Consultations

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How does the obesitological examination take place?

During the medical examination, following a detailed questioning and physical examination, the degree and type of obesity and possible secondary causes are determined.

They ask questions about the trend of weight gain, eating and exercise habits, previous and current health problems, medication and vitamin intake, diseases that occur in the family, and previously used diets.

During the examination, body height, body weight, abdominal circumference are measured, body fat ratio, oxygen saturation, blood pressure and pulse are determined. They listen to your heart and lungs, feel your abdomen, and check your musculoskeletal system. If necessary, a cardiology or orthopedic examination is recommended to assess physical movement and load capacity.

Then a laboratory test is performed (blood sugar-insulin resistance, blood sugar stress test (OGTT), lipid profile, uric acid, liver and kidney function, ions, urine, TSH, cortisol). The fee for the laboratory test is not included in the price of the specialist consultation.

After that, the required rate and target value of body weight loss are determined.

What can be expected from the treatment of obesity? In case of 10% weight loss:

• Blood pressure decreasing by 10-20 mm Hg
• Cholesterol level decreasing by 10-15%
• Triglyceride level decreasing by 30%
• 50% decrease in blood sugar level
• drug withdrawal
• redevelopment of diabetes into pre-diabetes (pre-diabetes state)
• normalization of prediabetes
• 40% fewer obesity-related tumors
• 30% less diabetes deaths
• 20% reduction in total mortality
  
  

The next important stage is maintaining body weight. If body weight decreases, appetite increases and energy consumption decreases. Diary keeping, frequent contact with a specialist, and behavioral therapy are of great help in this long-lasting process. It takes a professional, broad-minded team to properly treat, educate, and motivate an obese individual.

The pillars of the lifestyle program: diet – exercise – lifestyle change . The individual elements by themselves lead to a much slower and less spectacular result than a complete lifestyle change.

In addition to these, drug treatment, gastroenterological and surgical intervention may also be necessary.

In the long term, however, it is essential to know the energy content and composition of the food you eat, and in the case of diabetics, also the carbohydrate content. Counting daily calorie intake is the basis of conscious eating and success. When compiling the diet, comorbidities, such as diabetes, high cholesterol, and celiac disease must also be taken into account. Dietitians provide practical help for this.

If weight loss/maintenance is unsuccessful despite comprehensive lifestyle changes and the BMI is ≥30 or ≥27, which is accompanied by other diseases, then further drug therapy may be a solution. The specialist decides on the need for this.

If BMI ≥40 or BMI ≥35, accompanied by other diseases, and the person who wants to lose weight is motivated, but a complete lifestyle change was unsuccessful, bariatric surgery can be recommended. These are gastric bypass and gastric sleeve surgeries, which are all available at the Duna Medical Center (you can read more about each procedure by clicking on the links).

Why is control necessary?

During repeated meetings, they make sure how the lifestyle change is progressing. Is there a new complaint, what could be the reason if the weight loss has stopped. It may be necessary to change the dosage of any medications, e.g. due to improved blood sugar, blood fat or blood pressure values as a result of weight loss. Regular and continuous contact with our patients is essential both from the point of view of "managing" diet and exercise therapy. Constant motivation and adequate psychological support are also indispensable for achieving lasting success.

When should you contact an obesitologist?

If your BMI is over 25, your waist circumference is larger than normal (more than 80 cm for women, more than 94 cm for men)

• accurate determination and resolution of the fact and extent of overweight
• detection of the causes of obesity
• for the purpose of diagnosing and treating diseases related to overweight
• in case of the ineffectiveness of the weight loss treatment(s) tried so far
• due to the professional assessment of the need for drug treatment, gastroenterological, surgical intervention
• in the case of questions related to obesity arising in the background of other diseases (e.g. high blood pressure disease, high blood fat values, PCO syndrome, joint-spine problems, reflux disease, sleep apnea syndrome, potency disorder, depression)
• preventing the development of excess body weight, which occurs in several cases in the family
• in order to maintain health, for the purpose of health assessment and discussing the planned diet.