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Message: <blockquote data-quote="dipsydo" data-source="post: 1436598" data-attributes="member: 371312">You have done really well to lose the weight you have .I  believe that orilstat is medicine which blocks fat uptake so I have no idea how it would interact with a low carb high fat diet - likely  to have some very  unpleasant outcome. You should speak to your health  professional  about just going Low carb  higher fat as the advantage of the higher fat is that you  should feel sated so do not eat as much. The low carb  helps  to reduce the  blood sugar. If you can add in some gentle walks then this may also help . Maybe you should suggest to your health professional that you try a  couple of weeks and sees if it suits you ?  If  need to keep the orilstat then try and reduce carbs but you might find it  a diet which is more difficult to keep  to but  should help the blood sugar. You do need a monitor to see  which foods are worse for you  as everyone seems to have different reactions to various foods.If you do low carb do keep hydrated - with water or  something equivalent and if you have little fibre in the  diet try and ensure you get some fibre supplement as low carb  be a bit low residual .</blockquote>

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