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VLCD's can be very successful but only when used over a 6-12 week period. Because the body is essentially starving, it is burning up its fat stores and lowering its metabolic rate. As soon as the diet ceases and normal food is consumed again, there is an immediate increase in weight. Short-term use of VLCDs (1-4 weeks) will have little, if any, benefit for the dieter as the increase in weight will negate the weight lost in the first place. Once the full course of the diet is finished, it is up to the successful dieter to maintain their current weight via exercise and sensible eating, otherwise they will put on weight again. VLCD's put a great deal of strain on a person's body, and should only be undertaken with medical consultation.

Medical conditions often require the use of a special diet that either contains or lacks certain chemicals. A person who has diabetes is often on a diet designed to carefully regulate their blood sugar level, sufferers of celiac disease must follow a gluten-free diet, the lactose-intolerant omit milk and dairy products, and people with kidney disease must follow a strict low-sodium diet to ease the strain on their kidneys.

Most typically "dieting" means eating in a carefully planned way in an attempt to reduce excess body fat and decrease bodily measurements and clothing size. In this sense, there are a number of so-called diets that can be used as part of a regimen of dieting. Also in this sense, excessive dieting is related to anorexia nervosa and bulimia, which are life-threatening conditions. There are many organisations, such as Weight Watchers and Jenny Craig, that support weight loss efforts on a for-profit basis, by providing prepared food or special menus and individual or group counselling sessions, as well as teaching exercise routines, with the aim of improving clients' lifestyles and enabling them to maintain successful weight loss. It is highly questionable as to the overall long-term success of these diets, however, as many people gain the weight they've lost back - and then some.

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