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Originally Posted by KimNWI
Thats the correct spelling I was misspelling it before sorry. He said it would block 1/3 of my fat intake and speed up my metabolism. I know that Atkins is high fat but he told me that it works great with low carb eating plans. He did warn me that if I take in too much fat I will have bathroom issues. He seemed very knowledgeable and supportive of low carb so I think he understands how it works. I honestly just figured heck its worth a shot. If it doesn't seem to be helping or if the reactions are too bad from it I will just tell him I don't wish to continue it. I figured its an alternative to surgery for me right now and just gonna attempt to hope for the best. I have stopped losing completely the past week or so. I know a true stall is 6 wks with no loss in pounds or inches. The past month or so I am just dropping like a pound a week on average. I know thats ok later on when I am close to goal but I am still SOOOOO far away from normal weight something has got to give. When he offered a way to help me along I took it. I know it sounds bad and desperate but I guess I am, I am soo miserable looking this way and changing so slowly. I think once I reach like 200 I will have more patience after that. Its honestly humilating how much I hate my body and i don't now if its just a self esteem issue that underneath it all I don't believe I can do it or if its because I am being realistic about how fat I honestly am and just trying to find a way out. This whole thing/thread is embarassing but I hope I find some kinda way to hang on until I look like me again so much that I am willing to embarass myself on here.
KimNWI
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I would think Xenical would be even more effective with a high fat diet, since it works by preventing the absorption of fat energy and does not affect carbohydrate energy. Logically, eating a greater percentage of your energy from fat while taking Xenical would result in less net energy for your body, which creates a greater energy deficit producing weight loss. Although, like your doctor said, the more fat calories you replace from carb calories, the more the xenical can work, which means the more likely it is you'll experience unpleasant GI side effects.
If you want to try Xenical that is your choice. I think drugs are safer and less permanent than surgery. I would suggest trying to manipulate calories (fat intake)
first before using Xenical to do it for you
.
Personally I don't think people should resort to drugs to lose weight, because IMO anything you do to lose weight should be something that you can always do & use. I think weight control ultimately comes down to what you're eating. Everything else just affects what happens to the consumed food (or how much you want to consume). Now I'm not trivializing the importance of other lifestyle factors, like getting regular sleep, reducing stress, etc because these are crucial for allowing your body to use energy properly, much like carbohydrate restriction, and are a boon for health.
However,
diet is the overwhelmingly significant factor affecting weight status. Because this is a truth people should focus primarily on diet when attempting to lose. You can use drugs, activity, under eating significantly and stuff like that to speed up the process but as long as you are
learning along the way how to manipulate your diet composition & food intake so as to always result in weight maintenance at a healthy level, that's the real important thing. Using helpers is fine as long as you aren't dependent on them. Depending on drugs or exercise is a mistake in the long run, since these are
not as permanent/innate as eating habits. What happens if they stop making Xenical and you can't find anything else that works as well?
You hear lots of stories about athletes who stop training and pile on pounds even though they are eating the same way. You don't hear stories about people who know perfectly what and how to eat to avoid weight gain, gaining weight (unless they specifically start eating in a way they know makes them heavy for whatever reason, which is something a little different from unconsciously letting the pounds slip on because you stopped exercising or whatever). There is no greater tool for battling weight than
knowing how to eat to not gain it in the first place.
Three 
of the officers at my credit union are 60 or more, and they're leading active, full lives.
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