There are 3 ways to lose weight fast.
- Change the way of life
- Drug treatment
- Surgical treatment
2. Drug treatment
There are two main types of drugs commonly used to treat obesity: one is an appetite suppressor that acts centrally: it is also known as anorexia drug, which reduces the reuptake of serotonin and norepinephrine by affecting the activity of neurotransmitters, thereby reducing food intake, suppressing appetite and increasing the base metabolic rate to reduce weight, such as sibutramine.
Another is an outer lipase inhibitor: by blocking the absorption of some fat in the diet for weight loss purposes, patients who need medication have a BMI greater than 30kg/m2 and no conurbation, or more than 28kg/m2 with other combos.
3. Surgical treatment
Controlling diet, exercise therapy, or medication can sometimes not achieve the desired weight loss effect. Surgical treatment is the only way to achieve long-term and stable weight loss in obese patients.
Gastrointestinal surgery can reduce weight and may improve or even cure obesity-related metabolic diseases, primarily type 2 diabetes, treatment of severe obesity, prevent, slow down, and even prevent the development of obesity complications.
Bariatric surgery began in the 1950s. After more than half a century of continuous exploration and research by surgeons, the operation method has been further improved and improved.
Depending on the weight loss principle, weight loss surgery can be divided into three categories:
- Restrictive surgery, such as adjustable gastric banding (laparoscopic adjustable gastric banding, LAGB), sleeve gas excision (laparoscopic gastrectomy, LSG)
- Absorption of adverse types of surgery, such as laparoscopic biliary pancreatic surgery and duodenal retransmission (laparoscopic), Biliopancreatic with duodenal switch, LBPDDS)
- Both limit the volume of the stomach and cause poor absorption of Roux-en-Y gastric bypass surgery (laparoscopic Roux-en-gas-gas bypass, LRYGB).
After introducing laparoscopic technology into obesity surgery in the 1980s, it has brought a key influence on the development of bariatric surgery.
In recent decades, with the maturity and development of clinical application of laparoscopic technology, laparoscopic surgery has become the standard method of treatment of obesity.
Compared with traditional abdominal surgery, laparoscopic surgery has the advantages of minimal invasiveness, small surgical impact, rapid recovery, short hospital stay, and low risk of the perioperative period.
With more than 200,000 bariatric surgeries performed worldwide each year, more than 1 million obese and diabetics in Europe and the United States have benefited from surgery, making it the most common gastrointestinal procedure in the United States.
Clinical studies confirmed that 78% of diabetes was wholly relieved after bariatric surgery, partially alleviated 87% of diabetes, more than 70% of hyperlipidemia was relieved, 61.7% of hypertension was utterly reduced, 78.5% was partially cleared, and more than 80% of sleep apnea was alleviated or improved.
In Western countries such as Europe and the United States, patients with diabetes ≥ BMI ≥ 40kg/m2 or 35kg/m2 are considered for surgery. For obese people anywhere, the following conditions should consider surgical treatment:
1. Confirm the emergence of metabolic disorders associated with the pure fat excess syndrome, such as type
2. Diabetes, cardiovascular disease, fatty liver, lipid metabolism disorders, sleep apnea syndrome, etc., and predict weight loss can be effectively treated.
3. Waist circumference: men's ≥ 90cm, female ≥ 80cm. Lipid disorders: TG (triglycerides) ≥ 1.70 mmol/L; and/or fasting blood HDL-ch (HDL cholesterol): male < 0.9mmol/L, female < 1.0mmol/L. 3. BM I ≥ 32 kg/m2 for a steady or steady weight gain of more than five years (shall refer to the weight normally recorded by the patient and the coefficient calculated by the height at that time, and special circumstances such as the second year of pregnancy shall not be used as a basis for selection).
4. Age 16 to 65 years old. People over 65 years of age, due to obesity-related complications stubborn and complex, should be based on preoperative examination to weigh the pros and cons of surgery and then decide whether or not to operate. Patients under the age of 16 should consider the degree of obesity, the impact on study and life, and whether there is a family history of inherited obesity, my will.
5. After non-surgical treatment of poor efficacy or intolerable.
6. No alcohol or drug dependence, no serious mental disorders, intellectual disabilities.
7. Patients understand bariatric surgery, understand and accept the risk of potential complications of the surgery, understand the importance of postoperative lifestyle, diet changes in postoperative recovery and have the ability to bear, can actively cooperate with postoperative follow-up. More than one of the 1 to 3, at the same time with 4 to 7 cases, may consider surgical treatment. On the contrary, surgical treatment is not recommended.
Obesity involves multiple systemic lesions throughout the body, and obesity patients combine multi-system combinations simultaneously, requiring collaboration among various disciplines to develop more specialized and standardized treatment options.
Thank You.