Brief Answer:
Diet is the mainstay / detailed discussion below
Detailed Answer:
Dear Mr XXXXXXX
Welcome to Health Care Magic
Your sleepiness may be from
Sleep Apnoea Syndrome – respiratory
depression causing disturbed sleep in the night and leading to day time somnolence, in
obese people. Consultation and investigation by a Pulmonologist is necessary to clarify the issue
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Weight is like bank account / The amount in your account comes down when you withdraw more (physical work) and you deposit less (eat less). If the weight is picking up, it only means – the exercise is not enough / the food is more / or both....
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Obviously, you cannot do exercise because of your knee problem, which also could be from excess weight… Exercise helps, but its role however is limited. For example, in walking 1 kilometre, one spends 1 Calorie per kilogram of his body weight! A cup of rice or an average bar of chocolate has approximately 200 calories. A treadmill may help. The ideal solution is to consult an Orthopaedician and follow up by a Physiotherapist - they can help to restart an exercises program, tailored to you.
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Diet is the mainstay of treatment. You have to reduce the QUANTITY of your food and change the QUALITY too. It is not possible to explain or understand the nuances on a single occasion. To start with, reduce the amount to one third of what you are presently taking. Avoid all fats – they have double the energy of carbohydrates. You should see a good DIETICIAN - One generally needs SEVERAL sessions, to master concepts of calories, nutritional values, biological value,
vitamins, minerals and so on.
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It needs strong motivation / many are helped by psychological assessment and assistance
For weight reduction, there is no officially approved medicine without serious side effects.
The only other alternative is Bariatric surgery
The treating doctor can suggest further based on his assessment of the situation.
Good luck
Take care
Wishing all well
God bless