Am I going to die ? I am 21 years old 5'7 and I weigh a whopping 230 lbs! I try to diet and I exersize alot! I cant drop the weight @ all. I dont have good health insurance that will cover any type of surgery. HELP! I am scared I am going to die soon if i dont do something. I dont have money for all these diet pills and Jenny Craig meals.
There are better reasons to die for than for just being obese. Considering your height & wt. your Body Mass Index is 36 while normal limit is 24-25. Thus there is no doubt that you are grossly overweight but not so much that you will die. At 21 it takes a lot of effort to die than at say 61. There are many people whose BMI would exceed even 45. So have heart! Consider the following favorable factors. 1.You are very young.. 2.The very fact that you are scared of dying means you will do anything to survive and that indirectly shows your will-power/ determination. 3.Hopefully you are not a smoker and do not consume alcohol regulary. Now let us take an objective look at your problem. 1.If you have already been dieting, then there could be some metabolic reason for weight gain. As somebody has suggested, get your thyroid tests done. 2.I would also advise you to get complete lipid profile done along with your blood sugar and urine tests. These tests are a little expensive but nothing compared to the price you would be paying by consequent diseases as a result of this obesity. I think Thyrocare offers a very good package for these tests. Visit www.thyrocare.com 3.If the tests are positive (i.e. you do have some systemic problems), follow the physician’s advice religiously. Most likely you will have elevated lipid levels. Do not panic. There are very good medicines available to control these. Doctor will advise you a complete weight reduction regime. BUT IF THERE IS NOTHING WRONG WITH YOUR BODY CHEMISTRY, DO NOT TAKE MEDICINES TO REDUCE YOUR WEIGHT. 4.If the tests are negative – then your problem stems from an imbalance of diet and lack of calorie burning exercise. 5.List down what you eat everyday. And find out how many calories you are consuming. You can take a dietician’s help in this. Assuming that you are consuming approx. 2500 calories, you have to plan a two-pronged approach. 6.Firstly reduce the total calorie count say by 10 %. Then gradually to 1800 . a.The source of calories is very important Take doctor’s advice but typically, most of your saturated fats will have to be cut down. Increase your protein intake (chicken, fish, egg-white, soybean nuggets without much oil or spices ) and keep Carbohydrates to a moderate level. Eat lots of green vegetables & soups. Palak / lauki (white gourd) soup with garlic is highly recommended Reduce salt consumption to a minimum. b.Increase roughage in your diet. This not only acts as a filler (making you eat less), but also decreases fat absorption. Green vegetables like cabbage, Gawar beans, carrots, spinach, methi (fenugreek) all provide the same. You can also try to add a little-bit of Sat-isabgol with a little rice and buttermilk while finishing your dinner. c. Avoid rice / white bread/ bakery products Avoid sweet fruits & fruit juices also. d.The frequency of meals will have to be increased, taking small quantities each time. This is easier said than done. 7.Concurrently you must start burning calories. Walking is the best exercise to begin with. With your weight, jogging may cause you more harm. Walk everyday about 5 kms. This will consume approx. 230 calories. 8.Drink lots of water. I will also recommend Hot water like tea particularly after each meal (not just warm), as Chinese do. . Also have all your dinner by 7/ 7:30 pm and do not eat drink anything after that (except hot water). Remain standing for 15 minutes after every meal. 9.Cut down your sugar intake in tea / milk (Only skimmed milk- cow’s milk is advised) Use sugar substitutes like Equal/ sugar-free. Drink light black tea or if you can afford, green Chinese tea. 10.Thus you will achieve a total calorie reduction by way of diminished intake & increased consumption by approx. 500 per day. 11.Once you start achieving reduction, plan higher aerobic exercises ,including jogging or playing some game like badminton. Gradually you increase your exercise to consume at least 500 calories, keeping the diet at 1800-2000 level. 12.Restrict your Computer / TV time to just 90 minutes per day. This could be a SERIOUS cause of your obesity. 13.Engage yourself in a hobby like gardening, cycling etc. (PC & TV watching are addictions- not hobbies) that calls for physical activitity and that you will enjoy in the ling run. 14.Patience is the key. Do not expect any miracles in the first month. Have I said too much ? Well a weighty problem demands an equally heavy answer. But make light of your weight and you will succeed . Good luck