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Diet, Nutrition & Weight Loss
Reply to "Super morbidly obese. Where do I start?"
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[quote=Anonymous]Definitely talk to your primary care physician as part of your plan. A GLP-1 medication (like wegovy, but it's a medication class effect) is a great therapy for diabetes that has the beneficial effect of weight loss and appetite regulation. There are other medications for diabetes that have a weight loss benefit, and there are other medical therapies for obesity. Ask for a referral to a therapist, and potentially to an endocrinologist that does obesity management. At 350 lbs, you can make small changes and see quite a change without being overly restrictive. Doing anything too strict will be hard to commit to. I like the idea of taking a stepwise approach. Try framing this as taking care of yourself! Start every meal with fruit, veggies and water- the things you know you need but aren't eating. For me, I try to buy as few processed items as possible at the grocery store, and then it's easier to avoid the carby snacking trap- if there's not chips/crackers/etc in the house I have to take the step of going out or instacarting them and I can usually resist! Walking for exercise is a great start. You can make this social (walk with a friend), listen to a podcast, or get a treadmill and walk while you watch TV. You could also consider gastric sleeve therapy, but I recommend seeing a therapist, getting potential medical conditions well managed, and changing your lifestyle/diet before you consider that- if you don't get to the root of your [/quote]
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