Long-Term Weight Loss For Obesity Is Best Accomplished Through Weight Loss Treatment – Diet, Exercise and Surgery

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Weight Loss Treatment – Diet, Exercise and Surgery

The treatment of weight loss can be classified

  1. Lifestyle changes through diet and exercise

  2. Pharmacotherapy

  3. Surgery

Lifestyle changes through diet and exercise

  1. The best way to lose weight is for those who are overweight (BMI 23-27 kg.m2) are in class 1 obesity (BMI 27 -32 kg/m2). His goal is to reduce the weight of 5-10% of body weight in six months. The target for weight loss is 2 kg per month.

Diet should be limited to 1000-1200 kcal per day for women and 1200-1600 kcal per day for men. This will help reduce calorie intake by 500-1000 kcal per day and help achieve the aforementioned weight loss goals without starving.

Food should be low in saturated fat, trans fat, cholesterol, sugar and salt.

Foods to avoid include deep fried foods, baked goods, refined flour, sweets, red meat, egg yolks and all milk and its products.

Allowed foods include fried/fried foods, lean meats, white eggs, dairy products, green leafy vegetables, citrus fruits and whole grains and breads.

Exercise should include aerobic exercise and weight training. About 300 minutes of exercise per week is recommended for those who want to achieve >5% reduction in body weight. This exercise plan should be started gradually and the first exercise should be done in intervals of 10-15 minutes to avoid fatigue. The level of daily activities should be increased, and physical activity such as brisk walking, jogging, cycling, dancing or bathing should be included in the activities.

Behavioral changes include changing your environment to reduce food intake and increase activity level, keeping a food log, motivation and support and rewarding yourself with something else. at the meal.

Medicines for weight loss

Weight loss medications are prescribed for those who are overweight or obese but cannot achieve their goals through diet and exercise. It is important to remember that all drugs can cause side effects and should be taken on a short-term basis only on the prescription of a registered doctor.

  1. Sibutramine – this drug caused weight loss of 5-10 pounds but also caused side effects, so it has been taken off the market.

  2. Orlistat – Reduces the amount of fat that enters the diet and can be taken three times a day with food. It can cause up to 8-10% weight loss after one year of regular treatment but side effects such as bloating, flatulence and fat deposits may occur in some people. . It has also been linked to liver disease in some cases.

  3. Lorcraserin – Reduces cravings and results similar to orlistat but has side effects such as nasophyngitis, headaches, respiratory problems, etc. Do not give to patients with low kidney function and pregnant women.

  4. Phentermine

Other products such as Ephedra, Chromium, diuretics, herbal laxatives and hoodia have been linked to weight loss but there is no scientific evidence that these products actually help in the long term and are effective in reducing body weight. .

Surgery

This is an effective long-term treatment for effective weight loss in obese people (BMI > 32 kg/m2 with associated comorbidities, BMI > 37 kg/m2 with or without comorbidities)

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