Mankhwala "Orsotin Slim": ndemanga za akatswiri ndi ogula

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malinga ndi dzina lanu lanyumba, zonse ndizomveka. ndikuyembekeza piritsi lozizwitsa? chabwino

Mutatha kumwa Orsoten, zotsatira zoyipa kwambiri zimatha kuchitika - zofunafuna ndowe. Mnzanu adakumana ndi izi atayamba kumwa Orsoten Kodi mukuopa kuti izi zidzakuchitikirani mutamwa mapiritsiwa?

malinga ndi dzina lanu lanyumba, zonse ndizomveka. ndikuyembekeza piritsi lozizwitsa? chabwino

malinga ndi dzina lanu lanyumba, zonse ndizomveka. ndikuyembekeza piritsi lozizwitsa? chabwino

Khalani ndi tsiku labwino! Nditawerenga zambiri zamapiritsi azakudya, ndinasankha orsoten, koma palinso ma orsotim, ndani amadziwa kusiyana kwake? Zikomo patsogolo!

Mutatha kumwa Orsoten, zotsatira zoyipa kwambiri zimatha kuchitika - zofunafuna ndowe. Mnzanu adakumana ndi izi atayamba kumwa Orsoten Kodi mukuopa kuti izi zidzakuchitikirani mutamwa mapiritsiwa?

Ndikufunanso kuyesa. Zikuwoneka ngati ndemanga zambiri. Ndipo "kutaya" kwa anyasi, ndikuganiza, sikofunika chilichonse. Chabwino, ikani magesi omwewo pamphepete, omwe amanunkhira "loko". Simukuvala zovala zilizonse pamenepo. Ndikhala pa mayi kupita kunyumba tsiku lonse ndi mwana, ndipo ndili ndi mwayi wosintha zovala zanga zamkati, kusamba ndekha ndikukhazikika, ilipo nthawi yambiri ngati ndichotheka, ndiyesetsa, mwina zinganditayitse makilogalamu 6. Ngati simukufuna, simukuvomereza , chifukwa thupi ndi losiyana ndi aliyense.

Ndimamwa Orsotin Slim pafupifupi sabata limodzi. Palibe mavuto. Ndinawerenga pa intaneti kuti anthu ambiri sangathe kuwongolera "kupita kuchimbudzi." Kwa ambiri, izi zimangokhala zokha ndipo sizimayembekezereka. Koma ndilibe imodzi. Sindingathe kuyesa momwe ziriri pano. Ndilemedwa mwezi umodzi.

Nditenga. Basi bwanji
lembetsani

Ndimamwa Orsotin Slim pafupifupi sabata limodzi. Palibe mavuto. Ndinawerenga pa intaneti kuti anthu ambiri sangathe kuwongolera "kupita kuchimbudzi." Kwa ambiri, izi zimangokhala zokha ndipo sizimayembekezereka. Koma ndilibe imodzi. Sindingathe kuyesa momwe ziriri pano. Ndilemedwa mwezi umodzi.

Ngati mungafunike kuchepetsa thupi mpaka makilogalamu 10, ndiye kuti Orsotene Slim idzakwanira. Ndipo ngati muyenera kuchepetsa thupi ndi kilogalamu 10 kapena kuposerapo, ndiye kuti Orsoten adzakuthandizani. Ndataya kilogalamu 12 pa orsoten. Munthawi yake, kulemera "kunakulitsidwa" chifukwa chazakudya zoyenera kuntchito.

Ndikumwa orsoten pompano. Patha miyezi iwiri. Ndipo nyamayo imakwanitsa. Ndipo nthawi zina amadya keke. Mwambiri, sindili ndi njala. Nthawi zina ndimapita ku dziwe kuti ndikapange madzi olimbitsa thupi: Kwa miyezi iwiri ndimataya ma kilogalamu asanu ndi awiri. Komabe muyenera kuchotsa zochuluka.

Moni nonse! Ndinagula Orsoten Slim, ndimamwa patsiku la 3, sindinadye mafuta konse, malangizo akuti ngati simunadye mafuta, mutha kudumphapo kumwa mankhwala, kudya zakudya zamafuta pang'ono, ndikuganiza moona mtima za kudya kwambiri Orsoten, amachita manyazi kwambiri secretion wamafuta. Koma bwanji ngati simudya mafuta onse ndi kumwa mankhwalawo?

Ku Orsoten, chophatikizira ndi 60 mg, ku Orsoten ndi 120 mg, koma palinso mankhwalawa oyambira, amapezekanso ndi 120 mg ya orlistat, koma omwe amapezeka ku Orsoten ndi Rostotin ndi osiyana kwambiri, otsika mtengo. Chifukwa cha izi, mankhwalawa ndi otsika mtengo, koma izi sizitanthauza kuti ndi apamwamba kwambiri, ndibwino kuti musawononge thanzi lanu, komanso osatenga makope osapambana.

Moni nonse! Ndinagula Orsoten Slim, ndimamwa patsiku la 3, sindinadye mafuta konse, malangizo akuti ngati simunadye mafuta, mutha kudumphapo kumwa mankhwala, kudya zakudya zamafuta pang'ono, ndikuganiza moona mtima za kudya kwambiri Orsoten, amachita manyazi kwambiri secretion wamafuta. Koma bwanji ngati simudya mafuta onse ndi kumwa mankhwalawo?

Ku Orsoten, chophatikizira ndi 60 mg, ku Orsoten ndi 120 mg, koma palinso mankhwalawa oyambira, amapezekanso ndi 120 mg ya orlistat, koma omwe amapezeka ku Orsoten ndi Rostotin ndi osiyana kwambiri, otsika mtengo. Chifukwa cha izi, mankhwalawa ndi otsika mtengo, koma izi sizitanthauza kuti ndi apamwamba kwambiri, ndibwino kuti musawononge thanzi lanu, komanso osatenga makope osapambana.

Zikuwoneka kuti, orsoten, sitingagulenso.

Zikuwoneka kuti, orsoten, sitingagulenso.

Sabata ino ndidakondwerera ukwati. Zikomo orsotenu. Ndidakhala pamenepo miyezi itatu. Koma chithunzi chokongola bwanji chomwe chidatuluka muukwati. Ndine wochepa thupi Miyendo yake ndi yopyapyala. Ine ndekha sindimakhulupirira kuti mpaka posachedwapa anali mayi wonenepa yemwe anali wamanyazi kuvala siketi yayifupi.

Zikuwoneka kuti ali pamankhwala okha

Zikuwoneka kuti ali pamankhwala okha

Mukamamwa Orsoten, tikulimbikitsidwa kuti muchepetse mafuta ochulukitsidwa pochepetsa kuchuluka kwamafuta azakudya. Ngati nthawi yomweyo simukugubuduza gsterbread, ndiye kuti kulemera kwake kudzacheperachepera. Ndili ndi chidwi ndi mankhwalawa kuti ndichepe thupi. Ndikuganiza kuti izi sizoyenera kukhala ndi thanzi lotayika.

Ndipo sindimakhulupirira zozizwitsa. Ntchito ndi antchito okha.

Ndataya miyezi khumi ndi iwiri m'miyezi itatu

Orsoten Slim kuphatikiza masewera kuchokera pa 76 mpaka 64

Ndipo kudya zonse komanso nthawi zonse

Mukamamwa Orsoten, tikulimbikitsidwa kuti muchepetse mafuta ochulukitsidwa pochepetsa kuchuluka kwamafuta azakudya. Ngati nthawi yomweyo simukugubuduza gsterbread, ndiye kuti kulemera kwake kudzacheperachepera. Ndili ndi chidwi ndi mankhwalawa kuti ndichepe thupi. Ndikuganiza kuti izi sizoyenera kukhala ndi thanzi lotayika.

Kodi azimayi opaka mkaka amatha?

Kodi azimayi opaka mkaka amatha?

Saw Orsoten Slim komanso okhutira! Ndataya makilogalamu 4 kulemera koposa miyezi iwiri (Kunenepa kunali 58, ndikukhala 54 ndi kutalika kwa masentimita 160) ndipo kulemera kwake sikunabwerere, ngakhale miyezi isanu yadutsa kale nditatha! Ndidayesera kudya, zolemetsa zidatha, koma kenako pang'onopang'ono zidabweranso! Ndikufuna kumwa kachiwiri pamwezi kuti ndichepetse 2 kg. Orsoten mu gawo la 120 mg palibe chikhumbo chotenga, chifukwa Sindimadwala kwambiri.

Nditha kulimbikitsa chida chabwino chochepetsa thupi - Khofi wobiriwira. Mosiyana ndi mapiritsi, ndi otetezeka ndipo alibe mavuto. Amawona kawiri patsiku kwa masabata atatu + nthawi zina amawonjezera thupi. katundu ndi kutaya ma kilogalamu 8, ndikulimbikitsa kwambiri.
Ndalamula kudzera pa intaneti apa - http://www.c)800.ru/index.php?w>

Inde, mwachidziwitso, Orsoten amagulitsidwa ndi mankhwala. Koma mutha kugula osagwiritsa ntchito mankhwala. Ndinagula popanda mankhwala. Chaka chatha, ndidaganiza zokhazokha ndimalize banja litatha. Kuponya ndiye pa orsoten. Mwinanso, zikadapanda iye, ndiye kuti sindikadataya ndalama zambiri. / Quote
Chonde ndiuzeni, koma kulemera kwake sikunabwerere.

Nditha kulimbikitsa chida chabwino chochepetsa thupi - Khofi wobiriwira. Mosiyana ndi mapiritsi, ndi otetezeka ndipo alibe mavuto. Amawona kawiri patsiku kwa masabata atatu + nthawi zina amawonjezera thupi. katundu ndi kutaya ma kilogalamu 8, ndikulimbikitsa kwambiri.
Ndalamula kudzera pa intaneti apa - http://www.c)800.ru/index.php?w>

Chonde ndiuzeni, koma kulemera kwake sikunabwerere.

Atsikana, ndili ndi funso lotere. Ndakhala ndikumwa Orsoten kwa miyezi iwiri. M'malo mwake, adathandiza kwambiri. Tsopano ndikufuna kusiya kumwa, koma ndikuwopa kuti ndidzakhalanso onenepa. Zoyenera kuchita

Orsotin Slim Ndimamwa tsiku lachiwiri. kudzimbidwa.

Atsikana, ndili ndi funso lotere. Ndakhala ndikumwa Orsoten kwa miyezi iwiri. M'malo mwake, adathandiza kwambiri. Tsopano ndikufuna kusiya kumwa, koma ndikuwopa kuti ndidzakhalanso onenepa. Zoyenera kuchita

Ndipo nditha kumwa orsoten mpaka liti? Kupatula apo, zitha kunditengera kupitirira mwezi umodzi kuti ndizolowere moyo wina.

Ndipo nditha kumwa orsoten mpaka liti? Kupatula apo, zitha kunditengera kupitirira mwezi umodzi kuti ndizolowere moyo wina.

Bullshit ndi zonse izo. Sindinathandize n akutsikira.

Ine Orsotenslim adayamba kumwa ndikuwapatsa bwenzi langa. Anamwa. Adataya ma kilogalamu 8. Ndikufuna kutaya ma kilogalamu 9. Ndikukhulupirira zotsatirazi. Ndimamwa kwa milungu iwiri. Mavoliyumu anali akuchoka sabata yoyamba, ndipo sabata ino ndinali wokonda kale zodzigudubuza kale. Kwa milungu iwiri, zotsatira zake ndi opanda 1.5 kilogalamu.

Ndinagulanso Orsoten Slim. Koma pakadali pano, ndiyamba kumwa. Sabata ino ndidayitanidwa kuukwati, choncho ndidaganiza zoyamba ukwati. Kodi mumamatira ku mtundu wina wa zakudya tsopano kapena mumadya monga kale ndikumwa Orsotenslim?

Ndinagulanso Orsoten Slim. Koma pakadali pano, ndiyamba kumwa. Sabata ino ndidayitanidwa kuukwati, choncho ndidaganiza zoyamba ukwati. Kodi mumamatira ku mtundu wina wa zakudya tsopano kapena mumadya monga kale ndikumwa Orsotenslim?

bwanji mudaganiza mwachangu kuti mudzachuluka mukamaliza kudya? Ngati musintha zakudya zanu ndipo osabwereranso ku zomwe mudadya kale, sipangakhale phindu lolemera. Ndinamwa Orsoten chaka chatha. Tsopano patha miyezi isanu ndi itatu popanda iye. Ndikumva bwino. Palibe mavuto ndi kunenepa. Chifukwa chake zonse zili m'manja mwanu.

Nthawi zingapo ndimangomwa orsoten. Mimba yanga idayamba kuwawa kuchokera kwa iye.

Atsikana, ndiuzeni, kodi Orsotenslim wagula kuti? Kapena kodi ndikofunikira kupita kwa dokotala kuti akamwe mankhwala?

Atsikana, ndiuzeni, kodi Orsotenslim wagula kuti? Kapena kodi ndikofunikira kupita kwa dokotala kuti akamwe mankhwala?

Tsopano ndidayamba kumwa Orsotin Slim. Koma ndikali koyambirira kuti ndinganene za zotsatira.

Atsikana ndili ndi funso. Ndikufuna kutaya ma kilogalamu 7. Kodi zili bwino kwa ine kumwa ma orsotens kapena orsotenslim? Ndani angathandize bwinoko?

Atsikana ndili ndi funso. Ndikufuna kutaya ma kilogalamu 7. Kodi zili bwino kwa ine kumwa ma orsotens kapena orsotenslim? Ndani angathandize bwinoko?

pali kusiyana kotani pakati pa OrsotenSlim ndi Orsoten wamba? Sindikumvetsa. Kupatula apo, apo ndi apo yogwira ntchito ndi orlistat.

Ndikuopa china chakumwa mapiritsi onsewa. ndi kufuna ndi kudandaula ..

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The zikuchokera mankhwala

Tiyenera kudziwa kuti pali mitundu iwiri ya chida ichi: mankhwalawa "Orsoten" ndi "Orsotin Slim." Ndemanga zamakasitomala zikusonyeza kuti mankhwalawa samatchulidwa ndi madokotala. Nthawi zambiri, anthu enieniwo "amapereka" mankhwala ochepetsa thupi. Ndipo amachita izi pofuna kuwononga thanzi lawo. Kupatula apo, mankhwalawa sakhala othandizira pazakudya konse, monga, mankhwala omwe ali ndi orthatth ya mankhwala. Ndi okhawo omwe amapezeka mwa iwo mosiyanasiyana. Izi ndizomwe amasiyana. Chifukwa chake, mu mankhwala a Orsoten gawo lake ndi 120 mg, ndipo kukonzekera kwa Orsoten Slim - 60 mg.

Ndi zotsatirapo ziti zomwe zingachitike?

Mankhwalawa ali ndi zinthu zochepa zogwira ntchito. Chifukwa chake, kuyembekeza zotsatira zabwino kuchokera kwa iye ndi kopusa. Mankhwalawa ndiabwino kwa iwo omwe kunenepa kwambiri sikumakola zoposa 50 kg. Ndi njira yabwino komanso kugwiritsa ntchito njira zowonjezera zolemetsa, kuwonda kwambiri kumatha kukhala makilogalamu 5-6 pamwezi.

Ndemanga zosokoneza bongo

Makina owerenga za chida ichi ndiosiyana kwambiri. Ndikofunika kuzindikira kuti ambiri a iwo ndi osalimbikitsa. Tiyeni tiyese kudziwa chifukwa chomwe anthu ena mankhwalawo amadzakhala opanda ntchito. Mwachitsanzo, azimayi amalemba kuti poyamba adatenga mankhwala ochepetsa bongo a Xenical ”. Anali ndi mphamvu. Atasankha mapiritsi a Orsotin Slim ngati njira ina, zotsatira za kuchepa thupi zimachepetsedwa mpaka zero. Ndizotheka kuti izi zinachitika chifukwa chakuti kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito pokonzekera ndizotsika kwambiri kuposa Xenical. Ndipo komabe ogula ambiri amati dokotala wawo sanalangize kumwa mankhwalawa omwe amachepetsa kuyamwa kwa mafuta m'matumbo ndi m'mimba. Kupatula apo, limodzi ndi iwo, mavitamini osungunuka mafuta nawonso amathandizidwa kuchokera m'thupi. Ndipo izi zitha kukhala zowopsa thanzi. Chifukwa chake, amayi ambiri sakhala okonzeka kuyika thanzi lawo pachiwopsezo chochepa chochepetsa thupi.

Ndemanga kuchokera kwa otsogolera zakudya

Akatswiri amati kugwiritsa ntchito mankhwalawa "Orsotin Slim" kuyenera kukhala kwa anthu omwe ali ovuta kwambiri kuwonda chifukwa cha njira zachikhalidwe. Ngati kunenepa kwambiri ndi ochepera 15 kg, ndiye kuti simuyenera kugwiritsa ntchito. Kupatula apo, kuti mankhwalawa ayambe kugwira ntchito, muyenera kuganizira bwino zakudya zanu ndi moyo wanu. Zingakuthandizeni pokhapokha mutamadya zakudya zochepa zopatsa mphamvu komanso kuchita masewera olimbitsa thupi pafupipafupi. Kupanda kutero, sizingathandize. Ndipo ngati kulemera kwakukulu kuli kochepa, ndiye njira zachikhalidwezi ndizokwanira kuzichotsa. Koma kwa anthu omwe ali ndi kunenepa kwambiri, chida ichi chitha kukhala chothandiza. Akatswiri akuchenjeza kokha kuti sayenera kugwiritsidwa ntchito okha. Ndikofunika kulumikizana ndi dokotala yemwe adzakupatseni mlingo woyenera wa wodwala aliyense payekhapayekha. Zakudya zochepa zama calori zimatanthawuza kupatula ku menyu wazakudya zamafuta. Nutritionists achenjeza kuti ngati mafuta omwe amatchedwa "mwachangu" (shuga, maswiti, makeke) samachotsedwa muzakudya, izi zimakhala ndi zotsatirapo zake ziwiri. Choyamba, gawo la zinthuzi lidzasinthidwa nthawi yomweyo kukhala mafuta m'thupi. Ndipo chachiwiri, kusokonezeka m'matumbo komanso kutsekula m'mimba ndizotheka.

Malangizo ofunikira

Malangizo otsatirawa ayenera kutsatiridwa kuti apindule kwambiri ndi kugwiritsa ntchito Orsoten Slim. Ndemanga zamakasitomala zomwe takambirana pamwambapa, izi zikutsimikizira. Malangizo:

• Musanayambe nthawi yocheza, funsani dokotala. Mlingo wa orlistat mu mankhwalawa ndi 60 mg. Izi mwina sizokwanira kuchiza kunenepa kwambiri.

• Funsani omwe akukuthandizani pazachipatala kuti akuthandizeni pa zakudya. Ayenera kuyang'aniridwa mosamalitsa.

• Kugwiritsa ntchito mankhwalawa kumatha kubweretsa kuchepa kwa mavitamini A, D, E, K. Izi zimachitika chifukwa zinthu zomwe zimagwiritsidwa ntchito popanga mankhwala zingachepetse mayamwidwe am'mimba komanso matumbo a mafuta, komanso michere. Chifukwa chake, tikulimbikitsidwa kugwiritsa ntchito mitundu iliyonse ya multivitamin pamankhwala. Mwachilengedwe, amayeneranso kutumizidwa ndi adokotala. Komanso, akatswiri amalangizidwa kumwa mavitamini musanagone. Pofika pano, mankhwalawo mwina atha kale kuchita, kapena amachepetsa.

• Izi sizinafotokozedwe mu malangizo, koma chidziwitsochi ndichofunikira kwambiri kwa anthu omwe ali ndi matenda ashuga komanso odwala omwe ali ndi cholesterol yayikulu. Odwala otere amafunika upangiri waukadaulo komanso kuyesedwa pafupipafupi pomwa mankhwalawo. Kupatula apo, kuchitapo kwake ndikuti kumatha kuchepetsa kwambiri cholesterol yamagazi ndikuwongolera metabolism mu shuga. Chifukwa chake, odwala awa angafunike kusintha kwa mankhwala a hypoglycemic.

• Ngati wodwala akutenga mankhwala ena alionse, ndiye ayenera kuuzidwa kwa adokotala. Kupatula apo, chida ichi chingakhale chosagwirizana ndi iwo.

• Amayi omwe amagwiritsa ntchito njira za kulera za mai kuletsa kutenga pakati posakonzekera angafunenso njira zina zakulera pamene akumwa mankhwalawo. Kuchita kwa mankhwalawa ndikuti kumachepetsa mphamvu ya mahomoni.

Zotsatira zoyipa

Mankhwalawa amakhalanso ndi mavuto. Izi zikuphatikiza:

• kunyowa kolakwika kwa zinthu zina m'matumbo - otchedwa malabsorption syndrome,

• Hypersensitivity yogwira mankhwala

• kukhala ndi zaka 18.

Osagwiritsa ntchito mankhwalawa amayi apakati komanso oyamwa chifukwa choti palibe maphunziro omwe adachitidwa m'magulu awa a anthu. Pali mantha kuti chinthu chomwe chitha kugwira chitha kulowa mkaka wa m'mawere ndikuyambitsa zosafunikira.

Tidasanthula momwe angagwiritsire ntchito mankhwala "Orsotin Slim." Ndemanga zamakasitomala za iye ndizosiyana kwambiri. Koma chinthu chachikulu mwa iwo ndikuti muyenera kuchitenga mosamala molingana ndi malangizo ndi upangiri wa dokotala.

Ndemanga za madokotala za orsotene ang'ono

Mankhwala owopsa kwambiri omwe amapangidwa kuchokera ku mtundu wina wa zida zosadziwika. Mankhwalawa alibe umboni ndipo ntchito zake, zimabweretsa mafunso ambiri, koma kukulitsa mayankho olakwika ndikwabwino.

Sindikupangira izi kuti aliyense agwiritse ntchito.

Zimathandizira kutaya makilogalamu 5-7 chifukwa chakuti mafuta onse otengedwa amachotsedwa m'thupi nthawi yomweyo. Chachikulu ndikupewa chakudya chamafuta kuchokera ku chakudya, ndipo zotsatira zake zimakhala zapamwamba. Ndipo ngati muwonjezera masewera, ndiye kuti zotsatira zake zimakhala zabwino kwambiri. Kuphatikiza apo, ndizakudya zowonjezera ndipo ndizotetezeka kwathunthu kwa thupi.

Kuchepetsa thupi kumbuyo kwa zakudya ndi masewera.

Ndemanga za odwala za orsotene ang'ono

Inemwini, mankhwalawa adandithandizira kuti ndichepetse kunenepa kwambiri, ndipo ngati mukufuna kutaya mulingo wa makilogalamu 5 mpaka 10, ndiye iyi yankho loyenera kwambiri, sindinayesenso kuzitaya. Ndikofunika kufunsa katswiri wazakudya, popeza mankhwalawa amaphwanya mafuta m'magawo omwe amafunikira, ndikofunikira kudya moyenera kuti asasokoneze ntchito ya mankhwalawa. Ngati mungayang'anire limodzi, lingaliro la mankhwalawo, komanso upangiri wa wochiritsa, zotsatira zake zimakhala zopanda chidwi, mukufunikiranso kukhala oleza mtima kufikira zotsatira zoyambirira, mankhwalawo amawononga mafuta m'malo pang'onopang'ono, koma inde. Mwezi ndi nthawi yochepera yomwe imawunika kuwunika zotsatira.

Ndinaganiza zochepetsa thupi chifukwa cha chilimwe ndipo mwangozi ndinapunthwa pamankhwala awa pa intaneti. Nditayamba kumwa, mwezi umodzi ndidataya ma kilogalamu 6, kuphatikiza miyala ndi masewera. Mukatha kugwiritsa ntchito, chidwi chimatha pang'ono, koma ineyo ndiwophatikiza. Kupatula apo, simumangokhala ndi kusowa kwathunthu kwa zakudya, monga zakudya. Komanso, kuphatikiza kwakukulu ndikuti mafuta amachotsedwa m'thupi. Mwambiri, mankhwalawa ndi oyenera kwa iwo omwe amayamba kuchepa thupi, ndipo ngati mukufuna zotsatira zosagwirizana, muyenera kukonzekera kwambiri. Inemwini, ndinali wokhutira ndikuvomereza mpaka lero.

Ndinayamba kulemera pang'ono pambuyo pobadwa kwachiwiri ndipo sindinkadziwa zoyenera kuchita ndi izi tsopano. Ndidayamba kuganiza za masewera olimbitsa thupi, koma sindingathe kupita ndi mwana wotere kupita kumalo opaka. Chifukwa chake ndidasankha kudzipeza ndekha chakudya chomwe chingandithandizire kuchepetsa thupi mwachangu osapita ku masewera olimbitsa thupi. Nditazindikira mankhwalawa, sindinkaganiza kuti zotsatira za kumwa mankhwalawo zingakhale zabwino kwambiri, koma zidatero. Pamtengo osati mankhwala okwera mtengo kwambiri, komanso osakhala otsika mtengo. Mutha kudzipereka nokha, makamaka chifukwa palibe zovuta zoyambira.

Pokhala, monga ambiri, pofufuza mosalekeza njira yofulumira komanso yosavuta yochepetsera thupi, ndinasankha makapisozi a Orsoten Slim. Mankhwalawa amaletsa kuyamwa kwa mafuta kuchokera ku chakudya, zomwe zimapangitsa kuti achepetse thupi. Ndemanga zambiri zamtundu woyipa, koma mankhwalawo amabwera kwa ine. Ndinkamwa kale maulendo awiri pamlingo ndipo ndikuyamba tsiku lina tsiku lina kuti ndichepetse kulemera. Mankhwalawa amayambitsa zotsatira zoyipa, inde, ndinayamba kuthamangira kuchimbudzi nthawi zambiri, nthawi zina, nthawi zambiri pamakhala zotumphukira zamafuta, koma pokhapokha zakudya zamafuta. Nthawi zina m'mimba amapindika pang'ono. Koma kwa ine izi ndizovomerezeka. Zotsatira: Ndimaphatikiza "Orsoten" ndi chakudya, ndiye kuti kuchepa thupi kumapita mwachangu kwambiri, 300-500 g patsiku, ndipo masiku omwe ndimaloleza ndekha mafuta owopsa (kumapeto kwa sabata ndi tchuthi) - mapiritsi samakulolani kuti mupezere gramu imodzi, ndizabwino zotsatira zanga.

Awa anali mankhwala oyamba kuchepetsa thupi omwe ndidaganiza zoyesa. Zinali zofunikira kuti muchepetse thupi tchuthi chisanachitike. "Orsotin Slim" adalimbikitsa mu chipatala, mtsikanayo adanena kuti adachita bwino kwambiri. Mtengo suchepa, koma osati kumwamba-okwera. Ndiyenera kunena nthawi yomweyo kuti ndachepa thupi, ndipo mwachangu mokwanira, mankhwalawo adachotsedwa, miyendo yanga idapangidwa. Ndikuwona kuti izi zimaphatikizidwa ndi masewera olimbitsa thupi ochepa kasanu pa sabata ndipo ndinasiya zakudya zamafuta. Sindinasangalale ndi njirayo yokha, ndimayenera kupita kuchimbudzi nthawi zonse. Pakupita milungu ingapo, adayamba kumva kupweteka kwambiri, nthawi zina ngakhale kuyamwa. Sindingachitenso ngozi.

Ogulidwa pazomwe mungatenge popanda maphikidwe. Maphunzirowa sakanatha kumwa. Anatenga pafupifupi sabata ndi theka. Poyamba sizinkaoneka ngati kanthu, koma masiku angapo pambuyo pake zovuta zinayamba. Sikuti mafuta ongozimitsa amafuta okha, koma mafuta adayamba kutuluka monga momwe mawuwo amakhalira, palokha. Mwina sindinadye masamba ndi zipatso zokha, komabe sindimayembekezera kuti mafuta ambiri atuluka). Mafuta owotchera, popeza mafuta awa sanatsukidwe bwino. Ndidafunsa asungwana omwe adavomereza ngati pali wina amene adanena, yemwe adati sadadye mafuta nthawi yonseyo, ali pachakudya. Mwambiri, mwachionekere, si aliyense amene amamwa mankhwalawa. Ndinalibe nthawi yochepetsa thupi, sindikanatha kuyima panjira yoti ndimwe.

Mankhwala opunduka, m'zakudya sindigwiritsa ntchito mankhwala amtunduwu, chifukwa mafuta amasonkhana chifukwa chogwiritsa ntchito mafuta opepuka, osakaniza shuga ndi mafuta. Mafuta sakhala oopsa komanso kukonza thupi. Kuphatikiza apo, pali mafuta ochepa kwambiri.

Ndidatenganso mankhwalawa kwa miyezi iwiri, zotsatira zake zinali zachilendo. Koma zonsezi zimayenderana ndi kubadwa kwachiwiri, pambuyo pake ndidapeza 40 makilogalamu, kotero ndimatha kuchoka mwachangu chifukwa zambiri zidapezeka. Koma, mulimonse, ndinganene kuti ma kilogalamu onse omwe ndapeza apita. Mankhwalawa ndi othandizadi, koma ndiokwera mtengo, ndi bwino kuwagwiritsa ntchito. Ndili wokondwa ndizotsatira zake. Zikomo

Ndili ndi zaka, ndinakumana ndi vuto la kuchuluka kwambiri, muubwana panali masewera olimbitsa thupi komanso thupi laling'ono, motero sindinazizolowere zakudya. Popeza adaganiza zochepetsa thupi, adasintha nthawi izi, ndipo pamalangizo a abwenzi ake adagula Orsotin Slim Supplements kuti achepetse thupi. Nditaphunzira za kapangidwe kake ndi malingaliro ake, ndidazindikira kuti ndiotetezeka chifukwa cha thanzi, ndidayamba kugwiritsa ntchito zakudya zanga. Mu sabata yoyamba, zotsatira zake zinali zopanda mphamvu, koma pang'onopang'ono zidachuluka, chifukwa, pafupifupi 5 kg zidatayika mwezi umodzi - thanzi langa lidali labwino, zotsatira zake zidakhazikika. Mtengo wa ndalama - zabwino kwambiri, zikuwonekeratu kuti malonda ake ndiwofunika kuchita ndalamazo.

Pazaka pafupifupi zisanu tsopano, ndakhala ndikuyesera kuchepetsa thupi pogwiritsa ntchito zakudya zopatsa mphamvu komanso mapiritsi osiyanasiyana. Zotsatira zake zinali, koma zolemerabe zidabwerabe. Izi nthawi yozizira, Orsoten adalangizidwa ku pharmacy, ndizokwera mtengo kwa ine, ndipo ndidapemphedwa kuti ndiyesere kutenga mbale imodzi paphukusi. Anati ngati pali zotsatira, ndiye kuti mutha kugula phukusi lonse ndikupitiliza maphunzirowo. Ndinatero. Kuphatikiza pamimba yopweteka komanso kupweteka m'mimba, palibe chomwe chidachitika. Ndipo ndidayiwala za mankhwalawa. Kumayambiriro kwa chilimwe cha chaka chino, ndidasankhabe kugula phukusi lonse la makaputeni 84 ndipo ndinayamba kutenga molingana ndi malamulo onse omwe alembedwa malangizo. Poyamba, panali zowawa pamimba yakutsikira komanso zimbudzi zotayirira kwambiri zamafuta, koma sindinataye mtima. Mosazindikira, adayamba kudya zochepa komanso. Inde, kulemera kunapita pang'ono. Patatha mwezi umodzi ndidataya ma kilogalamu 4 ndipo ndimamva bwino. Koma makapisozi anali atatha, ndipo sindinagula phukusi latsopano, ngakhale molingana ndi malangizo kunali kofunika kumwa phukusi lina. Kuwerenga ndemanga, ndidazindikira kuti si Orsotin Slim, koma Orsoten ndiye woyenera kwa ine. Ndidzikoka ndekha ndikupeza. Pambuyo pake ndidzalemba za iye.

Mankhwalawa adandithandiza. Mankhwala amachotsa mwachangu mafuta ochulukirapo m'thupi. Ili ndiye vuto lalikulu lotaya thupi kwa munthu yemwe sakhala pachakudya chokhwima. Pambuyo pa milungu iwiri nditamwa Orsotin Slim, ndidayamba kukhala watcheru kwambiri. Sindikudziwa kuti izi zimalumikizana ndi chiyani. Koma zoona zake zilipo. Mapiritsi mumakhala chinthu chomwe chimachepetsa chilakolako chofuna kudya. Palibe chodandaula. Munkafuna kudya monga momwe mungafunire. Koma osati zochulukanso. M'mwezi wovomerezeka, ndinataya ma kilogalamu asanu. Nthawi yomweyo, kunalibe masewera olimbitsa thupi kapena zakudya. Kungomwa mankhwalawa ndi thanzi labwino katatu patsiku. Ndikofunika kuti musamwe mowa kwambiri mukamagwiritsa ntchito.

Mzanga wa "Orsoten" adalangiza, chabwino, ndagula paketi yaying'ono kuti ndiyesedwe - ngati sindikufuna kapena ziwonetsero zimapita ... Ndi chinthu chabwino, tsopano ndigula mapaketi akuluakulu kuti zipangitse ndalama zambiri!

Zomwe sindinayesere, kuphatikiza Orsotin Slim. Ndinkamwa maphunzirowa miyezi iwiri, koma sizinachitike. Kulemera konse komwe kumachoka pakulandilidwa kumabwezedwa m'masabata angapo ndikubwera kuchokera pamwambapa. "Orsoten Slim" ndi chakudya chowonjezera chomwe matumbo amayeretsedwa. Ndikwabwino kugwiritsa ntchito mapiritsi akuluakulu ngati mukulemera kwambiri, komanso ndibwino kukaonana ndi dokotala. Njira yabwino yochepetsera kulemera kwa iwo omwe amalemera pang'ono ndizakudya zabwino komanso masewera. Mukuyenera kumwa madzi ambiri. Ndipo ma ors onsewa ndi opanda pake.

Anatenga "Orsotin Slim" kwa miyezi iwiri nyengo yachilimwe isanathere. Zotsatira zake ndi 5 kilogalamu. Mankhwala amalekerera mosavuta. Patatha masiku asanu, chakudya chimachepa kwambiri, ndipo njira yogaya chakudya idakula kwambiri. Sindikumva zopweteka zilizonse. Kuphatikiza mankhwalawa ndi masewera olimbitsa thupi aerobic: kuthamanga tsiku lililonse kwa mphindi 30 mpaka 40, kusambira katatu pa sabata, kupita kuntchito komanso kuchokera kokayenda kumapazi, osakweza. Pazakudya zomwe ndimatsatira zakudya zopatsa chidwi (nthawi 5 patsiku), mwachangu ndimachotsa lokoma, ufa. Chakudya chokazinga chimadzilola kamodzi pa sabata. Ndinkadya zamasamba ambiri ophika, nsomba ndi zitsamba.

Ndili ndi mwayi, sindinadye kwambiri chakudya, ndimadya momwe ndimafunira, ndipo nditatha kubereka ndidandinyamula mbali zosiyanasiyana ngati donut. Patapita kanthawi, ndinazindikira kuti kunali kofunika kuti muchepetse thupi, popeza sizinali zanzeru kuyang'ana pagalasi. Ndidadutsa pa intaneti ndipo ndidaganiza kuti ndidzagula Orsotin Slim, monga momwe ndemanga zinali zabwino. Ndidayamba kumwa mankhwalawa, ndipo mwanjira inayake sindinawone chilichonse, kulemera kumakhalabe m'malo mwake, komanso zovuta zina zoyipa m'mimba zidawonekera ndikuyamba kunyoza. Mankhwalawa sanakhale moyo mogwirizana ndi zomwe ndimayembekezera, ndipo mtengo ulinso wokwera kwambiri.

Masika omaliza, ndidaganizabe zochepetsa thupi. Koma zakudya sizinathandize, ndipo mnzake anandilangiza kuti ndigule Orsotin Slim. Ndikotheka kuchita popanda mankhwalawo, koma ndimafunitsitsadi kuthamangitsa. Kuphatikiza pa mapiritsi omwe ndimamwa katatu patsiku, ndinayesetsa kudzipatula pakudya, komanso nthawi zina ndimayesetsa kusewera masewera. Patatha sabata limodzi, ndinazindikira kuti zovalazi zimakhala bwino. Patatha mwezi umodzi, mchiuno adachepa, mikono, miyendo, bulu. Ndinapitilizabe kumwa ndipo nditatha miyezi itatu ndikudya ndinataya 8.5 kg. Chilichonse chinali bwino, koma kale nthawi yachisanu kulemera kwatha. Kasupe uyu ndiyambiranso maphunziro atsopano.

Ndidayesera kamodzi kuti ndichepe thupi, pamabwalo omwe ndidawerenga za "Orsotin Slim", ndipo mwachilengedwe ndidasankha kuyesa. Zomwe ndingazindikire, kuphatikiza kwakukulu ndikuti mutha kugula popanda mankhwala, ndikofunikira kumwa katatu patsiku. Nthawi yonseyi ndimatenga mapiritsi a Orsotin Slim, ndimamva bwino, palibe chomwe chimapweteka, mutu wanga sunali wotumphuka. Sindinakhale pamiyeso pafupifupi mwezi umodzi, ndimaganiza kuti ndikuchepetsa thupi, ndimadikirira zotsatira zabwino, mwezi wina, nditatsata masikelo, ndinadzidzimuka, opanda ma kilogalamu awiri, ndipo ngakhale ndinali nditakhala ndikuchita masewera olimbitsa thupi kwa mwezi wathunthu.

Kufotokozera kwapfupi

Orsoten Slim (yogwira pophika orlistat) ndi mankhwala pochotsa kuchuluka kwa thupi, komwe ndi choletsa lipase ya m'mimba. Ndikofunikira kupanga pompopompo kuti Orsoten Slim siwowonjezera chakudya, monga amalemba za mafilimu angapo pa intaneti: ndi mankhwala enieni ochokera ku kampani ya mankhwala ku Slovenia Krka, wachibale wapafupi kwambiri wa Orsoten (kusiyana pakati pawo ndikungopezeka pazomwe zimagwira: 60 mg vs 120 mg). Orsoten Slim amasiyana ndi mawonekedwe osatha a sibutramine pazovuta zochepa. Zochita zochizira zamagulu osokoneza bongo a nkhaniyi zimawonetsedwa m'matumbo am'mimba komanso m'matumbo aang'ono, pomwe orlistat imalumikizana ndi m'mimba ndi pancreatic lipases, pakuwathandiza otsika kwambiri mpaka amalephera kuthana ndi mafuta owopsa (triglycerides) kuti athe kuyamwa mosavuta mafuta acids acids ndi monoglycerides. Ndipo popeza triglycerides simalowetsedwa m'mimba, chofooka china cha calorie chimayamba, chomwe, chimakhudza bwino kuwongolera thupi. Orsotin Slim pa 60 mg katatu patsiku amaletsa mayamwidwe pafupifupi kotala lamafuta onse omwe amadya. The achire zotsatira za mankhwalawa amangokhala kokha m'mimba, komwe ndi mwayi wosakayikitsa, popeza kusapezeka kwa kachipangizidwe kazinthu zomwe zimapangitsa kuti zinthu zisinthe. The pharmacological ntchito ya orsotene slim imatsogolera kuti zomwe zili ndi mafuta m'matumbo aang'ono zimawonjezeka pambuyo pa maola 24-48 pambuyo pa kayendetsedwe kamlomo wake (popeza mafuta amasiya kumizidwa). Pambuyo pakutha kwa mankhwalawa, mafuta omwe amapezeka amabwerera pazomwe amapangira maola 48-72. Chithandizo cha Orsotenum Slim chitha kukhala chothandiza pokhapokha ndikakonzanso moyo komanso zakudya (masewera olimbitsa thupi tsiku ndi tsiku komanso zakudya zama calorie ochepa zoletsedwa ndi mafuta a nyama zofunikira). Orsoten Slim amatha kuchita zochepa osachotsa sitima yapamtundu woyipa: motere, kupitiliza kuzunza wodwala wopanda vuto kumayambitsa chimbudzi.

Kuphatikiza apo, ndikofunikira kuti muchepetse zakudya osati mafuta, komanso "othamanga", popeza amasinthidwa mosavuta kukhala ma amana. Kuchepetsa thupi komwe kumayenderana ndi kutenga orsotene komanso kumathandizanso pazinthu zina zabwino monga: kuchepa kwa cholesterol yathunthu "yoyipa" (otsika kachulukidwe lipoproteins), kutsika kwa chiuno. Ngati patatha miyezi itatu chokhazikika chemacotherapy yokhala ndi orsotene yocheperako, kulemera kwamakani kukupitilizabe kukhala komweko kapena kuchepa ndi osakwana 5%, muyenera kufunsa dokotala kuti akuuzeni kuthekera kwa chithandizo china. Ndikofunika kuti wodwalayo ayambe "kudya" ndikupanga maphunziro olimbitsa thupi ngakhale isanayambike maphunziro, osasiya kutsatira moyo wathanzi atamaliza. Zakudya pa chithandizo sayenera kuphatikiza mafuta osaposa 30%. Kudya kwa tsiku ndi tsiku kwa zinthu zitatu zazikuluzikulu - mapuloteni, mafuta ndi chakudya - ziyenera kugawidwa pakudya pakati pa kadzutsa, chakudya chamadzulo ndi chakudya chamadzulo. Zotsatira za orsotene zing'onozing'ono mwa anthu omwe ali ndi vuto la impso ndi hepatic sanaphunziridwe mokwanira, komabe, chifukwa kupatsidwa mankhwala ochepa m'matumbo, kusinthaku kwa mankhwalawa sikofunikira. Dokotala ayenera kuchenjeza wodwala za chiwopsezo chowonjezereka cha zotsatira zoyipa mukamadya zakudya zamafuta kwambiri. Chithandizo cha Orsotene Slim chitha kupangitsa kuti mafuta ambiri asungunuke. Pankhaniyi, mavitamini A, D, E ndi K akulimbikitsidwa kuti atengedwe asanagone. Kumwa mankhwala kwa odwala omwe ali ndi matenda osokoneza bongo nthawi zambiri kumayendera limodzi ndi kuwongolera kagayidwe kachakudya, komwe kungapangitse kukonzanso kwa mankhwala a hypoglycemic.Kuchotsa mafuta owonjezera thupi kungayende limodzi ndi matenda a kuthamanga kwa magazi, ndipo, chifukwa chake, kutha kuchepetsa kuchuluka kwa mankhwala a antihypertensive omwe amatengedwa.

Pharmacology

Gastrointestinal lipase inhibitor wokhala ndi nthawi yayitali. The achire ntchito ya orlistat amazindikira mu lumen m'mimba ndi yaingʻono matumbo ndipo amapanga mapangidwe mgwirizano ndi yogwira serine dera gastric ndi pancreatic lipases. Mosakhazikika mwanjira iyi, enzyme imataya mphamvu yamafuta yama hydrolyze mu mawonekedwe a triglycerides kutenga mafuta acids aulere ndi monoglycerides. Triglycerides yopanda muyeso simakumwa, ndipo kuchepa kwa kalori kungakhale ndi zotsatira zabwino pakuwongolera thupi. Orlistat pa mlingo wa 60 mg 3 nthawi / tsiku amaletsa mayamwidwe pafupifupi 25% yamafuta azakudya. The achire zotsatira za orlistat amazindikira popanda mayamwidwe mwadongosolo. Zotsatira za orlistat zimabweretsa chakuti kuchuluka kwa mafuta pazomwe zili m'matumbo kumawonjezeka kale maola 24-48 atatha kugwiritsa ntchito mkati. Pambuyo pakutha kwa orlistat, kuchuluka kwa mafuta pazomwe zili m'matumbo nthawi zambiri kumabwereranso ku nthawi yake yoyambirira pambuyo maola 48-72.

Odwala achikulire omwe ali ndi BMI ya ≥28 kg / m 2, orlistat pa mlingo wa 60 mg katatu / tsiku amagwira ntchito limodzi ndi zakudya zamafuta ochepa. Pankhaniyi, kuchepa kwambiri kumachitika m'miyezi 6 yoyambirira yamankhwala.

Kutsika kwa kulemera kwa thupi chifukwa chogwiritsa ntchito orlistat pa mlingo wa 60 mg katatu / tsiku kumayendetsedwa ndi zotsatira zina zopindulitsa: kuchepa kwa kuchuluka kwa cholesterol, LDL cholesterol, komanso kuchepa kwa chiwindi.

Pharmacokinetics

Kafukufuku wothandiza anthu odzipereka omwe ali ndi thupi labwinobwino komanso kuchuluka kwa thupi adawonetsa kuti kuchuluka kwa orlistat kumakhala kochepa. Kuchulukana kwa orlistat yosasinthika m'madzi am'magazi kuli m'munsi mwa malire a mawu (pansipa 5 ng / ml) maola 8 pambuyo pakukonzekera kwa orchidat pamlomo wa 360 mg. Mwambiri, mukamagwiritsa ntchito Mlingo wothandizira, kutsimikiza kwa orlistat yosasinthika m'madzi am'magazi ndi sporadic, ndipo kuphatikiza kwake kumakhala kotsika kwambiri (osachepera 10 ng / ml kapena 0,02 μmol / l), ndipo palibe zizindikiro zowonetsera, zomwe zimawonetsa kuyamwa pang'ono.

V_d ndizosatheka kudziwa, chifukwa orlistat imayamwa pang'ono ndipo alibe systemic pharmacokinetics. Kumangiriza kwa orlistat kumapuloteni a plasma kumaposa 99% (makamaka ndi lipoproteins ndi albin). Orlistat imatha kulowa m'magazi ofiira pang'ono.

Metabolism ya Orlistat imachitika makamaka m'makoma am'mimba ndi matumbo aang'ono.

Pafupifupi 97% ya Dozi imatuluka kudzera m'matumbo, 83% ya kuchuluka kumeneku mwa ma orlistat osasinthika. Kuphatikizika kwa impso kwa zinthu zonse za orlistat kumakhala ndi kuchepera kwa 2% ya mlingo wotengedwa. Nthawi yokwaniritsa chimbudzi chonse (kudzera m'matumbo ndi impso) kuyambira masiku atatu mpaka asanu.

Kutulutsa Fomu

Makapisozi olimba a gelatin, kukula No. 3, vuto loyera, chipewa chofiirira, zomwe zili m'mabotolowo ndi ma micogranules kapena osakaniza a ufa ndi ma micogranules a mtundu woyera kapena pafupifupi woyera, kupezeka kwa ma bullomerates, omwe amakhala osavuta kupsinjika.

Mbale zophukira zapamwamba: cellcrystalline cellulose.

Omwe amathandizira: cellcrystalline cellulose - 22.2 mg.

Kuphatikizidwa kwa makapisozi olimba a gelatin No. 3: thupi la kapisozi - titanium dioxide (E171) - 0,58 mg, gelatin - 28.22 mg, kapisozi - kapeteni dioxide (E171) - 0,19 mg, iron iron oxide (E172) - 0,04 mg, gelatin - 18.97 mg .

21 ma PC. - mapepala otumphukira (2) - mapaketi a makatoni.
21 ma PC. - mapaketi a matuza (4) - mapaketi a makatoni.

Amamwa pakamwa pa 60 mg (1 kapu.) Katatu kapena tsiku, asanadye, nthawi ya ola limodzi kapena itatha. Makapisozi amatsukidwa ndi madzi.

Ngati chakudyacho chidatsika kapena chakudya sichikhala ndi mafuta, kugwiritsa ntchito orlistat kuyenera kudumphidwa.

Pakupita maola 24, simungathe kutenga makapisozi atatu a 60 mg a mankhwala Orsoten ® Slim.

Njira ya mankhwala sayenera upambana miyezi 6.

Ngati, pakatha milungu 12 ya kugwiritsa ntchito Orsoten® Slim, kuchepa thupi sikuchitika (osaposa 5% ya kulemera koyamba), wodwalayo ayenera kufunsa dokotala kuti apitirizebe kugwiritsa ntchito mankhwalawa.

Zakudya ndi masewera olimbitsa thupi ndi gawo lofunikira la pulogalamu yochepetsa thupi. Ndikulimbikitsidwa kuti muyambe pulogalamu yodyera ndikuchita masewera olimbitsa thupi musanayambe mankhwala ndi Orsoten ® Slim.

Mukamagwiritsa ntchito mankhwala a Orsoten ® Slim, wodwalayo ayenera kulandira zakudya zopatsa thanzi zochulukirapo, zomwe pafupifupi 30% ndi mafuta (mwachitsanzo, okhala ndi calorie a 2000 kcal / tsiku, chakudya sayenera kupitirira 67 g yamafuta). Zakudya za tsiku ndi tsiku za mafuta, chakudya komanso mapuloteni ziyenera kugawidwa pakati pazakudya zitatu zazikuluzikulu. Pulogalamu ya kudya ndi kuchita masewera olimbitsa thupi iyenera kupitilizidwa ngakhale mankhwala a Orsoten ® atachepera.

Zambiri pakugwiritsa ntchito orlistat odwala okalamba ndizochepa.

Zotsatira za orlistat mwa anthu omwe ali ndi vuto la chiwindi ndi / kapena ntchito ya impso sizinaphunziridwe, komabe, kupatsidwa kuti kuchepa kwa orlistat ndizochepa kwambiri, kusintha kwa odwala okalamba komanso odwala omwe ali ndi vuto la chiwindi ndi / kapena ntchito ya impso sikofunikira.

Bongo

Mukamagwiritsa ntchito orlistat pa mlingo wa 800 mg kamodzi kapena tsiku, tsiku lililonse mpaka 400 mg katatu / tsiku, tsiku lililonse, kwa masiku 15, onse odwala omwe ali ndi thupi lozama komanso odwala omwe ali ndi kunenepa kwambiri, palibe zotsatira zoyipa zomwe zapezeka. Mukamagwiritsa ntchito orlistat pa 240 mg katatu kapena tsiku kwa miyezi 6, kuwonjezereka kwa pafupipafupi sikunawonedwe.

Zizindikiro: mu malipoti ambiri a orlistat ochulukitsa pambuyo potsatsa, palibe chidziwitso chazomwe zimachitika pazochitika zoyipa, kapena zoyipa zimafotokozedwa zomwe sizisiyana ndi zomwe zimawonedwa ndi Mlingo wa orlistat wolimbikitsidwa.

Chithandizo: vuto la bongo, kufunsira kwa dokotala ndikofunikira. Ndi mtundu wambiri wa orlistat wambiri, tikulimbikitsidwa kuti wodwalayo aziyang'aniridwa kwa maola 24. Kutengera kafukufuku wofufuza mwa anthu ndi nyama, zovuta zonse za orlistat chifukwa cha lipase inhibition nthawi zambiri zimatha kusintha.

Kuchita

Pogwiritsa ntchito munthawi yomweyo cyclosporine ndi orlistat, kuchepa kwa kuchuluka kwa cyclosporin m'madzi a m'magazi kumaonedwa, komwe kumatha kutsagana ndi kuchepa kwa ntchito yake ya immunosuppression. Kugwiritsa ntchito munthawi yomweyo mankhwala a Orsoten ® Slim ndi cyclosporine amatsutsana.

Pogwiritsa ntchito nthawi yomweyo warfarin kapena mankhwala ena otulutsa pakamwa ndi orlistat, kusintha kwa mtengo wa MHO kumachitika.

Kugwiritsa ntchito orlistat kungayambitse kuyamwa kwamavitamini osungunuka (A, D, E ndi K).

Chifukwa cha kusowa kwa deta pakukhudzana kwa pharmacokinetic, sikulimbikitsidwa kugwiritsa ntchito orlistat nthawi imodzi ndi acarbose.

Pogwiritsa ntchito munthawi yomweyo orchidat, kuchepa kwa chidwi cha amiodarone m'madzi a m'magazi atatha kugwiritsa ntchito kamodzi. Kukula kwakukhalira kwa matendawa kwa odwala omwe atenga amiodarone sikudziwika. Kugwiritsa ntchito nthawi yomweyo kwa orlistat ndi amiodarone kumatheka pokhapokha ngati dokotala akuwalimbikitsa.

Orlistat sichimalumikizana ndi amitriptyline, phenytoin, fluoxetine, sibutramine, phentermine, atorvastatin, pravastatin, fibrate, biguanides, digoxin, nifedipine, losartan, kulera pamlomo ndi ethanol.

Contraindication

• shuga-galactose malabsorption syndrome,
• cholestasis
• mogwirizana ndi cyclosporine,
• mimba
• mkaka wa m'mawere (yoyamwitsa),
• ana ndi achinyamata osakwana zaka 18,
• Hypersensitivity to orlistat kapena chilichonse cha mankhwala.

Malangizo apadera

Odwala ayenera kulangizidwa za kufunika kotsatira malangizo awo azakudya. Kuopsa kwa mavuto kuchokera m'matumbo am'mimba kumakhala kwakukulu ngati chakudya chosiyanitsidwa ndi chakudya chokwanira kapena chambiri.

Kuchiza ndi Orsoten ® Slim kumatha kuyambitsa kuperewera kwa mavitamini osungunuka a mafuta (A, D, E ndi K). Pachifukwa ichi, multivitamini ayenera kumwedwa nthawi yogona.

Popeza kuchepa kwa kulemera kwa thupi kungayende limodzi ndi kusintha kwa kagayidwe kazakudya kwa odwala matenda a shuga, omwe amalandira mankhwala a hypoglycemic ayenera kufunsa dokotala musanagwiritse ntchito mankhwala a Orsoten Slim ndipo ngati kuli kotheka, asinthe mlingo wa othandizira a hypoglycemic.

Kutsika kwa kulemera kwa thupi kungayende limodzi ndi kusintha kwa kuthamanga kwa magazi komanso kuchepa kwa ndende ya cholesterol. Odwala omwe amamwa mankhwala ochepetsa matenda oopsa kapena hypercholesterolemia akamagwiritsa ntchito Orsoten Slim ayenera kuonana ndi dokotala ndipo ngati kuli kotheka, sinthani mlingo wa mankhwalawa.

Odwala omwe amatenga amiodarone ayenera kufunsa dokotala asanayambe mankhwala ndi Orsoten® Slim.

Odwala omwe amagwiritsa ntchito orlistat, milandu ya kukokoloka kwa magazi kwafotokozedwanso. Izi zikachitika, wodwalayo ayenera kufunsa dokotala.

Kugwiritsa ntchito njira yina yoletsera kulera kumalimbikitsidwa kuti muchepetse kusakhazikika kwa njira zakulera pakamwa.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Orsoten Slim ilibe phindu pakuyendetsa ndikugwira ntchito ndi zida zamagetsi zomwe zimafuna kuti azikhala ndi chidwi komanso kuthamanga kwa zochitika zama psychomotor.

Mfundo zoyenera kuchita ndi kuyamwa kwa mapiritsi a Orsoten

Izi zikutanthauza kuchepetsa thupi (mapiritsi a orsoten kapena orsotim slim) amagwira ntchito motere. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa - orlistat - zimalepheretsa ma enzymes achilengedwe (lipases) m'mimba. Zotsatira zake, njira yogawa mafuta mu chakudya ndi mayamwidwe awo ndi matumbo a m'mimba imayimitsidwa. Thupi la munthu limalandira zopatsa mphamvu zochepa, ndipo mafuta ambiri amachotsedwamo, osaphatikizidwa ndi ndowe.

Malinga ndi kafukufuku wodziimira pawokha m'maiko osiyanasiyana ku Europe, njira yayitali yogwiritsira ntchito orsotene (chaka chonse) idawonetsetsa kutsika kwa 5% kapena kupitilira mu 35-65% ya odwala, ndi 10% ndi ena ochulukirapo mu 29-39%. Chofunikira pakuchita bwino ndikusintha kwa zakudya, zoletsa zamafuta kwambiri. Kupanda kutero, zovuta zoyipa ndizosapeweka, zomwe tikambirana pansipa. Kwambiri, izi zimapangitsa wodwala kudya zakudya zopatsa thanzi. Zambiri zimafotokozedwanso m'chigawo "Momwe mungatengere mankhwala a Orsoten."

Mphamvu yotsimikiziridwa ya mapiritsi a zakudya izi ilinso ndi mfundo zina ziwiri:

• orlistat imakhala ndi kusankha kosankha: sizowona kwathunthu kuti mapuloteni, zakudya ndi phospholipids,
• mankhwalawa samangotengera kuwonda kwambiri, komanso kuchepa kwakukulu kwa mafuta m'thupi mafuta.

Mfundo ina yofunika ndikuti palibe kuyamwa kwazinthu zomwe zimagwira. Mwanjira ina, orlistat sakhazikika m'thupi (ngakhale m'magazi, kapena m'madzi am'magazi, kapena m'matupi). Ambiri a iwo amabwera mwachilengedwe, limodzi ndi mafuta. Zochepa (pafupi 2%) - zotulutsidwa ndi impso.

Zizindikiro zogwiritsidwa ntchito

Orsoten wa mankhwala ochepetsa thupi amasonyezedwa kuti azigwiritsidwa ntchito ndi akuluakulu omwe akufuna kuchotsa mafuta osanjikiza makamaka komanso onenepa kwambiri. Nutritionists ndi endocrinologists amapereka mankhwalawa kwa odwala omwe matupi awo amamukulu kuposa mtengo wa "28 kg / m2." Njira ya chithandizo ndi yayitali, kuyambira miyezi itatu mpaka 12, kutengera kuchuluka kwa kunenepa kwambiri. Chofunikira ndikusintha kwa zakudya munthawi ya maphunziro (kukana mafuta, kudya zakudya zochepa zama calorie).

Pali zochepa zotsutsana. Uku ndikumvera kochulukirapo (kapena ziwengo) ku orlanistan: mayamwidwe osavomerezeka a cholestasis. Mosamala, orsoten ayenera kugwiritsidwa ntchito pa matenda a metabolic (mtundu II shuga, matenda a impso, hypothyroidism), khunyu. Mankhwala ali osavomerezeka kuti mugwiritse ntchito ubwana kapena unyamata.

Momwe mungalandire mankhwala a Orsoten

Mankhwalawa amadzaza matuza kwa ma kapu 7 kapena 21. Makapisozi ndi gelatinous, mkati mwake ndi zoyera, kwa ufa woyera wachikasu wokhala ndi ma micogranules. Kapisozi iliyonse imakhala ndi 120 mg (orsoten) kapena 60 mg (orsoten slim) ya orlistat, yosakanikirana ndi mankhwala othandizira - microcrystalline cellulose.

Mankhwalawa amatengedwa pakamwa, pakudya kapena pambuyo pake (koma osapitirira ola limodzi). Pafupipafupi - katatu patsiku, nthawi (kapena itatha) zakudya zazikulu. Mlingo waukulu kwambiri ndi 360 mg patsiku (i.e. makapisozi atatu a orsoten kapena 6 makapisozi a orsotin slim). Malangizo ogwiritsira ntchito mapiritsi a zakudya awa akuti: Kuchulukitsa kuchuluka kwa zomwe zikuwonetsedwa tsiku lililonse sikuthandizira pakuwonjezereka kwa chithandizo, koma kumapangitsa zotsatira zoyipa. Mfundo ina yofunika: ngati chakudya chachikulu chidatsitsidwa, kapena chakudya chomwe chinali chopanda mafuta sichinatenge, ndiye kuti kapuyu sayenera kutengedwa.

Mafuta ambiri, osalowetsedwa ndi thupi, matumbo amawonjezeka pambuyo pa masiku 1-2. mutayamba kudya pafupipafupi orsotene, ndipo imayamba kutuluka (ndowe zimakhala mafuta). Mankhwala atathetsedwa, kuchuluka kwa mafuta m'matumbo kumachepa pambuyo masiku atatu.

Kugwiritsa ntchito bwino kwa mankhwalawa kumawonjezereka mukaphatikizidwa ndi zakudya zochepa zopatsa mphamvu (kumwa zakudya zamafuta ochepa). Pankhaniyi, mafuta awoawo amayamba "kuwotcha" mowonekera - pamimba, m'chiuno, m'chiuno.

Mukanyalanyaza kusintha kwa kadyedwe ndikuyamba kudya zakudya zamafuta panthawi yamankhwala, njira yochotsa mafuta m'thupi imakhala yosalamulirika. Mafuta amatuluka osati ndi ndowe, komanso "okha", mawonekedwe amafuta amafuta, amayamba mosayembekezereka, popanda zokakamiza zilizonse. Kenako, ma gaskets okha ndi omwe angapulumutse ku izi zosasangalatsa.

Ndemanga za akatswiri azachipatala

Ndemanga za madotolo za mankhwala ochepetsa kapena orsoten, makamaka, ndizolimbikitsa. Komabe, ilinso ndi zosungitsa zingapo zofunika.

Petelina Lidiya, endocrinologist, 28 zaka zambiri: Mankhwala monga orsoten ndi analogue xenical amathandizira kuchepetsa thupi pokhapokha mukamadya zakudya komanso kuchita masewera olimbitsa thupi. Mankhwalawa ndi othandizira kwambiri am'mimba lipases. Ndikuwona kuti ma blocker awa sioyenera odwala onse onenepa. Komabe, orsoten ndi wabwino kwambiri kwa odwala omwe amakonda kudya kwambiri, omwe amadya zakudya zopatsa mphamvu zambiri. Makamaka, pa gawo loyamba la chithandizo, kuti musinthe mtundu wina wa mtundu wina wa zakudya.

Dmitrienko Nina, katswiri wazakudya, wazaka 17: Nthawi zonse ndimawauza odwala anga: Mapiritsi a zakudya kulibe, ndipo orsoten yokhayo samathetsa vuto la kunenepa kwambiri. Chotsatira chotsimikizika chakuchepetsa thupi ndizotheka pokhapokha ndikudya chamagulu, kudya mokwanira komanso kuwonjezera kuchuluka kwa magalimoto. Orsoten ndi mankhwala othandiza pokhapokha pokhapokha ngati akutsatira malamulo ake.

Maslieva Taisiya, endocrinologist, zaka 32: Ndamudziwa Orsoten kwa nthawi yayitali.Ndakhala ndikugwiritsa ntchito kanthawi kocheperako kunenepa kwambiri komanso kunenepa kwambiri, kuwonjezera pamankhwala olimbitsa thupi a kudya, kuphatikiza masewera olimbitsa thupi. Mankhwalawa ndi okwera mtengo, opezeka mufupesi iliyonse. Zotsatira zoyipa ndizochepa kwambiri, pokhapokha ngati mafuta ochulukirapo agwiritsidwa ntchito molakwika. Poyerekeza ndi momwe mankhwalawo alili, odwala koposa kamodzi adazindikira kuchepa kwa chilakolako chofuna kudya, komwe kumadzetsa njala.

Umboni wa iwo omwe adayesa Orsoten

Pamagulu ambiri mungapeze ndemanga zambiri pa orsoten kuchokera kuonda. Anthu ambiri amawona kugwira bwino kwa mankhwalawa. Pafupifupi, kugwiritsidwa ntchito kwake kumakupatsani mwayi wotaya 5-7 kg pamwezi. Komabe, kutali ndi aliyense, njira yochepetsera kunenepa idayenda bwino, ndipo ambiri adakumana ndi vuto losakhala ndi mafuta.

Natella: Sindingathe ndipo sindikufuna kukhala pachakudya chokhwima. Izi ndizovuta kwa psyche: kuyeza chakudya nthawi zonse ndi kuwerengera zopatsa mphamvu! Koma zikomo kwa Orsoten pondiphunzitsa kuti ndisapite kuzonse! Iyi ndi njira yabwino yothanirana ndi chizolowezi cha zakudya zopanda pake.

Alyona Sh. Nthawi yomweyo, endocrinologist atangonena za mapiritsi azakudya, ndinamuuza kuti simudzakhala achangu ndi ndalama zanga. Koma orsoten, amene pamapeto pake tidasankha kuyesa nawo, zidakhala zotchipa komanso mtengo wogwira - wogwira ntchito. Anataya kale 6 kg, panalibe zovuta zamatumbo. kotero - Ndimalimbikitsa kwa aliyense.

Wosachita masewera: atayamba kumwa orsoten, poyamba adadzidzimuka ndimatenda a mafuta ndipo adafuna kusiya ... koma kenako palibe, adaphunzira kupewa kudya yokazinga ndi mafuta, kudziletsa, ndikuyamba kutaya makilogalamu 5 pamwezi. Ndipo izi zopanda mphamvu! Ndinangopita padziwe, ndipo ngakhale sizinali zachilendo kwambiri. Maphunzirowa anali othandiza!

Tatyana Mikhailovna: Orsoten amathandiziradi kuti achepetse thupi, koma muzigwiritsa ntchito mosamala. Kupanda kutero, mavuto okhala ndi kunenepa kwambiri amawonjezera mavuto ndi m'mimba ndi matumbo! pokhapokha mutasiya mafuta, koma ndizosatheka ...