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Obesity / Overweight

Introduction
Causes of obesity
Investigations & Diagnosis
Treatment
Response of treatment
Side effects of treatment

Testimonials

Testimonials
Testimonials in English Testimonials in Hindi
   
(Note: Name & Place mentioned in the testimonials have been changed by the patient to hide the identity but treatment response mentioned by him/her is real.)


 

 

What is Obesity: Weight gain i.e. overweight is common in urban population & it is equally common in child, adult, male & female. Obesity is defined when body mass index. If there is excess fat in abdominal area i.e. visceral adiposity also known as central adiposity as more dangerous. 

Harmful consequences due to obesity: In long run it may lead to diabetes, heart problem, blood pressure, joint pain, fatigue, psychological consequences as depression, anxiety, social avoidance behavior & many more consequences.

Causes of obesity: The various causes of obesity are: 

1) Hormone Disorders: 

Thyroid Disorder: Primary and secondary Hypothyroidism
Pituitary Disorder: Pan-hypopituitarism
Growth hormone deficiency
Laron Dwarf
Kallman's syndrome
Cushing's disease 

Leptin Deficiency: is a important cause of obesity

Adrenal disorder: Cushing's syndrome

Ovarian disorder: Polycystic ovarian syndrome 
Chromosomal Syndrome: Turner's syndrome

Testicular disorder:
 
Hypogonadism, klienfelter's syndrome, noonan's syndrome

1)Hyerinsulinemia
2) Insulin Resistance Syndrome
3) Syndrome X Disease
4) Idiopathic obesity 

5) Hypoythalamic Obesity : Beckwith-Wiedemann syndrome, Trauma, Inflamation - meningitis, encephalitis, Tuberculosis, syphilis, Infilitration, Sarcoidosis, histiocytosis X, Tumours - craniopharyngioma, astrocyome, astrocytome, Leukaemic leucodystrophy 

6) Drug Induced : Sulphonylurea, Insulin, Oestrogen, Contraceptive pill, Corticosteroid, Cyproheptadine, Sodium valproate, Nonselective beta adrenergic blockade, Phenothiazines, Psychotropic Drugs & many more drugs when taken for sufficient period of time.

7) Increased Fat Forming Tendency:
8) Chronic Alcohol Use

9) Gene Disorder Leading to Obesity: Prader-Willi Syndrome, Laurance - Moon Biedl Syndrome, Astrom Syndrome, DIDMOND Syndrome, Cohen Syndrome, Carpenter Syndrome, Morgagni-Stewart-Morel Syndrome.

10) Lifestyle Disorders 

Investigations & Diagnosis


We take detail history & examine the patient first and after that only relevant test are done to find out the cause for obesity. For this we do following tests:
Hormone test: as Thyroid (Free T4, Free T3, TSH), Insulin, Cortisol (am & pm), Growth hormones, FSH, LH, Testosterone, Estradiol, IGF-1, IGFBP-3, genital hormones etc. 

Bio-chemical test: Lipid profile,Serum protein, SGPT 
Gene Tests
Ultrasonography
Radiological tests

Treatment: Once the cause of overweight is found then it can be treated effectively. Various drugs are available which decreases fat formation in body & also promotes more & more decrease of fat, leading to gradual reduction of body weight. 

1) Drug treatment: various treatments are: 

Antiobesity drugs: There are four types of medicines are available for obesity.There are many drugs which prevent absorption of fat & glucose from intestine into body so that some of these fats in food passes in stool. There are many other drugs which are non-absorbable food which give fullness of tummy but does not have caloric value. There are some mechanical devices also are used to loose weight. There are certain other drugs which helps in burning of body fat in producing calories, so that patient loses weight fast. These drugs have no side effects as widely thought, so that these can be sued safely. These drugs are as follows: 

a) Sibutramin hydroclhloride: This is one of the very effective drug for obesity. This medicine decrease fat formation in the body, decreases appetite as well as enhances helps in burning of preexisting fat. In various scientific studies it has been found to be free of any significant side effect. But because it is a new drug thus it should be used under medical supervision. We have treated thousands of patients with very good response. The beauty of this drug is weight lost remains there even after stopping drug.
 
b) Orlistat: This is a new class of drug for obesity. This medicine decreases absorption of fat & other weight increasing substances from intestine into blood. Thus even if person eats fatty food his weight does not increase. In various scientific studies it has been found to be free of any significant side effect. But because it is a new drug thus it should be used under medical supervision. We have treated thousands of patients with very good response. The beauty of this drug is weight lost remains there even after stopping drug.

c) Newer Medicines for Weight Loss: There are two very new therspies for weight loss has been invented. These are:

*beta 3 adrenergic receptor agonists & RecLeptin 
*Recombinant Leptin suplimentation in various studies has shown dramatic loss of weight.

d) Phendimetrazine, 
e) Diethylpropion, 
f) Phentermine, 
g) Phentermin hcl
h) Metformin
i) Benzphetamines,
j) Herbal drugs 
k) Tablets which decrease fat forming tendencies
l) Tablets which increases fat burning tendencies
n) Fenfluramine

2) Behavioral therapy:
Along with medicines we do behavior modification therapy by which patient starts avoiding fatty & sweet foods & healthy eating habit is encouraged. 
3) Liposuction 
4) Exercise 
5) Localized fat dissolving devices 
6) Special food supplements 
7) Obesity reducing machines 
8) Food pyramid

Surgery for obesity:

When obesity become too much with many complications then one of the treatment options can be surgery. These surgical treatment are very effective for permanent cure of obesity. We have certain experts which are specialized in obesity surgery. 
Gastric Banding
Laproscopic surgery
Gastric bypass surgery
Vertically banded gastroplasty
Scopinaro bypass

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Testimonials
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We get patients from all major cities in India & Abroad . In the following cities all the facilities for investigation & treatments including medicines are available as Delhi (North, South, East, Central, West, New Delhi). To Different Communities like Hindustani, Hindustan, Hindu, Christian, Muslim, Sikh, Parsee. The other cities are NCR, National Capital Reagion in India, Indian, Hindustan, Ghaziabad, Faridabad, Noida, Gurgaon Gurugram, Meerut, Bombay, Chandigarh, Calcutta,  Simla, Jammu, Srinagar, Aligarh, Lucknow, Kanpur, Allahabad, Varanasi, Dehradun, Madras, Kolkatta, Nainital, Agra,  Jaipur, Bikaner, Jodhpur, Porbandar, Dwarka, Ahmedabad, Gandhi Nagar, Vadodara, Surat, Mumbai, Pune, Thane, Panaji, Nasik, Nagpur, Indore, Ujjain, Bhopal, Gwalior, Jabalpur,  Raipur, Hyderabad, Goa, Visakhapatnam, Bangalore, Banglore, Bangalooru, Mysore, Mangalore, Manipal, Chennai, Pondicherry, Madurai, Kanchipuram, Coimbatore, Kanyakumari, Ernakulam, Trivandrum, Darjeeling, Gangtok, Bhubaneswar, Puri, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Ranchi.
 

 

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