The extreme weight loss methods for losing 20 pounds a week mainly include excessive dieting, high-intensity exercise, medication intervention, dehydration therapy, surgical weight loss, etc. This type of method may pose serious health risks and is not recommended for self experimentation.

1. Excessive dieting
Complete fasting or daily intake of less than 500 calories can lead to muscle loss, hypoglycemia, and metabolic disorders. Long term may induce gastritis, anorexia, and women may experience amenorrhea. If rapid weight loss is required due to special medical needs, a very low calorie diet plan should be adopted under the supervision of a doctor, supplemented with vitamins and electrolytes.
2. High intensity exercise
Engaging in 4-6 hours of aerobic combined with anaerobic exercise daily may consume a large amount of calories in the short term, but it can easily cause rhabdomyolysis, joint damage, and cardiac overload. Professional athletes need team monitoring for dehydration and weight loss before competitions, while blind imitation by ordinary people may lead to kidney failure.
3. Drug Intervention
Some prescription drugs such as Orlistat capsules and Liraglutide injection can be used for the treatment of pathological obesity, but their indications need to be strictly evaluated. Unauthorized use of diuretics or thyroid hormones can pose risks such as electrolyte imbalance and arrhythmia. All weight loss medications must be used under the guidance of an endocrinologist.

4. Dehydration therapy
Dehydrating the body through saunas, wearing sweatshirts, or limiting water intake can temporarily reduce weight, but it can lead to increased blood viscosity and decreased cognitive function. Athletes need to immediately replenish fluids after weighing in competition. Daily dehydration and weight loss may induce thrombosis or fainting.
5. Surgical weight loss
Sleeve gastrectomy or gastric bypass surgery can rapidly reduce weight in severely obese patients, but there are complications such as anastomotic leakage and malnutrition. All weight loss surgeries require multidisciplinary evaluation and lifelong nutritional monitoring after surgery. Non pathological obese individuals do not meet surgical indications.

Healthy weight loss recommendation: Control the weight loss rate at 1-2 pounds per week, reduce refined carbohydrates intake by adjusting the diet structure, increase high-quality protein and dietary fiber, and combine with 150 minutes of moderate intensity exercise per week. For those with a larger weight base, they can consult the nutrition department to develop personalized plans to avoid irreversible health damage caused by extreme weight loss methods. If you experience discomfort symptoms such as dizziness and palpitations, you should immediately stop losing weight and seek medical attention.
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