Rigorously structured: you will be given super clear guidelines on what you can and cannot eat. Rules to stick to (3 meals no snacking, 5 hour gap between meals, no oil / fat for the first two weeks, etc etc). A detailed meal structure that will show exactly how many grams of food you should eat at each meal (yes that means using a scale to weigh your food).
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The most important factors for change in reducing and ultimately managing your obesity are your diet, exercise and permanent behaviour modification. All these combined will greatly assist in the reduction of your weight. Prescription medication provided by a dedicated weight loss doctor is a widely used treatment for obesity reduction and management.