During weight loss, you can eat low sugar and high fiber fruits such as apples, grapefruits, strawberries, blueberries, and papayas in moderation. You can also follow the doctor's advice to use medications such as orlistat capsules, metformin hydrochloride tablets, L-carnitine oral solution, phenolphthalein tablets, acarbose tablets, etc. to assist in weight control. It is recommended to combine exercise and dietary management to avoid excessive consumption of fruits leading to excessive sugar intake.

1. Food
1. Apples
Apples are rich in water-soluble dietary fiber and pectin, which can slow down gastric emptying and increase satiety. Each 100 grams of apple contains approximately 52 calories and has a low glycemic index, making it suitable as an extra meal between meals. The polyphenolic substances in apple peels help regulate the balance of gut microbiota, but it is important to thoroughly clean them to avoid pesticide residues.
2. Pomelo
Pomelo is rich in vitamin C and naringin, which can promote the activity of fat metabolism enzymes. Research has shown that the ketone in grapefruit can activate brown adipose tissue, and daily intake of half grapefruit combined with exercise may improve fat burning efficiency. But those taking antihypertensive drugs or statins should avoid consumption as it may cause drug interactions.
3. Strawberries
Strawberries are low glycemic index fruits, containing only 32 calories per 100 grams. The tannic acid it contains can inhibit adipocyte differentiation, while anthocyanins have anti-inflammatory effects. Frozen strawberries can retain over 90% of their nutrients and are suitable for making meal replacement desserts by adding sugar free yogurt.
4. Blueberries
Blueberries are rich in anthocyanins and tannins, which can improve insulin sensitivity and reduce visceral fat accumulation. Consuming 50 grams of fresh blueberries per day can significantly reduce waist circumference, and the polyphenols in them can also inhibit fat absorption enzyme activity, but diarrhea patients should control their intake.
5. Papaya
Papain can break down proteins to promote digestion, with only 39 calories per 100 grams of papaya. Immature green papaya contains more dietary fiber and can be sliced and mixed cold or boiled into soup for consumption. Breastfeeding women should not consume excessive amounts as it may affect milk secretion.

2. Medication
1. Orlistat Capsules
Orlistat is a gastrointestinal lipase inhibitor, suitable for obese or overweight individuals with dyslipidemia. This medicine has a weight loss effect by blocking 30% of dietary fat absorption, and the common adverse reaction is oily stools. Long term use requires supplementation of fat soluble vitamins.
2. Metformin Hydrochloride Tablets
Metformin Hydrochloride is commonly used in patients with type 2 diabetes, and also has an auxiliary weight loss effect on insulin resistant obesity. The mechanism is to inhibit hepatic gluconeogenesis and increase peripheral glucose utilization. During medication, lactate levels need to be monitored to prevent acidosis.
3. L-carnitine oral solution
L-carnitine can promote the entry of fatty acids into mitochondria for oxidation, and when combined with aerobic exercise, it can improve fat metabolism efficiency. Suitable for patients with metabolic syndrome, but the effect is limited by simply supplementing without exercise. Patients with renal insufficiency need to adjust their dosage.
4. Phenolphthalein tablets
Phenolphthalein, as a stimulant laxative, can be used for short-term relief of constipated obesity by enhancing colonic peristalsis and promoting bowel movements. Continuous use for no more than 3 days, long-term abuse may lead to electrolyte imbalance and intestinal function dependence.
5. Acarbose Tablets
Acarbose delays carbohydrate absorption by inhibiting alpha glucosidase, making it suitable for obese individuals with postprandial hyperglycemia. After taking the medication, there may be gastrointestinal bloating. It is recommended to gradually increase the dosage from low doses and take it together with the first main course.

It is recommended to control the daily fruit intake during weight loss at 200-350 grams, and prioritize whole fruits with skin instead of fruit juice. Those with diabetes should monitor the blood sugar fluctuation before and after fruit intake, and those with stomach cold constitution should avoid eating citrus fruits on an empty stomach. The use of medication must strictly follow medical advice, regularly evaluate liver and kidney function and metabolic indicators, and combine with 150 minutes of moderate intensity exercise and high-quality protein diet per week to achieve more stable weight loss effects.
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