Question

John took Xenical for about 1 year. For the first 7 months, until November, he was losing weight fairly steadily. Dr. Parnell had stressed the importance of watching his caloric intake and maintaining physical activity, and John complied pretty well. When he knew there was a social event on a particular day, he ate just a piece of toast for breakfast and had an apple at his desk for lunch, so he could eat more at dinner. He was able to get some exercise at least twice a week. His weight dropped to 218 lb. Starting in November, the firm received lots of invitations to social events, and John found himself dining out four to five times each week. He also started dating more. Some weeks he was too busy to go to the gym. When he started experiencing more severe gastrointestinal side effects, Dr. Parnel advised him to stop taking the Xenical. By January John had regained 30 lb. A woman at work told John that he could easily lose that weight by going on a diet that she had tried. She was eating 900 kcal/day with very few carbohydrates and was losing lots of weight. John thought that diet might work for him, but he felt that 1,000 kcal a day would be better due to his larger size. 1. Design a 1,000 kcal/day low-carbohydrate (20% of kcal) diet for John that has at least 300 kcal from protein. 2. What do you imagine would be the barriers to staying on such a diet?

Answer 1

1.The diet plan of 1000kcal including 300kcal of protein is as follows:

Meal	Menu plan	Calories
Early mornig	Lemon with warm water	6
Breakfast	boiled or microwaved egg Fruit of one c cup	90 kcal (34 kcal of protein)
Mid morning	yoghurt of low fat (100gm)	154(62kcal of protein)
Lunch	Chicken clear soup Roasted veggies with yoghurt 50gm	287(73kcal of protein)
Mid evening	1 peach 1 Orange	98(15kcal of proteins)
Evening	Fresh green tea 2digestive biscuits	142
Dinner	1C cup of boiled lentils with fried French beans. Chopped garlic dashed	286(116kcal of protein)

The above is the diet plan of total kcal of 1063 with inclusion of 300kcal of proteins.

2. The barriers may be

# Lifestyle

# Peer pressure

# Stress

# Unexpected crisis.