Treatment FAQ

how to get medical treatment for obesity

by Emmanuelle Johnson Published 3 years ago Updated 2 years ago
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Medical treatment overview
You may need to see your healthcare provider for help in losing weight if your own efforts have failed or if you have other medical conditions that make it crucial for you to lose weight. You may need to take prescription medicine if you have obesity-related health problems.

Symptoms

What are the treatments for obesity?

  1. Dietary changes. Replacing high-fat foods with more fruits and vegetables can help a person to lose weight. ...
  2. Physical activity. Climbing the stairs instead of taking the elevator can be good exercise. ...
  3. Weight-loss medications. ...
  4. Surgery. ...
  5. Hormonal treatment. ...
  6. Browning white fat cells. ...

Causes

The World Health Organization says it requires an integrated approach that includes:

  • Promoting healthy eating habits and encouraging exercise
  • Developing public policies that promote access to healthy, low-fat, high- fiber foods
  • Training healthcare professionals so that they can effectively support people who need to lose weight and help others avoid gaining weight

Prevention

The following changes in diet are recommended:

  • Eating small meals and avoiding or carefully choosing snacks.
  • Eating breakfast (skipping breakfast can lead to consuming too many calories later in the day).
  • Eating 5 or more servings of fruits and vegetables a day. ...
  • Eating lean protein—for example, fish or chicken breast or vegetable protein, such as
  • soy
  • Switching to no-fat dairy products

More items...

Complications

• There is also a strong genetic predisposition to the development of obesity. • The availability and promotion of high‐energy foods and the absence of any obligatory need for physical activity compound the problem, but this social change is not easily reversible.

What is the best treatment for obesity and why?

How can we really STOP Obesity?

How to cure obesity at home naturally?

Why is obesity so difficult to treat?

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What is considered medical treatment for obesity?

Weight-loss medication The most commonly used medications approved by the U.S. Food and Drug Administration (FDA) for the treatment of obesity include: Bupropion-naltrexone (Contrave) Liraglutide (Saxenda) Orlistat (Alli, Xenical)

Is obesity medicine covered by insurance?

What kind of weight loss treatments do insurers cover? The Affordable Care Act requires that most health insurers cover obesity screening and counseling as preventive care for adults and children. Diet counseling is also available for adults at higher risk for chronic disease.

Where can you consult for obesity?

What Type of Doctor Should I See for Weight Loss?General Practitioners. If you see a general practitioner or internal medicine doctor, you can find advice and support for your weight issues. ... Dietitians and Nutritionists. ... Bariatric Physicians. ... Contact a Weight Loss Specialist Today.

Can I ask my doctor for weight loss pills?

Who is a candidate for weight-loss drugs? Your doctor may consider a weight-loss drug for you if you haven't been able to lose weight through diet and exercise and you meet one of the following: Your body mass index (BMI) is greater than 30.

Can you be denied health insurance because of weight?

Under the ACA, you can't be denied health insurance based on your weight, nor can you be charged higher premiums. You are entitled to free BMI screening and, in some cases, weight-loss counseling.

What is the injection for weight loss?

Now, people who are trying to lose weight have a new option—a medication called Wegovy (semaglutide) that is injected under the skin once a week. The medication received FDA approval earlier this summer.

Who can prescribe weight loss pills?

A BMI over 30 is considered obese. Your primary care physician can prescribe a weight-loss medication, as can an obesity medicine doctor or endocrinologist, who treats weight-related health conditions like diabetes.

Can doctors help with obesity?

When healthy eating and physical activity habits are not enough, your doctor may prescribe medicines to treat overweight and obesity. You should try to stick with your healthy eating plan and continue getting regular physical activity while taking weight-loss medicines.

What type of doctor should I see for weight gain?

Dr. Mahmood says patients should consider seeing an endocrinologist if they are persistently gaining weight without reason and their primary care evaluation has been normal.

How do I qualify for phentermine?

Usually, phentermine can be prescribed if your body mass index (BMI) is higher than 30 kg/m2 or higher than 27 kg/m2 with other health conditions. Taking medication for weight loss is often considered only after other attempts to lose weight.

Will my doctor prescribe phentermine?

A healthcare professional may prescribe phentermine if you have obesity, defined by a body mass index (BMI) of 30 or greater.

How do I ask my doctor about weight loss?

Follow these tips to start the conversation and get the most out of your talk.Prepare for Your Visit. Write down questions you have ahead of time. ... Start the Conversation. You can start the conversation by saying something like, “I've been thinking about my weight recently. ... Set Your Goals. ... Find the Right Tools for You.

How to treat obesity and overweight?

Healthy eating plan and regular physical activity. Following a healthy eating plan with fewer calories is often the first step in trying to treat overweight and obesity. People who are overweight or have obesity should also start regular physical activity when they begin their healthy eating plan.

How does bariatric surgery help you lose weight?

Bariatric surgery includes several types of operations that help you lose weight by making changes to your digestive system. Bariatric surgery may be an option if you have extreme obesity and haven’t been able to lose enough weight to improve your health or keep from gaining back the weight you lost with other treatments. Bariatric surgery also may be an option at lower levels of obesity if you have serious health problems, such as type 2 diabetes or sleep apnea, related to obesity. Bariatric surgery can improve many of the medical conditions linked to obesity, especially type 2 diabetes.

How to get back to eating healthy after a setback?

After a setback, like overeating at a family or workplace gathering, try to regroup and focus on getting back to your healthy eating plan as soon as you can. Try to eat only when you’re sitting at your dining room or kitchen table.

How do you fill a gastric balloon?

Once the balloons are in your stomach, the surgeon fills them with salt water so they take up more space in your stomach and help you feel fuller. Gastric emptying system.

How to keep track of your weight?

At work, avoid areas where treats may be available. Track your progress using online food or physical activity trackers, such as the Body Weight Planner, that can help you keep track of the foods you eat, your physical activity, and your weight.

How does a weight management program work?

In a weight-management program, trained weight-management specialists will design a broad plan just for you and help you carry out your plan. Plans include a lower-calorie diet, increased physical activity, and ways to help you change your habits and stick with them. You may work with the specialists on-site (that is, face-to-face) in individual or group sessions. The specialists may contact you regularly by telephone or internet to help support your plan. Devices such as smartphones, pedometers, and accelerometers may help you track how well you are sticking with your plan.

What are weight loss devices?

Weight-loss devices include. Electrical stimulation system. The electrical stimulation system uses a device a surgeon places in your abdomen with laparoscopic surgery.

What BMI should I have for surgery?

A doctor may recommend surgery for a person who has a BMI of 30 or above , depending on their individual needs. These include: whether or not they have complications due to obesity. the effectiveness of non-surgical treatments they have already undertaken.

What is the procedure to remove a part of the stomach?

Weight loss , or bariatric, surgery involves removing or changing a part of a person’s stomach or small intestine so that they do not consume as much food or absorb as many calories as before.

Why do I have browning white fat cells?

Browning white fat cells. Health risks and weight. Takeaway. Obesity can happen for a number of reasons, including diet, a sedentary lifestyle, genetic factors, a health condition, or the use of certain medications. A number of treatment options can help people to achieve and maintain a suitable weight.

What is metabolic syndrome?

Metabolic syndrome is a condition that involves a number of health problems, including type 2 diabetes, high blood pressure, and cardiovascular problems. It is more common in people with obesity. A doctor or dietitian can help to suggest a strategy and possibly a suitable weight-loss program.

What is the purpose of a gastric sleeve?

Gastric sleeve or gastric band. The surgeon uses a gastric sleeve or a gastric band to make the stomach smaller. After the operation, a person cannot consume more than about one cup of food during each sitting. This significantly reduces food intake.

Is high blood pressure a metabolic disorder?

High blood pressure is one aspect of metabolic syndrome. Some of these — such as type 2 diabetes, cardiovascular disease, and high blood pressure — come under the umbrella of metabolic syndrome, a collection of features that often occur together, frequently with excess weight and obesity.

Is it hard to lose weight?

It is more difficult to achieve healthy weight loss. In some cases, a doctor may suggest that a person with severe obesity should follow a very low-calorie liquid diet. A health professional should monitor this strategy to ensure that the person remains safe while following the diet. 2.

How to treat obesity?

Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.

What is the goal of obesity treatment?

The goal of obesity treatment is to reach and stay at a healthy weight. This improves your overall health and lowers your risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.

What is the best way to talk to your doctor about weight?

Talking to your doctor openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor, dietitian or nutrition specialist.

What are some ways to reduce weight?

Mind-body therapies — such as acupuncture, mindfulness meditation and yoga — may complement other obesity treatments. However, these therapies generally haven't been well studied in the treatment of weight loss. Talk to your doctor if you're interested in adding a mind-body therapy to your treatment.

How to get weight loss?

To achieve more-significant weight loss, you may need to exercise 300 minutes or more a week.

What is the BMI of a person who has had weight loss surgery?

Weight-loss surgery for obesity may be considered if you have tried other methods to lose weight that haven't worked and: You have extreme obesity ( BMI of 40 or higher) Your BMI is 35 to 39.9, and you also have a serious weight-related health problem, such as diabetes or high blood pressure.

How much weight can I lose with BMI?

That means that if you weigh 200 pounds (91 kg) and have obesity by BMI standards, you would need to lose only about 10 to 20 pounds (4.5 to 9 kg) for your health to begin to improve.

What are the health problems that obesity can cause?

Being obese carries a lot of risk for developing serious and long-term health problems, such as heart disease, high blood pressure, type 2 diabetes and cancer.

How does bariatric surgery affect your body?

Bariatric surgeries work to either restrict the amount of food intake, limit food absorption in the small intestine , or a combination of the two. With bariatric surgery, significant weight loss often occurs quickly, leaving excess skin that can be uncomfortable and affect self-image.

What is Wegovy and how does it work?

Wegovy is the brand name for the high-dose injectable peptide hormone molecule known as semaglutide, a medication that was previously approved by the FDA under the brand names Rybelsus (oral) and Ozempic (lower-dose injection) for the treatment of type 2 diabetes.

Who can take Wegovy?

Wegovy, like all other prescription medications designated for the treatment of obesity, is approved for use in those with a body mass index ( BMI) of 30 kg/m 2 or greater, or those with a BMI of 27 kg/m 2 with a weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol.

What are the risks and benefits of Wegovy?

Phase 3 clinical trials of Wegovy, dubbed the STEP (Semaglutide Treatment Effect in People with Obesity) trials, were conducted in a variety of clinical scenarios, each varying slightly in the study population and study design.

How long can you take Wegovy?

Wegovy is one of six medications currently approved by the FDA for the long-term treatment of obesity. As such, it can be used for as long as it remains beneficial for weight loss and/or weight maintenance and is not causing intolerable side effects.

Anti-obesity medication management: An evolving landscape

Wegovy is the latest in a line of medications, starting with phentermine in 1959, that have achieved FDA approval for the treatment of obesity.

Paying for anti-obesity medications

For those who do prescribe anti-obesity pharmacotherapy, challenges arise with the exorbitant cost of some of the newer therapeutics, as well as refusal of many private and public insurers to cover anti-obesity medications.

How to treat obesity?

Obesity is a complex disease. The ideal way to treat obesity is with a combination of diet, physical activity, and lifestyle changes. Your doctor may also recommend prescription medication or surgery.

How to make your stomach smaller?

Surgical options. Weight loss surgery, often called bariatric surgery, involves making your stomach smaller. During the surgery, a surgeon will cut across the top of your stomach and seal it off from the rest of your stomach to create a small pouch. This pouch can hold only about an ounce of food.

What is a low carb diet?

A low-carbohydrate diet, like the Atkins diet, South Beach diet, or ketogenic (“keto”) diet, involves reducing the number of carbohydrates you eat each day while increasing the amount of protein.

What is the BMI of a person with diabetes?

have a body mass index (BMI) over 35.0. have a BMI of 30.0 up to 35.0, have a serious weight-related health problem such as type 2 diabetes, and have been unable to sustain weight loss with nonsurgical treatments such as dietary changes.

Can diet plans be effective?

Diet plans, like the ones outlined below, can also be effective if they’re done right. But you might need to do some trial and error before you find one that works well for you. Ask your doctor for a referral to a dietitian for help. Here are some diet plans that have been shown to be effective.

Does counting calories help you lose weight?

Weight loss programs that involve calorie counting often result in more weight loss than those that don’t, according to a 2014 peer-reviewed study. Trusted Source. . The first step is to find out how many calories you need to eat each day to lose weight.

Is low carb diet good for weight loss?

One study showed that low-carb diets like the Atkins diet are more effective for weight loss than other types of diets.

What BMI do you need to be obese?

Your health care professional may prescribe a medication to treat your overweight or obesity if you are an adult with. a BMI of 30 or greater. a BMI of 27 or greater, and you have weight-related health problems such as high blood pressure. NIH external link. or type 2 diabetes.

What is weight management medication?

Weight management medications are meant to help people who have health problems related to overweight or obesity. Health care professionals use BMI to help decide whether you might benefit from weight management medications. Your health care professional may prescribe a medication to treat your overweight or obesity if you are an adult with.

What is the BMI of a person?

People who have a BMI between 25 and 30 are considered to be overweight. Obesity is defined as having a BMI of 30 or greater. You can calculate your BMI.

How long can you take weight loss pills?

Some weight management medications that curb appetite are approved by the FDA for short-term use only, for up to 12 weeks. Although some health care professionals prescribe them for longer periods, not many research studies have looked at how safe and effective they are for long-term use.

What is the name of the hormone that targets areas of the brain that regulate appetite and food intake?

Adults. Mimics a hormone called glucagon-like peptide-1 (GLP-1) that targets areas of the brain that regulate appetite and food intake. Under different names and dosages, this drug was FDA-approved to treat type 2 diabetes as an injectable medication (Ozempic) and as an oral pill (Rybelsus) nausea.

Do weight management pills replace physical activity?

Ask your health care professional about lifestyle treatment programs for weight management that will work for you. Weight management medications don’t replace physical activity and healthy eating habits.

Can bariatric surgery help with weight loss?

refer you to a bariatric surgeon to see if weight-loss (bariatric) surgery might be an option for you. Because obesity is a chronic disease, you may need to continue your new eating and physical activity habits and other behaviors for years—or even a lifetime—to improve your health and maintain a healthier weight.

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Healthy Eating Plan and Regular Physical Activity

Changing Your Habits

Medically reviewed by
Dr. Rakshith Bharadwaj
Symptoms
If you are experiencing new, severe, or persistent symptoms, contact a health care provider.

The symptoms of obesity include:

  • Above average body weight
  • Trouble sleeping
  • Sleep apnea- a condition in which breathing is irregular and periodically stops during Sleep
  • Varicose veins
  • Skin problems caused by moisture that accumulates in the folds of your Skin
  • Gallstones
  • Osteoarthritis in Weight-bearing joints, especially the knees

Causes

  • Common causes of obesity include:
  • Genetics
  • Physiological influences
  • Food intake and eating disorders
  • Weight history
  • The risk factors include:
  • Hereditary
  • Unhealthy diet
  • Sedentary lifestyle
  • Drugs like steroid hormones and Drugs used to treat psychiatric conditions
  • Pregnancy
  • Lack of sleep
  • Quitting smoking

Prevention

  • Exercise regularly
  • Eat a well-balanced diet
  • Maintain a healthy body weight
  • Limit unhealthy foods (refined grains and sweets, potatoes, red meat, processed meat) and beverages (sugary drinks)
  • Improve sleep routine and reduce the stress

Complications

Obesity has been linked to a number of complications. If untreated for a prolonged period it may lead to:

  • Type 2 diabetes
  • Infertility
  • High blood pressure
  • Heart disease
  • Certain cancers (breast, colon, and endometrial)
  • Stroke
  • Gallbladder disease
  • Fatty liver disease
  • High cholesterol
  • Sleep apnea and other breathing problems
  • Chronic lower back pain
  • Arthritis
  • Osteoarthritis, particularly of the knees

Weight-Management Programs

Weight-Loss Medicines

Weight-Loss Devices

Bariatric Surgery

Special Diets

Diagnosis

Treatment

Clinical Trials

  • Bariatric surgery includes several types of operations that help you lose weight by making changes to your digestive system. Bariatric surgery may be an option if you have extreme obesity and haven’t been able to lose enough weight to improve your health or keep from gaining back the weight you lost with other treatments. Bariatric surgery also may...
See more on niddk.nih.gov

Lifestyle and Home Remedies

Alternative Medicine

  • To diagnose obesity, your doctor will typically perform a physical exam and recommend some tests. These exams and tests generally include: 1. Taking your health history.Your doctor may review your weight history, weight-loss efforts, physical activity and exercise habits, eating patterns and appetite control, what other conditions you've had, medic...
See more on mayoclinic.org

Coping and Support

Preparing For Your Appointment

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