Patient :I am a 19 year old girl, I've veen struggling to lose weight for a year, my weight fluctuates from 56kg - 60kg, usually it will go down to 56 by the end of the week and up again on the start of the week, and the whole weight loss process will start again. I feel as if I am having some negative changes to my body despite working out consistently throughout the week till weekend, including 1 hour runs everyday + strength building. I also do not eat any process carbs, and am a vegan who lives a diet based on macrobiotics (grains, green vegetables, sea vegetables etc), I rarely eat anything bad and if I do it's usually dates or peanut butter. Despite all my efforts nothing good has happened, firstly my problem is that the weight on my thighs will not shift.. I will become very bony on my top half and yet the stubborn fat will not move from my thighs.. I don't know why? I had thought cutting out a lot of sugar and carbs would help, but nothing is working.. I do still eat some days/ sugars but I feel as if I eat so healthy and to the bare minimum that it won't do much.. Yet frustratingly it does. My legs get all puffy, I often get bloated and feel sickZ Secondly, I eat roughly between 500-1000 calories a day + exercise to keep the deficit low.. Yet nothing is working for my digestive system? I feel as if even though I eat a lot of fibre that nothing is going through me.. I rarely go to the toilet. I thought my metabolism would increase with the working out and the amount of fibre intake I have. I workout more calories then I consume and yet nothing is working? I'll give some background information, when I was 17 I suffered an eating disorder with over exercising and limiting foods, yet back then my metabolism was at a high and I feel as if my plans for weight loss was working, I am still young.. Why would of all a sudden nothing work? I eat better then I have ever and my mindset is healthier, even though every week I lose 1kg and put it back on again every week .. I still am motivated to lose it, I've tried everything, I just want to know what am I doing wrong? Is it the lack of food? Because I am feeling full, I usually eat 1 - 2 meals a day, I truthfully don't understand why I can't lose weight, I want to get liposuction.. Someday I don't even want to try and just starve myself. It's been too long, I know my weight of currently 60kg isn't horrible, but I am short and would like to weigh 53kg because I feel as if the weight is just squashed every where. I am motivated to stick to any advice, it isn't a diet for me, it's a lifestyle, I just don't know why it's been so hard for me to lose weight even tho I am much more strategic and put heaps of effort into losing weight then most people I know, it's just really frustrating
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