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Therapeutic Weight Loss Management
Background:
> An estimated 97 million adults in the United States are overweight or obese, a condition that substantially raises their risk of morbidity from hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers.
> Higher body weights are also associated with increases in all-cause mortality.
> Obese individuals may also suffer from social stigmatization and discrimination.
> Overweight and obesity pose a major public health challenge as a major contributor to preventive death in the U.S.
> Obesity is a complex multifactorial chronic disease that develops from an interaction of genotype and the environment. It involves the integration of social, behavioral, cultural, physiological, metabolic and genetic factors.
Our board certified pharmacists will strategize an individualized plan for weight loss and weight maintenance for you based on clinical practice guidelines by:
> Planning an individual Low Calorie Diet (LCD) therapy.
> Designing an individual platform for improved Physical Activity.
> Formulating strategies to overcome barriers to compliance with dietary therapy and/or increased physical activity.
The Above Combined Therapy – LCD, Daily Physical Activity and Behavioral Therapy is the prescription for the most successful intervention for weight loss and weight maintenance. Specific strategies include self-monitoring of both eating habits and physical activity, stress management, stimulus control, problem solving, contingency management, cognitive restructuring, and social support.
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Pharmacotherapy can augment the above if goal is not obtained for some patients with a BMI of ³ 30 with no concomitant risk factors or diseases, and for patients with a BMI of ³ 27 with concomitant risk factors or diseases.
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Weight loss surgery is one option for weight reduction in a limited number of patients with clinically severe obesity, i.e., BMIs ³ 40 or ³ 35 with comorbid conditions. Weight loss surgery should be reserved for patients in whom efforts at medical therapy have failed and who are suffering from the complications of extreme obesity.
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Our board certified pharmacist can guide you on personalized Diet, Physical Activity, Behavioral Therapy, Pharmacotherapy, Medicinal and Nutritional impact upon pre & post Weight Loss Surgery through an integrated program.
Goals of Weight Loss and Management: The general goals of weight loss are -
> At a minimum, to prevent further weight gain.
>Initial goal of weight loss therapy is to reduce 10 percent body weight from baseline over 6 months.
> To Maintain lower body weight over long term.
