2_https://www.youtube.com/watch?v=dm-rJJPCuTE_weight loss; diet
gpt
Hi, John. Nice to see you again. So, tell me, how are things going?
human
Well, doc, I know you told me that I need to lose weight. And even though the scale didn't show today, I was able to lose about 5 pounds, but then I gained it right back.
gpt
Well, I appreciate you bringing your weight to the forefront. Do you mind if we explore this issue further?
human
No, by all means. I know we have to discuss it.
gpt
All right. Uh, well, it sounds like you've been struggling with your weight recently. And I understand how difficult it is to lose the weight and then have it come back again. So, tell me what you did to lose that initial 5 pounds.
human
I started watching what I ate and I ate less. I've been eating more fruits and vegetables. I've also been walking a lot. I'm walking up to 20 minutes a day now. I saw the weight come slowly off, um, and I felt better. But then when I watched it come back on again, you know, I gave up.
gpt
But you did have some success. Tell me how you felt when you lost the weight.
human
I felt great and I felt really proud of myself. I thought that this was something that I could do.
gpt
Okay. Well, it sounds like you realized that when you lost the weight you feel better and that it's gonna affect your overall health. So, tell me what you think changed that caused you to gain the weight back.
human
Well, I think it's because I've been eating more fruits and vegetables, that- that's it.
gpt
And how many servings of fruits and vegetables on average per day would you have?
human
To be honest, I have four or five -- four to six glasses of orange juice a day. Um, I have fruit for lunch and breakfast. I have, uh, usually one to two servings of a vegetable like lettuce or broccoli with thinner.
gpt
John, it's very important that you recognize that some fruits, but especially fruit juice can contain a huge amount of calories. Did you know that a glass of orange juice has almost as many calories as a can of cola?
human
No, I didn't know. Um, but doesn't the fruit- food pyramid classify, um, fruit juice as a- a serving?
gpt
You're absolutely right, but keep in mind that the food pyramid is to be used as a guideline only. When it comes to nutrition, we have to have a more personalized approach. So I have a hunch, and that is the excess fruit that you were consuming probably caused your weight rebound. What's your impression?
human
Well, this changes quite a bit. I mean, here I'm thinking that my fruit intake is making me healthier and actually it's making me fatter.
gpt
Indeed. Let me ask you something, knowing what you know now, how important is it to you to lose the weight by decreasing the amount of juice that you're currently taking in?
human
Obviously, I need to cut back on the fruit juice. But boy, do I love that OJ.
gpt
Oh, I understand. Let me ask you this, on a scale from 0 to 10, 0 meaning that there's no way you can do it, and 10 meaning that you're 100% confident that you can do it, how confident are you that you'll be able to reduce the amount of juice you're currently taking in.
human
Um, six or seven.
gpt
All right. So, you're not a zero. So, that tells me that you've got some confidence that this is doable, this is something you certainly can do it. Why are you not a zero?
human
I guess it's because I know that I need to do it to lose the weight.
gpt
So, you realize, again, that if you decrease the amount of juice you're taking in, you're gonna decrease your weight, you're gonna feel better, and you're gonna impact your po- health positively?
human
Yes.
gpt
But you're also not a 10, and that tells me that there may be some obstacles to your success. What would it take for you to be a 10 or even an 8 or 9?
human
Getting the fruit juice of the house because I know if it's there I'll drink it. My wife does the shopping for us, so maybe if I ask her not to get the juice, that would solve it.
gpt
Okay. Now, if the juice was still there, can you think of anything else you could do?
human
I suppose I could replace it with, um, a low-calorie drink or drink more water.
gpt
Excellent. John, I get the impression that you want to stay in course with weight reduction. And the best way to do this will be to decrease the amount of juice that you're currently taking in. So if I saw you in two weeks and I asked you how much juice you're t- drinking and how you did it, what would you tell me?
human
I'd say I didn't have any and I substituted it with, um, sugar-free drinks.
gpt
Excellent. Well, it sounds like you have a plan. Same scale, 0 to 10, how confident are you that you can, uh, make this happen?
human
A 10.
gpt
I agree. All right. Well, you-you know what? I'm not gonna start any medications today. Your levels were a little bit off, but I think we can handle this from a purely lifestyle standpoint. What do you think?
human
Great. It sounds good to me.
gpt
Excellent. I'll see you in two weeks.
human
Okay.