For example a such recommendation having:

 Recommend a low calorie balanced diet of  800-1600 kcal/day, on 500–800 calories is a less daily needing in energy for adults with abundant weight, basing on data of national recommendations for meal and physical activity.

A how we are met from last chapters, limiting calories is never stayed and will not stay a success   strategy for weight lowering on the long-term perspective,so as in a month or other  patient is surrendering  and want to return to fat diet habit, that a fast lead to no are dates   results. And certainly a few patients are enjoying calculating calories and weight meal, but if it's  serious, would you want to use this diet for many months and years?And,  by my an experience work   in hospital, without exaggeration   shares, as on an everyday hearing by patient a same: Am used to all  diets, but not forced are calories calculated, or I want to eat normal meal, just not a boiled chicken breast, buckwheat sprouts and salad without oil drop.

Many patients are complaining, that when they are calculating calories beginning and limiting using calories, weight is  lowering, but when in a few time appetite, caused  of   diet increasing, weight is returning, sometimes and increasing. And in leadership for family doctors for obesity cure is sharing, that recommending also psychologic  consulting, and rate for psychic condition for patient, so as its  known  , that for obesity staying psychologic  problems, and by these are two question staying:

1. A how much your doctor or medical assistant are ready to do such psychologic consultations? Would they are had  a time . And are they informed, a how to do it?

2. Would a have in Estonian national medical system specialists as psychologists, trainers for meal, to which a doctor  can to advice to visit for individual or group consulting for obesity questions?

As by private system is yes, maybe its having as in public?Am not informed, where is exactly?

Yes, in Estonia with this having big problems as with recommendations and organization for medical help for patients with abundant weight.

 Many years ago, when  am not used metabolic system questions  and obesity, am directed patients to dietologist. Thus, after am interested to read theirs advices and notes by dietic medical assistant for patients with Index  Body mass  41 is a third  obesity stage,as eat on every 2-3 hours, that to stimulate metabolism and  avoid sugar differences in blood , for breakfast better to eat porridge, but without oil, and its importance eat two portions of fruits/day, quarter of your plate is mist to have cereals and whole cereal bread.

And in half years later,same patient visit to me is a not slimed, but on a few kg is harder. And importance conclusion, that  official dietic advices are not cure disease, but worsening  her.

 And , non doctor not interesting as a how patient fighting with stress, how he is sleeps, and enough sleep would be?, if patient will say about it. And,  in having these troubles, doctor prescribing sedative, rare advising, that going in bed earlier or doing massage ,and rare advising to psychologist visiting or specialist for sleep. Am worked a few years as expert for rating work capacity, and am checked 1000 extracts from doctors, and what is wondered for me? From these 1000 extracts by all specialists ,from different regions in hospitals, am found are 10 such epicrisis, where wrote, when and what is patient eats, does he drink alcohol ?which sport uses?and how often? Which sleep quality?and his subjective stress level. And just these   dates  about his life method are most  useful for understanding a patient condition!