Reducing fat without reducing the overall calories will not result in weight loss. 30 minutes of moderate intensity physical activity on most days of the week is the goal. Exercise with friends. X. Self-monitoring is effective. Keeping records takes work - writing down time spent exercising, amount eaten, and time spent in stress reduction activity can be helpful.
Physicians can initiate the thinking process in starting a weight loss program.
Ultimately, the challenge is to inspire the patient to assume control of their weight loss, to identify barriers to the goal, and to set a program together. Sibutramine is one drug - cannot be used along with SSRI drug as it is similar class. Orlistat is another drug, which inhibits fat absorption - will cause stool leakage if the patient eats too high a diet in fat. Weight loss surgery is becoming more popular.