Join Dr S Rawat MD, a Physician who studied Nutrition at Harvard on 8 Zoom Video Group sessions over 4 weeks to begin your journey  to reverse metabolic diseases such as Fatty Liver, Diabetes, PCOS, Metabolic Syndrome, Sleep Apnoea & Hypertension ! Learn how nutrition, meal timing, exercise, dietary supplements and weight reduction through calorie restriction can be leveraged to reverse metabolic diseases !

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While there are various lifestyle and dietary measures which can aid weight loss, certain supplements and products can also make this journey easier. Dr S Rawat MD, a family physician who studied nutrition at Harvard and founded www.healthgroupcoaching.com explains. 

Lifestyle and dietary modifications are explained in detail in these two videos

 

Supplements which improve metabolism by modulating gut microbiome

The science of the gut microbiome is a quickly evolving one. It is clear that promoting a healthy diversity within the gut microbiome is beneficial for overall health and metabolism. Dietary and lifestyle factors can help promote this, namely:

  • Increased consumption of:
    • Fermented Foods
    • Fibre
    • Plant proteins
  • And reduced consumption of:
    • Refined sugars
    • Saturated Fats
    • Ultra processed foods

There are also certain probiotics which have shown promise in aiding weight loss

Fibre: This not only acts as a 'mop' in the gut to reduce absorption of cholesterol and sugar, it also feeds the gut microbiome through 'prebiotic' action and improved metabolism

Fibre is essential for digestive health and can help regulate blood sugar levels, which is particularly important for women with PCOS who may be at higher risk for insulin resistance.

Dietary Sources: Whole grains, fruits, vegetables, legumes, and nuts.

    best-supplements-pcos
    Click to buy on Amazon: Metamucil, Daily Psyllium Husk Powder Supplement

    Click to read study published in Science Direct

    Click to read study published in Nutrition Journal

     

    Dietary Sources: Whole grains, fruits, vegetables, legumes, and nuts. Green banana flour contains a high amount of resistant starch.

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    Click to Explore Yupik Organic Green Banana Flour

    Click to read study demonstrating benefits of Green Banana Resistant Starch for Fatty Liver

     

    Weight Loss Herbal Supplement

    Berberine: This is a herb which stimulates AMP Kinase and reduces insulin resistance. It also has benefits for weight loss and lipid control. It also has anti inflammatory and anti oxidant properties. Berberine aids in weight loss via various mechanisms including Gut microbiome modulationDose of berberine is one 500 mg capsule thrice a day with meals ( 1.5 gms per day ) 

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    Click to Explore Organika Berberine - High Potency, Cholesterol and Glucose Metabolism Support, Helps Maintain Cardiovascular Health - 60vcaps-Canadian

    Click here to read study published in Science Direct

     

    Probotics for Weight Loss:

    Brand: Genestra Brands HMF Metabolic | Probiotic Formula

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    Click to explore HMF Metabolic on Amazon-Canadian

    Click to read Scientific Study published in journal Nature

    Brand: Metagenics - UltraFlora Control - 30 Capsules

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    Click to buy on Amazon

    Click to read Scientific study published in journal Lancet

     

    Herbal Phytoestrogen compounds can alleviate symptoms of hormone deficiency

    Phytoestrogens or Plant based Estrogen mimicking molecules

    It is well documented that bone loss accelerates during peri and post menopause. While menopause hormone therapy may well be safe and effective some clients ( which they should discuss with their physician / OBYGN) , plant based phytoestrogens also have some data to demonstrate slowing down of bone loss with their use.

    Soy isoflavones are plant-derived compounds with estrogenic activity, which can help balance hormone levels in women. They have been shown to improve insulin sensitivity and reduce inflammation as well.

    Dietary Sources: Soybeans, tofu, tempeh, soy milk, and edamame.

    Soy Isoflavones

    Peri Menopause and Menopause

    Herbal compounds including soy isoflavones and black cohosh aleviate symptoms of estrogen deficiency. 

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    Click on links below to Explore

    Estroven Weight Management | Menopause Relief Dietary Supplement | Multi-Symptom Relief | Helps Reduce Hot Flashes & Night Sweats* | Helps Manage Weight* | Drug Free & Estrogen Free* | 30 Caplets

     

    Plant Protein:

    Healthy sources of plant protein include soy products, lentils, legumes, beans, chick peas, beans, brown rice, peas etc. 

    Healthy sources of plant protein include soy products, lentils, legumes, beans, chick peas, beans, brown rice, peas etc. 

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    Click to Explore Purely Inspired Organic All In One - Vanilla-Canadian

    Click to Explore Purely Inspired Organic All In One - Chocolate-Canadian

    Amazon link for USA

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    Click to Explore Vitasave Vegan Protein Powder - Natural Chocolate Flavour, 20g Plant Based Protein, 26 Servings, 750g Tub, Soy Free, Gluten Free, Dairy Free & Sugar Free-Canadian

    Click to Explore Vitasave Vegan Protein Powder - Natural Vanilla Flavour, 20g Plant Based Protein, 28 Servings, 750g Tub, Soy Free, Gluten Free, Dairy Free and Sugar Free-Canadian

    Click to read Protein Leverage Hypothesis

    Click to Read Scientific Study for Bones 

    Click to Read Scientific Study for Muscle

     

    Weight / Fat Mass / Waist Measurement Devices

     

    Two days a week either in 5:2 pattern ( non consecutive days) or 60 hrs pattern ( consecutive days) I recommend a low calorie fasting mimicking diet. Rationale for this is explained in the following blog

    https://www.healthgroupcoaching.com/articles/60-hour-fasting-mimicking-diet-challenge

     

    As the saying goes, 'that which gets measured, gets done'. It is important to have tools to monitor the process whether weight, body fat or step count. 

    During an accelerated calorie deficit phase such as 60 hour 'Fasting Mimicking Diet' I recommend download of App Cronometer

    https://cronometer.com/

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    Click to explore RENPHO Body Fat Scale Smart BMI Scale Digital Bathroom Wireless Weight Scale, Elis 1 Body Composition Analyzer with Smartphone App sync with Bluetooth, 400 lbs - Black

    Food Measuring Cups and Spoons

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    Click to explore Measuring Cups, U-Taste Measuring Cups and Spoons Set of 15 in 18/8 Stainless Steel : 7 Measuring Cups and 7 Measuring Spoons with 2 D-Rings and 1 Professional Magnetic Measurement Conversion Chart

     

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      Products which enable accountability by tracking progress

      Fitness tracking watches such as Apple, Samsung and Fitbit keep a person accountable to themselves and on target. 

      Activity Tracking Wearable
      Wearable devices allow for easy tracking of daily steps and sleep quality.

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      Click to Explore Samsung Galaxy Fit3, 1.6" AMOLED Display, 13 Days Battery Charge, Sleep Monitoring, Fall Detection - Dark Gray (CAD Version & Warranty)

       

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      Click to explore Google Pixel Watch, Polished Silver Stainless Steel Case, Active Band in Charcoal, LTE, 41mm with Fitbit inbuilt

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      Click to Explore Garmin vívoactive 5, Health and Fitness GPS Smartwatch, AMOLED Display, Up to 11 Days of Battery, Black

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      Click to Explore Google Fitbit Sense 2 Advanced Health and Fitness Smartwatch with Tools To Manage Stress and Sleep, Ecg App, Spo2, 24/7 Heart Rate and Gps, Shadow Grey/Graphite, One Size (S and L Bands Included)

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      Click to Explore Apple Watch Series 10 [GPS 42mm] Smartwatch with Jet Black Aluminium Case with Ink Sport Loop. Fitness Tracker, ECG App, Always-On Retina Display, Water-Resistant

       

      Blood Pressure Monitor
      Check your blood pressure weekly to keep tabs on cardiovascular health.

      Click to Explore A&D Medical Blood Pressure Machine with Bluetooth, Upper Arm Cuff (22-42 cm Range) Home BP Monitor, One Click Operation, Connects with A&D Heart Track App

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    Resistance Training: Gain muscle and burn more calories at rest

    Aerobic Exercise / Cardio: Improve heart health and burn more calories during exercise

    Non Exercise Activity: Burn more calories while not actively exercising 

    HIIT Exercises: Heart Health and Longevity

    Plyometric Exercises: Best for Bone Strength 

    Isometric Exercises: Best for Blood Pressure and balance. 

    Active Sports: Heart health, longevity and bone strength

     

    How much should you exercise?  Minimum 1.5 hrs a week is recommended but this is a minimum. 

    I recommend dividing the week into alternate Muscle building and Fat losing days, 4 days of resistance exercise and 3 days for Cardio for instance, ideally alternating to give 48 hrs rest to the relevant muscle groups. 

    Exercise can be done in longer sessions at the gym for 45-60 minutes at a time or in the form of 'exercise snacks' at home e.g. 15 minute sessions thrice a day. 

    When doing resistance training one should aim to stimulate most target muscle groups over the group. 

    For example a person going to gym thrice a week would do a 'full body workout' while a person going six days a week may prefer a split doing different exercises alternate days, again in order to give 48 hrs rest to each muscle group for recovery.

    Exercise snack at home should also aim to use compound exercises to stimulate multiple muscle groups simultanously. 

    Examples here are generic but it is natural that males may prefer to work more on upper body and females on lower body. From a metabolic point of view it doesnt make a difference, improving muscle to fat ratio is what matters to metabolism. 

    Therefore two examples of exercise splits can be 

     

    Gym 3 Times a Week 

    Monday / Wednesday / Friday: full body gym split . Upper body push, Core, Upper body pull, Legs 

    Tuesday / Thursday / Saturday: Focus on Cardio. Eliptical / Treadmill / Cycle / Walking / Swimming etc 

     

    Gym 6 Times a Week

    Since each muscle group requires 48 hrs of rest ideally, it would be best to follow a different split.

    Monday / Wednesday / Friday: Upper body push and Core Exercises followed by Cardio

    Tuesday / Thursday / Saturday : Upper body pull and Legs followed by Cardio

     

    Aim to do a minimum of 9 Sets per exercise per week for gains 

    For muscle hypertrophy aim for Rep range of 6-12 per set. However, this could be as high as 20 if light weights are ideal due to injury etc.

    Rest 1.5 to 2 minutes before sets.

    After doing an exercise at a certain weight and rep range for that week, aim to increase either the number of Reps by 2 or weight by next notch up once already at the top end of hour Rep Range. 

     

    Home Routine: 

    Monday / Wednesday / Friday: Push Ups / Crunches / Pull Ups / Squats 

    Tuesday / Thursday / Saturday: Jogging / Stationary Bike / Epiptical / Walking etc 

    or 

    Monday / Wednesday / Friday: Push Ups / Crunches followed by Cardio

    Tuesday / Thursday / Saturday: Pull Ups / Squats followed by Cardio

    It is also important to follow the principles of progressive overload in order to see gains 

     

    Example Exercise for these Splits : 

    Upper Body Push :

    Push Ups

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    Click to Explore GoFit Push Up Bars Workout Stands With Comfort Grip and Ergonomic Angle, Handles for Floor workouts

    Above Shoulder Kettle Raise

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    Click to Explore White Lion Athletics Kettlebells | Cast Iron Kettlebell| Powder Coated Kettlebells| 4kg-48kg |9lbs-105lbs

    Triceps Exercise with Resistance Bands

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    Click to Explore GoFit Power Loop Resistance Bands - Training Pack

    Bench Press

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    Explore Soozier Bench Press

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    Explore Soozier Bench

    Above Shoulder Dumbell Raise

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    Explore Dumbells

     

    UPPER BODY PULL

    Pull Ups

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    Click to Explore GoFit Elevation Chip Up Station & Bar – No Screw At Home Door Frame Pull Up Bar

    Dumbell and Kettle Ball Curls 

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    Click to Explore Lifepro Adjustable Dumbbell Set - Hand Weights for Women and Men - Dumbbell with Adjustable Weights, 5lb, 10lb, 15lb, 20lb, 25lb

    Resistance Band Curls and Extensions

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    Click to Explore Extreme Pro Gym Set by GoFit

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    Explore Soozier pull up bars

    Barbell Curls

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    Explore Soozier barbells & weights

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    Explore Multi functional Home Gym

     

    Core Exercises for Lower back and Abs

    Ab Rolls

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    Click to Explore White Lion Athletics Heavy Duty, Tough, Durable Ab Roller| Heavy Duty Ab Wheel | Heavy Duty Core Trainer Abdominal Wheel

    Rows

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    Click to Explore Rowing Machine, MERACH Bluetooth Magnetic Rower Machine with Dual Slide Rail, 16 Levels of Electromagnetic Resistance, Max 350lb Weight Capacity, App Compatible, Rowing Machines for Home Use

     

    Lower Body

    Leg Extensions and Flexions

    Glute Exercises

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    Click to Explore White Lion Athletics Heavy Duty Glute Bands | Resistance Bands for Mini Band Exercise | Resistance Bands for Strength Training, Yoga, Barre, Bodybuilding, Pilates

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    Click to Explore GoFit Adjustable Ankle Weights

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    Click to Explore GoFit Weighted Vest for Adjustable Resistance Training, Running, Boxing, Cardio, and All Fitness Workouts

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    Explore Leg Training equipment

     

    Cardio / Aerobic and Lower Body

    Skip Rope

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    Click to Explore GoFit Beaded Jump Rope

    Cycling

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    Click to Explore MERACH Exercise Bike, Brake Pad Stationary Bike with Exclusive App, Low Noise Indoor Cycling Bike with 300lbs Weight Capacity, Tablet Mount and Fitness Courses for Weight Loss

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    Explore Soozier Exercise Bikes

    Walker

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    Click to buy Soozier Gazelle Glider Air Walker Exercise Machine with Four Resistance Levels, Elliptical Trainer with LCD Monitor, Heart Rate Sensor, Two Wheels

    Lunges, Single Leg Squats, HIIT Workout

     

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    Click to Explore Stepper Platforms

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    Click to explore stepper equipment

     

    Increase Non Exercise Activity 

    Walking treadmill

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    Click to buy GYMAX Walking Pad, 2 in 1 Under Desk Treadmill for Home with Watch Remote Control, LED Display, 12 Preset Programs & Pause Function, Portable Compact Walking Running Treadmill for Office Small Space

    Mini Eliptical

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    Click to buy GYMAX Under Desk Elliptical, Ellipse Leg Exerciser with Remote Control, LED & 2 Modes, Free Assembly Quiet Portable Elliptical Machine for Home, Leg Exerciser While Sitting for Seniors Adults

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    Click to Explore LifePro Under Desk Elliptical Exercise Machine - Pedal Exerciser to Strengthen Muscles & Build Cardiovascular Fitness - Under Desk Bike Exercise Equipment with LCD Monitor for Leg Recovery and Therapy

    Click to Explore Lifepro Shop on Amazon

     

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    Click to Explore MERACH Under Desk Elliptical, Elliptical Ellipse Leg Exerciser for Home Use Under Desk Elliptical for Seniors Fully Assembled Quiet & Portable with 12 Adjustable Speed & Remote Control

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    Click to Explore MERACH Mini Stepper for Exercise, Twist Stair Stepper 330LBS Capacity, Stepper Exercise Equipment with Resistance Bands for Full Body Workout at Home

    Click to Explore Gymax Store on Amazon

    Under desk pedal

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    Click to Explore Under Desk Bike Pedal Exerciser with Resistance Bands, Arm and Leg Mini Exercise Bike Stationary Bike Pedals, Desk Exercise Equipment, Foot Pedal Exerciser and Desk Workout Compatible with Fitness App

     

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    Click to buy Soozier Portable Mini Pedal Exercise Bike Indoor Cycle Fitness Arm Leg w/LCD Display

     

    Increase Activity through Sports

    top-3-products-weight-loss-journey

    Click to explore boxing equipment

    top-3-products-weight-loss-journey

    Explore basketball hoops

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    Explore Soccer / Volleyball / Badminton Nets

    Click to Explore Soozier Store on Amazon

     

     

    Kitchen Appliances for Low Fat / Low Calorie Cooking 

     

    The biggest contributor to excess calories is excess addition of fats in the form of oil, butter, ghee, coconut oil, palm oil, margarine etc. Food preparation techniques which promote the ingestion of whole foods which are not fried help with reducing calorie intake

     

     

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    Click to explore YARRAMATE Oil Sprayer for Cooking, 2 in 1 Olive Oil Dispenser Bottle for Kitchen, 17oz/500ml Premium Glass Oil Bottle, Food-grade Oil Mister for Air Fryer, Salad, Frying, BBQ

     

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    Click to explore Instant Pots on Amazon

     

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    Click to explore NINJA AF101C, Air Fryer, 3.8L Less Oil Electric Air Frying, Equipped with Crisper Plate + Multi-Layer Rack + Non Stick Basket, Programmable Control Panel, Black, 1550W,

     

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    Click to explore HexClad Hybrid Nonstick 10-Inch Fry Pan with Tempered Glass Lid, Stay-Cool Handle, Dishwasher and Oven Safe, Induction Ready, Compatible with All Cooktops

     

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    Click to explore Bear Electric Food Steamer,Stainless Steel Digital Steamer, 3 tier 8L Large Capacity Vegetable Steamer, Auto Shut-off & Anti-dry Protection, DZG-A80A2,1200W

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    Click to explore Chefman Panini Press Grill and Gourmet Sandwich Maker, Non-Stick Coated Plates, Opens 180 Degrees to Fit Any Type or Size of Food, Stainless Steel Surface and Removable Drip Tray - 4 Slice

     

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    Click to explore Panasonic NUSC180B 2-in-1 Convection Steam Oven, Black

     

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    Click to explore Panasonic NNCD87KS 4-in-1 Combination Oven with Air Fry, Stainless Steel

     

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    Click to explore Hamilton Beach Blend Now Portable Cordless Blender, USB rechargeable, 16 oz. jar with travel lid, black, 51180

     

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    Click to explore Hamilton Beach® Personal Blender with Travel Lid, 14 oz, Raspberry, 51131G

     

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    Click to explore Hamilton Beach Compact MultiBlend Blender/Chopper, Black, 52400

    Although not mutually exclusive , exercise can be categorised into types which have distinct benefits. 

     

     

     

    Reduced Calorie Food Products and Tools for Low Calorie Cooking 

     

    While a whole food plant predominant mediterranean / pescatarian diet is best, food products are available which when substituted can reduce calorific intake significantly. These are particularly useful during times of a significant calorie restriction such as 'Fasting mimicking Diet' phase which I usually recommend for a period of 60 hours at a time or two days a week in 5:2 Pattern

    https://www.healthgroupcoaching.com/articles/60-hour-fasting-mimicking-diet-challenge

    Zero Calorie Electrolyte Replacement Drinks

    For drinks Zero calorie electrolyte replacement products such as Gatorade Zero are particularly used at times of fasting or exercise. These provide necessary hydration and replenishment of salts without calories which allows the body to utilise stored energy within the body itself. 

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    Click to explore Gatorade on Amazon

    Rice, Pasta & Spaghetti 

    Konjac is a carb used in South East Asia which has significantly lower absorbable carb and calorific content in contrast to standard carbs such as wheat, rice and rye. It has a high amount of non absorbable insoluble fibre relative to other carb sources. Products made from Konjac flour are often called 'Shitake' , 'Magic' or 'Skinny; rice , pasta, noodles etc. While not compulsory ( and generally not as tasty as the real thing admittedly ), these can help people on a weight loss journey satisfy cravings without costing calories.

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    Click to explore Liviva on Amazon

     

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    Click to explore The Skinny on Amazon

     

    Dressings & Condiments 

    Walden Farms is a company which makes dressings, sauses and condiments which are near zero calorie. While not compulsory ( and generally not as tasty as the real thing admittedly ), these can help people on a weight loss journey satisfy cravings without costing calories. 

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    Click to explore Walden Farms on Amazon