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Lexapro rapid weight loss (2 weeks before and 2 after weight loss) was shown to result in significant reductions both fat mass, visceral adiposity, as well leptin and insulin levels, without significant changes in food intake a 3-week study [35]. 2 week intervention of a mixed-meal diet (MCD) with or without an exercise intervention did not improve body composition in obese elderly [36]. However, an 8 week intensive lexapro medication assistance MCD led to a significant decrease in visceral adiposity [37]. Moreover, an intensive exercise program using treadmill [38], and bicycle [39] interventions resulted in reductions visceral adiposity and improved weight loss in a 6-month study [37]. An intermittent versus continuous endurance exercise trial involving 6 months of intermittent endurance training showed that weight loss was primarily determined by the aerobic endurance training [40]. This study may have been hampered by the participants who were not in good health and may not have met some of the training requirements [40]. Further randomized intervention trials involving the use of resistance training to promote increased energy expenditure may be needed to determine which exercise program is best suited for weight loss and maintenance. Further studies should also investigate the impact of different exercise methods on weight loss and whether these methods differ in their effect on body composition. 4.2. Body composition and lean mass The weight-loss-associated loss of fat mass in humans is not linear as one might expect, demonstrated by numerous observational studies, and the effects of body fat are greater in postmenopausal women because they lack fat stores. When weight losses Generic nifedipine xl exceed 7.5 kg, an additional loss of lean mass is seen with each additional kg lost (or gained), as assessed by DEXA or CT scans [41]. To gain additional lean mass, men need Lexapro 5mg $37.85 - $0.63 Per pill to reduce their body weight by 13% to 29% but lose 8% of their body fat [41]. Because women are lighter than men, and because their lean mass is less than that of men, women need to lose 3.0 4.4 kg 5% to 6% of their body weight. Lissauer et al. [26] reported that the weight loss of a diet with moderate protein (25% of total daily energy) resulted in a loss of 1.7 kg body fat on average. However, this was significantly less than the 6.7 kg that was required to equalize changes in visceral and subcutaneous fat [42]. A more recent study using DEXA showed that a diet with an energy intake of 600 kcal/day using either a 20-80Kcal/day protein intake was able to lead a 2.8 kg body fat loss. However, the energy density of this diet was only about 50 kcal/g whereas protein alone was needed to lose 4.3 kg of body fat [15]. Additional research is needed to determine whether a high protein and lean low fat diet can have generic prescription for lexapro a greater effect on weight loss and body composition than a lower protein and lean high fat diet. Although several studies have reported an inverse relationship between energy density (defined as percentage of energy from protein) and body composition, it was concluded that dietary protein intake was not associated with body weight change [35,43]. Additionally, the relationship between weight loss and protein intake remains unproven. A meta-analysis of 28 observational studies found no relationship between the intake of dietary protein or total energy intake and body weight change in a population of individuals who had been randomly assigned to increase their protein intake or decrease it. appeared to be associated with a decrease in adiposity and the percentage fat in body mass this meta-analysis, but association disappeared when body fat was controlled for [44]. Although dietary protein intake was significantly related to increased physical activity and reductions in obesity, it was not found to be related body fat loss [41]. A recent meta-analysis using diet and exercise intervention designed to maximize weight loss and fat concluded that a diet whose average protein content was from 10% to 15% of energy was associated with a higher percentage of weight loss than did a diet that contained the highest lexapro prescription prices energy from protein, at 20% of energy [44]. This observation was also supported by a recent study Pasiakos et al. [45] comparing a low-fat vs. very-low-fat diet and found that the high-protein, low-fat diet resulted in more weight loss and lower BMI in subjects with a greater BMI [46]. recent meta-analysis of randomized controlled trials concluded that in a group of overweight or obese and formerly individuals who followed such a diet for 16 weeks, low in fat and high protein was associated with greater weight loss than was a diet that low in fat but higher protein [46]. It is thus important that the effect of dietary protein on body weight is determined in a randomized and controlled study setting. 4.3. Fat distribution There is a significant difference in the location of fat stores between lean and obese individuals. Leibel et al.

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