60-Day Juice Diet For Weight Loss

Delicious juice recipes that help you stay hydrated and support your weight loss goals.

Reviewed by Aakriti Arora, Certificate In Plant-Based Nutrition
Written by Charushila Biswas, MSc (Biotechnology), ISSA Certified Fitness Nutritionist
Edited by Ravi Teja Tadimalla, BSc, Professional Certificate in Food, Nutrition and Health
Fact-checked by Payal Karnik, MSc (Biotechnology), Certified Health & Nutrition Life Coach  • 

Flushing out toxinsi  X Naturally occurring harmful substances produced by metabolic activities that are created by plants, bacteria, or animals. and cleansing your system is a great way to shed a few pounds. This is why juicing recipes for weight loss are so sought after! Excess toxin buildup slows down metabolismi  XThe chemical reactions in a living organism responsible for maintaining life. Its main work is to turn food into energy. and may lead to increased weight, obesity, diabetes, hypertensioni  XBlood pressure that is consistently higher than normal and leads to complications like heart issues. , heart disease, arthritisi  XA condition in which the joints swell and become stiff, causing intense pain. Can be treated with medication and physiotherapy. , etc. Hence, you must ditch unhealthy foods and a sedentary lifestyle. In such cases, natural weight loss remedies like a 60-day juice diet are essential to flush out the toxins, boost metabolism, reduce chronic inflammation, and improve skin health as well. Read on to know everything about the 60-day vegetable and fruit juice diet for weight loss, how to do it safely, some yummy fresh juice recipes, useful health tips, and many other details. Scroll down to begin!

protip_icon At A Glance: Juice Diet
  • Principle: A calorie-restricted diet that excludes solid foods and comprises five servings of juices per day, made of 80% vegetables, 20% fruits, and herbs, nuts, and spices
  • Purpose: To detoxify the body, boost metabolism, thus reducing the risk of obesity and conditions like diabetes, hypertension, and heart issues.
  • Who Is It For: People struggling with obesity.
  • Duration: Short-term
  • Who Should Avoid: Individuals with kidney issues and eating disorders and pregnant and lactating women.
  • Cons: Weight loss is temporary, may lower muscle and bone density, lead to nutrient deficiencies, and cause fatigue, headaches, and dizziness.

Basic Guidelines Of The 60-Day Juice Diet

  1. Consult a doctor before starting the 60-day juice diet, especially if you are 20 kg overweight.
  2. Prepare a shopping list containing veggies, fruits, herbs, nuts, and spices to make your own homemade juice blends.
  3. Go grocery shopping every 2-3 days.
  4. Cut out processed and unhealthy foods from your diet.
  5. Drink 2.5 liters of nutrient-dense juices daily.
  6. Make juices in the ratio of 80% veggies and 20% fruits.
  7. Drink juice every 3-4 hours and have a total of 5 servings of juice per day.
  8. Drink at least 2 liters of water per day during the juice fast.
  9. Stay away from alcohol, red meat, energy bars, packaged fruit and vegetable juices, dairy, and bread.
  10. No exercises are recommended for the first two weeks. For the remaining six weeks, you can walk, ride a bike, do yoga asanas, or lift light weights.
  11. Check your weight every two weeks. Photograph your body before starting the diet and every two weeks once you are on the diet to maintain a visual document of your progress.
  12. Maintain a journal. Write your action plans, what works for you, the roadblocks you face, your progress, etc.

It is always good to plan beforehand when you decide to go on the 60-day natural juice diet for weight loss.. This will help you stay focused on your plan to detoxify your body and put a full stop to your weight gain problem. Here is a list of equipment you should have in your kitchen for making a homemade juice cleanse for weight loss.

The 60-Day Juice Diet Shopping List

Veggies – Carrot, cucumber, celery, tomato, kale, spinach, beetroot, and bottle gourd.
Fruits – Apple, pear, watermelon, musk melon, peach, lemon, lime, grapefruit, orange, kiwi, raspberries, and cranberries.


Herbs & Spices – Cilantro, mint leaves, Ceylon cinnamon powder, ginger, Himalayan pink salt, black pepper, turmeric, fenugreek seeds, cumin powder, and fennel seeds.
Nuts – Almonds, walnuts, macadamia nuts, and pistachios (all unsalted).
protip_icon Quick Tip
If you are allergic to nuts, replace them with nutritious seeds such as pumpkin seeds or sunflower seeds in your juice.

Now that you have your kitchen equipment and juicing ingredients ready, scroll down for some refreshing detox juice recipes for weight loss. Let’s start juicing with these low calorie juice recipes!

6 Juice Recipes For The 60-Day Juice Diet

1. Cucumber, Kale, And Peach Juice

Cucumber, kale, and peach juice for weight loss
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Image: Shutterstock

Serving Size – 1 cup, Time Required – 10 minutes

Ingredients
  • ½ cup chopped cucumber
  • 1 cup chopped kale
  • 1 medium peach
  • A pinch of Himalayan pink salt
  • Lime juice
How To Prepare
  1. Toss all the ingredients into a juicer or masticator and blend well.
  2. Pour the juice into a glass.
  3.  Add a pinch of Himalayan pink salt and a dash of lime for taste.
  4. Stir well before drinking.
Benefits
  • The humble cucumber is low in calories and is full of antioxidants. It has antidiabetic and lipid-lowering properties (1).
  • Kale helps to lower the glucose levels post meals, and it is also a rich source of antioxidants (2).
  • Peaches are rich in polyphenolic compounds and carotenoids that help to reduce the risk of cardiovascular disease and certain types of cancer (3).

2. Beetroot, Carrot, And Grapefruit Juice

Beetroot, carrot, and grapefruit juice for weight loss
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Image: Shutterstock

Serving Size – 1 cup, Time Required – 7-10 minutes

Ingredients
  • ½ cup chopped beetroot
  • ⅔ cup chopped carrot
  • ½ cup grapefruit
  • A few mint leaves
  • A pinch of Himalayan pink salt
  • Freshly ground black pepper
How To Prepare

1. Toss all the ingredients into the juicer or masticator and blend well.
2. Pour the juice into a glass and add a pinch of Himalayan pink salt and a pinch of freshly ground black pepper.
3. Stir well before drinking.

Benefits
  • Beetroot is loaded with antioxidants and helps to reduce inflammation, improves brain function, and has anti-cancer properties (4).
  • Drinking carrot juice may help prevent cardiovascular disease (5).
  • Grapefruit aids weight loss by increasing insulin sensitivity (6).
  • Mint has a cooling effect, aids digestion, and reduces stress (7).
  • Black pepper aids weight loss by inhibiting fat cell proliferation (8).

3. Spinach, Celery, And Kiwi Juice

Spinach, celery, and kiwi juice for weight loss
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Serving Size – 1 cup, Time Required – 5-7 minutes

Ingredients
  • 1 cup baby spinach
  • ½ cup chopped celery
  • ½ cup kiwi
  • A pinch of Himalayan pink salt
How To Prepare
  1. Toss the baby spinach, celery, and kiwi into a juicer or masticator and blend well.
  2. Pour the juice into a glass.
  3. Add a pinch of Himalayan pink salt and stir well before drinking.
Benefits
  • Spinach is rich in thylakoids that help to increase the satietyi  XThe state of being well-fed, no longer hungry, and fully satisfied after a complete meal. levels post meals, thereby keeping hunger pangs at bay (9).
  • Celery is rich in antioxidants. It aids weight loss, improves digestion, and calms the nerves (10).
  • Kiwi is loaded with vitamins C, K, E, and folate as well as phytonutrientsi  XNatural chemicals produced by plants that are consumed by humans in order to prevent health risks and diseases. that help to increase the levels of good cholesterol and lower blood pressure (11).
  • A combination of these three make for one of the most nutritious green smoothies out there that will keep you feeling full and energetic for long periods.

4. Nutty Tomato, Kale, And Peach Juice

Nutty tomato, kale, and peach juice for weight loss
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Serving Size – 1 cup, Time Required – 5-7 minutes

Ingredients
  • ½ cup tomato
  • ½ cup chopped kale
  • ½ cup chopped peach
  • 4 unsalted pistachios
  • A pinch of Himalayan pink salt
How To Prepare
  1. Toss the ingredients into a masticator or juicer and blend well.
  2. Pour the juice into a glass and add a pinch of Himalayan pink salt.
  3. Stir well before drinking.
Benefits
  • Tomatoes are a rich source of vitamins C and E, beta-carotenoids, lycopene, and other phytonutrients that reduce the risk of cardiovascular disease and lower bad cholesterol and blood pressure (12).
  • Consuming kale may help reduce the risk of coronary artery disease (13).
  • Peaches are rich in dietary fiber, vitamins, minerals, and complex carbs. They help to reduce bad cholesterol and protect from cardiovascular disease and certain types of cancer (14).
  • Pistachios are rich in healthy fats, dietary fiber, protein, magnesium, and potassium. They help to increase satiety, thus aiding weight loss (15).

5. Bottle Gourd, Apple, And Herbs Juice

Bottle gourd, apple, and herbs juice for weight loss
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Serving Size – 1 cup, Time Required – 15-20 minutes

Ingredients
  • 1 cup shredded bottle gourd
  • ½ cup apple
  • ¼ cup chopped cilantro
  • 1 tablespoon lemon juice
  • A pinch of Himalayan pink salt
How To Prepare
  1. Blanch the shredded bottle gourd and toss it into the juicer or masticator.
  2. Add the chopped apple and chopped cilantro and blend well.
  3. Pour the juice into a glass and add lemon juice and a pinch of Himalayan pink salt.
  4. Stir well before drinking.
Benefits
  • Bottle gourd is antidiabetic, has diuretic properties, and helps cure jaundice, colitis, and ulcer (16).
  • Apples can help reduce the risk of diabetes and cardiovascular disease and lower bad cholesterol (17).
  • Cilantro helps to boost immunity, reduces fatigue, and helps treat ulcer, flatulence, migraine, sore throat, cold, and flu (18).
  • Lemons are a great source of vitamin C that helps to boost your immune system, lower bad cholesterol, and reduce fatty deposits in the arteries (19).

6. Sweet Potato Juice

Serving Size – 1 glass, Time Required – 10 minutes

Ingredients
  • 1 medium-sized sweet potato (peeled and chopped)
  • 1 apple (sliced)
  • 1/2 inch fresh ginger (peeled)
  • 1 teaspoon of lemon juice
  • 1/2 teaspoon of ground cinnamon
  • 1 to 2 cups of water or coconut water
  • Ice cubes (optional)
How To Prepare

1. Put the sweet potato, apple, ginger, lemon juice, and ground cinnamon into a blender.
2. Add water or coconut water to the blender until smooth. Strain the juice with a fine mesh sieve to remove the pulp. Serve with ice cubes, if desired.

Benefits
  • Sweet potato juice is rich in fiber, which promotes a feeling of fullness and helps reduce one’s overall calorie intake (20). The combination of sweet potato and apple provides natural sweetness and curbs sugar cravings.
  • Ginger may help boost metabolism. This way, it may enhance the body’s ability to burn calories and potentially aids in weight loss (21).

You now have an idea of how to prepare juices and add flavor to them to make them more palatable. You can include or exclude veggies or fruits according to your choice. You can also create your own recipe with the foods mentioned in the shopping list. Let’s find out what your biweekly routine should be while you are on the 60-day juice diet.

60-Day Juice Diet – Weeks 1 & 2 Daily Routine

60-day juice diet for weight loss weeks 1 and 2 daily routine
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TimeWhat You Should Do
7:00 – 7:30 amWake up

Drink a cup of warm water with juice of half a lime.

8:00 – 8:15 amBreakfast

1 cup of nutty tomato, kale, and peach juice.

10:30 – 11:00 amMid-morning snack

1 cup spinach, celery, and kiwi juice.

1:00 – 1:30 pmLunch

1 cup of bottle gourd, apple, and herbs juice.

4:00 – 4:30 pmEvening snack

Have a cup of carrot and tomato juice.

7:00 – 7:30 pmDinner

1 cup beetroot, carrot, and kiwi juice.

10:30 – 11:00 pmSleep

Useful Tip – Add nuts to your breakfast and have water if you feel hungry in between the juice meals.

Bi-Weekly Check-Up 1

  • Check your weight.
  • Take a photograph.

Allison, a blogger, shared about day 2 of her experience with the juice diet, writing, “Day two of my juice fast began with me tempting fate and stepping on the scale. Wow, I had lost four pounds from Monday morning to Tuesday morning. I was really surprised, but knew that this was mainly water weight, but still, I was encouraged. I had great energy and was excited to start day two (i)!!”

How You Will Feel By The End Of Weeks 1 & 2

You will go through a number of emotions while juicing for weight loss. These two weeks are the toughest weeks of the 60-day juice diet. However, by the end of Week 2, you will lose water weight, your digestive system will work properly, you will stop suffering from constipation and look slimmer. This will motivate you to advance to the next week. So, let’s move on to weeks 3 and 4.

60-Day Juice Diet – Weeks 3 & 4 Daily Routine

60-day juice diet for weight loss weeks 3 and 4 daily routine
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TimeWhat You Should Do
7:00 – 7:30 amWake up

Drink a cup of warm water with juice of half a lime.

8:00 – 8:15 amBreakfast

1 cup of beetroot, carrot, and kiwi juice.

10:30 – 11:00 amMid-morning snack

1 cup cucumber, kale, and peach juice.

1:00 – 1:30 pmLunch

1 cup of bottle gourd, apple, and herbs juice.

4:00 – 4:30 pmEvening snack

Have a cup of cucumber, tomato, and watermelon juice.

6:30 – 7:00 pmWalking or yoga.
7:00 – 7:30 pmDinner

1 cup spinach, grapefruit, and herbs juice.

10:30 – 11:00 pmSleep

Useful Tip – Stick to yoga if you feel walking is straining and weakening your health while on this diet.

Bi-Weekly Check-Up 2

  • Check your weight.
  • Take a photograph.
  • Compare your progress.

How You Will Feel By The End Of Weeks 3 & 4

Weeks 3 and 4 will be comparatively less stressful because, by this time, your body and mind would have adjusted to the new routine. As you will be exercising, you will feel more active and less stressed. Your body starts mobilizing fat, and hence, you will weigh less and look toned. This progress will encourage you to move on to week 5 of juice fasting to achieve weight loss.

60-Day Juice Diet – Week 5 – Week 8 Daily Routine

60-day juice diet for weight loss week 5 to 8 daily routine
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TimeWhat You Should Do
7:00 – 7:30 amWake up

Drink a cup of warm water with juice of half a lime.

7:30 – 8:00 amWalking or bicycling and yoga
8:00 – 8:15 amBreakfast

1 cup of kale, cucumber, almonds and muskmelon juice.

10:30 – 11:00 amMid-morning snack

1 cup carrot and beetroot juice.

1:00 – 1:30 pmLunch

1 cup of bottle gourd, kiwi, and cucumber juice.

4:00 – 4:30 pmEvening snack

Have a cup of apple and celery juice.

6:30 – 7:00 pmYoga and light weight training.
7:00 – 7:30 pmDinner

1 cup carrot, cucumber, and tomato juice.

10:30 – 11:00 pmSleep

Useful Tip – You can make your own cleansing juice recipe and add different spices and herbs to enhance the flavor.

Bi-Weekly Check-Ups 3 & 4

  • Check your weight.
  • Take a photograph.
  • Compare your weight and your photograph with the earlier recorded data.

How You Will Feel By The End Of Week 8

By the end of week 8, you will notice a huge difference in your body shape, weight, as well as your energy levels. You will be more comfortable in your new lifestyle. But don’t give up yet – four more days to go!

60-Day Juice Diet – Last 4 Days Routine

60-day juice diet for weight loss last 4 days routine
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TimeWhat You Should Do
7:00 – 7:30 amWake up

Drink a cup of warm water with juice of half a lime.

7:30 – 8:00 amWalking or bicycling and yoga.
8:00 – 8:15 amBreakfast

1 cup of spinach, carrot, and celery juice with macadamia nuts.

10:30 – 11:00 amMid-morning snack

1 cup tomato and muskmelon juice.

1:00 – 1:30 pmLunch

1 cup of bottle gourd, herbs, and apple juice.

4:00 – 4:30 pmEvening snack

1 cup watermelon and cucumber juice.

6:30 – 7:00 pmYoga and light weight training.
7:00 – 7:30 pmDinner

1 cup kale, grapefruit, and carrot juice.

10:30 – 11:00 pmSleep

Useful Tip – You may have green tea in between your juice meals on the last four days of this diet plan.

Final Check-Up

  • Check your weight.
  • Take a photograph.
  • Compare this photograph with the photograph taken before you started this diet.

How You Will Feel By The End Of Day 60

How you will feel by the end of 60-day juice diet for weight loss
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Image: Shutterstock

By the end of the 60th day, you will look a lot different. Apart from losing weight, you will beam with confidence and happiness. You will feel lighter, be more proactive, and your body will look toned and stunning. And I am quite sure you will have to replace your whole wardrobe.

You will lose a lot of weight while consuming detoxifying juice recipes for weight loss, but this may also lead to lean muscle loss and weakening of the bones. Therefore, you should take these supplements.

Supplements To Take During The 60-Day Juice Fast

Supplements to take during the 60-day juice fast for weight loss
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  • Fish oil supplements – 1000 mg every alternate day.
  • Calcium supplements – 1000 mg, thrice a week.

protip_icon Trivia
Fish oil supplements are a good source of omega-3 fatty acids like Docosahexaenoic acid (DHA) and Eicosapentaenoic acid (EPA) that promote heart health.

Now, the next thing that will invariably cross your mind is if there are any risks associated with juicing for health for weight loss. Look below for the answer.

Risks Of The 60-Day Juice Diet

  • You may regain the weight if you don’t have a balanced diet after completing the 60-day juice diet.
  • Your muscles and bones may become weak if you don’t exercise and do not take the supplements. Do not solely bank on a vegetable juice diet for weight loss.

Does The 60-Day Juice Diet Work? What Eleana Kaidanian, RD, Says

Eleana Kaidanian, RD, CDN, CPT-WFS, says “As a registered dietitian practicing for over 10 years, I highly advise against anyone following a diet that encourages no solid food for 60 days, such as the Juice Diet. While it can initially result in weight loss, there are greater concerns in following this diet, such as muscle wasting as a main driver for weight loss. Juicing also removes the healthful fibers from the fruit or vegetables that support gut health, satiety, and blood sugar balance.”

Points To Remember

  • Introduce solid foods gradually into your diet. Start by having one solid meal, and then increase it gradually to three solid meals per day.
  • Your meal should comprise of proteins (lean meat, eggs, mushrooms, lentils, beans, etc.), complex carbs (veggies, fruits, multigrain bread, etc.), healthy fats (nuts, olive oil, ghee, rice bran oil, fish oil, etc.), and dietary fiber (brown rice, fruits, etc.).
  • Avoid all processed and high-sugar foods.
  • Have a cheat day in every 10 days, but make sure to eat not more than 500 calories extra. For example, if you consume 1500 calories per day, on your cheat day, you will be allowed to eat 2000 calories.
  • Exercise regularly. You can do a mix of cardio, strength training, and weights. You can also play a sport or join dance classes.

Infographic: Benefits Of Juice Recipes Of The 60 Day Juice Diet

A nutrient-rich juice diet for weight loss has multiple benefits. It not only helps in weight management but also helps in flushing out toxins and improving skin health. By now, you must be familiar with the different healthy juice recipes you should add to your diet. Check out the infographic below to learn the many benefits of these metabolism-boosting juice recipes for weight loss.

benefits of juice recipe of the 60 days juice diet (infographic)

Illustration: StyleCraze Design Team

Get the high-quality PDF version of this infographic.

Download Infographic in PDF version

The 60-day juice diet for weight loss involves consuming five servings of fruit and vegetable juices every day to flush out toxins that cause chronic conditions like obesity, diabetes, and hypertension. Hydrate yourself properly by drinking at least two liters of water while on this diet, and do not exercise during the first two weeks. You may also need to take fish oil and calcium supplements to counter the resultant nutrient deficiencies of the diet. On the flip side, with the cleansing juice diet for weight loss, you may gain your weight back after 60 days if you fail to adopt a balanced diet. So, consult a dietitian and seek professional help to plan your diet strategy.

Frequently Asked Questions

Can I lose weight on a juice diet for 3 days?

you can lose about 2 pounds on a juice diet for 3 days. A small study indicated that juices might only help lose water weight (1).

How much weight can I lose in a week on a juice diet?

It depends on your metabolic rate, activity levels, and calorie intake. If you work on maintaining all these aspects, you may lose up to 10 pounds or more in a week.

How fast can I lose weight with juicing?

It depends on your individual BMI, health conditions, consistency in healthy diet, and exercise.

Key Takeaways

  • A 60-day juice diet may help detox your body and promote weight loss.
  • Consuming carrot and beetroot juice may help reduce inflammation and boost heart health.
  • There is an increased risk of gaining weight if you do not consume a balanced diet after the 60-day juice diet.
  • Exercising regularly will keep your muscles strong and healthy.
Juice Diet for weight loss

Image: Dall·E/StyleCraze Design Team

Learn how to make 4 delicious and healthy juices for weight loss and detoxification with this video. Click on it and try out these easy recipes that will help you reach your fitness goals.

Personal Experience: Source

References

Articles on StyleCraze are backed by verified information from peer-reviewed and academic research papers, reputed organizations, research institutions, and medical associations to ensure accuracy and relevance. Read our editorial policy to learn more.

  1. Health benefit of vegetable/fruit juice-based diet: Role of microbiome – PMC
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438379/
  2. Intake of kale suppresses postprandial increases in plasma glucose: A randomized, double-blind, placebo-controlled, crossover study
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103670/
  3. Effects of different products of peach (Prunus persica L. Batsch) from a variety developed in southern Brazil on oxidative stress and inflammatory parameters in vitro and ex vivo
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4186376/
  4. The Potential Benefits of Red Beetroot Supplementation in Health and Disease
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425174/
  5. Drinking carrot juice increases total antioxidant status and decreases lipid peroxidation in adults
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425174/
  6. The effects of grapefruit on weight and insulin resistance: relationship to the metabolic syndrome
    https://pubmed.ncbi.nlm.nih.gov/16579728/
  7. A review of the bioactivity and potential health benefits of peppermint tea (Mentha piperita L.)
    https://pubmed.ncbi.nlm.nih.gov/16767798/
  8. Piperine, a component of black pepper, inhibits adipogenesis by antagonizing PPARγ activity in 3T3-L1 cells
    https://pubmed.ncbi.nlm.nih.gov/22463744/
  9. Consumption of thylakoid-rich spinach extract reduces hunger, increases satiety and reduces cravings for palatable food in overweight women
    https://pubmed.ncbi.nlm.nih.gov/25895695/
  10. Beneficial effects of celery (Apium graveolens) on metabolic syndrome: A review of the existing evidences
    https://pubmed.ncbi.nlm.nih.gov/31464016/
  11. Kiwifruit: our daily prescription for health
    https://pubmed.ncbi.nlm.nih.gov/23746068/
  12. Tomatoes and cardiovascular health
    https://pubmed.ncbi.nlm.nih.gov/12587984/
  13. Kale juice improves coronary artery disease risk factors in hypercholesterolemic men
    https://pubmed.ncbi.nlm.nih.gov/18548846/
  14. Nutritive quality prediction of peaches during storage
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269546/
  15. Pistachio nuts: composition and potential health benefits
    https://pubmed.ncbi.nlm.nih.gov/22458696/
  16. Phytochemical and pharmacological review of Lagenaria sicereria
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3117318/
  17. Apple phytochemicals and their health benefits
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC442131/
  18. Coriandrum sativum L.: A Review on Ethnopharmacology, Phytochemistry, and Cardiovascular Benefits
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747064/
  19. Effects of lifelong intake of lemon polyphenols on aging and intestinal microbiome in the senescence-accelerated mouse prone 1 (SAMP1)
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403313/
  20. Sweet potato extract alleviates high-fat-diet-induced obesity in C57BL/6J mice, but not by inhibiting pancreatic lipases
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731405/
  21. Ginger Water Reduces Body Weight Gain and Improves Energy Expenditure in Rats
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023345/
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