Severe Obesity In Adults Weight Loss Treatment And Tips

Severe Obesity In Adults Weight Loss Treatment And Tips



Severe obesity is​ a​ serious medical condition experienced by people with a​ body mass index of​ 40 or​ above. Previously called morbid obesity,​ it​ affects an​ estimated six million American adults,​ or​ about 1 in​ 33 of​ the​ adult population. Associated with a​ range of​ complex metabolic disorders including type 2 diabetes,​ insulin resistance syndrome and raised blood-fats,​ plus other weight-related health problems,​ this condition should not be confused with overweight (BMI > 25) or​ regular obesity (BMI > 30). it​ is​ a​ serious disease requiring professional help.

Since I started my weight loss consultancy over 24 years ago,​ I have met and spoken at​ length with hundreds of​ severely obese individuals weighing 300 pounds or​ more. For most of​ them,​ their weight was a​ major source of​ discomfort - both physical and emotional - yet over the​ years most had "adapted" to​ their growing waistline and were resigned to​ remaining seriously overweight for the​ rest of​ their life.

For doctors and other health care specialists who work with obese patients,​ this type of​ patient-resignation to​ lifelong obesity is​ no surprise. But in​ fact it​ is​ only one of​ many obstacles to​ long-term weight loss. Many clinically obese individuals struggle with a​ variety of​ psychological issues to​ which they have trained themselves to​ respond by overeating. Some of​ these issues - for example,​ the​ early loss of​ a​ parent - require sophisticated counseling and even then may remain unresolved. in​ addition,​ many obese people struggle with family,​ educational or​ financial difficulties which further reduce their treatment and recovery options. Given the​ complex causes,​ responses and conditions surrounding obesity,​ it​ comes as​ no surprise that many conventional treatments remain largely ineffective. Sadly,​ many people of​ normal weight - including members of​ the​ medical profession - still find it​ difficult to​ accept the​ intractable nature of​ the​ condition,​ which only adds to​ the​ sense of​ alienation and guilt experienced by the​ very obese.

Obesity Treatment Options

How effective a​ treatment is​ in​ helping severely obese patients to​ reduce weight,​ largely depends upon its ability to​ tackle the​ root causes of​ the​ condition. Most treatments deal with symptoms (excessive calorie intake) rather than causes (why obese individuals overeat).

Conventional Weight Loss Diets

Now that the​ low carb approach championed by Atkins Diet seems to​ have run its course,​ leaving many obese dieters close to​ if​ not heavier than their initial starting weight,​ the​ efficacy of​ conventional weight loss diets is​ more questionable than ever as​ a​ means of​ reducing obesity. Whatever their dietary composition,​ most reduced-calorie diets offer insufficient support to​ help obese patients make the​ necessary changes to​ their eating and exercise habits.

Bariatric Surgery

Gastric reduction surgery is​ a​ vital "last resort" treatment option for patients with severe weight-related health problems. it​ typically leads to​ very significant weight loss and health benefits,​ but it​ deals with symptoms not causes. So although it​ compels patients to​ eat less,​ thus forcing them to​ lose significant amounts of​ weight in​ the​ 2 year period following their gastric bypass or​ banding operation,​ it​ tends to​ have less success in​ dealing with the​ root causes of​ disordered eating which have built up in​ the​ patient's mind over the​ years. as​ a​ result,​ about 2-3 years after their operation,​ a​ large percentage of​ bariatric patients find it​ too difficult to​ follow the​ recommended dietary guidelines and end up regaining most if​ not all their starting weight.

Obesity Drug Treatment

The increasing number of​ obesity drug prescriptions issued to​ patients shows that doctors continue to​ lean heavily on​ pharmaceutical intervention for weight reduction. Furthermore,​ with obesity now labelled as​ the​ "trillion dollar disease",​ drug companies continue to​ invest heavily in​ their search for a​ scientific breakthrough. Yet clinical trials of​ FDA-approved obesity pills continue to​ show minimal long-term weight loss benefits for severely obese patients,​ almost certainly because drugs are not yet capable of​ dealing with the​ fundamental causes of​ disordered eating.

Does This Mean Obesity is​ Untreatable?

In view of​ the​ limited success of​ conventional diets,​ surgery and drugs,​ does this mean that obesity is​ untreatable? No. it​ simply means that more specialised or​ support-based options are necessary. the​ first step in​ finding the​ best treatment option for any obesity condition is​ to​ talk to​ a​ doctor,​ who should be able to​ outline what specialised treatments are available. For example,​ there are a​ number of​ excellent medically-supervised weight loss programs run by hospitals and clinics in​ the​ US and Canada,​ that offer real support and counseling. Self-help support groups like Overeaters Anonymous (505-891-2664) or​ TOPS (800-932-8677) can also be extremely helpful. Alternatively,​ contact the​ American Dietetic Association (800-366-1655),​ or​ the​ American Obesity Association (202-776-7711) for further information.

Some Practical Tips if​ You Are Obese

For anyone who is​ 300 pounds or​ more,​ seeking medical advice and getting proper support is​ essential. Relying upon pills,​ diets or​ willpower alone is​ not enough. However,​ you can do a​ number of​ things to​ help yourself and improve your chances of​ losing weight. Here are a​ few suggestions.

Stop Telling Yourself That You Can't Lose Weight

Whatever your size or​ shape,​ and whatever your history of​ weight gain,​ the​ truth is​ you can lose weight and you can keep it​ off. in​ 24 years I have yet to​ meet anyone who was unable to​ lose weight,​ although I have met lots of​ people who lacked the​ motivation to​ stick to​ their diet! the​ point is,​ not being able to​ do something is​ quite different from not really wanting to​ do it. Yet most dieters confuse these two things. They think they can't lose weight,​ whereas in​ fact what they are really describing is​ an​ unwillingness to​ make the​ necessary changes to​ their eating habits. So stop telling yourself that you can't lose weight - because it's not true. the​ real question is: do you want to​ reduce weight,​ and if​ so,​ why?

Start Telling Yourself Why You Want to​ Lose Weight

The messages we​ transmit to​ ourselves in​ the​ form of​ thoughts have the​ same effect as​ radio commercials. the​ more often we​ hear a​ particular message,​ the​ more we​ believe it. Tell yourself every day that you want to​ lose weight and gradually it​ will become a​ bigger and bigger priority. But don't stop there. in​ addition,​ tell yourself how losing weight will improve your life. Maybe your goal is​ to​ receive more male attention; or​ maybe your aim is​ to​ fit into a​ pair of​ regular jeans; or​ perhaps you think a​ leaner body will boost your confidence. Frankly,​ it​ doesn't matter what benefit you think weight loss will give you,​ the​ important thing is​ to​ advertise this benefit to​ yourself at​ every possible opportunity. Start today and try it​ for three months,​ and I guarantee it​ will help you to​ lose weight.

Start Understanding Your Body Chemistry

There are three things you need to​ know about body chemistry and obesity control. First,​ the​ longer you go without food,​ the​ more likely you are to​ overeat later. So eat something small at​ least once every three hours. This reduces the​ risk of​ bingeing and helps you burn calories at​ the​ fastest possible rate. Second,​ the​ less chewy and more easily digestible a​ food is,​ the​ easier it​ is​ to​ overeat. By comparison,​ chewy foods tend to​ contain more fiber and therefore keep us fuller for longer. a​ good example of​ an​ easily digestible food is​ a​ creamy dessert. Even after a​ huge meal,​ most of​ us can demolish a​ serving of​ cheesecake or​ a​ bowl of​ rich ice cream,​ without much difficulty. in​ comparison,​ eating 5 oranges or​ 6 apples after a​ large main course would be almost impossible. So include plenty of​ high fiber foods in​ your daily diet. They contain fewer calories,​ they fill up your stomach,​ and they keep hunger at​ bay for longer. Thirdly,​ most women experience food cravings in​ the​ week before TOM. This is​ perfectly natural as​ well as​ forseeable. So make sure you have an​ extra supply of​ healthy snacks to​ keep yourself satisfied. Above all,​ don't try to​ deny yourself the​ extra food your body craves - you won't succeed - just make sure you have healthy options available.

Don't Try to​ Be Perfect

God doesn't create perfect people,​ he creates humans. And humans enjoy tobacco,​ alcohol,​ double chocolate chip muffins and truck-sized boxes of​ movie popcorn. So unless you come from Mars,​ don't try to​ be a​ perfect dieter because it​ ain't gonna happen! Every dieter has bad days,​ bad weeks,​ sometimes even bad months. But so what? Losing weight isn't a​ race - it's a​ journey. How long it​ takes to​ arrive at​ your destination is​ not important. the​ only thing that matters is​ that you do eventually get there. Besides,​ once you accept that your diet-wagon is​ going to​ lose a​ wheel from time to​ time,​ you can plan how to​ react when it​ happens. Whereas if​ you assume your diet is​ going to​ be trouble-free,​ you are less likely to​ be prepared when disaster strikes.

Stay Guilt-Free Under All Circumstances

Suppose you are 300 pounds. You start a​ diet,​ you start exercising with a​ neighbor,​ things go well and you lose 30 pounds,​ you feel on​ top of​ the​ world,​ then you have a​ huge bust-up with someone. Result? Your diet falls apart,​ you stop exercising and start comfort-eating. How can you prevent this from happening? Answer: you can't. This is​ Life. This is​ what happens. All you can do is​ go with the​ flow. if​ this means bingeing for a​ week until you feel better,​ so be it. But whatever you do,​ DON'T FEEL GUILTY. Because guilt will eat you up and will keep you obese for ever. in​ my experience,​ a​ dieter's initial bout of​ overeating is​ rarely the​ problem - it's the​ guilt which it​ inspires that does the​ damage and causes them to​ quit. Losing weight should be a​ guilt-free zone,​ and don't believe anyone who tells you different. On my weight loss program and forum there is​ no guilt,​ no matter what happens.

Join a​ Weight Loss Community

If you are connected to​ the​ Internet,​ try to​ find an​ active forum where you can post your weekly weight,​ keep a​ food or​ weight loss journal,​ swap ideas with other dieters and generally have fun. Many people regard weight reduction as​ a​ totally serious matter. But it's not. It's a​ journey from a​ to​ B. And just like any journey,​ it​ passes more easily when we​ have fun and learn interesting things along the​ way. My weight loss forum is​ a​ very supportive place,​ but there are dozens of​ other forums to​ choose from. One of​ the​ biggest benefits of​ an​ active dieting forum is​ the​ opportunity it​ gives you to​ express your feelings. You can vent about your personal success or​ failure and also show your support for other people,​ which is​ equally therapeutic. So look out for a​ suitable online weight loss community and watch your obesity gradually disappear into thin air!




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