

Dr. Masoumeh Moradi is a distinguished nutritionist and dietitian based in Tehran, holding a PhD in Nutrition and Diet Therapy. With over 17 years of […]
Obesity treatment involves a multidisciplinary approach to help individuals achieve and maintain a healthy weight while reducing associated health risks. It combines lifestyle changes, medical interventions, and surgical options tailored to each person’s needs.
The foundation of obesity treatment includes:
Balanced Diet: A nutrient-rich, calorie-controlled eating plan to promote sustainable weight loss.
Regular Physical Activity: At least 150 minutes of moderate exercise per week to boost metabolism.
Behavioral Therapy: Addressing emotional eating, stress management, and habit changes for long-term success.
When lifestyle changes alone are insufficient, doctors may prescribe FDA-approved weight-loss medications. These drugs work through different mechanisms to support weight management:
Orlistat (Xenical, Alli): This medication works by blocking about 30% of dietary fat absorption in the intestines. It’s suitable for long-term use but may cause digestive side effects like oily stools and diarrhea.
Semaglutide (Wegovy, Ozempic): As a GLP-1 agonist, this weekly injection reduces appetite and slows stomach emptying. Many patients experience significant weight loss (15% or more of body weight), though it may cause nausea initially.
Liraglutide (Saxenda): Similar to semaglutide but requires daily injections. It helps regulate appetite and promotes feelings of fullness. Common side effects include nausea and potential gallbladder issues.
Phentermine-Topiramate (Qsymia): This combination suppresses appetite while boosting metabolism. It’s effective for short-to-medium term use but may increase heart rate and cause tingling sensations.
Bupropion-Naltrexone (Contrave): This combination medication helps reduce food cravings and emotional eating by affecting brain chemistry. It may cause insomnia or dizziness in some patients.
Metformin: While primarily for diabetes, metformin can help with weight management in people with insulin resistance or PCOS by improving how the body processes sugar.
Important Note: All medications should be used under strict medical supervision and work best when combined with lifestyle changes. They’re not suitable for everyone and may have contraindications.
For severe obesity (BMI ≥ 40 or ≥ 35 with health complications), surgical options include:
Gastric Bypass: Reduces stomach size and alters digestion.
Sleeve Gastrectomy: Removes part of the stomach to limit food intake.
Adjustable Gastric Banding: A reversible procedure that restricts stomach capacity.
Obesity increases the risk of:
Type 2 diabetes
Hypertension (high blood pressure)
Sleep apnea
Heart disease
A team of specialists (doctors, dietitians, therapists) ensures comprehensive care to improve overall health.
Regular follow-ups with healthcare providers.
Support groups & counseling for motivation.
Sustainable habits rather than quick fixes.
Effective obesity treatment requires a personalized, science-backed plan combining diet, exercise, medical care, and (if needed) surgery. If you’re struggling with weight management, consult a healthcare professional to explore the best options for your health.
Take the first step toward a healthier future today!
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