[neilep (OP)]

Chris, or any other lovely medical person []

Believe it or not, beneath my svelt frame of herculean adonis physique I am apparently obese !!..I know...I know it's a shocker, but I have a very cuddly tummy !!....Xenical has been mentioned as a very useful drug but my GP has insisted that I have to lose 5% of my body mass by myself first before he can prescribe it....

Now, I must tell you, I get on very well with my GP, we gel and I trust him implicitly but is his insisting a ruse for me to save him precscribing it ?..or is it in fact the standard procedure ?

To me, If I have to lose the weight myself first, then surely the fact that I've done that negates the necessity for it to be prescribed.....

I don't plan to use the information you give as ammunition by the way but would welcome your opinion which I greatly appreciate.

My BMI is 33 !!!


<font color="blue">'Men are the same as women...just inside out !'</font id="blue">

[sprite190582]

I once read that before GP's prescribe weight loss drugs they make patients loose weight without medication to prove they want to loose the weight. I don't know how true this is, I only read it in a magazine, maybe someone can clarify this or let us know if it a pile of rubbish!

Alex

[chris]

To be honest Neil, I'd look at it like this.

Presumably you want to lose weight to improve your health and fitness. But if you lose the weight by taking the tablet then the unhealthy aspects of your lifestyle that helped you acquire the extra weight in the first place are still there; and they will continue to make you unhealthy. You will have just masked one of their most obvious manifestations - weight gain - with a pill.

If you want to lose weight to make yourself healthier then the only answer is to change lifestyle a little. Eat less, aim for a gentle weight loss (no crash diets, which absolutely do not work), take exercise - even if this means taking the stairs instead of the lift and walking to work rather than taking the bus (it all helps) and avoid covert calories (like the 15 tonnes of mayonnaise they put in packs of sandwiches). These lifestyle changes will definitely make a difference to your health.

On the other hand, if you only want to slim down purely for cosmetic reasons, then go for the tablets. They'll have you doing oil slicks for turds, which is not everyone's cup of tea, but you'll certainly lose weight. The difference will be that you'll still be doing all the harmful things that made you fat in the first place, so your health will still be suffering. A recent study confirmed that people who undergo liposuction (and hence lose staggering amounts of weight) have exactly the same mortality rate as they did before the procedure.

Sorry mate, there is no easy answer !

Chris

"I never forget a face, but in your case I'll make an exception"
 - Groucho Marx

[neilep (OP)]

Chris, your words of wisdom effect me in ways I can't describe (ingratiate mode[:I])....

The fact of the matter is, I walk 2-3 miles a day at a fast pace, have increased my sports activities, by swimming, badminton and ice-skating !!..I even walk up the escalators at tube stations...and have reduced my intake of fatty foods and increased my fibre intake....and you know what I get for all this effort ?...I've put on 5lbs !!!!!!!!...what the hell is all that about ?...anyway, the reason why a specialist has recommended  Xenical is because I have a liver disfunction with no apparent cause (I don't drink alcohol...never have)...but I do have fatty deposits on my liver which is suggested may be the cause of the slight inflammation that is indicated.

Anyway, I really appreciate your words and will endeavour to work even harder to lose the weight.

Everything I do , is the opposite, I try to lose the weight...I put it on.......I'm awake when most people are asleep...ho hum !!..I just hope that when I get depressed someone out there is extra happy[]

'Men are the same as women...just inside out !'

[neilep (OP)]

quote:Originally posted by sprite190582

I once read that before GP's prescribe weight loss drugs they make patients loose weight without medication to prove they want to loose the weight. I don't know how true this is, I only read it in a magazine, maybe someone can clarify this or let us know if it a pile of rubbish!

Alex

Thanks ALEX, That sounds reasonable to me....I can see the logic there, I certainly want to lose the weight....when I'm even thinner, can I still get a hug from you ?[:I]

'Men are the same as women...just inside out !'

[chris]

Neil

sounds like you have hepatic steatosis (fatty liver). On ultrasound the liver lights up brightly (enhanced echogenicity). This is a common finding and is associated with being a bit on the large side. But I'm sceptical about the evidence base for xenical being able to reverse the situation any better than the other measures that I have outlined.

The truth of the matter is Neil, that energy in = energy out. That you are doing all that physical activity and yet have failed to lose any weight argues that you are still over eating.[:p] Sorry, but that's unarguable (unless you have rewritten the rules of physics, of course [])

C

"I never forget a face, but in your case I'll make an exception"
 - Groucho Marx

[neilep (OP)]

.....oh poo !!!....sorry can't type right now, am eating a pizza !!.............you're right Chris.....I suppose I could work harder on my diet....and I WILL.....thanks.

'Men are the same as women...just inside out !'

[Don_1]

I can recommend a reputable pharmacy (Xenical) - www.Spamproducts I received the order and it was on time and the pills work great.

Spam pills eh! What a great idea.