"Doctor, can you give me some medicine and help me think of a way to lose weight quickly?" said Dr. You Huazhi from the Weight Management Clinic and the Department of Pre-treatment at the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine. We often encounter overweight people who make such a request. In fact, if you want to lose weight or lose weight, you must first find the cause of obesity to get twice the result with half the effort. Therefore, doctors usually need to evaluate the disease, living habits, and diet of the overweight person.

  Disease assessment:

  Obesity can cause many diseases

  According to You Huazhi, there are actually many diseases that are closely related to obesity, such as diabetes, insulin resistance (pre-diabetes), hypothyroidism, hypothalamus or pituitary disease, polycystic ovary syndrome, etc.

In particular, polycystic ovary syndrome is more common in young women, and the patients are mainly abdominal obesity, and may also be accompanied by abnormal menstruation and infertility.

It can be said that polycystic ovary syndrome and obesity are mutually causal. After the patient loses weight, the polycystic ovary syndrome can be improved; after the treatment of polycystic ovary syndrome, the weight will also decrease.

Therefore, the doctor will do some basic examinations for the patient to rule out related diseases.

If it is morbid obesity, the primary disease needs to be treated first.

  In the assessment of illness, the assessment of mental illness is also included.

Some people eat constantly when they're depressed, or overeat.

Others prefer to eat to reduce stress when they are stressed.

Over time, these people are prone to obesity.

When these overweight people receive diet treatment, they often experience depression, depression and other reactions.

After the course of treatment, they will involuntarily eat and drink, and the weight loss results will be in vain.

  Lifestyle assessment:

  Mostly related to misunderstanding

  According to You Huazhi, in addition to excluding the factors of the disease, doctors should also evaluate the living habits of overweight people, including exercise evaluation and diet evaluation.

He explained that if you want to lose weight, you have to reduce calorie intake (diet control) and increase calorie consumption (exercise), but before overweight people do not reach the weight limit, doctors do not recommend that they do strenuous exercise to increase calorie consumption. Because doing a lot of exercise at this time can easily lead to knee injuries, increase the burden on the heart and lungs, and even endanger life, before reaching the standard, overweight people are encouraged to increase their daily activities, such as doing more housework, walking more, etc., by increasing daily activities and some Exercise as much as you can to enhance your cardiopulmonary function and prepare for higher exercise goals in the future.

  "Doctor, I really don't eat much!" "I am genetically obese, and I gain weight by drinking water!" ... You Huazhi introduced that, in fact, the diet assessment will find that many people are saying "shut your mouth" This is often related to their cognitive misunderstandings.

For example, some people are "ignorant" and think that losing weight is to eat less, eat very little or even no meals at all, but there are snacks everywhere in the home and office. Water, in fact, a 500ml bottle of cola has 250kcal, which is equivalent to eating 4 boiled eggs.

  (Yangcheng Evening News reporter Chen Hui correspondent Liu Qingjun)