What strategies can help to maintain weight loss in long-term?

Question

Hi doctor,

As a 35-year-old man who has been obese most of my life, I am struggling with the psychological aspects of weight loss. How can I address emotional eating and develop a healthier relationship with food? I have tried numerous diets in the past but always seem to regain the weight. What strategies can help me maintain weight loss long-term? I am also concerned about the health risks associated with obesity. What specific screenings or tests should I request from my doctor? I have heard about bariatric surgery options. At what point should I consider this, and what are the different types available? Lastly, I am worried about the impact of rapid weight loss on my metabolism. Is there truth to the idea that crash diets can permanently slow metabolism? I want to approach this journey in a way that's sustainable and supports my overall health.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Emotional eating is a challenge, for those who have struggled with obesity. Emotional eating is often in response to stress, boredom, or negative emotions. To break this cycle:

Keep a food diary to note when, what, and why you are eating.
Pay attention to your hunger and eat slowly.
Focus on the taste, texture, and satisfaction of food,
Manage stress by exercising, meditating, and engaging in hobbies you enjoy.
Focus on a balanced diet.
Regular physical activity.
Regularly check, blood glucose levels, lipid profile, blood pressure, liver function tests, and rule out sleep apnea.

Bariatric surgery is an option for those who have been unable to achieve weight loss through diet and exercise upon physical examination by a doctor.

Sleeve Gastrectomy: It removes a portion of the stomach, resulting in a smaller, sleeve-shaped stomach.
Adjustable Gastric Band: A band is placed around the upper part of the stomach to create a small pouch that limits food intake.
Biliopancreatic Diversion with Duodenal Switch: A complex surgery that combines a sleeve gastrectomy with intestinal rerouting has higher risks.

Crash diets can lead to a reduction in metabolic rate, known as metabolic adaptation. This occurs because the body enters a state of conservation when it senses a significant calorie deficit. So, aim for gradual weight loss. A physical examination by a doctor in a hospital is a must

I hope this information will help you.

Thanks.