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Does Sex Help With Weight Loss? High Cholesterol and Breathlessness After Sex

My husband is 46 years old. He feels very tired and becomes short of breath after having physical relations, so we had a general health check-up done. We found that his cholesterol is quite high. He is also overweight, so his doctor advised him to reduce oil, ghee and sugar intake and lose weight.
The doctor advised him to do aerobics and brisk walking for exercise, but these activities cause knee pain. One of his friends told him that a lot of energy is also used during sexual activity, so sex can work as a form of exercise.
However, my husband feels tired and breathless after sex, which makes me a little worried. Can sex actually help reduce body fat? And how many times a week is it appropriate to have sex for this purpose?

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