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What is obesity?

continued from page 1
Treatment

Medical
Medical treatment is aimed at not only treating any complications of obesity but also trying to reduce weight by tackling diet and lifestyle. The aim of weight reduction is to reduce weight by around one kilogram a week until the desired BMI is reached. The mainstay of treatment is reduction in energy intake, especially from fat, sugar and alcohol. Usually the help of a dietician is beneficial. Physical exercise to increase energy output is encouraged, but on its own is ineffective. Medication to aid weight loss has become increasingly popular of late, but careful patient selection is critical for its success. The patient has to be genuinely interested in losing weight prior to using medication.

Surgical
In gross obesity, gut bypass surgery may be necessary or indeed gastric stapling and jaw wiring. An apronectomy to remove excess skin after weight loss is sometimes indicated but is not an effective initial surgical solution.

Long-term education regarding the risks and complications of obesity is necessary and patients frequently need active encouragement. The use of dietary clubs is sometimes helpful.

This information was supplied to iVillage by Medic Direct
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