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What are the benefits and risks of anti-obesity medications?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At April 3, 2024
Reviewed AtApril 3, 2024

Patient's Query

Hello doctor,

I have been struggling with my weight for so long, and it is getting to the point where it is affecting my health and my entire life. I have tried every diet out there, and spent hours at the gym, but nothing seems to work. I have been considering anti-obesity medications, but I am terrified of the potential side effects and whether they are a safe option for me. Can you please help me understand if anti-obesity medication could be a viable option for me? What are the risks and benefits, and is this a path we can explore together? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern. It is valid that obesity occurs due to high carbohydrate intake with less physical activity. It can also be due to drastic hormonal changes which are related to your current age too as you are 40. We need to find out the cause of obesity first, as you already mentioned in your case, it is the effect where the body hits metabolic lock due to a lot of trial and error methods. Yes, it can be genetically also but it has only 15 to 20 percent contributions only. Also to consume medication you need to have above BMI (body mass index) of 32 and if any other medical issues then consult an endocrinologist before you take anti-obesity medication because there have to be the right prescriptions with the right dosage or it can be fatal. I would suggest you follow the below measures:

1. A sudden exercise routine will not help. Do not make drastic life changes or restricted diets that you cannot sustain for longer. Start with small goals like 3000 steps a day or having four glasses of water and it can be customized as per your lifestyle and needs.

2. Check for your blood reports and hemoglobin which can cause low energy levels and low metabolism, which can lead to weight gain.

3. Check for the obesity stage by calculating your BMI (body mass index).

4. Identify lifestyle changes or stress factors because you have not mentioned more details to guide you more on it but there is change work toward it.

Please give details of age height and weight to help you further but I can help you here with a few changes to start with:

1. Balanced carbohydrate intake throughout the day.

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2. Do not skip meals. Try not to let more than four to five hours go between meals or snacks to maintain stable blood sugars and diminish extreme hunger.

3. Gradually increase intake of high-fiber carbohydrate foods.

4. Physical activity is very important. Go for at least 20 minutes of walking daily.

5. Include fiber carbohydrate foods in your diet like whole grain breads; whole wheat pasta, brown rice, high fiber cereals, oats, barley, legumes (peas, beans, and lentils), corn, bran, seeds, and nuts; fresh and vegetables like broccoli, cauliflower, carrots, apple,

pear.

6. Emphasise lean protein foods at 15 to 20 percent of total calories. Try to include protein with most meals and snacks. Include more dal, legumes, chicken, fish, and low-fat dairy products

7. Consume about 25 to 30 percent of calories as fat – emphasizing low saturated fat foods and increased monounsaturated and omega-3 fatty acid food choices.

8. Monounsaturated fat-containing food choices include avocado, olive oils; olives, and nuts such as almonds.

9.Omega-3 fatty acids, specifically EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) containing food choices include cold-water fish such as salmon, mackerel, halibut, tuna, sardines, and herring. Include flax seeds, chia seeds, and walnuts.

10. Avoid refined carbohydrates cause inflammation, and exacerbate insulin resistance, and should be avoided. These include highly processed foods, such as White bread, muffins, semolina, and pasta. Limit foods containing trans fatty acids, especially deep-fried foods like chips or mathri or canned products. Avoid red meats as they are high in saturated fats.

I hope this helps you.

Thank you.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Bhanushali Sonali Suresh Tara
Bhanushali Sonali Suresh Tara

Fitness Expert

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