Treatment for Obesity

Treatment for Obesity Treatment for Obesity

How frequently do patients need to meet with a dietician?

Patients can meet the dietitian every week or as per the dietitian’s advice to get the optimum results. Also, the duration of weight loss depends from person to person as one’s BMI, lifestyle, and genetic factors can vary.   

What are the available drug therapies for obesity?

Currently, there are 2 available drugs that we use for the treatment of obesity.

Orlistat

Orlistat is a drug that impedes the digestion of fat that is consumed in meals. Usually, it is taken with every meal, up to 3 times a day. The drug was proven effective decades ago and has not been found to have any serious adverse outcomes. The results showed that it is highly effective in weight loss.

It is a GLP analogue that has been shown to reduce body weight substantially in clinical trials. In patients with severe obesity and multiple symptoms with or without diabetes, or else, magnetite can be tried to improve the weight problem. Some patients achieve extremely good weight loss with semaglutide. This medication is advisable to be used only after consultation with a doctor.

What kind of lifestyle modification helps in reducing weight?

Maintaining a healthy body weight through a balanced diet and physical activity can aid in lowering the risk of serious conditions associated with being overweight, like heart disease, hypertension, and type 2 diabetes. Taking action to make lifestyle changes isn’t always easy. A dietician can recommend ways to lose weight based on a person's current food habits and lifestyle. For some people, lifestyle changes alone can lead to adequate weight loss. For others, doctors may prescribe drugs or bariatric surgery to achieve further weight loss progression.

What are the dietary modifications needed for the management of obesity?

A low calorie, high protein, high fiber, adequate vitamins and minerals (except sodium), restricted carbohydrate, restricted fat, and liberal fluid diet is suggested for obese people. 

Energy

To lose weight, energy output must exceed energy input (also known as an energy deficit). About 20 to 25 kcal per kg of ideal body weight is prescribed depending on the lifestyle of a particular person (sedentary or moderately active). This will aid in losing weight. That's why it is said that it is very crucial to maintain body weight to stay away from obesity.  About 0.8 to 1 gm of protein/kg of body weight is needed for tissue repair and to maintain lean and muscle mass.

Consumption of high carbohydrate content foods like potatoes, rice, corn, and other starchy vegetables is restricted, which gives only calories rather than nutrition.

Fat

Consumption of deep-fried items, bakery products (cakes, pastries, cookies), and processed foods should be restricted. These food products are rich in high amounts of saturated or partially saturated fats. Healthy fats like unrefined vegetable oils, nuts, and seeds should be part of the diet in a balanced portion.

Except for sodium, the diet should be rich in an adequate amount of vitamins and minerals. Green-leafy vegetables and other vegetables should be part of the weight loss diet plan. A calcium-rich diet also helps in balancing weight in an effective way.

Fiber

Inclusion of high-fiber foods like vegetables, fruits, whole grain cereals, and pulses in the diet has many advantages, which are as follows:

  • They are low in calories.
  • Provide an abundance of vitamins and minerals.
  • Gives satiety.
  • Aids in improving bowel movement.
  • Lower your blood cholesterol levels.
  • It promotes chewing and increases the rate of ingestion.

By treatment, we refer to measures that help reduce weight, at least till the time while the measures are being used. Currently available treatments do have a significant impact and do reduce weight. There are several drugs in the development pipeline which are showing great promise. Broadly used obesity treatments are as follows:

  • Medication
  • Diet and exercise (lifestyle modification)
  • Bariatric surgery

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