I really want to lose weight. I have been on a variety of diets

Question:

I really want to lose weight.  I have been on a variety of diets, and have only lost weight, to regain it.  If I lost weight, and kept it off, would my skin slowly shrink, or would I need to have surgery to have it removed?

Answer:

The ideal way to lose weight, is to gradually lose weight in a sensible fashion over a moderate period of time.  Crash diets never work because a lot of the weight loss is actually water and muscle, and then when weight is regained, it is typically regained as fat.  It is a vicious cycle, and one we try to break.  I typically recommend a modified Mediterranean diet for patients trying to lose weight.  This type of diet is rich in fruits and vegetables, nuts and seeds, legumes, lean protein; and low in grains and dairy products.  This has been studied and shown to be one of the healthiest and most effective ways to lose weight.  I also like to incorporate medical foods which are specialized protein shakes into this regimen, as it can accelerate the weight loss product and weight loss process, and supply important key nutrients in protein to patients trying to lose weight.   If you have to lose a significant amount of weight, 100 pounds or more, typically you will have excess skin following the weight loss.  If the excess skin is severe, it is often treated by a plastic surgeon, however, for most patients losing 20 to 30 pounds, the skin typically shrinks back down. Posted by Dr. Allison Pontius