Women in midlife have menopausal weight gain in addition to the usual causes of excess weight. The best way to achieve rapid weight loss is to use a very low energy ketogenic diet. Appetite suppression after weight loss is necessary for weight maintenance and has to be lifelong as the physiological changes leading to weight regain are long lasting.
Around 30% of adults in Australia have obesity. As well as the common causes of excess weight gain occurring in the general population, women at midlife have to cope with a further increase in weight gain caused by menopause. Because obesity is so prevalent and causes so much pathology, all general practitioners should know how to help their patients lose weight.