Q&A: What can I do to lose weight when I've tried everything?

Ask A Doctor Question: 

My problem is my weight! After 4 kids and at age 40 I'm 270 lbs. And can't seem to find any diet that work. It's not like I eat a lot, I do understand that here in Arkansas. Beans potatoes. Cornbread are the norm but I also bake all my meat never fried I have salads and veggys with all meals and believe it or not I'm not a junk food eater.. I do admit I drink diet coke more then I shoshould but I've tried everything from every over the counter pill to Atkins. Of coarse my Dr don't prescribe diet pills and as a mother of 4 it's not as if surgery would ever be affordable. I work from 4 am to 2 and I try my dvds. And walks but honestly I don't understand how I'm so large. When I truly don't eat a lot. Also I never have bm. I know it sounds silly but sometimes it's 6 or 7 days without bowel movement and it's not hard when I do go. In fact it's very soft and very small.. Like pinky finger small. Yes I use clearlax. Which in return I feel full so I don't eat much so I don't know if that has any thing to do with why I'm so heavy but I guess my question is what should a person in my case do to lose weight?

- Dianna


Dr. Bill Rice, DC, LAc, FACCN, DCBCN -

Dear Diana:
I'm sorry to hear about your problem. I have been involved with nutrition and weight loss since 1977 and it is not a simple answer that you require.
First, if you eat less than 800-900 Calories a day, your body will be in starvation mode and weight is will be almost impossible for you. 
The constipation is a very serious issue, as that is extra weight and toxins (poisons) still hanging around in  your body rather than being eliminated. I would start you off with 150 mg of Magnesium Citrate three times a day and increase from there until you are moving your bowels DAILY! The worst side effect would be diarrhea and then you would need to reduce the dosage.
Next, you will need a good detoxification program that, in your case, would best done under supervision. That involved limited healthy foods eaten every 3 hours and medical foods that help the body to release the toxins. Again, supervision is important as you could feel like you are getting the "flu" if you detox too quickly.
Lastly, we need to get you on an appropriate food plan -- not a diet -- so that you can change your lifestyle (including more exercise). Losing weight more slowly is best, and more likely to be a permanent solution.
I hope that helps.

--Dr. Bill Rice, DC, LAc, FACCN, DCBCN
West Palm Beach, FL


Joe B. Alexander, MD -

I don’t have a simple answer for you since I am limited on what I know about you.  A complete laboratory work up and a colonoscopy would be my first recommendation.  You should see your primary care physician or a gastroenterologist about this.

--Joe B. Alexander, MD
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