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Weight Loss Treatment – Diet, Exercise and Surgery

Weight loss treatments can be divided into groups

1. Lifestyle changes through diet and exercise

2. Pharmacotherapy

3. Surgery

Lifestyle changes through diet and exercise

1. It is a suitable way to lose weight for overweight people (BMI 23-27 kg.m).²) or with 1st class obesity (BMI 27-32 kg/m²). Its goal is to lose 5-10% of body weight within 6 months. The goal of losing weight every month should be 2 kg.

Diet should be limited to 1000-1200 kcal/day for women and 1200-1600 kcal/day for men. This helps create a caloric deficit of around 500-1000 kcal per day and helps with the aforementioned weight loss goals without causing too much hunger.

The diet should contain saturated fats, trans fats, cholesterol, sugar and salt.

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

Allowed foods include fried/roasted foods, lean meats, egg whites, skim milk, green leafy vegetables, citrus fruits, and whole grains and breads.

Exercise should be aerobic with simple weight training. About 300 minutes of exercise per week is recommended for people who want to lose >5% of their body weight. This exercise plan should be started gradually and should be done at 10-15 minute intervals initially to avoid fatigue. Increase your daily activity level and include brisk walking, jogging, cycling, dancing or swimming in your daily routine.

Behavioral changes include limiting food intake and changing your environment to increase activity levels, keeping a food diary, self-motivation and support, and rewarding yourself with something other than food.

Drugs for weight loss

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

1. Sibutramine is a drug that has been shown to cause weight loss of 5-10 pounds, but also has serious side effects and has been taken off the market.

2. Orlistat reduces the amount of fat absorbed through food and can be taken three times a day with food. After a year of regular treatment, it leads to 8-10% weight loss, but in some people it can cause side effects such as stomach cramps, gas and oily stools. It has also been linked to liver disease in several cases.

3. Lorcraserin – suppresses appetite and has similar results to orlistat, but with nasophingitis, headache, respiratory infections, etc. have other side effects such as It is not given to patients with reduced 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 clear scientific evidence that these products help with long-term and effective weight loss.

Surgery

It is an effective long-term effective weight loss treatment in morbidly obese individuals (BMI > 32 kg/m2 with comorbidities or BMI > 37 kg/m2 with or without comorbidities).

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