Carrying too much weight puts stress on your body which can lead to a variety of health issues.

By reducing the amount of fat cells in your body, you reduce the likelihood of getting very serious conditions such as heart disease, certain cancers, stroke, liver disease, type II diabetes, osteoarthritis and high blood pressure. Being overweight also affects the respiratory system, with side effects such as sleep apnoea and asthma.

If you are overweight or clinically obese then you may suffer from low self-esteem or lack self-confidence and therefore losing weight can help you to regain confidence, increase your self-esteem and lower the risk of depression. It also helps improve the ratio of good to bad cholesterol; reduce blood pressure and inhibit the progression to type II diabetes.

Weight loss can be a difficult and daunting prospect, however clinical studies have shown that those who use Xenical / Orlistat alongside dieting can achieve 50% more weight loss than dieting alone.

Some Handy Tips for a Successful Weight Loss Journey

• Try to eat three regular meals a day.
• Try using a smaller plate and putting your knife and fork down between mouthfuls to encourage you to eat more slowly.
• Don't buy tempting foods- if it's not in the cupboard, you can't eat it!
• Fill at least half your plate with vegetables and salad, eat smaller portions of meat and starchy food like potatoes and bread. This will reduce your calories but keep you feeling full.
• Prepare healthy snacks in advance and keep in the fridge to prevent you being tempted by other unhealthy, ready available snacks like crisps, biscuits and chocolate. You can chop up vegetables such as carrots, celery and peppers to be used with a tasty low calorie dip like salsa (tomato with onion, chilli, lime and coriander) or tzatziki (yoghurt with cucumber, garlic and mint).
• If you have a sweet tooth, perhaps some fresh fruit with sugar free jelly or yoghurt.
• Have a clear goal of weight loss like a clothing size to work towards or to lose weight for a specific event and it will help your motivation.
• Plan meals in advance by deciding what you will have, write a list and then shop for the ingredients.
• Batch cooking can help you stay on track and avoid poor choices when busy.
• Drink lots of water as this helps metabolism.
• Move more each day by simply walking or participate in any form of exercise that you enjoy.

Above all,don't give up.If you blow it one day, put it behind you as tomorrow is another day! Your weight loss may stop and start but keep going and the outcome will be well worth it.

Stroke management

There are many good tips for successfully managing the symptoms ofocheke (CH) and it is important to take the first step towards good life by following these simple healthy habits:

• Practising safeMPs and using the'stop early' rule if you notice immediate changes in your symptoms.
• Avoid taking the'stop immediately' step if you notice any noticeable changes in your symptoms.
• Avoid taking the'stop immediately' step if you notice any changes in your symptoms stop taking the'stop early' sign.
• Start with a low dose (4mg) Xenical / Orlistat alongside a balanced diet and a low glycaemic index (LI) as this will give you a bigger window of opportunity and reduced your risk of health risks.
• Try to work towards a weight loss goal by Wednesday, August 21 - start using the'stop immediately' sign again.

Frequently Asked Questions

Q: How long does it take for Xenical / Orlistat work for weight loss?

A: It may take several months for Xenical / Orlistat to take effect, however, for people with severe or persistent weight loss, it may be necessary to continue with daily use of the medication for several months.

Q: Is it safe to give Xenical / Orlistat alongside dieting or taking other medicines?

A: No, Xenical / Orlistat is not recommended for treating food intuitive or intuitively. FX supplements may interact with it and cause dangerous side effects.

Weight Loss

Healthy weight loss

Top tips for healthy weight loss:

To help you find out if you have a healthy body weight, measure your 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 Fertility problems 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.

Further Information

Further information can be found on the manufacturers

Side Effects

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):

headache abdominal pain/discomfort urgent or increased need to open the bowels flatulence (wind) with or without discharge oily discharge, oily or fatty stools liquid stools low blood sugar levels (experienced by some people with type 2 diabetes) upper respiratory infections flu (influenza)

It is not recommended to take Orlistat if you:

are allergic to Orlistat or any of the other ingredients of this medicine (Other lipase inhibitors, for example Stronic Spot Cream, or other tablets, for example Laxative, for example Laxative, for these both are known to cause mild allergic reactions).

are pregnant or planning to become pregnant or are breastfeeding or are not trying to become pregnant.

Orlistat may cause an increase in blood pressure, which may affect your developing baby or affect the way it works, so this medicine should not be used during the first six months of pregnancy and if you are having or are taking this medicine during the first 6 months of pregnancy, you should tell your doctor so that you can discuss the risks and benefits with that person.

You can buy Orlistat (Xenical/Alli) as an over-the-counter alternative to Wegovy in the UK.

However, Orlistat is a very different type of weight-loss medication, and research suggests it’s not as effective as Wegovy in supporting weight loss.

What’s the difference between Orlistat and Wegovy?

Wegovy and Orlistat are weight-loss medications approved for use in the UK. However, they are different medications with distinct dosing schedules, costs, and mechanisms of action on the body.

Orlistat is a lipase inhibitor. Lipases are gut enzymes that break down fat from food, enabling the gut to transport fat into the body to be burnt for energy or stored in our fat cells for later use.

Orlistat blocks lipases, preventing some of the dietary fat from our meals from being digested. This leads to fewer calories being absorbed, which can support weight loss.

Orlistat is a prescription medication produced by two pharmaceutical companies in the UK:

• GlaxoSmithKline: Alli, 60 mg and available over the counter (no prescription)
• Roche: Xenical, 120 mg and available with a prescription

Wegovy is a weight-loss jab manufactured by Novo Nordisk. It’s a weekly weight-loss injection with semaglutide as the active ingredient.

Semaglutide is a that helps reduce hunger and appetite, allowing you to eat fewer calories, lose weight, and manage your blood sugar levels.

Wegovy is approved in the UK for individuals living with obesity to help them eat fewer calories and lose weight.

How much do Wegovy and Orlistat cost?

The over-the-counter version of Orlistat will cost around £18 a month, so it’s a very affordable medication.

In comparison, buying Wegovy and the injectable pens required for four weeks from Second Nature will cost £229 a month, rising to £299.

Should I try Orlistat or Wegovy for weight loss?

Orlistat is an affordable medication that is generally well-tolerated. However, it’s less effective than Wegovy. Wegovy is twice as effective as Orlistat for weight loss after one year.

So, if you’re looking for the most affordable weight-loss pill you can purchase over the counter, then Orlistat could be an option.

However, if you have a higher budget and are looking for the most effective weight-loss injection in the UK, semaglutide is a better choice.

Wegovy’s not a magic pill

Semaglutide is designed as an additional tool for weight management and, in most cases, shouldn’t be considered a lifelong medication.

Instead, it should be used to help you kickstart your weight loss and healthy journey while you commit to living a healthier lifestyle.

Ideally, we’d be able to lose weight without medication and lifestyle changes would be enough to support weight loss in the long term.

We’d generally recommend trying Second Nature’s before considering a weight-loss jab.

Changing your habits is the most sustainable way to achieve long-term weight loss, and it’s also less expensive.

At Second Nature, we’ve been trusted by the NHS since 2017 to support people with type 2 diabetes and obesity to lose weight, manage their blood sugar levels, and lead healthier lifestyles for the long term.

In 2022, the NHS in the BMJ that compared the weight loss outcomes of five providers in the National Diabetes Prevention Programme.

Second Nature was more than twice as effective at supporting weight loss than the other four providers.

However, if you’ve decided to try semaglutide (when it’s available) but need support in making positive changes to your lifestyle, Second Nature could be an option for you. But it’s worth noting that we have strict eligibility criteria.

Second Nature has been in doctors’ waiting area for over a year and has not helped a lot so far.

Oneolicited letter from my gp in September 2022. I needed support in making positive changes to my lifestyle and making positive changes in my blood sugar levels.

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