If a weight-loss program is not enough to help you reach a healthy weight, ask your health care professional about other types of weight-loss treatments. Prescription medicines to treat overweight and obesity, combined with healthy lifestyle changes, may help some people reach a healthy weight. For some people who have extreme obesity, bariatric surgery may be an option.
After you've settled into the workout routine, and the excitement of those first ten pounds has worn off, your challenge will be keeping yourself from plateauing. If you're getting bored with your exercise or feeling frustration that your body mass has hit a plateau, don't start skipping the gym. If anything, substitute the physical activity. Go to the park. Take a martial arts class. Spend an afternoon kayaking with your friends. Dance or play basketball. Working out doesn't have to be boring, and when you feel that fatigue, it's time to change things up a little. Plus, finding your exercise in an alternate venue will take your mind off losing and put you in the mood for some fun.
In another study, obese adults were assigned to Medifast's meal replacement (low fat, low GI, with a balanced ratio of CHO/Pro) (MD) or a self-selected, isocaloric, food-based meal plan for weight loss and weight maintenance. The amount of weight regain was more in the MD group, but the percentage of participants who kept up their weight in this group was more than in the other group.
It has been shown that a greater resting metabolic rate (RMR) at baseline, increased dietary restraint, and low frequency of dieting, are associated with weight regain. A meta-analysis in 2001, revealed that using a very low energy diet (VLED) for weight loss or losing more than 20 kg are two predictors of weight maintenance, however, one study that assessed the method of weight loss, declared that patients on VLED gain more weight after the end of the weight loss period, but a self-directed approach was more successful in this regard. Low intake of takeaway and fast foods, reduction of food consumption, adherence to a low-fat diet, and lower sugar-sweetened beverage consumption are some of the behaviors of maintaining the weight loss. Adopting these behaviors as a habit needs supportive strategies by virtue of phone or email.
“Stop focusing on calories and start focusing on the quality of the foods you eat. High-quality diet options are natural, whole, minimally processed foods, like vegetables, fruits, nuts or seeds that offer a lot more nutritional value in the form of vitamins, minerals, healthy fats and fiber. These foods help tame hunger naturally and nourish our cells at the deepest level so that we aren’t left with constant cravings. — Michelle Loy, MPH, MS, CSSD, Registered Dietitian Nutritionist and owner of Go Wellness in Orange County, California
Weight changes after capsaicin consumption was not significantly different from a placebo. Respiratory quotient and resting energy expenditure was higher in the capsaicin group, but it had no relationship with weight regain and after treatment it returned to the normal level. Table 3 shows the results of using special diets or foods and prevention of weight regain.