Final Test 1

A 45 year old woman is overweight and want to lose 15 Kg to reach her ideal weight. She followed many diets in the past, initially with success. In the last 3 years, however, she lost 2-3 kg initially and then stopped her progress. What would you do?

We place the patient in Step 1 of the Metabolic Syndrome Category. She comes back after a month of supplement intake based on multivitamin and a supplement that helps decrease insulin and leptin resistance (B-complex vitamins, magnesium, chromium, alpha lipoic acid, extract of cinnamon, glutamine, carnitine, selenium, vitamin K2, N-acetyl cysteine, vitamin C, potassium). She lost 2 kg but complains that it is difficult to control the craving for sweets and carbohydrates. What would you do?

After a month on Step 2 of the Metabolic Syndrome Category, she returns to report that she no longer feels sweet cravings; we observe she has only lost 0.5 kg We note, however, that her overall dimensions have decreased significantly. We tell her that, at this stage, the scale does not tell us the truth and her real purpose is to become leaner, not to lose weight. What would you do?

After a month on Step 3, the patient returns with a loss of 1 Kg She feels more energetic, her appearance healthier but feels demoralised and afraid that she will not make it this time either, even if her dimensions have further diminished and people she has not met for a long time are impressed by her new figure. What would you do?

The patient completed the last three months on the last step of the Metabolic Syndrome Category. She lost 8 kg compared to the beginning but her figure has totally changed. She feels good, not hungry and does not feel as if living in deprivation. What would you do?