 
Apparently it has a little to do with genes. My family came from India. My family that is in the US has a lot more overweight people than my family back in India.

What I'm guessing is that our bodies evolved to rely on less food to survive, and now that we came to America, and our food daily intake instead of being like 1,300 calories (what it would have been back in India) is like 2800 calories.

I even had my basal metabolic rate checked, and its like 3400 calories, and even though I'm taking in about 2500 calories/day, I'm still not losing weight.

What we need is a virus or an antibody that kills off fat cells.
 
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Apparently it has a little to do with genes. My family came from India. My family that is in the US has a lot more overweight people than my family back in India.

What I'm guessing is that our bodies evolved to rely on less food to survive, and now that we came to America, and our food daily intake instead of being like 1,300 calories (what it would have been back in India) is like 2800 calories.

I even had my basal metabolic rate checked, and its like 3400 calories, and even though I'm taking in about 2500 calories/day, I'm still not losing weight.

What we need is a virus or an antibody that kills off fat cells.

Your story is an argument AGAINST a gene being responsible. Evolution doesn't happen over a few generations. Sounds like it's a lifestyle problem, not your body "relying" on x number of calories.
 
I agree with most here that exercise and diet is the most important part of losing weight. I am taking this from my own experience. I have never been huge, just a little overweight (10-15 pounds maybe). I have tried a lot of stuff and it is all crap. Since I have REALLY gotten serious about straightening out my diet and exercising a lot more, I have steadily lost weight.

My problem with Alli is that a person taking it has to diet and restrict their fat anyways to avoid certain problematic side effects of passing too much fat. If they are restricting their fat intake anyways, is it really the Alli that is helping them, or just the reduced fat intake? I just can't see why people waste their money on it while all they have to do is cut down their fat intake. I don't know, maybe it's more psychological...??? Feel free to correct me if I'm wrong on my Alli thought...
 
I agree with most here that exercise and diet is the most important part of losing weight. I am taking this from my own experience. I have never been huge, just a little overweight (10-15 pounds maybe). I have tried a lot of stuff and it is all crap. Since I have REALLY gotten serious about straightening out my diet and exercising a lot more, I have steadily lost weight.

My problem with Alli is that a person taking it has to diet and restrict their fat anyways to avoid certain problematic side effects of passing too much fat. If they are restricting their fat intake anyways, is it really the Alli that is helping them, or just the reduced fat intake? I just can't see why people waste their money on it while all they have to do is cut down their fat intake. I don't know, maybe it's more psychological...??? Feel free to correct me if I'm wrong on my Alli thought...


Nope, I agree. It does decrease fat absorption (thus the side effects) but it's the thought of crapping your pants that "encourages" people to modify their fat intake when they're on it. It's like antabuse for fast food addicts.
 
I suppose we could consider other reasons for having gained weight. Antipsychotics, thyroid disorders, etc.

I've heard of metformin being used for weight gain associated with the atypical antipsychotics....
 
Basal metabolic rate is the number of calories needed for survival. This is typically less than 2000 (for me about 1700).
I'd check it again if they told you 3400. http://www.bmi-calculator.net/bmr-calculator/

Not quite. BMR is the amount of energy that you burn while at rest. That doesn't quite translate to calories needed to survive, but you're right that it's typically lower. It's higher for those with greater muscle mass though, so depending on his weight and lean mass, it may be higher for him.
 
Not quite. BMR is the amount of energy that you burn while at rest. That doesn't quite translate to calories needed to survive, but you're right that it's typically lower. It's higher for those with greater muscle mass though, so depending on his weight and lean mass, it may be higher for him.

Yep, my weight is ~ 240 lbs with a pretty high muscle mass.
 
Not quite. BMR is the amount of energy that you burn while at rest. That doesn't quite translate to calories needed to survive, but you're right that it's typically lower. It's higher for those with greater muscle mass though, so depending on his weight and lean mass, it may be higher for him.

I suppose that you do burn fewer calories watching TV than you do while sleeping, so "survival" per se would be inaccurate.😳
 
I even had my basal metabolic rate checked, and its like 3400 calories, and even though I'm taking in about 2500 calories/day, I'm still not losing weight.

You're almost a healthcare professional. You actually believe the chit you type??

In order for you to have a BMR of 3,400 calories, you would have to be 7'4" and 350lb of solid mucles with very active daily exercise 7 days a week. Daily caloric requirement is different than BMR.
 
I've heard of metformin being used for weight gain associated with the atypical antipsychotics....
Well it's not just weight gain but the whole metabolic syndrome they seem to have going on there.
 
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You're almost a healthcare professional. You actually believe the chit you type??

In order for you to have a BMR of 3,400 calories, you would have to be 7'4" and 350lb of solid mucles with very active daily exercise 7 days a week. Daily caloric requirement is different than BMR.

Right, so I looked up a daily caloric requirement calculator online. According to that, I need 3,100 calories to maintain my weight, and if I wanna lose weight at a rate of 2 lbs/week, I need 2100 calories intake.
 
Right, so I looked up a daily caloric requirement calculator online. According to that, I need 3,100 calories to maintain my weight, and if I wanna lose weight at a rate of 2 lbs/week, I need 2100 calories intake.
Lovely Sparda the P1,
Please provide your stats. It makes things easier for analytical people who like to calculate things for themselves. 😉
PharmDstudent
 
Quick Estimates:

Basal Expenditure: 2,271 kcal/QD
Confined to a bed: 3,264 kcal/QD
Out and about: 3808 kcal/QD

Your BMI is 35.4 you are obese, obese is anything over 30.
 
Right, so I looked up a daily caloric requirement calculator online. According to that, I need 3,100 calories to maintain my weight, and if I wanna lose weight at a rate of 2 lbs/week, I need 2100 calories intake.

Always check what equation a calculator uses.

Always understand where said equation came from.

Always make sure the calculator itself is coded correctly.

And always double check calculations by hand.

I. Hate. Up. To. Date.
 
Quick Estimates:

Basal Expenditure: 2,271 kcal/QD
Confined to a bed: 3,264 kcal/QD
Out and about: 3808 kcal/QD

Your BMI is 35.4 you are obese, obese is anything over 30.
You should know better than to pigeonhole people solely based on their calculated BMI! 😱 (Even if it is a "quick estimate".)

Sparda says that he has a "pretty high muscle mass", so you shouldn't categorize him as "obese" until you know his muscle:fat ratio.

I can't say what his daily requirements are, but I can say for sure that it's not clear if he's obese or not.
 
You should know better than to pigeonhole people solely based on their calculated BMI! 😱 (Even if it is a "quick estimate".)

Sparda says that he has a "pretty high muscle mass", so you shouldn't categorize him as "obese" until you know his muscle:fat ratio.

I can't say what his daily requirements are, but I can say for sure that it's not clear if he's obese or not.

right I understand that, the calculator does not take in account athletic people or people with a large amount of muscle mass. but his numbers are not in the overweight BMI range (25-30), they are in the obese. So even if we are nice, considering his body weight and muscle mass he could still be considered overweight.


The BMI is not a quick estimate, the BEE calculations are quick estimates. The BMI is using the exact formula, should have been more specific sorry
 
right I understand that, the calculator does not take in account athletic people or people with a large amount of muscle mass. but his numbers are not in the overweight BMI range (25-30), they are in the obese. So even if we are nice, considering his body weight and muscle mass he could still be considered overweight.


The BMI is not a quick estimate, the BEE calculations are quick estimates. The BMI is using the exact formula, should have been more specific sorry


Yes, I am overweight, I admit it. My goal is to get down to 200lbs and shed about 40 lbs of fat. The thing is I'm afraid of losing muscle mass along with the fat.
 
Yes, I am overweight, I admit it. My goal is to get down to 200lbs and shed about 40 lbs of fat. The thing is I'm afraid of losing muscle mass along with the fat.

carbs then fat then protein... thats how things are broken down
 
I am going to share with you an email sent by one of my good friends who is an MD. This may give you some insight into developing a healthy diet and help you shed a few pounds.


There are over 90 nutrients that we should consider "Essential": that is, if they are absent or lacking from our diets we have symptoms of deficiency or to say it another way, we will not achieve optimal health because we don't have adequate levels.

60 minerals, 16 vitamins, 12 amino acids and 3 fats or oils (to include cholesterol)

A few examples: The deficiency may be mild like with Vitamin A, you'll get dry eyes or poor night vision. Or a more important shortage like Tin or Manganese where you'll have hearing loss and hair loss. To the more serious Selenium and or Calcium deficiency where the risk for cancer is dramatically increased.

Remember the soil or plants cannot generate minerals (plants can generate amino acids and vitamins), so if the soil is depleted of minerals the plants are as well. In the animal business we supplement feeds to avoid deficiency and subsequent disease.
Note: on average there are 10 deficiency symptoms per mineral deficiency (insomnia, low back pain, road rage, PMS, joint popping/cracking/grinding/crepitance, twitching muscles etc are symptoms of Calcium deficiency.....59 other minerals to talk about)
More on this line of thinking later.

Three key issues that lead to inappropriate hunger.(All of us want to be leaner, this approach works)
1) Lack of minerals: Manifests as cravings for food or non-food items, also known as Pica or cribbing-
Solution: a. Colloidal Minerals (Now brand @ Drug Emporium, from HUMIC shale not "IONIC") 15cc twice a day ( in juice or straight))
b. Chromium 200mcg 2-3 pills twice a day (EPA says toxic @ 70,000 mcg, so it's very safe)
c. Calcium (Bone Strength by Now brand, this type of calcium is 40-60% absorbable vs 3% with Calcium carbonate as seen in most brands) 3 pills twice daily

2) Lack of Protein
Solution: Get 30-40 grams of animal protein per meal (eggs,cheese,fish, pork, beef, chicken, etc.) while reducing the amount of starches (rice, potatoes and pasta) to a small serving and avoiding them altogether after 5 PM because excess starches convert to fat. Remember sugar (starches) is burned first, then protein and last, fat is burned. With Body Building it is suggested that we get one gram of protein per pound of body weight per day.


3) Lack of Good Fats -
Solution: a. 2 eggs per day (however you want them, just get them) Without a long rant I'll say you need a certain amount of cholesterol in your diet to produce a variety of items (hormones, cell membranes, healthy skin as well as normal brain function). You can only make 20% of what you need. American Heart Assoc study in 1994 showed no elevation of blood cholesterol with 2 eggs per day.
b. Flax oil (omega 3 . Brand- Barlean's, 16 oz bottle, one tablespoon per day in milk or on bread or in yogurt.... this helps all sorts of things including skin, cuticles, brain function as well as weight loss. 3% (or slightly more depending on metabolic state) of our calories should come the Omega 3's (3% of 2,000 Cal is 60 Cal or about 7 grams)

Other things to consider:
Body temperature: If your temp is 97.8 or less your thyroid is underactive due to Iodine deficiency (use Iodized salt or you can get a supplement of Potassium Iodide, don't get kelp, it's not as usable by the body). Salt your food to taste. It a persistent medical myth that salt is bad for you (On the Dead Doctors Don't Lie and the Calcium Factor CDs both speak of this point, I can get you a copy of each on mp3 if you want.)
Adrenal Insufficiency: If you startle easily or get sweaty palms or sweat excessively you may have Adrenal Exhaustion. This is due to a couple of shortages, Vitamin C and dietary cholesterol.
So, Vitamin C is very important for this application as well as a dozen or more reasons. Most of us are borderline low on C. Without a long lecture, you need around 4,000 mg Vitamin C with rose hips. Start with 1,000 mg twice a day then advance to 2,000mg twice daily after a week. Note: C is compartmentalized in the tissues at a fairly steep gradient, ie. If in the blood the level is 1, the lens of the eye has a level of 100 and the adrenal glands are at 150. So as it is said about water soluble vitamins, we do urinate out excesses but not before making stockpiles of sorts. Also of interest, Humans are one of four species that do not manufacture their own vitamin C. Dogs, cats, lions, tigers and bears all make their own. A mule makes around 13 grams a day where a gorilla makes 4 grams or so; this means they are using that much and it gives us an idea what we need by example. There are many other indicators as well, so much for the short version. (Linus Pauling's How to Live Longer and Feel Better is a gem of information, dense yes but good)
Final thoughts.
I like the multiple vitamin.
ALIVE! by natures way 3 pills twice daily
25% of people who are overweight are deficient in Coenzyme Q10
Co Q 10, 30mg twice a day to start.


Recommended reference tools:
Vitanutrient Solution by Dr Atkins, a compact discussion of 120 different supplements.
Encyclopedia of Nutritional Supplements by Michael T Murray ND, Thorough look at vitamins, minerals, amino acids and oils, although not comprehensive on minerals.
Vitamin Bible by Earl Mindell PhD, a dictionary like approach with brief elaboration.
Dead Doctors Don't Lie By J D Wallach ND,DVM, a comprehensive look at minerals
 
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So, Vitamin C is very important for this application as well as a dozen or more reasons. Most of us are borderline low on C. Without a long lecture, you need around 4,000 mg Vitamin C with rose hips. Start with 1,000 mg twice a day then advance to 2,000mg twice daily after a week. Note: C is compartmentalized in the tissues at a fairly steep gradient, ie. If in the blood the level is 1, the lens of the eye has a level of 100 and the adrenal glands are at 150. So as it is said about water soluble vitamins, we do urinate out excesses but not before making stockpiles of sorts. Also of interest, Humans are one of four species that do not manufacture their own vitamin C. Dogs, cats, lions, tigers and bears all make their own. A mule makes around 13 grams a day where a gorilla makes 4 grams or so; this means they are using that much and it gives us an idea what we need by example. There are many other indicators as well, so much for the short version. (Linus Pauling's How to Live Longer and Feel Better is a gem of information, dense yes but good)
Final thoughts.
I like the multiple vitamin.
ALIVE! by natures way 3 pills twice daily
25% of people who are overweight are deficient in Coenzyme Q10
Co Q 10, 30mg twice a day to start.


Recommended reference tools:
Vitanutrient Solution by Dr Atkins, a compact discussion of 120 different supplements.
Encyclopedia of Nutritional Supplements by Michael T Murray ND, Thorough look at vitamins, minerals, amino acids and oils, although not comprehensive on minerals.
Vitamin Bible by Earl Mindell PhD, a dictionary like approach with brief elaboration.
Dead Doctors Don't Lie By J D Wallach ND,DVM, a comprehensive look at minerals

Regarding Vitamin C: if you're using other animals with endogenous sources of Vitamin C as a reference, then why do humans need an equal amount (according to you) as do gorillas? According to your (arbitrary) measurement, gorillas require approximately 4g per day. The average adult, male gorilla weighs approximately twice as much as the average adult, male human. Your arbitrary scale should then cut human intake down to approximately 2g (the tolerable upper limit in humans).

Also, Linus Pauling has had his work on Vitamin C largely discredited. He may have been one of the most brilliant men to ever live, but not in terms of vitamins.

You mention that 25% (did you know that 68.4% of statistics are made up on the spot?) of overweight people are deficient in CoQ10. CoQ10 deficiency is an exceedingly rare disorder present in a tiny fraction of a percentage of the population (in fact, CoQ10 is used as an orphan drug for this purpose). While supplementation may have benefit in certain medical conditions or alongside drug therapy, it has no proven benefit in obesity.

Finally, I'd recommend that your additional resources section include references more reputable than a few NDs and a person who received his PhD from an online diploma mill (an unaccredited one, at that).
 
blah blah blah, edit cut some stuff out:

c. Calcium (Bone Strength by Now brand, this type of calcium is 40-60% absorbable vs 3% with Calcium carbonate as seen in most brands) 3 pills twice daily

2) Lack of Protein
Solution: Get 30-40 grams of animal protein per meal (eggs,cheese,fish, pork, beef, chicken, etc.) while reducing the amount of starches (rice, potatoes and pasta) to a small serving and avoiding them altogether after 5 PM because excess starches convert to fat. Remember sugar (starches) is burned first, then protein and last, fat is burned. With Body Building it is suggested that we get one gram of protein per pound of body weight per day.

Other things to consider:
Body temperature: If your temp is 97.8 or less your thyroid is underactive due to Iodine deficiency (use Iodized salt or you can get a supplement of Potassium Iodide, don't get kelp, it's not as usable by the body). Salt your food to taste. It a persistent medical myth that salt is bad for you (On the Dead Doctors Don't Lie and the Calcium Factor CDs both speak of this point, I can get you a copy of each on mp3 if you want.)

So, Vitamin C is very important for this application as well as a dozen or more reasons. Most of us are borderline low on C. Without a long lecture, you need around 4,000 mg Vitamin C with rose hips. Start with 1,000 mg twice a day then advance to 2,000mg twice daily after a week. Note: C is compartmentalized in the tissues at a fairly steep gradient, ie. If in the blood the level is 1, the lens of the eye has a level of 100 and the adrenal glands are at 150. So as it is said about water soluble vitamins, we do urinate out excesses but not before making stockpiles of sorts. Also of interest, Humans are one of four species that do not manufacture their own vitamin C. Dogs, cats, lions, tigers and bears all make their own. A mule makes around 13 grams a day where a gorilla makes 4 grams or so; this means they are using that much and it gives us an idea what we need by example. There are many other indicators as well, so much for the short version. (Linus Pauling's How to Live Longer and Feel Better is a gem of information, dense yes but good)
Final thoughts.
I like the multiple vitamin.
ALIVE! by natures way 3 pills twice daily
25% of people who are overweight are deficient in Coenzyme Q10
Co Q 10, 30mg twice a day to start.


Recommended reference tools:
Vitanutrient Solution by Dr Atkins, a compact discussion of 120 different supplements.
Encyclopedia of Nutritional Supplements by Michael T Murray ND, Thorough look at vitamins, minerals, amino acids and oils, although not comprehensive on minerals.
Vitamin Bible by Earl Mindell PhD, a dictionary like approach with brief elaboration.
Dead Doctors Don't Lie By J D Wallach ND,DVM, a comprehensive look at minerals

Calcium is not merely "3 pills twice daily". Depending on the salt its 20-40% elemental. The amount of calcium depends on the brand. A blanket statement does not fit well. Currently its recommended that calcium falls between 1000-1200 mg elemental Ca/QD. Not mention that the fraction of calcium that gets absorbed decreases with increasing dose, so single doses above 600 mg are not recommended.

Carbs > fats > protein. Thats how you burn energy. Proteins aren't burned for energy unless there are no other sources available. You would be in deep **** and malnurished if that was the case

I dont know of anyone who doesn't use salt with iodine in it unless you live in central africa. Goiter issues do not occur here in western civilization. Even on a sodium restricted diet, you will get your desired Iodine levels since it becomes difficult to avoid salt altogether. Its not a medical myth to cut down on the sodium, did you ever cover osmosis? More salt in system, more water in vessels, more pressure on veseel wall. That leads to high blood pressure.

You can only absorb 500 mg of Vitamin C at a given time. It has saturable absorption. You would be wasting money if you took 2 500mg tablets.
 
Last edited:
Other things to consider:
Body temperature: If your temp is 97.8 or less your thyroid is underactive due to Iodine deficiency (use Iodized salt or you can get a supplement of Potassium Iodide, don't get kelp, it's not as usable by the body).

There's also the possibility of hypothyroidism. A few years back I had a temp of 95.5-97.0 all the time, along with a whole list of other symptoms. It took a few years for my labs to reflect my symptoms, and then for a diagnosis. I was gaining weight on 1200 calories a day! Very frustrating 😡 Unfortunately I don't think the medical community understands this disease very well. I don't think many people in the US have an under active thyroid gland due to iodine deficiency. I could be wrong on that one because I haven't seen any studies on it.
 
Genes play a role in obesity but so does lifestyle. Nature vs. Nurture. Both my parents are obese & I was. I had to bust my butt to lose all the weight. It is harder for me than some other people to stay down but lots of things in life are hard. Just got to remained disciplined. I would recommend a diet high in protein, low in carbs (the carbs they do take in should be complex carbs) & high in green vegetables. Tell them to carry around a water bottle with them at all times. Protein & veggies are digested more slowly & will make one less hungry all the time. Hydration is the key in lots of cases to losing weight. They're going to have to diet & exercise. Plain & simple. The basic rule is to take in less calories than your body is using & you will lose weight. Technically you could still eat garbage if you ate A LOT less of it.

Anaerobic exercise like weight lifting will build muscle mass which will increase body metabolism. Exercise chest, legs & back, those are the 3 largest muscle groups on your body. Build those up & your metabolism will rise too. Throw in 30 min of some form of cardio 3-5x a week and you'll be fit in no time.

As for pharmacologic therapy, orlistat will work. Some other therapies like amphetamines or ECA(ephedrine-caffeine-aspirin) stacks can be used, but are also far riskier, & I wouldnt recommend them to anyone. Theres not a lot out there suprisingly. No magic pill for weight loss...yet.

The easiest thing one can do if they're really lazy is make small adjustments. Drink water, tea, or black coffee, no pops or sodas, diet is ok. Instead of the big ole cheeseburger, get the salmon, steak or chicken. Instead of french fries, get steamed vegetables. Eat smaller, more frequent meals. Have snacks like protein bars or nuts, like almonds/peanuts.

They can make a progressive change into it instead of doing it all at once. If they are unwilling to make changes, then they should stop complaining about being fat.
 
Genes play a role in obesity but so does lifestyle. Nature vs. Nurture. Both my parents are obese & I was. I had to bust my butt to lose all the weight. It is harder for me than some other people to stay down but lots of things in life are hard. Just got to remained disciplined. I would recommend a diet high in protein, low in carbs (the carbs they do take in should be complex carbs) & high in green vegetables. Tell them to carry around a water bottle with them at all times. Protein & veggies are digested more slowly & will make one less hungry all the time. Hydration is the key in lots of cases to losing weight. They're going to have to diet & exercise. Plain & simple. The basic rule is to take in less calories than your body is using & you will lose weight. Technically you could still eat garbage if you ate A LOT less of it.

Anaerobic exercise like weight lifting will build muscle mass which will increase body metabolism. Exercise chest, legs & back, those are the 3 largest muscle groups on your body. Build those up & your metabolism will rise too. Throw in 30 min of some form of cardio 3-5x a week and you'll be fit in no time.

As for pharmacologic therapy, orlistat will work. Some other therapies like amphetamines or ECA(ephedrine-caffeine-aspirin) stacks can be used, but are also far riskier, & I wouldnt recommend them to anyone. Theres not a lot out there suprisingly. No magic pill for weight loss...yet.

The easiest thing one can do if they're really lazy is make small adjustments. Drink water, tea, or black coffee, no pops or sodas, diet is ok. Instead of the big ole cheeseburger, get the salmon, steak or chicken. Instead of french fries, get steamed vegetables. Eat smaller, more frequent meals. Have snacks like protein bars or nuts, like almonds/peanuts.

They can make a progressive change into it instead of doing it all at once. If they are unwilling to make changes, then they should stop complaining about being fat.

The hydration should also ease the burden on the kidneys of high protein meals. Kicking off lots of ammonia can be tough on the system.
 
me too. I run 5-8 miles a day, work out with weights excessively and have to diet really hard to lose any weight.


that's bc you run 5-8 miles a day and burn your muscle away. you are taking 2 steps forwards and 3 steps back.
 
Genes play a role in obesity but so does lifestyle. Nature vs. Nurture. Both my parents are obese & I was. I had to bust my butt to lose all the weight. It is harder for me than some other people to stay down but lots of things in life are hard. Just got to remained disciplined. I would recommend a diet high in protein, low in carbs (the carbs they do take in should be complex carbs) & high in green vegetables. Tell them to carry around a water bottle with them at all times. Protein & veggies are digested more slowly & will make one less hungry all the time. Hydration is the key in lots of cases to losing weight. They're going to have to diet & exercise. Plain & simple. The basic rule is to take in less calories than your body is using & you will lose weight. Technically you could still eat garbage if you ate A LOT less of it.

Anaerobic exercise like weight lifting will build muscle mass which will increase body metabolism. Exercise chest, legs & back, those are the 3 largest muscle groups on your body. Build those up & your metabolism will rise too. Throw in 30 min of some form of cardio 3-5x a week and you'll be fit in no time.

As for pharmacologic therapy, orlistat will work. Some other therapies like amphetamines or ECA(ephedrine-caffeine-aspirin) stacks can be used, but are also far riskier, & I wouldnt recommend them to anyone. Theres not a lot out there suprisingly. No magic pill for weight loss...yet.

The easiest thing one can do if they're really lazy is make small adjustments. Drink water, tea, or black coffee, no pops or sodas, diet is ok. Instead of the big ole cheeseburger, get the salmon, steak or chicken. Instead of french fries, get steamed vegetables. Eat smaller, more frequent meals. Have snacks like protein bars or nuts, like almonds/peanuts.

They can make a progressive change into it instead of doing it all at once. If they are unwilling to make changes, then they should stop complaining about being fat.

gotta disagree with you here. the diet does not have to be low in carbs. keep your carbs high will help retain the muscle you have. you should use cardio as a manipulation technique. this will help preserve your muscle that you do have. low carb diets will make you ketogenic eventually, but the risk to the muscle is too drastic and you will put yourself in starvation mode.

amphetamines have never been shown to increase fat loss or metabolism. they only suppress appetite. in fact, the amphetamine usage will increase your cortisol levels and hurt your fat loss even more. ECA stacks work very well although the aspirin portion is not really necessary. the caffeine will incrase your cortisol levels but the ephedrine works as a thermogenic and does increase your metabolism. an ECA combo has been shown to have more fat loss than prescription drugs approved for fat loss (big pharma hated that).

orlistat = complete junk and waste.
 
paralysis by analysis...

It don't matter what you eat.. high carb...low carb..high protein..high fat...blah blah blah...

If you burn more calories than your intake, you'll lose weight.

Heck..you could workout all day long and run 37 miles a day....but if your intake of calorie is 500cal over your expenditure...you'll gain 1 pound a week...
 
Hiiiiiiiiiiiiii,
I went through your forum and in my opinion there is nothing wrong in OTC weight loss because some of these herbal and dietary supplements, the Food and Drug Administration (FDA) has approved. [FONT=arial, helvetica]And choose those Hydroxycut which are caffeine-free. Its ingredients are selected because they're researched, scientifically tested, and shown to help produce results when combined with diet and exercise. Slimquick are more safe because they .contains a proprietary blend of Green Tea, Glucomannan, Ginseng, Chaste Tree Berry, Antioxidants and Probiotics. And it is clearly true that to lose weight fix the diet and exercise more. There are many researches about how to lose weight effectively.
 
Keep in mind:

If you want to lose weight or gain muscle you can do it!

Supplements, whether they be used to lose weight (Hydroxycut etc) or gain muscle (Creatine, Protein, etc) help speed up this process.

The best method for losing or gaining muscle mass is to do so SLOWLY.

If you don't it will result in multiple stretch marks on your stomach (from quick weight loss) or on your arms (quick muscle gain).

I always use supplements sparingly at most.
 
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