Balanced Approach. Eat healthfully. Try to eat at least 5 servings of vegetables & 4 of fruit per day. Increase nutritional fiber. Avoid refined sugar & junk carbohydrates. Avoid alcohol, sweetened juices, soda & caffeinated beverages. Aim for 7.5 to 8 hrs of sleep / night. Hydrate w at least 64 oz of water / day. Calories burned must > calories consumed. Do both cardio & weight training.
See beloww. Of course-ehemat less, excercise more. However, the question becomes what is keep any idividual atient from doing this-where is the problem. Once the problem is identified-specific strategies may be undertaken to overcome t.
Lose 20 pounds. The only healthy way is to engage in regular exercise (at least 20 minutes a day) and to eat right, starting with 5 servings of fruits and vegetables a day. To lose weight faster limit the total amount of calories that you consume in a day (easiest way is to eliminate fat containing foods). Probably a good idea to take a vitamin whenever you're trying to lose weight intensely.