Healthy weight loss
Top tips for healthy weight loss:
To help you find out if you have a healthy body weight, measure your body mass index and waist circumference
To lose weight, the energy you take in from food must be less than the energy you use – eat less, move more!
Set yourself realistic goals to achieve a healthy weight. Even small amounts of weight loss can have significant health benefits and can help to set you on a path to a healthier future.
Guidelines recommend that you should try to lose weight gradually, about 1-2 lbs (approximately 0.5-1.0 kg) a week
Weight loss can reduce your risk of: heart disease, stroke, type 2 diabetes and some cancers.
It can also reduce the risk of:
High blood pressure
Angina (heart condition causing chest pain)
High blood cholesterol levels
Lower back and joint pain
BMI and waist circumference
For most adults:
A BMI between 18.5 and 25 is defined as healthy.
A BMI of over 25 is defined as overweight.
A BMI of over 30 is defined as obese.
Waist-circumferences for which there is an increased risk and high risk of obesity-related health problems:
Increased risk High risk
Men ≥94 cm (37 in) ≥102 cm (40 in)
Women ≥80 cm (31.5 in) ≥88 cm (34.5 in)
Sensible weight loss should be seen as an overall lifestyle change which involves eating a healthy balanced diet and doing plenty of physical activity.
Guidelines recommend that you should try to lose weight gradually, about 1-2 lbs (approximately 0.5-1.0 kg) a week. This way, the weight is more likely to stay off. This rate of weight loss is based on using up 600 kcal per day more than you take in. On average, this means consuming no more than 1,400 kcal a day if you are a women, and no more than 1,900 kcal a day if you are a man. The amount of weight you lose will depend on how much weight you need to lose and how active you are.
Start the NHS weight loss plan
Xenical (Orlistat) 120mg is a prescription-only weight loss aid for adult patients with a BMI over 30 or for those with associated risk factors
(such as diabetes, heart disease, high blood pressure or high cholesterol) and a BMI above 28. It is currently the only approved weight loss medication in the UK and combined with a healthy lower-calorie, reduced-fat diet and exercise it can help you lose more weight than by dieting alone.
Unlike an appetite suppressant, Orlistat is a medicine used to treat obesity. It works in your digestive system to block about one-third of the fat in the food you eat from being digested.
Orlistat attaches to the enzymes in your digestive system (lipases) and blocks them from breaking down some of the fat you have eaten during your meal. The undigested fat cannot be absorbed and is eliminated by your body.
Orlistat is indicated in the treatment of obesity in conjunction with a low calorie intake diet.
How should I take Orlistat?
The usual dose of Orlistat is one 120 mg capsule taken with each of the three main meals per day. It can be taken immediately before, during a meal or up to one hour after a meal. The capsule should be swallowed with water.
Orlistat should be taken with a well-balanced, calorie controlled diet that is rich in fruit and vegetables and contains an average of 30 % of the calories from fat. Your daily intake of fat, carbohydrate and protein should be distributed over three meals. This means you will usually take one capsule at breakfast time, one capsule at lunch time and one capsule at dinner time. To gain optimal benefit, avoid the intake of food containing fat between meals, such as biscuits, chocolate and savoury snacks.
Orlistat only works in the presence of dietary fat. Therefore, if you miss a main meal or if you have a meal containing no fat, Orlistat does not need to be taken.
It is not recommended you take the medicine for more than 6 months and if you don’t see any results after 3 months, discontinue the treatment.
Taking Orlistat makes it more difficult for your body to absorb certain vitamins so it is important to take multivitamin supplements of vitamins A, D, E, and K once a day at least 2 hours before or after taking Orlistat, such as at bedtime. A multivitamin that incorporates all of these vitamins is Centrum Advance.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Orlistat.
The majority of unwanted effects related to the use of Orlistat result from its local action in your digestive system. These symptoms are generally mild, occur at the beginning of treatment and are particularly experienced after meals containing high levels of fat. Normally, these symptoms disappear if you continue treatment and keep to your recommended diet.
Very common (may affect more than 1 in 10 people):
urgent or increased need to open the bowels
flatulence (wind) with or without discharge
oily discharge, oily or fatty stools
low blood sugar levels (experienced by some people with type 2 diabetes)
upper respiratory infections
For a full list of side effects see the manufacturers patient information leaflet.
Further information can be found on the manufacturers
Paitient Information Leaflet and printed if required.