First day of orlistat

Hi everyone,

was given my tablets today, from gp. He starting me off on lower dose to see if weight ok will see me in three weeks, if no weight loss he is gonna up the dose. This is what I was given so will share with you all. Do I have to start diet before starting the tablets ? Copy and paste onto word

Your guide to healthy eating whilst taking Orlistat

(Xenical)

This dietary advice sheet gives some general information to help you make the recommended

changes to your diet. If you need more detailed advice or if you are following a special diet that

makes it difficult to make these changes, please ask your doctor to refer you to a registered dietitian.

Fat

It is recommended that you reduce your fat

intake to 30% of your total calorie intake whilst

taking Xenical. Reported side effects of eating

too much fat include: flatulence, oily spotting

on underwear, and increased urgency of loose

bowel movements.

Tips on how to reduce your fat intake:

• Change from butter to a polyunsaturated or

monounsaturated low fat spread such as

Flora light, Gold low fat, Olive light spread.

• Choose lean cuts of meat and trim visible

fat.

• Avoid the skin from chicken and the

crackling from pork.

• Avoid using fat when cooking – grill,

poach, bake or microwave instead.

• Choose low fat dairy foods such as semiskimmed

or skimmed milk, low calorie

yogurts, reduced fat cheeses and low fat

spreads.

• Choose healthy option cook-in sauces with

less than 5g fat per 100g sauce.

Fibre, Fruit and Vegetables

Fibre is needed in the diet to help maintain a healthy

digestive system. It can also help to reduce raised

cholesterol levels.

To increase your fibre intake:

• Choose high fibre breakfast cereals such as

Weetabix, Shreddies or Branflakes.

• Choose wholemeal bread, wholewheat pasta and

rice

• Include pulses, peas, beans and lentils

Aim to have five portions of fruit and vegetables each

day, fresh, frozen or tinned. They are both low in

calories and provide essential nutrients to promote

healthy skin, immune function and general well being.

One portion is:

• 1 medium fruit, such as apple, small banana, pear

• 2 small fruits, such as 2 plums, 2 apricots, 2 kiwis

• 3 tablespoons cooked fruit or vegetables

• a small mixed salad

• a handful of dried fruit.

Why ‘weight’ for a healthier lifestyle?

If you are overweight you are at greater risk

of developing health problems such as: type

2 diabetes, raised cholesterol, raised blood

pressure, coronary heart disease,

osteoarthritis, obesity-related cancers and

joint pain.

Making small but positive changes to your

diet and lifestyle can help you to lose weight

and reduce the risk of developing these

health problems.

Why take Xenical and how does it work?

If you eat more calories than you need, your body

stores the extra, resulting in weight gain. One way to

aid weight loss is to reduce the amount of fat in your

diet.

Xenical works in your digestive system by preventing

about one third of dietary fat from being digested and

absorbed. It does this by attaching itself to enzymes

called lipases (found in your gut) that breakdown

dietary fat – meaning any undigested fat cannot be

absorbed and is passed in your stools.

Departments of Nutrition and Dietetics

Norfolk and Norwich University Hospital NHS Trust

James Paget University Hospitals NHS Foundation Trust

Review Date: August 2009 Page 2 of 2

When having occasional biscuits as treats choose plain biscuits such as Rich tea, Digestive

or Malted Milk.

Sugar

Sugar provides ‘empty calories’. 1 teaspoon provides approximately 20 calories. Aim to reduce the

amount of sugar in your diet as much as possible. Try to:

• Have hot drinks without sugar or with a sweetener.

• Choose ‘no added sugar’ squashes, diet, slimline fizzy drinks and desserts, such as sugar free jelly

• Choose tinned fruit in natural juice rather than in syrup.

Snacks

You can have snacks between meals if you choose healthily. Remember to

stock up on healthy items to prevent you being tempted by other things.

Try the following:

• bowl of chopped vegetables such as carrots, celery and peppers or fresh fruit

• crispbreads, water biscuits and popcorn

• low calorie yoghurt

If you are tempted by chocolate try:

• low calorie chocolate mousse, low calorie hot chocolate drink

• Funsize bars and low calorie bars such as Flyte, Lo-Go

If you are tempted by more savoury snacks try:

• baked crisps, Skips, Twiglets and Quavers

Some extra handy tips

• Try to eat three regular meals each day.

• Try to eat starchy carbohydrate such as bread, potato, rice and pasta at each meal.

These are low in fat and will help to make you feel full.

• Relax for a few minutes before a meal and eat slowly.

• If you need to eat smaller portions, then try using a smaller plate.

• Try not to buy tempting foods – if it’s not in the cupboard, you can’t eat it!

• Stay motivated. It is easier to achieve results if you have a clear goal of weight loss or a clothing size

to work towards.

• Don’t give up. Your weight loss may stop and start but keep going and the outcome will be worth it!

Breakfast Lunch Evening meal

25-40g (1 to 1½ oz) cereal

Low fat milk

Small banana or

Glass of fruit juice

Sandwiches (2-3 slices of bread)

Lean meat and salad

1 fresh fruit

Shepherd’s Pie, spaghetti bolognese

or chilli-con-carne and rice.

With vegetables or salad.

Fresh fruit salad

2 slices toast

Thin scrape of low-fat

spread

Jam or marmalade

Fresh fruit

Sandwiches

Tuna and salad

Low calorie yogurt, such as Muller Light,

Weight Watchers or Onken Lite

Smoked haddock–poached

Jacket potato

Large helping vegetables

Sugar-free jelly and fruit tinned in natural juice

2 slices toast

Thin scrape of low-fat

spread

Boiled egg

Non-cream soup with 2-3 slices bread or

toast or

Jacket potato with low-fat cheese and

pickle

Salad

1 fresh fruit

Lean meat – grilled, such as gammon, steak, chicken,

bacon or

Lean meat - casseroled.

Jacket or boiled potatoes

Large serving vegetables

Fresh fruit salad

2 slices toast

Thin scrape of low-fat

spread

Poached egg and grilled

tomatoes

Roast dinner with lean meat

Boiled or jacket potatoes

Large helping of vegetables.

Baked or stewed apple (with cinnamon

and sultanas) and custard made with

low-fat milk or natural yogurt

Large mixed salad

Lean meat, tinned fish

or 1-2 boiled eggs.

2 slices bread

Yogurt (as before)

Evening ladies! Well I've been to my weekly weigh in at fat club and another 4lb so I've lost 1stone 1lb in 4 weeks I'm well chuffed! I got a certificate too lol xx

GOD THAT MUST OF TOOK AGES TO TYPE OUT LOL XX

Well done that's fantastic x

Well done you, you must feel great x

Coming up for my first week, fingers crossed for some loss! 😒

Hi all,

Today is my first day on Orlistat, just back from my GP with a months prescription to begin with. I have gained a few tips from you all jsut by reading this thred!

I have my fitness pal on my iphone and i am following the rule of 'no more than 5g fat per 100g serving, and no more than 15g fat per meal'. i am going for 1300 cals a day. I am currently 17st 12 and I am 5ft5, so I have a lot to loose! I should be about 10st10 MAX for my height. I am lucky I have a good doctor who is sympathetic to my needs, fimr but fair I would say.

I read this all before planning my food for today, which is

B- 40g bran flakes, 150ml skim milk, 150g 0% fat organic vanilla yogurt and 100g blueberries. Total cals: 382 cals, total fat:1.3g

Lunch - homemade french onion soup (recipe from Scottish Slimmers) and a small pack of sushi. Total cals:212 fat:3.5

Dinner: chicken breast, salad with beetroot. cider vinegar and mustard dressing dressing. Total cals: 386, fat:5g fat

snacks: Tropicana 50, (50% less cals and sugar) 69cals, 0g fat., apple (50 cals, 0g fat)

Total cals: 1099. fat: 9.8

Does this sound ok? So far I have had my breakfast adn a sip of OJ, gonna be drinking lots of water though as I hear headaches are a side effect. I had my first Pill at about 11.30 so far so good.

Thanks,

Kimmy

Welcome kimmy! Yes sounds good to me.

I did have a bad head 1st few days but no other side effects.

Good luck and let us know how you get on

Hiya becca! How did today's weigh in go?? Xx

Hi Fatfairy,

Thanks for the welcome!

I ahev read a few of your posts (and others, im not stalking ya!) and you seem to have had a good time of it on this medication. Glad to see so many positive responses. It really makes me feel motivated and hopeful.

K x

I am finding it quite easy as I would normally cheat or say I've been good I deserve a treat, but these stay in you're system so you cheat you know about it💩💩💩lol

I have a packet of refreshers or a curly wurley after weigh in as both low and that's my treat if I've done well.

I'm not missing much either, not living on salad just making sure its low fat.

When you pounds start dropping off you will really feel motivated.

Good luck

Today is my first day too,

Hope to be as successful as all you lovely ladies.

Not that good at counting fat as you guys but i suppose i'll get used to it.

for breakfast

2 small slices of dry brown toast

i egg boiled

tea with skimmed milk

lunch

ham sandwich no butter

1 laughing cow low fat triangle cheese

low fat hazelnut yogurt

apple

Does this sound ok or not ?

Hi Vicki I got weighed at docs this morning and this month I've lost 9 lb so in total now 34 lb off xxxxx

Wow well done becca!!! That's fantastic! You will look fab for your holiday in Nov at the rate you're going.

Are all your clothes massive?

I brought some jeans from next a month ago and couldn't do em up! Tried them on today they fit! YIPEEEE it's such a good feeling and the motivation to keep going.

So pleased for you you're doing fab! Have a good weekend x

Yeah I'm going shopping today but don't wanna do what I normally do buy expensive coz I'm hoping not too fit in the for long ! I'm over the moon I've had a burberry trench coat for ages and haven't been able to wear it coz it was too tight now it fits so I'm gonna wear it today !!!! X

Bet you were over the moon with your jeans !!! How much have u lost in total now Vicki xxx