Tropical Weight Loss
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When do you start to notice weight loss?

The first stage of weight loss is when you tend to lose the most weight and begin to notice changes in your appearance and how your clothes fit. It usually happens within the first 4–6 weeks ( 1 ). Most of the weight loss in this stage comes from carb stores, protein, and water — and to a lesser extent, body fat.

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This article reviews the stages of weight loss, the difference between weight loss and fat loss, and tips for preventing weight regain. At the same time, you may also want to know whether the weight you’re losing is coming from fat rather than muscle or water. If you’re like most people, you may be eager to know when you can expect to see results after embarking on your weight loss journey. Weight loss generally occurs in two stages — an early, rapid weight loss stage followed by a slower, longer period of weight loss ( 1 ).

Stage 1 — Rapid weight loss

The first stage of weight loss is when you tend to lose the most weight and begin to notice changes in your appearance and how your clothes fit. It usually happens within the first 4–6 weeks ( 1 ). Most of the weight loss in this stage comes from carb stores, protein, and water — and to a lesser extent, body fat. Weight loss tends to occur more rapidly in people who follow a low carb or keto diet than those who follow a low fat diet, as they deplete their body’s carb stores faster, along with water ( 2 ). However, in the long term, the research remains mixed as to whether a low carb or keto diet offers an advantage for overall weight loss over a low fat diet ( 3 , 4 , 5 ). Factors other than diet, including your age, sex, starting weight, and physical activity level, can also influence your rate of weight loss. For example, men are more likely to lose weight quicker than women, and older adults may lose weight quicker than their younger counterparts, although some of this weight loss may be muscle ( 6 , 7 ). At the same time, you’re likely to lose weight quicker if you have a higher starting weight and exercise more frequently.

Stage 2 — Slow weight loss

Weight loss in the second stage occurs at a much slower rate, but it primarily comes from body fat, generally after 6 weeks and beyond ( 1 ). At times, you may experience a weight loss plateau during which you experience little to no weight loss. Weight loss plateaus can occur due to metabolic adaptations that decrease your metabolism and the number of calories you burn while exercising ( 8 ). However, weight loss plateaus more commonly occur because many diets are overly restrictive and hard to follow, causing people to deviate from them ( 9 ). As such, it’s important to follow a dietary pattern that fits your lifestyle and preferences so that you can stick with it long term. In either case, you’ll likely need to make adjustments to your diet and lifestyle over time to reach your goal.

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Is there any medicine for weight loss?

The medication semaglutide (Wegovy) received FDA approval for treatment of obesity in 2021. More common prescription weight loss drugs which have been in use longer include: liraglutide (Saxenda), naltrexone-bupropion (Contrave), orlistat (Alli, Xenical), phentermine-topiramate (Qsymia ), and tirzepatide (Mounjaro).

Excess weight requires lifelong management. Weight issues are progressive as we age, and frequently excess weight returns. Obesity is a chronic condition that places your health at risk, however, there are various options for managing and treating excess weight. Prescription weight loss drugs are now considered a frontline treatment. Your weight is classified as obese if your body mass index (BMI) is 30 or higher. Doctors will prescribe them if you meet this criterion or if it's at least 27 and you have a condition that may be related to your weight, like type 2 diabetes or high blood pressure. You'll still need to focus on diet and exercise while taking these drugs, and they're not for everyone. The medication semaglutide (Wegovy) received FDA approval for treatment of obesity in 2021. More common prescription weight loss drugs which have been in use longer include: liraglutide (Saxenda), naltrexone-bupropion (Contrave), orlistat (Alli, Xenical), phentermine-topiramate (Qsymia ), and tirzepatide (Mounjaro). Before you get a weight loss drug prescription, tell your doctor about your medical history. That includes any allergies or other conditions you have; medicines or supplements you take (even if they're herbal or natural); and whether you're pregnant, breastfeeding, or planning to get pregnant soon.

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