According to 2018 West Virginia BRFSS :Approximately 1 in 6 West Virginia adults (17.3%) were both obese and had arthritis.

Here are some tips for women in West Virginia who are looking to lose weight:

1. Start by setting specific and achievable weight loss goals. It's important to have a clear idea of what you want to
   achieve and how you plan to get there.

2. Focus on eating a healthy, balanced diet. This means getting plenty of fruits, vegetables, whole grains, and lean
   proteins, and limiting your intake of processed foods, sugary drinks, and unhealthy fats.

3. Incorporate physical activity into your daily routine. This can include going for a walk, joining a gym or fitness class, or
   participating in a sport or recreational activity.

4. Keep track of what you eat and drink. Use a food diary or app to help you monitor your intake and make sure you are
   getting the nutrients you need.

5. Drink plenty of water. Water helps to flush out toxins, keep you hydrated, and may help with weight loss.

6. Get enough sleep. Lack of sleep can lead to weight gain, so it's important to get at least 7-9 hours of sleep per night.

7. Eat slowly and mindfully. Take the time to fully enjoy your food and pay attention to how it tastes and how it makes
   you feel.

8. Don't skip meals. It's important to eat regularly to keep your metabolism going and prevent overeating.

9. Find healthy ways to cope with stress. Chronic stress can lead to weight gain, so it's important to find ways to manage
   stress, such as through meditation, exercise, or talking to a therapist.

10. Seek support from friends and family. It can be helpful to have a support system of people who can encourage and
    motivate you as you work towards your weight loss goals.

11. Avoid sugary drinks and alcohol. These beverages can contain a lot of calories and added sugars, which can
    contribute to weight gain.

12. Eat more fiber. High-fiber foods can help you feel full and satisfied, which can help with weight loss.

13. Don't eat late at night. Eating late at night can disrupt your sleep and lead to weight gain.

14. Plan ahead. Prepare healthy meals and snacks in advance so you don't end up making unhealthy choices when
    you're short on time.

15. Don't rely on fad diets. These diets may offer quick results, but they are often not sustainable or healthy in the long
    term.

16. Don't be too hard on yourself. It's okay to have setbacks or make mistakes. The important thing is to get back on
    track and keep working towards your goals.

17. Find ways to incorporate movement into your daily routine. This can include taking the stairs instead of the elevator,
    going for a walk during your lunch break, or doing some stretches while watching TV.

18. Eat protein at every meal. Protein can help you feel full and satisfied, which can help with weight loss.

19. Avoid eating out too often. Restaurant meals can be high in calories, so try to cook at home as much as possible.

20. Don't forget to enjoy yourself. Losing weight doesn't have to be all about deprivation. Find ways to incorporate your
    favorite foods and activities in a healthy way.

research paper link : http://bit.ly/3FNoI0u

check here to earn free smoothie diet pdf
https://bit.ly/3WlWRvf