Obesity Treatment Options

Some Medical Facts about Obesity

More than two-thirds of adults in the United States are either trying to lose or maintain weight. However, only 20 percent are both eating fewer calories and engaging in at least 150 minutes of physical activity during leisure time each week. Furthermore, less than one-half of obese adults report being advised to lose weight by health care professionals. Thus, physicians can play an important role in educating people regarding the need for and the optimal strategies for losing weight.

Selection of treatment for overweight subjects is based upon an initial risk assessment. All should be evaluated for their readiness to change, an essential feature of those who are successful in losing weight. Patients who are in a pre-contemplative phase, in the early stages of thinking about it, are probably not candidates for an active program.

Those who are ready to lose weight should all receive basic information about behavior modification, diet, and exercise.

Diet and lifestyle

 

• All patients who are overweight (BMI ≥ 27 kg/m2) or obese (BMI ≥30 kg/m2), should receive counseling on diet, lifestyle, and goals for weight loss.

   

  Patients with a BMI of 25 to 29.9 kg/m2 who have an increased waist circumference (>40 inches/102 cm in men or >35 inches/88 cm in women) or those with a BMI 27 to 30 kg/m2 with comorbidities deserve the same consideration for obesity intervention as those with BMI≥30 kg/m2.

Pharmacotherapy

 

• For patients who have failed to achieve weight loss goals through diet and exercise alone, we suggest pharmacologic therapy

   

  Detailed recommendations for pharmacotherapy are discussed separately.
• Bariatric surgery

 

• For patients with BMI ≥40 kg/m2 who have failed diet and exercise (with or without drug therapy) or for patients with BMI >35 kg/m2 and obesity-related co-morbidities (hypertension, impaired glucose tolerance, diabetes mellitus, dyslipidemia, sleep apnea), we suggest bariatric surgery

Source: uptodate

your purpose for this post?

Father Don,

Not sure about this DR. Being a ligit WLS peep. I got a friend request from him and did not accept due to the fact that I wasen't sure if it was a virus or something.

He may be a forum stalker or something. No profile last time I looked.

Just a feeling,
Lisa

 Interestingly enough, you post about him not having a profile and there is a very brief one now. I'm thinking an anti WLS troll, but I did google him and there is a doctor with the same name. There were very few references listed, one of them was his profile here. He talks alot about technology and such. Can't be certain it is the same guy but the name is unusual enough I suppose. The bottom link is the google page. (edited to add last link)

This is what I found:  

 http://wikichristian.org/index.php/User:Prab/About_WikiChristian


http://www.wikimd.org/index.php/WikiMD.org:About


http://sear*****redimail.com/?q=Prab%20Tumpati&lang=english &source=051022105