Table of Contents:
Introduction
Part I: How to Assess Your Health Risk
Part II: Making the Right Decision
Part III: I've Decided to Lose Weight
Part IV: I've Decided to Prevent Further Weight Gain
Appendices

The lifestyle change option

Lifestyle changes are very important because they help you stick with your plan to pay attention to your diet and increase your physical activity. To change your lifestyle, you must first identify those thoughts, feelings, and behaviors that contribute to habits of overeating and under-exercising. Then, you can replace these thoughts, feelings, and behaviors with new ones that will help you eat healthfully and exercise regularly for the rest of your life. These lifestyle changes should always be made together with all other weight loss treatment options.

There are several techniques that you can use to make good changes in your lifestyle. They are:

• Monitor food and activity levels. Keep a food and physical activity diary, like the one in Appendix IV. This diary helps you become aware of how much food you are eating and how physically active you are. You can also write down your feelings about eating and activity in the diary, and this can teach you a lot about your own attitudes and how they may need to change.

• Manage stress. Stress is one of the major reasons why people overeat. You can, however, reduce this stress-related overeating by learning how to use methods other than food to cope with or reduce stress in your life. Examples include meditation, deep muscle relaxation, yoga and physical activity.

• Control your environment. You can control cues in your environment that contribute to poor exercise and unhealthy eating habits. For example, replacing candy dishes with fruit bowls can help you cut down on the amount of candy you may eat. Staying away from buffet- or cafeteria-style restaurants can reduce the temptation to overeat. Putting your exercise shoes by the front door can remind you to take your daily walks.

• Recognize success. You can motivate yourself to continue on the road to weight loss by rewarding yourself for making good changes, and by obtaining the support of family and friends. For example, you can reward yourself with tickets to a concert, the theater, a movie, or a weekend golf, resort, or spa trip that includes physical activities like hiking.

• Change how you think. Negative thoughts can defeat even your best weight-loss intentions. You can, however, become aware of your negative thoughts, stop them in their tracks, and replace them with supportive ideas that will help you succeed. For example, "It’s no use! I’ll never be able to do this!" can be replaced with "Hey, wait a minute. This may be difficult, but I am a capable person who has done hard things before! I can do this, too!"

It is just as important to identify and change unrealistic weight-loss goals you may have set for yourself, because unrealistic goals set you up for failure. Replace these goals with more realistic ones. For example, replace "I have to lose 30 pounds in the next month" with "I will do everything I can this month to make healthy food choices, control my portions, and be physically active. The resulting rate of weight loss will be safe and healthy for my body this month."

• Change your view of yourself. It is also very important to create a realistic view of your body. Some people feel very bad about their bodies, and this can happen when you have a picture in your mind of "the perfect body" and you try to achieve it at all costs. Or, some people can only see themselves as fat even after they have lost a lot of weight.

There are techniques you can use to develop a more realistic view of yourself. For example, while losing weight, regularly stand unclothed in front of a full-length mirror. Start to notice any changes in your body that have resulted from your weight loss. Or, have someone take a full-length photograph of you (clothed) when you begin your weight-loss program and each month thereafter. Be sure to wear the same clothes each time. Compare the photographs, take note of changes in how you look, and think about how these clothes now feel on you.

• Get help. Join a group or see a professional counselor. A group can provide support for your weight-loss efforts. Fellow members can provide comfort and share ideas that can help you succeed.

Part III:

What happens next?

How do I select a target BMI?

What weight-loss treatments are available?

The dietary options

The physical activity option

The lifestyle change option

The drug option

The surgery option

How do I know which mix is right for me?

How to choose and find programs and services

Where can I find the program or service providers I’ve selected?

Should I continue to see my doctor?


 

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