Hi doctor,I feel too sleepy in day time even sleeping in night early. No strength too. I m too fat. 70 kg. Being in rural I can't able to walk outside. Morning idly or dhosa or chapatti taking three nos. Afternoon and night limited meal I am taking. Doing works in home like taking water, sweeping, washing vessels, cooking. But still weight not reduced. Please advise any medicine to reduce tummy and to eradicate my sleep unwanted.

Dr. Sumaiya PetiwalaDietitian/Nutritionist12yrs exp

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I am a registered dietitian and doctor who will help you in losing your weight. Let me know your food intake details. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to weight loss on some diets can be dramatic in the short term, but there's more of a chance of rebound weight gain. Set yourself a realistic target and aim to lose between (0.5-1.0kg) a week I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. Don't fall for self dieting or fad diets availiable online they have harmful effects in the long run, if you lose a lot of weight very quickly, you may not lose as much fat as you would with a more modest rate of weight loss. Instead, you might lose water weight or even lean muscle tissue, since it's hard to burn that many fat calories in a short period. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight loss, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.  

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