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Weight Loss - Conquering Obesity
Surgical and Medical Solutions
Health professionals always recommend weight loss through diet and exercise, but in some instances they will perform weight-loss surgery, known as bariatric surgery. As with any surgery, it comes with many risks, and it's not a solution for everyone. In order to qualify for surgery, most people must be severely obese or obese with serious medical conditions. Doctors will usually have patients attempt to lose weight through diet and exercise or drug therapy before agreeing to surgery. Patients must also understand that with surgery comes a lifelong commitment to changes in eating habits and exercise. It's not a "quick-fix."
There are two types of obesity surgery, restrictive and malabsorptive.
Restrictive Surgery - Restrictive surgery means just what it sounds like - it restricts food intake by making the stomach smaller. Gastric bypass is the most common type of restrictive surgery.
Malabsorptive Surgery
Malabosorptive surgery is less common than restrictive surgery because it's riskier. These surgeries limit the amount of calories and nutrients the body absorbs, causing an increased risk of malnutrition and vitamin deficiencies.
Gastric bypass
In gastric bypass, the stomach is stapled to created a tiny pouch that can only hold about one ounce of food. The small intestine is then cut, and part of it is sewed directly onto the pouch. This procedure directs food from the small pouch directly into the second section of the small intestine instead of going through the entire stomach the first section of the small intestine. This limits the number of calories absorbed by the body. Most people who have gastric bypass lose around half of their excess weight, and many keep it off for 10 years or more.
As successful as it may be, it's not free of risk. Approximately one in 200 people die from the procedure, and people who have the surgery may experience side effects such as iron and B-12 deficiency, gallstones, and bleeding ulcers. Also, since the stomach is so small, eating too much could cause vomit or severe pain.
Malabsorptive Surgery
Malabosorptive surgery is less common than restrictive surgery because it's riskier. These surgeries limit the amount of calories and nutrients the body absorbs, causing an increased risk of malnutrition and vitamin deficiencies.
Drug Therapy
Drug therapy is available for people with a BMI 30 or over with no medical conditions or for people with a BMI of over 27 with two or more obesity-related conditions. Like surgery, drugs do not the place of a regular diet and exercise program.
With regards to other medical solutions, there are three most commonly prescribed FDA-approved weight-loss medications. They are Orlistat, Sibutramine, and Phentermine.
Orlistat
Orlistat is a fat-blocker. It blocks about 30 percent of dietary fat from being absorbed in the body. This undigested fat is removed from the body in bowel movements. Patients usually take one capsule three times a day with each meal. Side effects include oily bowel movements, stomach pain, increased number of bowel movements, and irregular menstrual periods.
Sibutramine
Sibutramine is an appetite suppressant. People normally take it once a day with or without food. It is approved for long-term use, but it can be habit-forming. Side effects include headache, constipation, insomnia, mood changes, and stomach pain.
Phentermine
Phentermine is also an appetite suppressant. People usually take it one single dose in the morning or three times a day 30 minutes before meals. Phentermine is not prescribed for long-term use and is usually only prescribed for three to six weeks. It can be habit-forming. Side effects of phentermine include dry mouth, unpleasant taste, diarrhea, constipation, and vomiting.
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