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# How to Lose Weight When You Are Morbidly Obese

by
Dakota Karratti
Dakota Karratti has been writing fitness and health articles since 2010. Her work has appeared in the "Salisbury University Flyer" and "WomanScope NewsMagazine." Karratti has been a Certified Nursing Assistant in Delaware since 2008. She is currently enrolled in The University of Alabama's Nutrition and Food Science BS program.
A combination of diet, lifestyle modification and exercise is the best method for losing weight when you are obese. Photo Credit txking/iStock/Getty Images

In the past, weight management in obese people relied solely on low-calorie or hypocaloric diets. Through research and scientific breakthroughs, it is apparent that weigh loss in obese people can be better achieved through a combination of hypocaloric dieting, lifestyle modification and exercise. Sometimes, pharmaceutical remedies or surgery may be recommended by a doctor.

## Step 1

Divide your weight in pounds by 2.2 to determine your weight in kilograms, because there are 2.2 pounds in each kilogram. For example, if you weigh 230 pounds, your weight in kilograms is 105.

## Step 2

Multiply your weight in kilograms by 22. The American Academy of Nutrition and Dietetics recommends that all morbidly obese patients consume 22 calories for each kilogram they weigh. For example, if you weigh 105 kilograms, you should consume 2,310 calories each day. This number is your goal caloric intake.

## Step 3

Multiply your goal caloric intake by 0.5 and then divide that value by 4 to determine how many grams of carbohydrate you should consume each day. For example, on a 2,310-calorie diet, you should consume 288 grams of carbs each day. The carbohydrates will contribute about 50 percent of your total caloric daily intake. These carbs should be in the form of vegetables, fruits, beans and whole grains instead of refined sugar.

## Step 4

Multiply your caloric intake by 0.25 and then divide that value by 4 to determine how many grams of protein you should eat each day. On a 2,310-calorie diet, you should consume 144 grams of protein each day, making about 25 percent of your total caloric intake come from protein. Protein can be found in meats, poultry, eggs, seafood, beans and peas. Soy foods like tofu and tempeh are vegetarian sources of protein.

## Step 5

Multiply your caloric intake by 0.25 and then divide that value by 9 to determine how many grams of fat you should consume in one day. If you consume a 2,310-calorie diet, you should eat about 64 grams of fat each day. The fat in your diet should be composed primarily of unsaturated fats, with as few saturated or trans fats as possible. Unsaturated fats come from nuts, oils and fish. Saturated fats are present in meat, so choose leaner cuts of meat such as lean ground beef or select turkey over beef.

## Step 1

Exercise by walking, playing sports, running or working out at the gym. You may struggle to remain active for more than a few minutes at a time at first, so gradually build up your endurance over the course of six or more weeks. Work toward the goal of each exercise session lasting from 20 to 60 minutes. Talk to your doctor before starting an exercise program.

## Step 2

Set short-term goals when modifying your diet, such as eating an apple instead of a sweet dessert at lunch each day for a week before modifying your diet drastically.

## Step 3

Create a social support network of family, friends and health care professionals to help you achieve and maintain your weight loss.

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GOAL
• Gain 2 pounds per week
• Gain 1.5 pounds per week
• Gain 1 pound per week
• Gain 0.5 pound per week
• Maintain my current weight
• Lose 0.5 pound per week
• Lose 1 pound per week
• Lose 1.5 pounds per week
• Lose 2 pounds per week
GENDER
• Female
• Male
lbs.
ft. in.