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In my experience, most patients consider weight loss drugs or surgery only as a last resort.  “I want to lose weight naturally,” they say. Once we screen for (and treat) any contributing medical problems that could be causing weight gain (low thyroid function, polycystic ovarian syndrome, prediabetes, among others), or psychological issues (bulimia, binge-eating disorder, depression, anxiety), I encourage a diet-and-lifestyle approach for many reasons, among them my own personal experience.
“I was tired of losing and gaining the same 30 pounds, and wanted to find a permanent solution. I started by learning about portion control. I cut out soda and sugary coffee drinks completely and paid close attention to how much I was eating. I saw some pretty instant results in doing this. Results are contagious, and every time I would see my hard work pay off on the scale or in my clothes, I would chase that feeling. I did all I could to learn about food, and I began working out. I started small and aimed at walking 20 to 30 minutes every day. I tracked my calories and planned every workout. Once I felt the results were tapering, I’d increase my workouts. I never deprived myself of something I wanted or a craving, but found ways to fit it in my calories goal for the day. This mindset was sustainable, and I didn't feel resentment like before when I thought I had to eat grilled chicken and brown rice for every meal. After losing 50 pounds on my own, I plateaued and found it harder to see results. I was on such a great track and knew I needed some help. It was at this point that I had the Obalon Balloon System placed. (It’s the first swallowable, FDA-approved balloon system for weight loss. The non-surgical treatment consists of three lightweight balloons, placed gradually over three months, occupying space in a patient’s stomach to facilitate weight loss). The balloons helped me continue on with my journey and gave me the confidence and seriousness to not stop. Through the program, I met with a nutritionist who helped me learn even more about nutrition and how to fuel my body. Over the six months of having the balloons, I lost an additional 32 pounds. I have kept off the weight by continuing to focus on my nutrition and workouts.”
By making just some of the dietary cutbacks mentioned and starting some moderate exercise, this individual can easily "save" the 3,500 calories per week needed for a 1-pound weight loss, leading to a healthy rate of weight loss without extreme denial or deprivation. Furthermore, her changes in diet and lifestyle are small and gradual, modifications that she can maintain over time.

WH Verdict: While it’s unlikely to be popular with those who’ve chosen a plant-based lifestyle for ethical reasons, the principal of eating real, whole food is sound. And combining two ways of eating certainly makes it easier to get enough protein and vital nutrients. But it’s still pretty restrictive, so consult a nutrition professional to make sure you aren’t at risk of nutritional deficiencies.
When researchers in Brazil studied 13,000 people over a three-year period, they found that men with the highest levels of inflammatory agents in their body were also the most likely to gain weight. And periodontal disease, which is caused by poor oral health care, is one of the most common sources of inflammation. Brushing twice a day, flossing, and making regular trips to the dentist are the best ways to prevent the disease. Hate flossing? Studies show that a dose of Listerine may be just as effective at reducing levels of inflammatory bacteria within the mouth.

About: Sanji started her blog in 2009 as a personal journey to discover what adventures life would bring her, including religion, dating, traveling and more. Fast forward 7 years later, and Sanji is married and has a child. Recently, she morphed her blog into a place to share about her weight loss journey and efforts to live healthy. Add in her long-time writing experience and willingness to get vulnerable, and you’re sure to find it’s a journey you can relate to and find inspiration.

Plus, a 2015 study from the Annals of Internal Medicine showed that for those who have a hard time following a strict diet, simplifying the weight loss approach by just increasing fiber intake can still lead to weight loss. Women should aim for at least 25 grams of fiber per day (based on a 2,000-calorie) diet, according to the most recent U.S. Dietary Guidelines. Not sure where to start? Check out our step-by-step guide to increasing your fiber intake.
Although you do want to increase your walking over time, this doesn’t necessarily mean that you have to be working your way up to a more intensive form of cardio like swimming or running. “Moving on to new exercises is not something someone should feel they have to do unless their goals change and a new exercise is needed to support those goals,” says Gagliardi. “Walking alone can be progressed by changing the distance, speed, terrain, and by adding intervals.”

This is a medical clinic providing weight loss surgeries. But their blog also has a lot of helpful information about losing weight and maintaining that weight loss without surgery. You can find posts about the types of conditions that contribute to weight gain, posts about personal weight loss journeys, and yes, tips and advice for those who might be considering surgery. Visit the blog.

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