A personalized medical nutrition program tailored to body composition, metabolic status, and lifestyle. The aim is healthy and gradual weight loss.
Indication
- Diagnosis of obesity with a body mass index (BMI) of 30 kg/m² or above
- BMI 25-29.9 kg/m² (overweight) accompanied by conditions such as hypertension, diabetes, or dyslipidemia
- Increased waist circumference (≥88 cm in women, ≥102 cm in men) and metabolic syndrome
- Obesity-related conditions such as fatty liver (steatohepatitis), polycystic ovary syndrome (PCOS), and sleep apnea
- Pre- and post-bariatric (obesity) surgery nutritional management
- Childhood and adolescent obesity above the age- and sex-specific percentile
Preparation
- Bring blood test results from the past year (fasting glucose, HbA1c, lipid profile, liver and thyroid function tests)
- Share the list of medications and supplements you use
- Keeping a 3-7 day food diary (foods, drinks, times) is recommended
- Wear comfortable clothing suitable for routine measurements
- Prepare information about previous diets and their results
How it's performed
- The dietitian assesses detailed nutritional history, physical activity, and sleep pattern
- Height, weight, waist-hip circumference are measured; body composition analysis is performed when needed
- Basal metabolic rate (BMR) and daily energy requirement are calculated
- A personalized calorie target (typically a 500-750 kcal daily deficit) and macronutrient distribution are planned
- Practical meal plans, shopping suggestions, and behavior-change techniques (portion control, mindful eating) are shared
- Coordination with the physician is maintained, with referral to endocrinology or psychiatry when necessary
Post-procedure
- Weekly visits in the first 3 months, and visits every 2-4 weeks afterwards are recommended
- Weight, body composition, and waist circumference are monitored at every visit
- The targeted weight loss is generally 0.5-1 kg per week
- During plateau periods the plan is revised, and behavioral support is increased
- Once the target weight is reached, the program transitions to long-term weight maintenance
Risks
- Very low-calorie diets may cause weakness, dizziness, muscle loss, and gallstone risk (should not be applied without specialist supervision)
- Rapid weight loss may lead to hair loss, menstrual irregularities, and cold intolerance
- Inadequate micronutrient intake may cause vitamin/mineral deficiencies
- In individuals with a history of eating disorders, the condition may flare up
- Hypoglycemia/hypotension that may require dose adjustments in those using diabetes or blood pressure medications
FAQ
How much weight can I lose and over what period?
Healthy weight loss is approximately 0.5-1 kg per week, or 2-4 kg per month. It varies according to starting weight, age, hormonal status, and adherence. No specific guarantee can be given; the goal is sustainable progress.
Should carbohydrates be eliminated completely during the diet?
No. Carbohydrates, especially whole grains, vegetables, fruits, and legumes, are part of a balanced program. Adjusting their quality and quantity is recommended rather than full elimination.
Should I exercise during the diet?
Regular physical activity supports weight loss and maintenance. Generally 150-300 minutes of moderate-intensity exercise per week is recommended. In the presence of accompanying conditions, exercise should be started with the physician's approval.
Are detox or shock teas/diets effective?
There is insufficient scientific evidence that such practices lead to long-term weight loss or health benefits. They may disturb fluid and electrolyte balance and are not recommended without specialist supervision.
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