Poor health while dieting. Dizziness during a diet: do not let it develop

But few people think about the fact that not only the size of clothes, but also our health depends on our nutrition. And also the quality of skin, hair, nails… We turned to an expert to help us understand all of the above issues, and at the same time “walk through” popular diets and detox programs that are replete with the Internet today. Spoiler: if you want to lose weight, you need to eat!

Candidate of Medical Sciences, Head and Chief Physician of the network of clinics of physiotherapy, rehabilitation and cryomedicine GRAND CLINIC (Moscow), CryoSpa ICEQUEEN (Dubai)

Why am I not losing weight from separate nutrition?

A beautiful theory: proteins and carbohydrates should be eaten separately. Because in the acidic environment of the stomach, only proteins are digested, and carbohydrates begin to rot there. So you need to eat them separately so that they are digested in the alkaline environment of the small intestine. But in fact, the authors of such diets simply do not know anatomy! First, the concentration of hydrochloric acid in the stomach makes putrefaction impossible. Secondly, between the stomach and the small intestine is the duodenum, where proteins, fats and carbohydrates are digested at the same time. Well, and thirdly, legumes, for example, contain all three components ... So separate digestion simply does not exist. But the main thing is that different enzymes are secreted for the digestion of proteins and carbohydrates. If you eat on a separate diet, the load on the enzymatic system, which is not used, is reduced - and it loses its ability to work. Therefore, people who have been sitting on a separate diet for a long time are unlikely to wait for the coveted figure on the scales, but they will provide themselves with digestive problems.

Popular

Why does my friend eat fatty meat, bread and butter, salad with sour cream - and not get better? And I'm on a cholesterol-free diet - and I'm not losing weight!

The Cholesterol-Free Diet recommends avoiding fats, as fat - aka cholesterol - "clogs" the circulatory system, which leads to cellulite, premature aging and heart disease. In fact, cholesterol is not the enemy at all! He does a lot important functions in the body - is involved in cell division and is responsible for the hormonal background. So the first consequence of a cholesterol-free diet is an early menopause. In fact, fat should make up 20% of your daily diet. And remember, fat is different for fat: olive oil extra virgin is healthier than mayonnaise, fatty fish is healthier than chicken legs, and lean pork steak is many times better than fast food or convenience foods.

Why do muscles “leave” a protein diet and the liver starts to hurt?

The most popular diets among Russian women are the Atkinson Diet and the Kremlin Diet. The main rule of both is that you need to eat exclusively animal protein, the percentage of fat content does not matter. But carbohydrates, even cereals, should be reduced to a minimum or eliminated altogether. I want to warn you that such food is very dangerous! For proper (healthy) digestion, our body simply needs fiber! It's simple: if mainly carbohydrates reach the large intestine through the digestive tube, beneficial fermentation bacteria develop, and if only proteins reach, there is a high probability of the formation of "putrefactive" processes - that is, dysbacteriosis! Why does the liver hurt? Because a large amount of protein food for her is a huge burden. A fat protein food- a real nightmare for the gallbladder and kidneys.

Why do skin, hair and nails deteriorate after a diet?

Any diet must be properly formed in terms of the amount of proteins, fats, carbohydrates, vitamins and trace elements. Lack of vitamins (starvation, detox diets) lead to dryness and flabbiness of the skin, the appearance of pigmentation. Lack of vitamin C is a sure way to rosacea. Violation of protein metabolism (rejection of animal proteins) - to swelling, hypersensitivity and allergic reactions. The increased content of fast carbohydrates leads to acne, blackheads and clogged skin pores. The lack of trace elements Zn, Se, S leads to a violation of sebum regulation, that is, increased oiliness of the skin. And hair and nails "suffer" when the right fats are limited.

Why do detox diets cause weakness, swelling and pain in the stomach?

It is believed that office workers need to reduce calorie intake, test all kinds of mono-diets and juice detox diets on themselves, because they lead a “sedentary lifestyle”. I will disappoint, but the "miracle recipes" will lead you to a new and very fast weight gain! On such a “diet”, the body loses only water, muscle mass, but not fat. Without enough protein (and liquid, fasting and detox diets are not able to provide it), the human body begins to extract the necessary energy by breaking down its own muscle tissue. Our muscles are the body's built-in calorie-burning mechanism. And vice versa, the less muscles - the slower the metabolism, that is, in place of the muscles comes ... fat! From a medical point of view, to get rid of toxins, you need to drink more water, eliminate fast food, and in no case give up solid foods containing fiber. The body must receive all the elements it needs in a complex way.

Conclusion: only fractional meals are approved by the World Health Organization. What does it mean? You should not feel hungry, because it leads to metabolic disorders and improper functioning of the digestive and nervous systems, and as a result, to the pathology of subcutaneous fat. Simply put, you easily gain weight, overeat and feel tired in the morning. While five meals a day eliminates the feeling of hunger and makes all body systems work harmoniously. In other words, if you want to lose weight, you need to eat!

And for starters, let's figure it out, when did you feel such an unpleasant symptom as dizziness during a diet? If at the very beginning, then they tend to attribute such phenomena to the group of psychogenic ones. The diet has begun - if you please, touch the stress. If you feel dizzy on a diet that has been started for a long time, then your body gives a signal about a failure in its work and we need to find and fix it.

The diet has just begun, the body is not used to the changed diet and is under stress. In addition, during a dietary restriction, we still have to work hard, lose calories hard even when working in a “white collar”, not to mention hard work. physical activity. In addition, there are people around you who are unaware of your limitations. And they are all constantly chewing! And not only at work, but also at home. Only a stress-resistant organism can withstand such a thing.

The diet has just begun, oh, how dizzy!

Get ready for a similar development of events, and if the diet is dizzy at first, then:

Week later

And if you complain that your head hurts on a diet that started more than a week ago, it makes sense to consider the diet in detail:

Dizziness during a diet and the occurrence of headaches are typical for people who sharply limit any product in their diet. Most likely, this is not one, but a group of products. We are maximalists, if we exclude, then all at once. Be smart about change habitual diet. Nutritionists recommend not eliminating any product completely, leaving at least a small part of it in the diet. Don't eat white bread, great! Pinch off a piece of pink salmon when you buy it at the store for your pets. The body feels good, and the hormone of happiness serotonin will come to you, which, by the way, will help get rid of dizziness when losing weight.

  1. Sometimes, to complaints, they say, I'm on a diet, my head is spinning, a state of weakness is added. Check arterial pressure. Eliminating diets are now popular, and its absence leads to a decrease in blood pressure and weakness.
  2. A healthy lifestyle has not been canceled. Be outdoors, walk a couple of kilometers a day. Alternate computer work with - avoid headaches associated with osteochondrosis - a disease of computer geniuses of the 21st century.

Try to keep yourself

I finished ahead of schedule now I don’t sit on diets, I just limit myself.

On a protein diet, my head ached, drowsiness, apathy. First week.

Then okay! Natachka, Dr. Pierre Ducan himself speaks to those who are losing weight about possible side effects: constipation, weakness, headache, bad breath. The Dukan Diet has been recognized worst diet in a year!

Topic closed

So what's best proper nutrition and sports! If you want, contact me, I make inexpensive nutrition and training plans! On drinking, the head is spinning and it darkens in the eyes. Drinking - the fifth week, no strength, fever, headache, I can’t get out of bed, trembling in my jaw, but by the end of the week everything was gone Recently I lost consciousness, my parents helped me in time, this is of course the worst thing that I experienced liters, and ate tightly 3 times and that's it.

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Sluggishness while losing weight

Danger 1. Nausea, weakness, headache. How to get rid of excess weight, lose weight after childbirth, choose a suitable diet and communicate with losing weight.

Psychologist, Clinical psychologist oncopsychologist. A specialist from the site b They advised vitamins Berocca plus, after three days I felt a surge of strength, my working capacity increased. The guest advised vitamins Berocca plus, after three days I felt a surge of strength, my working capacity increased. Author, weakness due to the fact that you have the wrong diet.

Section: Need advice on which nutrition system for weight loss to choose if After such a medical examination, it will become clear what health problems exist.

Is it possible to deal with this somehow?

In accordance with them, establish proper nutrition. The topic was created to discuss the article Lose weight without risk. How to get rid of excess weight, lose weight after childbirth, choose the right diet and chat with Slowly losing weight.

Actually, due to this, weight loss occurs. Remember: if you do not have a lack of calories - you will not be able to lose weight burn fat. In order for you to understand, when you have little lack of carbohydrate energy in the body, your blood glucose level drops and becomes low, and such a mild one begins - hypoglycemia, after which there is: lethargy, drowsiness, fatigue, little strength energy, etc. Especially often this can manifest itself in training, all because the physical. This is not a mass, it is still drying, and drying is always difficult.

My weight was 73 kg. I lose weight by this principle: counting calories.

diet and weakness

I was counted on weight loss courses kcal per day for a weight loss report. I think fasting to lose weight is wrong. Clinic of therapeutic starvation in Moscow. Two questions for the experienced.

What dangers can lie in wait for you? It is they who are the culprits of unpleasant side effects accompanying any express diet. With uncontrolled self-weight loss, hemoglobin often decreases, and the balance of electrolytes shifts. Let's see how the feeling of hunger arises.

The husband lost weight according to the Kovalkov method. Kovalkov claims that at first energy is spent from the muscles, but only psychological problems. If there are no health problems, is it worth changing what is given by nature?

Poor health while dieting.

The sister is in despair in the literal sense, not a single diet helps a person, probably, fullness is genetically laid down and nothing to do with it Effective Diets. Am I losing weight wrong?


How to get rid of excess weight, lose weight after childbirth, choose She sat on a diet, not even a diet, but a balanced diet - she excluded bread, sugar and all sorts of sweets, fatty fried foods. Stress and weight loss.. Fashion and beauty. After such weight loss, my weight did not increase for 3 years, despite the fact that I was not particularly fond of the diet and there was an abundance of sweets frequent days birthdays with cakes at work, teas in the buffet with something. My blood pressure also dropped on a salt-free diet.

Weakness while dieting

But this is not felt in any way, only with a tonometer. See other discussions: Lose weight without risk. The reason for feeling unwell lies in uncontrolled self-weight loss, hemoglobin often decreases, the balance shifts. If there are problems with health, then take a course of droppers, and then you will sit on a Japanese woman. Extra vitamins for weight loss. Girls, I've been on a diet for 5 days already, It's easy, maybe because fasting and internal clocks are set positively for abstinence.

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During weight loss, many people's mood deteriorates, they feel unwell, nausea and weakness. To avoid a breakdown, you need to know the reasons why weakness occurs when losing weight.

The liver is responsible for removing toxins. But due to bad environment, bad habits, malnutrition the amount of toxic and harmful substances increases many times over, and the liver can no longer cope. They do not have time to be excreted and are deposited in fatty tissues. Therefore, when losing weight, when lipid cells begin to break down, the ketones accumulated in them enter the bloodstream.

Respectively the faster the weight loss occurs, the more the body is poisoned. As a result, a person feels weakness, dizziness, nausea, bad mood, and sometimes apathy and depression.

When poisoned by ketone bodies, the first suffers nervous system. Their effect on the neurons of the brain provokes headaches. Intoxication of the spinal ganglions is manifested in the deterioration of the functioning of the organs for which they are responsible.

To avoid all these unpleasant consequences, doctors recommend cleansing the body before and during the diet. Detox activities include:

  • Taking drugs that absorb toxins in the intestines. These include Enterosgel. It is important to note that it absorbs only toxins and allergens, while it does not affect the beneficial microflora at all.
  • To improve cleansing, it is necessary to additionally take vitamins and probiotics, salt-based preparations.
  • The diet should be diversified with foods rich in fiber and vitamin B. The menu should include citrus fruits, broccoli, arugula, various greens, and vegetables.

The main rule of any diet is to expend more calories than you consume. It turns out that the body must experience a lack of energy, and it will take the missing part from body fat. But often the metabolism slows down, the body, due to a lack of nutrients, begins to save energy and slow down the metabolism. As a result, the effect of a plateau appears, that is, when, despite all efforts, the weight does not decrease.

The body constantly needs energy to maintain life. There are two sources - food and internal reserves of carbohydrates and fat. But the body resorts to the consumption of the latter last. Therefore, with a reduction in incoming food, it is easier for him to reduce energy consumption. With a lack of carbohydrates, the level of glucose in the blood falls, that is, hypoglycemia begins. It is manifested by lethargy, drowsiness, weakness and sometimes irritation.

Another cause of weakness during weight loss is a violation of the proportions of nutrients. The body directly extracts energy from carbohydrates, and uses fats for its accumulation. Therefore, it is more difficult to obtain it from lipid cells. So if the diet consists more of fats, not carbohydrates, then the body will store more and save energy.

The latter are the main source of nutrition for the brain. With a lack of carbohydrates, starvation begins: absent-mindedness, migraines, mood swings, depression, depression. Therefore, the body again has to save energy in order to provide it with the brain. This is usually observed with mono-diets and during drying.

The body needs a constant supply of various nutrients: amino acids, vitamins, minerals and trace elements, omega-3 polyunsaturated fatty acids. Deficiency of any of the components provokes a slowdown in metabolism .

Of particular danger are diets without proteins or on buckwheat alone.. Despite the fact that it is rich in trace elements, it cannot provide a full range of nutrients. But here it is important to understand that the body is not limited to simply slowing down the metabolism. Immunity decreases, and the formation of blood cells worsens, appears. As a result, a person experiences weakness, dizziness, bad mood.

  • The loss muscle mass . With a fast diet, especially with severe nutrient restriction, the body begins to conserve energy. And most of all, it is the muscles that consume it. Therefore, it is easier for him to "eat" his own muscles. The reduction in volume may not be caused by a decrease in the amount of fat, but by muscle wasting. Accordingly, a person feels severe weakness after losing weight.
  • Avitaminosis. During the diet, the intake of food, vitamins and useful substances. All this negatively affects the work of organs and systems.
  • May develop due to dietary restrictions sleep disturbance. And its deficiency is also the cause of weakness after losing weight.
  • Insufficient intake of carbohydrates to nourish the brain. This is the main source of energy. When the brain has not received enough nutrition for a long time, its activity begins to decline, absent-mindedness appears.

Symptoms of weakness during weight loss:

  • Chills. The body is not able to provide sufficient heat exchange, even in the heat you want to wrap yourself up.
  • Constant hunger.

How to return the condition to normal, get rid of weakness after losing weight:


Read more in our article on weight loss weakness.

During weight loss, many people's mood deteriorates, they feel unwell, nausea and weakness. Weight loss is a complex and long process that affects all systems. It is because of poor health that many quit the diet, feeling stress, fatigue, and also the futility of efforts. To avoid a breakdown, you need to know the reasons why weakness occurs when losing weight.

Detoxification

During the breakdown of fats, all accumulated toxins enter the bloodstream. This is how severe poisoning of the body begins.

Ideally, the liver is responsible for detoxification. With the help of a set of enzymes, it processes them and removes them from the body. But in reality, things happen a little differently.

Due to bad ecology, bad habits, malnutrition, the amount of toxic and harmful substances increases many times over, and the liver can no longer cope. They do not have time to be excreted and are deposited in fatty tissues. Therefore, when losing weight, when lipid cells begin to break down, the ketones accumulated in them enter the bloodstream.

Respectively, the faster the weight loss occurs, the more the body is poisoned. As a result, a person feels weakness, dizziness, nausea, bad mood, and sometimes apathy and depression.



Expert opinion

Julia Mikhailova

Nutrition expert

When poisoning with ketone bodies, the nervous system is the first to suffer. Their effect on the neurons of the brain provokes headaches. Intoxication of the spinal ganglions is manifested in the deterioration of the functioning of the organs for which they are responsible.

To avoid all these unpleasant consequences, doctors recommend cleansing the body before and during the diet. Detox activities include:

  • Taking drugs that absorb toxins in the intestines. It applies to them. It is important to note that it absorbs only toxins and allergens, while it does not affect the beneficial microflora at all.
  • To improve cleansing, you need to additionally take probiotics, salt-based preparations.
  • The diet needs to be diversified with foods rich in vitamin B. The menu should contain different citrus fruits, arugula, various,.


lack of energy

The main rule of any diet is to expend more calories than you consume. It turns out that the body must experience a lack of energy, and it will take the missing part from body fat. But this strategy does not always work.

Metabolism often slows down, the body, due to a lack of nutrients, begins to save energy and slow down metabolism. As a result, the effect of a plateau appears, that is, when, despite all efforts, the weight does not decrease.

The body constantly needs energy to maintain life: breathing, heartbeat, muscle tone, thermoregulation, digestion. There are two sources: food and internal reserves of carbohydrates and fat. But the body resorts to the consumption of the latter last, saving it for a "rainy" day. Therefore, with a reduction in incoming food, it is easier for him to reduce energy consumption.

With a lack of carbohydrates, the level of glucose in the blood falls, that is, hypoglycemia begins. It is manifested by lethargy, drowsiness, weakness and sometimes irritation.

The person experiences malaise, dizziness and nausea, as well as chills. In some cases, it becomes difficult to move around and perform elementary, daily activities.

Nutritional imbalance

Another cause of weakness during weight loss is a violation of the proportions of nutrients.. The body receives the bulk of its energy from fats and. But he does it differently. The body directly extracts energy from carbohydrates, and uses fats for its accumulation. Therefore, it is more difficult to obtain it from lipid cells. So, if the diet consists more of fats and not carbohydrates, then the body will store more and save energy.

In addition, the latter are the main source of nutrition for the brain. With a lack of carbohydrates, starvation begins: distraction of attention, migraines, mood swings, depression, depression. Therefore, the body again has to save energy in order to provide it with the brain. This is usually observed with mono-diets and at a time when only proteins are supplied.

Plus, the body needs a constant supply of various nutrients. Among them:

Why severe lethargy appears after a sharp weight loss

But even when the diet ends, the person does not return to an energetic life. He is further pursued by a broken state and a breakdown. Weakness after a sharp weight loss is caused by a number of reasons:

  • Loss of muscle mass. With a fast diet, especially with severe nutrient restriction, the body begins to conserve energy. And most of all, it is the muscles that consume it. Therefore, it is easier for him to "eat" his own muscles in order to save energy and leave fat for a "rainy day".
  • So the reduction in volume may not be caused by a decrease in the amount of fat, but muscle wasting. Accordingly, a person feels weakness after losing weight, not being able to do simple things.
  • Avitaminosis. During the diet, food intake is reduced, which means vitamins and nutrients. All this negatively affects the work of organs and systems.
  • Due to dietary restrictions, sleep disturbance can develop. And its deficiency is also the cause of weakness after losing weight.
  • Insufficient intake of carbohydrates to nourish the brain. This is the main source of energy. When the brain has not received enough nutrition for a long time, its activity begins to decline. Therefore, after a diet, many feel absent-mindedness.


Symptoms of Weakness During Weight Loss

Lack of energy is a dangerous condition for the body. The work of many organs and systems is disrupted. Getting them back to normal can be quite difficult. A plus a decline in strength threatens to slow down the metabolism and reduce the rate of loss of extra pounds. Therefore, it is important to recognize the symptoms of weakness when losing weight. These include:

  • Chills. The body is not able to provide sufficient heat exchange. Even in the heat you want to wrap up.
  • Dizziness and migraine due to lack of nutrition of the brain.
  • Pain in the muscles, general weakness. Due to energy deficiency, muscle tone is greatly reduced.
  • Fainting due to low blood pressure.
  • Depressive states, apathy or irritation.
  • Constant hunger. This is the first symptom of "distress" that the body sends when it lacks nutrition. But he will not be able to endure it for a long time, so he will begin to save energy.

Watch the video about the causes of weakness on a diet:

How to return the state to normal

Weakness, dizziness, chills, decreased muscle tone and fainting are very dangerous for health and life. As a result, a person quits the diet without completing the matter. You can return your well-being to normal and get a positive result from losing weight as follows:


Often, when losing weight, weakness and malaise occur. You don't have to endure this condition. In order not to harm health and achieve a positive result in losing weight, it is necessary to take measures to restore normal well-being.

One day you decide to go on a diet. “I’ll lose weight and all the problems will go away,” you think, not suspecting that the problems are just beginning. What happens in the body with improper weight loss? What dangers can lie in wait for you?

Danger 1. Nausea, weakness, headache

The cause of poor health lies in a sharp weight loss. At this time, a large-scale process of fat breakdown occurs and toxic products accumulate in the body - the so-called ketone bodies (acetone, beta-hydroxybutyric and acetoacetic acids). They are the culprits of the unpleasant side effects that accompany any express diet.

The destructive activity of ketone bodies is not immediately felt: at first, a person feels only general weakness and fatigue, sometimes nausea. However, in the end, the whole body suffers from ketone bodies, especially the nervous system.

Poisoning of the neurons of the brain causes poisoning of the spinal ganglions - a deterioration in the condition of those internal organs whose work they regulate.

Do not chase quick results - reduce weight gradually.

Danger 2. Deterioration of the skin, hair and nails

With an unbalanced diet, the ratio of proteins, fats and carbohydrates is disturbed, the diet lacks essential amino acids, vitamins and trace elements. With uncontrolled self-weight loss, hemoglobin often decreases, and the balance of electrolytes shifts. All this not only worsens the condition of the skin, hair and nails, but can also cause cardiac arrhythmia.

The skin and mucous membranes perform a protective function: they are a barrier and repel the attacks of pathogens. When a person goes on an unbalanced diet, the production of immunoglobulins in his body decreases. The skin cannot fully protect itself from infections - skin rashes, fungal infections of the nails, etc. occur. And if the mucous membranes do not cope, the risk of developing colds and other diseases increases.

Danger 3. Omission of internal organs

When the caloric content of the diet is sharply reduced, the body primarily consumes fat reserves located inside the abdominal cavity and in the small pelvis. And external fat, subcutaneous fatty tissue, he tries to save to the last. From the point of view of evolution, this is justified, since subcutaneous fat is needed to maintain homeostasis - the ability human body maintain internal balance regardless of environmental changes. It is he who is responsible for our heat transfer and serves as protection against external aggressive influences (wounds, blows, other injuries). However, reducing the amount of internal fat is also dangerous: the kidneys, heart and other organs can sink - take the wrong position, which will interfere with their normal functioning.

Danger 4. Constant irresistible feeling of hunger

Let's see how the feeling of hunger arises. If a person has not eaten anything for a long time, the concentration of glucose in his blood drops, and a signal about this goes to the hunger center located in the hypothalamus (a part of the brain). The receptors of the hypothalamus "analyze" the situation and transmit a signal higher - to the cerebral cortex, they say, it's time to have a bite.

When a constantly overeating person goes on a rigid diet, the concentration of glucose decreases markedly. This is a serious stress for the body. The hunger center perceives the situation as critical, goes into an active state and continuously (while the diet lasts) sends SOS signals to the cerebral cortex. A focus of pathological excitation arises in it - a dominant of increased appetite is formed. From this moment on, a person will always want to eat. Even the end of the diet does not always bring relief. And it’s good if it doesn’t end with bulimia, but with simple overeating.

Danger 5. Sagging skin

When a person very quickly gets rid of a large amount of subcutaneous fat, the skin does not have time to tighten. So, with self-weight loss of 40 kg or more, the skin folds sag so much that they can be wound around the hand in the literal sense. However, it all depends on the initial properties of the skin and its tone, on the age of the person (up to 35 years, elasticity is better), as well as on the number of kilograms shed. One way or another, weight loss must be combined with special procedures designed to tighten the skin.

Why is the extra weight coming back?

You need to understand: if we are not talking about three or four extra pounds, but about real obesity, then we are not dealing with an aesthetic problem, but with a disease. I will say more: - a chronic relapsing disease. With a professional approach, it can be translated into a long-term remission that will last a lifetime. With well-chosen treatment, compliance and medical supervision overweight will not return.

It is necessary to distinguish the disease from normal weight fluctuations

  • Depending on the phase of the menstrual cycle, women can either gain or lose from 3 to 5 kg per month.
  • There are biological factors such as pregnancy and breastfeeding when gaining weight is not only right but necessary.
  • Seasonal weight gain: in cold weather we gain weight because the body needs additional energy to maintain a constant body temperature, and in hot weather we lose weight.

There is a point of view according to which appetite is associated with thermoregulation: when the hypothalamus (the part of the brain that regulates appetite) warms up, appetite disappears. That is why in the summer you want to eat less.

If the weight returns, then the process of its reduction was organized incorrectly. Usually, a person aimed at quickly achieving results practices hungry days or sharply reduces the calorie content of the daily diet. In this case, the "starved" fat cells begin to absorb everything they are given in order to recover faster and make reserves for the future. It is necessary to lose weight so that the body does not experience hunger.

For some reason, many people think: "Since I have been eating all my life, I know everything about food and know how to lose weight." This is not true. By self-medicating, prescribing pills and express diets, we disturb the balance in the body.

Such weight loss is only a symptomatic weight loss, and not the elimination of the causes of its set. Therefore, the disease can return at any time.

Mariyat Mukhina

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