OzPic, Mounjaro, Wegovy, Semaglutado and Liraglutide. Today, most people know what these difficult names mean: they are injections loss of weight loss in the pens and brought exceptional results to those who suffer from obesity.
“We had a revolution in the endocrine area. It has begun to note that these treatments are really working, and that losing weight is higher than the medications that we traditionally used. Loss of weight with these medications reaches 20 %, in some younger, up to 25 %,” is one of the guests of Roberto Kleel in vital signs on Saturday, along with Alexander Azifido, the psychiatrist at SO Paulo Clinic Hospital.
Rosnabum points, however, two problems: The high cost of medicines (each pen can cost up to $ 3,000 per month), and Random use without medical follow -up. “There is no doubt that there is an abuse because it does not need a prescription.”
It is not enough to lose weight when it comes to obesity
The problem of follow -up without accompanying is exactly the reason for the presence of a psychiatrist in this conversation wheel: the emotional effects of obesity. “People know that 30 % of obese people have anxiety and depression. “Often these people are looking for many experts and reaching their office, already frustrated with the way they are treated, and they felt guilty of obesity,” says Rosnabum.
“We can reach rates, for example, spread Eating coercion disorder Up to 50 % in individuals who are in clinical treatment for obesity. And if the treatment does not focus on coercive food disorder, then they are individuals who “fail” in the treatment of obesity, and increases frustration, “adds Alexander Azifido. This is the issue of the loss cycle and the “landslides” is one of the great factors that prefer depression in the individual with obesity. ”
Studies indicate that there are behavioral interventions that may affect the success of weight loss to maintain this result. This can be about the beliefs that people enjoy about some foods and with the guidelines of the quality of life.
Obesity is a chronic and multiple factors
“We know that there are a number of psychological, biological and hormonal factors that make this person increase weight and strive for a loss. The big challenge there is a modification of lifestyle,” says Rosnabene. Therefore, experts defend an approach not only focusing on medicines.
“Dietary can have emotional consequences such as symptoms of depression, irritation symptoms, patience, and insomnia. Then comes food guidance, which you do not have to abandon what you want, you can reduce the way you feed.” The psychiatrist indicates that sleeping is well a factor that has a direct effect on obesity. “Sleep sleeps silently with metabolism response and energy spending, and it is preferable that the individual gain weight, even if he is not a great eating, even if he does not have an eating disorder, for example.”
Not always thin is the goal of treatment
Azevedo also warns the importance of align expectations. “Sometimes a few words like” weight loss “, for example, are not even proportional, because they are very difficult, depending on the individual’s body mass index, it deviates. Therefore, the focus may be real goals to lose weight that the individual may be satisfied with those achievements and we can appreciate these achievements.”
“We know that losing weight from 5 to 10 % already shows the benefit of health and the quality of life. So I think it is up to the endocrinologist or doctor to set a realistic goal and show the benefits that weight loss will perform.
“CNN VITAL SIGNS – Dr. Kalil Interview” broadcasts on Saturday, April 5, at 7:30 pm, in CNN Brazil.