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January is the weight loss industry's busiest period, as many people
tackle new year's slimming resolutions. As every other TV ad pleads with
us to sign up for a foolproof weight-loss plan, NSW Fair Trading
Minister Reba Meagher has warned people to "think carefully" about
committing to upfront gym fees.
No
matter the time of year, the statistics are grim: 60 per cent of adults
are overweight, while 21 per cent are considered obese, according to the
Australian Heart Foundation.
There
is a glut of slimming-related jobs, from nutritionists and Weight
Watchers leaders to psychologists, surgeons and medical researchers.
Radar
spoke to four experts who've made a career out of helping punters shed
those kilograms and found very different approaches to the bulge.
Dr
Sandra Cabot and Sheree Ward, clinical nutrition consultants at the Dr
Cabot Holistic Clinic, Camden
Your wobbly bits are: a puzzle to be solved.
"We
take a wholistic approach to weight loss," Cabot explains. She has
written books on health and nutrition and has several clinics where
naturopaths, doctors and nutritionists help people lose weight.
"We
look at all the causes and it's not always the amount of calories that
someone is consuming. It's like a jigsaw puzzle-it could be anything
from a fatty liver to a hormonal imbalance. "
Banish them by: using a personalised program. Ward explains the
signature Cabot weight-loss approach: "We refer clients to our doctors
for blood tests for diabetes, hormonal imbalances, etc. Then we tailor a
diet to a person's needs."
Ward
says supplements and a good liver tonic can help, as well as avoiding
alcohol, red meat, refined sugars and fried, fatty food. "We also
suggest that people get active and do weight-bearing exercise."
It
will cost: AU$75 for the initial one-hour consultation, $40 for each
half-hour follow-up session or $239 for a three-month weight-loss plan
(blood tests and supplements are extra).
Jennifer Garth, psychologists and Good Medicine magazine's weight-loss
advice columnist
Your wobbly bits are: tied to your emotions.
"There
are emotional overeaters, compulsive overeaters and those who've simply
developed and maintained bad eating habits," Garth says.
"In
psychology, we try to deal with the underlying causes that lead to being
overweight or obese, whether it's stress, depression or anger. I mainly
use Cognitive Behaviour Therapy, which helps people to rethink their
actions and be more pro-active."
Banish them by: changing your lifestyle. Garth contends that many
people are triggered by day-to-day stresses such as an aggressive boss,
arguments with their partner or an unruly adolescent child. "They reach
for food as a comfort or distraction, as a way to deal with the stress.
Cognitive Behaviour Therapy can help people to become aware of and
change their behaviour, like going for a walk, cleaning out their shoe
cupboard instead of eating. It's not about dieting - it's about making
positive lifestyle changes. You've got to make peace with food. It's
important to have self-acceptance no matter what and not to have
unrealistic expectations."
It
will cost: AU$100 for a one-hour psychological consultation (it
takes a few sessions for weight loss). private health fund rebates may
be available.
Tenercy Ho, Chinese medical practitioner, Wonder Life clinic, Bondi
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article
Your wobbly bits are: unique to you.
"There
are so many different types of 'overweight'," Ho says, "from a low
metabolism to depression, hormonal imbalances, stress-related binge
eating or severe fluid retention. Eating a lot of so-called 'fat-free'
foods can contribute to binge eating because you don't get that feeling
of satisfaction after eating." When someone is overweight, Ho says,
Chinese medicine tries to treat the related Spleen and Liver system -
the "middle burner" area.
Banish them by: using herbs and acupuncture. "I try to bring the
body systems back into balance with acupuncture and herbs," Ho says.
"The internal organs are part of of an interconnecting system - from the
nervous system to the metabolism and hormone levels. I do a thorough
assessment and then prescribe a personalised herbal mixture. I also
recommend regular exercise and diet changes - no more 'non-fat' foods,
no coffee, refined sugars, etc."
It
will cost: AU$60 for the initial consultation. Subsequent
consultations start at $40
Laparoscopic surgery specialist Dr James D. Ritchie of the Keyhole
Surgery Centre, city.
Your wobbly bits are: the result of many factors.
"The
cause of obesity is multifactorial, of course," Ritchie says. "In many
patients it's genetic; you can see that it runs in families. Depression
and boredom can contribute. It's the environment we live in, too; there
is a glut of cheap, high-fat food about and we spend long hours sitting
in front of a computer screen and get very little exercise."
Banish them by: undergoing obesity surgery.
Ritchie insists that obesity surgery (biliopancreatic diversion, gastric
banding) is not to be taken lightly. "Any operation is a last resort,"
he says. "A person considering this type of surgery has to have been
trying to lose weight through conventional methods, like diet and
exercise, for at least five years. They must also be motivated and
willing to follow some rules because if they don't, there are more risks
and side-effects." Ritchie only accepts obesity surgery candidates who
are morbidly obese, which is defined as being either 80 per cent or
45kilograms above one's ideal body weight.
It
will cost: anywhere from $4000 (if you have the right private health
insurance) to $17,000 (if you are not insured). |