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I also gained 30 pounds but have been able to lose weight (same 30) while on prednisone. Here is what I did most is not a special thing I came up with but are tricks I learned from others over the years.
1. stay close or stick to a Mediteranian diet. Low in fats and lots of good stuff to eat.
2. drink water or other fluids throughout the day particularly when you feel hungry between meals. This helps a lot. Diet drinks become more of a treat and provide a caffeine kick during the day. I drink enough water at dinner that I can just take sips of water if I wake up during the night (to pee or so the dogs can go out to do the same).
3. Snack healthy to snack at all. Pickles or other pickled foods are crunchy and savory. A handful of nuts are crunchy and salty.
4. Portion control is a big help. Drinking water along with or before the meal helps quench hunger.
5. Be good to yourself, if you have a big or calorie filled meal, there is always tomorrow to diet again.
6. Avoid fried foods. Try roasted veggies that you like.
7. Weigh yourself at least once everyday. This is a big help to me as I can see how I am progressing and it helps me set daily food intake goals. Be sure to weigh at the same time for one of them daily, preferably after you have gone to the bathroom, have minimal clothes on or you can guesstimate what you are wearing weighs as part of the fun. I t is fun to weigh at night guess what you may lose during the night and then weigh in the morning and see if that is accurate. This all helps me manage the days calorie intake.
8. Realize the first 10 pounds is the easiest, the rest takes longer and if you understand that will keep you from being discouraged.
9. I haven’t been exercising to lose this weight either because of MG brought on fatigue or laziness, not sure. Not a big exerciser anyway but it is healthier to exercise the best you can.
10. Set calorie burn goal in your Apple Watch, mine is only 400 calories a day. I don’t usually make that but it feels good when I do.
11. So go easy on yourself to go good. it may be more sustainable for you as it has been for me.