GLOSSARY VLCD a very-lowcalorie-diet, which broadly means it’s less than 800 kcal per day.
TRANSACTIONAL ANALYSIS (TA) A highly effective way of improving how you communicate with other people and yourself, which can help with weightmanagement. BARIATRIC SURGERY Weight-loss surgery including the use of gastric bands. KETOGENIC DIET enables the body to burn its fat stores instead of running off carbohydrates.
burn more calories than their female equivalents at the same weight. They may also have less of a ‘dieting history’ and therefore take to programmes like LighterLife with fresher resources. WHAT WOULD YOU SAY TO PEOPLE WHO ARE CRITICAL OF VLCDS?
Most people who criticise actually don’t understand how VLCDs work, the research that has gone into them over the decades and how safe and efficient they are. If you’re overweight or obese you’ll have far more potential health problems than if you’re a healthy weight. Yes, there are minor problems associated with any low-calorie intake – any diet, rather like pregnancy, can cause temporary hair shedding in women. Cutting out floury, sugar-based foods can also cause headaches in the first week or so – but all of that settles down very quickly.
IT SAFE TO BE ON A VLCD FOR Q IS MORE THAN 12 WEEKS? general suggestion from the National A The Institute for Health and Clinical Excellence
KETOSIS/ KETOTIC When the body is in fat-burning mode. OBESE Those with a BMI of over 30 are classed, by the NHS, as medically obese. CARDIAC RISK Risk of heart disease.
(NICE) is that you do it for a three-month period, which is advice LighterLife clients follow. But there’s no evidence to suggest it cannot be used for longer or that it’s harmful. Many people have used it for much longer. In fact we recently monitored patients on a VLCD over nine months. All their results showed an improvement in liver function, kidney function and in overall cardiac risk, so the evidence would suggest that there is no real reason for having a three-month limitation on it. And, a recent statement from the National Obesity Forum actually says this. BEEN SAID THE NHS COULD Q IT’S SAVE OVER £1BN BY PROVIDING MORE BARIATRIC (WEIGHT-LOSS) SURGERY TO OBESE PEOPLE
A recent study with a VLCD showed patients had an improvement in liver and kidney function and in overall cardiac risk
BECAUSE THEY’D BE HEALTHIER. WHAT DO YOU THINK?
There’s no way the NHS can cope with an increase in bariatric surgery. It’s much more cost-effective to put patients on to a VLCD than it is to put them on a waiting list for bariatric surgery. If you put patients in line for bariatric surgery on to a VLCD in the interim you’ll often find that they’ll lose the weight and elect not to have the bariatric surgery in the end. The results of patients who fully complete the LighterLife Total programme are exactly the same as you’d expect from those who have bariatric surgery, so LighterLife should always be used before sending a patient for bariatric surgery.
YOU ENCOURAGE Q WOULD EXERCISE ALONGSIDE A VLCD? no reason at all why you can’t A There’s take regular exercise. There are over
37,000 kcal in every stone of fat, so if you’re overweight or obese you will have plenty of reserve energy. The more exercise you do, the more fat you’ll burn. We’ve had professional athletes, aerobic instructors and other fit people on the programme. They’ve had no problems whatsoever. So by all means, why not enjoy working out? It all adds to a positive LighterLife experience and is good for long-term health. ■
Photographer PHILIP HOLLIS
COGNITIVE BEHAVIOURAL THERAPY gives you practical skills to think, feel and act differently, including around food.
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