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Weight Management Program - ObesityWhat is itObesity is defined as a body weight greater than 100% over the ideal weight.
An easy way to determine your frame size is to circle one wrist with the middle finger and thumb of your other hand. If the fingers just touch you are medium frame, if they overlap you are a small frame, and if they can't reach you are a large frame. It KillsIt is a serious medical problem with greatly increased risks of heart attack, stroke, pulmonary embolus, hypertension, diabetes and others. Its Not Your FaultIt is a chronic disease with a strong genetic component. If one of your parents is obese, your risk are >50% of being obese. If both of your parents are obese, your risk of being obese is greater than 80%. It is treatableThere are many treatment options now. These consist of three components, diet, exercise, and medication. DietMost important is diet. We recommend a low fat diet, typically 20-30 fat grams a day for women, and 30-40 fat grams a day for men. If you don't want to read labels and count fat gram, there are many prepackaged health food items to choose from. ExerciseTo lose weight, you must do aerobic exercise. Aerobic exercise is continuous exercise that gets your heart rate up. For a healthy heart you should exercise a minimum of one half hour three times a week. To lose weight, the more the better. Examples are walking, jogging, swimming, treadmill, and stair climber machines. Enter in your weight and how many miles you jog or run then click on the calculate button to see how many calories are consumed. Isometric exercise helps to tone muscle. Examples of isometric exercise are weight lifting and weight machines. It takes a lot of exercise to burn off calories. The following table shows the number of calories burned per hour for various activities.
MedicationResearch by Dr. Michael Weintraub changed the thinking on diet medication. He tested the combination of phentermine with fenfluramine, commonly known as "phen-fen". He showed that diet medication could be used up to three years with continued and maintained weight loss. Perhaps more importantly, he stressed that obesity is a chronic medical problem like diabetes or high blood pressure, and may require treatment for life. It is not a character defect or moral weakness. Phentermine (Adipex P, Fastin, Ionamin)Phentermine is the most effective, safest, least expensive diet medication. On it most of our patient lose five to ten pounds a month. It is taken once a day in the morning, and is time released to suppress your appetite all day long. Side effects are usually minor, including dry mouth, constipation, rapid heart rate, and nervousness. Some people find they have more energy and use this to exercise more. It is not associated with the rare but fatal lung disease of PPH (primary pulmonary hypertension). It can not be taken by patients with diabetes, heart disease (angina or heart attack), and some kinds of glaucoma. In Dr. Weintraub's research it was as effective as alone as the combination of "phen-fen". Fenfluramine (Pondamin) withdrawn from market 9/23/97By itself, fenfluramine is a relatively mild appetite suppressant. It has just the opposite side effects of phentermine. It makes some people sleepy, and can cause diarrhea. By using them together, the side effects of both can be reduced. It has been associated with PPH, and heart valve damage . Dex-fenfluramine (Redux) withdrawn from market 9/23/97Dexfenfluramine is a relatively new diet medication. It is the chemical mirror image of fenfluramine, and has similar action and side effects, including the risk of PPH and heart valve damage. Prescription diet pills are recommended to be used only in people who are dangerously overweight, according to the following chart.
If you fall in the red region, you fall in the dangerously overweight category, and are eligible for prescription diet medication. If you are in the yellow region, you are eligible only if you have hypertension or diabetes. If you are in the green region you are not eligible. (502) 583-3189 • Fax: (502) 581-1463 • fcg@adept.net | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||