What medicine is taken for obesity?

Written by Li Lang Bo
Endocrinology
Updated on December 03, 2024
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Regarding obesity, first and foremost, one should not eat arbitrarily, meaning one should not randomly choose the so-called weight loss drugs available on the market. For obesity, we identify two types: primary obesity and secondary obesity. Primary obesity occurs without any specific reason, merely due to an irregular lifestyle, unhealthy diet, lack of exercise, etc., leading to weight gain.

Secondary obesity has identifiable medical causes; for example, weight gain caused by taking large amounts of exogenous hormones; or hypothyroidism leading to myxedema, which causes weight gain; or issues with the pituitary or adrenal glands leading to excessive secretion of cortisol in the blood, causing a redistribution of fat that results in Cushing's syndrome, among others. For these types of secondary obesity, it is important to identify the underlying causes and treat them accordingly.

For primary obesity, it is not advisable to recommend weight loss drugs commonly found on the market. The first recommendation is to control the diet scientifically, combined with a certain intensity of aerobic exercise to reduce weight. Caution is advised with those weight loss drugs sold by online marketers; one should not consume them carelessly.

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Written by Li Lang Bo
Endocrinology
49sec home-news-image

Can people with obesity run?

The treatment of obesity mainly involves controlling diet and increasing exercise, which means "watch your mouth and move your legs." Therefore, running is definitely an option. However, for those who are severely obese, with a BMI over 30, excessive running might be too much for the knee joints to handle. For obese patients, brisk walking is primarily recommended. Another good form of exercise is swimming, which can protect the joints under the pressure of water while also burning calories. Therefore, people with obesity can run, but it depends on the situation and should not be rushed. For those who are severely obese, swimming is recommended as a way to help reduce weight.

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Written by Tang Zhuo
Endocrinology
1min 29sec home-news-image

Obesity is formed in what way?

Obesity, also known as adiposity, is a chronic metabolic disorder caused by an excessive accumulation of fat in the body or abnormal fat distribution. The exact causes of obesity are not clear, but it is generally believed to be the result of the interaction of multiple factors including environmental and genetic factors. In terms of environmental factors, there is a tendency for obesity to cluster in families; individuals with one or both parents who are obese have a significantly increased likelihood of being obese themselves. The second factor is environmental influences. Consuming more calories than are expended is the primary cause of obesity. Additionally, sedentary lifestyles, lack of physical exercise, and insufficient physical activity all contribute to reduced energy expenditure, leading to obesity. Poor dietary habits, such as eating large portions, a preference for sweets, or oily foods, also increase calorie intake and contribute to the occurrence of obesity. Furthermore, genetic mutations can also lead to obesity. Another viewpoint suggests that childhood obesity can increase the incidence of adult obesity, with people who were obese after the age of six having a more than 50% chance of being obese in adulthood.

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Written by Luo Juan
Endocrinology
1min 45sec home-news-image

symptoms of obesity

Regarding the symptoms of obesity, they vary with the type of disease. For example, in secondary cases, there are clinical manifestations of the primary disease. For instance, obesity caused by hypothyroidism may also present with fatigue, poor appetite, dry skin, etc. Some people have obesity due to insulinoma or recurrent hypoglycemia, leading to repeated eating. The clinical manifestations also include symptoms of hypoglycemia such as palpitations, trembling hands, sweating, and a sense of hunger. If it is a case of simple obesity, generally, men primarily show an apple-shaped obesity, with fat accumulated mainly above the waist. In contrast, women exhibit a pear-shaped obesity, with fat accumulation below the waist, such as in the lower abdomen, buttocks, and thighs. Of course, related to obesity, there are also manifestations of cardiovascular diseases, high blood pressure, diabetes, etc. Some people with obesity may also experience sleep apnea syndrome, venous thrombosis, and so on. Studies suggest that the incidence of malignant tumors is also higher in patients with obesity. Because patients with long-term obesity carry excess weight for a long period, they may experience lower back pain, joint pain, swelling, and are more prone to abrasion or combined fungal or purulent infections in the folds of the skin. Therefore, the clinical manifestations of obesity vary according to the cause of the disease.

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Written by Chen Li Ping
Endocrinology
1min 18sec home-news-image

Will obesity be inherited?

The primary cause of simple obesity, where the reason for being overweight is unclear, is an energy intake that exceeds energy expenditure. There are also certain genetic factors involved. Generally, it is believed that susceptibility to obesity varies among human races, along with the presence of obesity genes and variations in genes related to obesity. Additionally, an individual’s metabolic type, appetite, digestive absorption functions, sleep quality, and metabolic efficiency form the basis for the development of simple obesity. Poor lifestyle habits, such as insufficient physical activity and excessive energy intake, are necessary conditions for its occurrence. Epidemiological surveys have shown that most people with simple obesity have a familial tendency towards the condition. Children born to obese parents are 5-8 times more likely to develop simple obesity than those born to parents who both have a normal weight. However, the majority of cases of simple obesity are not caused by obesity genes or mutations in genes related to obesity.

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Written by Li Lang Bo
Endocrinology
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What department does obesity hang?

First, I recommend visiting the Department of Endocrinology and Metabolic Science, because obesity itself is a metabolic disease, and now obesity is divided into simple obesity and secondary obesity. Simple obesity refers to weight gain caused solely by factors such as irregular eating habits, unscientific diet, and lack of exercise, without other underlying causes. There is also a type called secondary obesity, which is attributable to identifiable causes. For example, a common disorder in endocrinology known as Cushing's syndrome is caused by problems in the pituitary or adrenal glands, leading to an excessive secretion of cortisol in the blood. This results in the redistribution of fat and subsequent weight gain. Another example is hypothyroidism, which also causes weight gain. Therefore, it is essential to see an endocrinologist, who can determine based on clinical manifestations and actual conditions whether the obesity is simple or secondary, and then provide appropriate treatment.