Comprehensive diet programs are more effective than dieting without guidance. The main treatment for obesity consists of weight loss via dieting and physical exercise. He has also described his struggles with his eating disorder, weight, and obsessive dieting. During her relationship with Cinque, she was dieting excessively and would obsess about her weight. The relationship between strict dieting and binge eating is characterized by a vicious circle. Binge eating is more likely to occur after dieting, and vice versa. Although tempted, Jean refrained from eating pizza because she was dieting. The most common include dieting and exercise. Alexander was constantly dieting and exercising to maintain his slim figure. This was the start of mainstream dieting fads. Studies have also shown promising results for epilepsy through the use of ketogenic dieting. Dieting and missing meals should; however, be discouraged. The panel attributed the cases to metabolic changes from overzealous and unsupervised dieting. Dieting, a common behaviour in bulimics, is associated with lower plasma tryptophan levels. Strict and extreme dieting differs from ordinary dieting.