Weight Loss Options If Your BMI Is Below 35
If you’ve been searching for a weight loss solution and your Body Mass Index is between 28 and 35, you may have found that solutions are hard to find. (Calculate your BMI here).
An increasing number of large, high quality prospective research studies have demonstrated a high success rate in effectiveness with laparoscopic adjustable gastric banding surgery. Studies have also indicated that other types of weight loss surgery are effective in this “lower BMI” group. To date, the generally accepted guidelines that health insurers and most bariatric surgical centers follow begin at a BMI of 35 and go upward.
Options for Weight Loss If BMI is 28 to 35
In this category of severe overweight or moderate obesity, weight loss considerations boil down to a few important options:
Medically based weight loss
A medically based or medically supervised weight loss program. Increasingly, physicians who are devoted to weight loss surgery offer specialized programs for people in this Body Mass Index category. The best of these kinds of programs combine all of the elements of proven weight loss strategies. I outline a comprehensive strategy that is based on our medically supervised weight loss program at iMetabolic in a soon to be released book entitled, “Life Changing Weight Loss.” This book offers a very candid and revealing look at what a comprehensive medically based weight loss strategy entails. As you might predict, it centers around making permanent changes in ones diet and physical activity. It also centers specifically on a focus toward true and enduring “life change”, which is sometimes easier to talk about than actually do. But it requires a change in attitude and a change in habits, as well as a very structured program. The best medically supervised weight loss programs involve many or all of the following elements:
- Structured dietary advice.
- An induction or initial weight loss program to get the pounds off rapidly and early, over eight to 24 weeks.
- The use of medically formulated protein-based meal replacement shakes.
- Maintenance of a diet or food journal.
- Individualized counseling from specialists, experts in eating behavior and psychology.
- Ongoing support groups with other people on the same journey.
- Regular exercise programs with commitments such as walking groups.
- Goal oriented encouragements with participation and performance goals.
- A transition phase with specific introduction of carefully designed and monitored foods.
- Rigorous teaching for increased awareness of calories, carbohydrates, vitamins and nutritional needs.
- Inclusion of appropriate vitamins and supplements for weight loss and maintenance of healthy muscle mass.
- A long-term ongoing maintenance program after the weight has been lost to stay engaged and focused and avoid rebound weight gain.
In the next post I will discuss the surgical weight loss options for people who fall into the lower BMI range of 28 – 35.