A obese patient age 40 yrs,weight 113kg has a following report. plz suggest a remedy for the patient for losing his weight and get rid from the obesity

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This is a case of Morbid obesity. You have ruled out Hypothyroidism. R/O DM HTN too. Adv LSM TLC Diet Exercise Reduction in Weight Cessation of Smoking Cessation of Alcohol. Try all these methods sincerely. Last resort is Bariatric Surgery. Adv Lap Sleeve Gastrectomy OR Roux En Y Gastric Bypass. They yield the best results. But LSM is important even after surgery.

There are no shortcuts for weight reduction please
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This is a case of morbidly obese. First evaluate the cause of obesity. Rule out genetic or familial history of obesity. Enquire about his occupation whether it is sedentary or not. Enquire is this weight gain is from birth or in the middle ? History is most important in evaluation of cause. Rule out using medications causing obesity such as Antidepressants Anticonvulsants Antidiabetic medication Oral contraceptives Anti hypertensive s steroids Antihistamines rule out hypothyroidism r/o PCOS history of eating pattern coming to the treatment aspect ,there is no short cut to reduce weight. First try with LSM and TLC Low calorie diet containing more proteins,less fats and less carbohydrates. Exercise daily for atleast 1 hour. Advise to take small frequent meals with low calories. More fibre diet with plenty of fruits and leafy vegetables. stop alcohol and tobacco products if they are using. Counselling is most important aspect in the treatment. Treat the underlying causes for obesity. If all measures fail, try with antiobese drugs. Last and most valid treatment is bariatric surgery like sleeve gastrectomy Roux En Y gastric bypass Motivation of the patient to reduce weight by explaining the complications with obesity. Unless you donot motivate, bariatric surgeries also fail.

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The diagnosis of obesity is usually based on a physical examination and a patient history (i.e., eating and exercise habits). A measurement called the body mass index (BMI) does not directly measure body fat, but it is a useful tool to assess the health risk associated with being overweight or obese. A BMI of 18.5 to 24.9 is considered within the healthy range. The BMI is calculated using kilograms (kg) and metres (m) instead of pounds (lb) and inches/feet. Keep in mind that 1 lb equals 0.45 kg and 1 inch equals 0.0254 m. BMI is calculated as follows: BMI = body weight (kg) height (m) Example: if you weigh 150 lbs (68 kg) and are 5'8" (1.73 m) tall, divide 68 by (1.73 1.73), or 2.99. The result is 22.74, which is right in the middle of the healthy range. classifies BMI according to the associated risk of developing health problems: BMI value Classification* Health risk Less than 18.5 Underweight Increased 18.5 to 24.9 Normal weight Least 25.0 to 29.9 Overweight Increased 30.0 to 34.9 Obese class I High 35.0 to 39.9 Obese class II Very high 40 or higher Obese class III Extremely high *The above classification does not apply to people younger than 18 years of age, pregnant women, or breast-feeding women. For people 65 years and older, the "normal" range is higher, beginning slightly above 18.5 and extending into the "overweight" range. Doctors may also use other measurements, such as waist size, to evaluate health risks associated with excess abdominal fat. When BMI and waist size indicate a high risk for health problems, additional tests may also be performed. Treatment and Prevention Changing your lifestyle Obesity is managed and treated to decrease the health risks caused by obesity and to improve quality of life. An appropriate weight management program usually combines physical activity, healthy diet, and change in daily habits. Other programs may also involve psychological counselling and, in some cases, drug therapy. Losing weight and keeping it off is very challenging because lifestyle and behavioural changes are required. What's important is to eat a healthy, balanced diet. Fad and crash diets don't work and can be dangerous. The body needs a minimum amount of energy from food to function normally. No daily diet with less than 1000 to 1200 calories should be used without medical supervision. "Crash diets" are never successful in the long term because once the diet is stopped, the weight usually comes back. Commercial weight-loss plans and clinics are successful businesses because they have so many return customers. To lose weight successfully, and to maintain a healthy weight, requires lifelong changes in eating and exercise habits as well as an understanding of emotional factors that lead to overeating. It also involves setting and achieving specific and realistic goals. People who are medically obese should consult a doctor or dietitian for a safe and personalized weight-loss program. Behavioural therapy or modification can also help. Seeing a therapist or counsellor can help you understand the emotional and psychological reasons for overeating and can teach you ways to manage your eating triggers. Regular physical activity is an important part of weight management. In addition to managing weight, exercise also improves overall health and can help reduce the risk of diseases such as certain cancers, heart disease, and osteoporosis. Regular physical activity doesn't mean you have to join the nearest gym. It can be as simple as climbing the stairs instead of taking the elevator, walking or cycling to work and leaving the car at home (if at all possible), or going for a walk at lunchtime with coworkers. What's important is to add exercise to your daily routine, and to work towards a higher activity level. Choose activities and exercises you enjoy. Medical intervention Medications may be part of a weight management program. Medications aren't "magic cures" leading to permanent weight loss. They're generally used in combination with a proper diet and exercise program. They are only for people who are classified as obese (i.e., those with a BMI over 30), or people with a BMI of 27 and extra heart disease risk factors such as high cholesterol or diabetes. Some medications are approved for short-term use only. One example of a weight-loss medication available in Canada is orlistat*, which blocks the absorption of fat from the bowel. Talk to your doctor about whether medications are an option for you. Surgery is only considered when other weight management options have not been successful. There are many forms of obesity surgery, but often surgery reduces the size of the stomach so that only a small amount of food can be eaten comfortably. Some of the terms used to describe the surgeries used to treat obesity include: gastric surgery gastric bypass surgery laparoscopic band surgery Roux-en-Y gastric bypass stomach "stapling" When reviewing suitable management options, it's important to consider the risks and benefits of each option. Your doctor and other health care professionals can provide you with the information you need to make an informed choice about what options are best for you.

above reports suggests that thyroid function is normal....It is considered as morbid obesity..... adv 1.cap.zerofat A 2bd for 3 months 2.gomutra arka 25 ml daily internally 3.udvartana with ruksha n medohara drugs 4. tab.navaka guggulu 2bd 5.stop day sleep 6.not to take curd n highly nutritious foods 7.take foods that are less calories n hard to digest 8.brisk walk for 45 min daily

Ask to pt to take more vitaminious ,Fibrous rich food... Avoid fastfood oily food , sweet , Daily walking...exercise...mix.honney wid hot water thn take it daily in Early morning .... Phytolacca Q in dilution form in bd SL 4 pills bd...

Provided there is no any other pathological problem 1) Appropriate diet control 2) Daily 5 kms walking 3) Exercise eg Yoga 4) Medohar vidangadi loh 1 bd Arogyavardhini vati 1 bd pc Kumari asava 1 2tsf bd pc

Patients report is difficult to read.obesity is big problem world wide.. It is a billion dollar industry. Unless she/he has Any medical problems. It is a question of Trial and error what works. Even baba Ramdev has joined the race. But his method is inexpensive.

रोगी स्थुलता एवं यकृतशोथ से पीड़ित है। चिकित्सा संबंधी योग,,,, सप्ताह में दो दिन 18 घंटे तक उपवास रखना चाहिए मेदोहर गुगल 2 वटी सुबह शाम जल से सेवन कराएं कुमारियासव द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। पपीता का नियमित रूप से सेवन कराएं निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं।

रोगी मेद वृद्धि से पीड़ित है। चिकित्सा संबंधी योग,,,, सप्ताह में दो दिन 18 घंटे तक उपवास रखें। लौह रसायन 5 ग्राम सुबह-शाम सेवन कराएं। अनुलोम-विलोम प्राणायाम कराएं कपालभाती प्राणायाम कराएं भद्रिका प्राणायाम कराएं। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Wt. reduction is a herculean task. His liver panel and tft is normal. So he will have to be very dedicated in dieting and spend money without any result. If he is serious ballooning or bartriac Surgery certainly works, if pt can afford it.

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