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Weight management Overview including Medical reasons for putting on weight

Most people put on weight because they eat and drink more calories than they burn through everyday movement and body functions. This kind of issue can easily be diagnosed and treated by the use appetite suppressants (diet pills).

Following the guidelines (protocol ) for the use of diet pills, most people with undiagnosed following conditions can try to simplify their weight loss by taking diet pills for a short period of time. If you lose at least 4 pound of weight every 4 weeks, you can use diet pills to achieve your desired weight and then follow the guidelines to maintain lost weight all natural weight los programs.

Some patients due to high intake of salt and salty foods retain water condition called retained water.

This condition can easily be diagnosed by standing on a Tanita Scale and taking measurements and commonly treated by water pills such as HCTZ (Hydrochlorothiazide).  Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.

In case you do not lose at least 4 pound of weight in 4 weeks or the lost weight comes back more than 1 pound a week, your weight gain may be due to an underlying health condition. 

Here are nine medical reasons that can cause weight gain.

1.   Underactive thyroid

An underactive thyroid (hypothyroidism) means that your thyroid gland is not producing enough thyroid hormones, which play a central role in regulating your metabolism. Although an underactive thyroid can occur at any age and in either sex, it is most common in older women. “Without enough thyroid hormone, the body’s metabolism slows down, which can lead to weight gain,”

The condition can easily be diagnosed by a simple blood tests, (TSH, T3 & T4) and can usually be treated with daily hormone-replacement tablets, called levothyroxine adjusted periodically to maintain your TSH levels between 1 and 3.

2.   Diabetes treatment

Weight gain is a common side effect for people who take insulin to manage their diabetes. Insulin helps to control your blood sugar level. It’s not uncommon for people with longstanding diabetes to eat a diet that "matches" their insulin dose, which can mean they’re eating more than they need to in order to prevent low blood sugar – also known as hypoglycaemia or "hypo" – from developing.

“Excessive snacking to prevent a hypo contributes to an excessive calorie intake and overall weight gain,”.

This condition can easily be diagnosed by taking simple blood tests ( HbA1C, Random glucose test, glucose level after meals, fasting glucose level, morning total and free Insulin levels.

This condition can usually be managed by becoming an "expert patient" by attending a diabetes education course such as DESMOND for people with type 2 diabetes or DAFNE for type 1 diabetes, to help make your diabetes fit your lifestyle – not the other way round.

In most cases it can also be managed by available Diabetes drugs, such as Metformin, Victoza, INVOKANA, ONGLYZA plus Metformin IR, etc

 

3. Ageing ( Physical and real age)

People begin to lose modest amounts of muscle as they get older, largely because they become less active. Muscles are an efficient calorie burner, so a loss of muscle mass can mean you burn fewer calories. If you’re eating and drinking the same amount as you always have and are less physically active, this can lead to weight gain. “To reduce muscle loss, you should stay active and try to do regular muscle-strengthening exercises,” says Collins.

This condition can easily be diagnosed by taking simple Real Age tests. Including blood tests ( Testosterones and Estrogen levels) and DNA test -Telomeres are the caps at the end of each strand of DNA that protect our chromosomes, like the plastic tips at the end of shoelaces. Without the coating, shoelaces become frayed until they can no longer do their job, just as without telomeres, DNA strands become damaged and our cells can’t do their job.

This condition can easily be managed by managing the hormonal levels , diet and exercise.

 

4.    Steroid treatment

Steroids, also known as corticosteroids, are used to treat a variety of conditions, including asthma and arthritis. Long-term use of corticosteroid tablets seems to increase appetite in some people, leading to weight gain. “The higher the dose and the longer you are on steroids, the more weight you are likely to put on. “This is because steroids make you feel hungry, affecting the areas in the brain that control feelings of hunger and satiety.”

This condition can easily be managed by being extra careful about what you eat during your steroid course and not to eat more than you normally do.

It’s not a good idea to reduce or stop your steroid treatment. If you’re worried about weight gain, chat to your GP about help to control your weight or to one of our physicians.

5.  Cushing’s syndrome

Cushing's syndrome is very rare, affecting around one in 50,000 people, and is caused by high levels of the hormone cortisol. It can develop as a side effect of long-term steroid treatment (iatogenic Cushing's syndrome) or as a result of a tumour (endogenous Cushing’s syndrome).

Weight gain is a common symptom, particularly on the chest, face and stomach. It occurs because cortisol causes fat to be redistributed to these areas.

Depending on the cause, treatment typically involves either reducing or withdrawing the use of steroids, or surgery to remove the tumor.

6.   Stress and low mood

People respond differently to stress, anxiety and depressed mood. Some people may lose weight, while others may gain weight. “People can turn to food as a coping mechanism,”.  “It can lead to a vicious circle. Weight gain from depression can make you more depressed, which can lead to further weight gain. If you know you’re an emotional eater, you need to find other forms of distraction, such as exercise or a hobby, calling a friend, going for a walk or having a soothing bath.”

This condition can easily be diagnosed by simple blood test( morning Cortisol levels) and can commonly treated by Yoga, Meditation, stress management methods and select drugs.

7.    Tiredness

Some studies have shown that people who sleep less than seven hours a day may be more likely to be overweight than those who get nine hours of sleep or more. It’s not clear why, but one theory suggests that sleep-deprived people have reduced levels of leptin, the chemical that makes you feel full, and higher levels of ghrelin, the hunger-stimulating hormone. “If you’re always feeling tired, you are more likely to reach for high-calorie snacks to keep your energy levels up throughout the day and do less physical activity, which means you burn fewer calories,”.

Other reasons for tiredness and lack of energy can be hormonal imbalances, poor diet, anemia ( low hemoglobin levels) , low vitamin D other health issues, lack of sleep.

We recommend consulting your primary care physician or one o our clinician and by getting tips on improving your sleep.

8.   Fluid retention (specific areas)

Fluid retention (oedema) causes parts of the body to become swollen, which translates into weight gain. This gain is caused by fluid accumulating in the body. Some types of fluid retention are not uncommon – for example, if you're standing for long periods or are pre-menstrual. The swelling can occur in one particular part of the body, such as the ankles, or it can be more general.

“More severe fluid retention can also cause breathlessness,”. “If you notice that you have swollen ankles during the day, have to get up to pee overnight, and have to sleep on a few pillows to avoid breathlessness, you should see your GP, as these examples of fluid retention can indicate heart or kidney problems that need assessment.”

9.   Polycystic ovary syndrome (PCOS) 

PCOS is a common condition that affects how a woman’s ovaries work. Symptoms can include irregular periods, trouble getting pregnant, excess hair and weight gain. The exact cause of PCOS is unknown, but it's thought to be hormone-related, including too much insulin and testosterone. “Women with PCOS typically put on weight around their waist,”. “The more weight you put on, the more insulin you produce, which causes further weight gain.”

This condition can easily be diagnosed by taking a medical history, physical exam, sonogram and simple blood test to check hormonal levels.

This condition is commonly treated by Weight loss through dietary changes and exercise, and in some cases medication such as orlistat, will help to break the cycle.".  High dose of Metformin can help in some cases.

10.   You use a hard workout as an excuse to eat.


Just because you torched 700 calories at the gym doesn’t mean it’s a free ride to eat whatever you want. You also can’t eat something with the intention of burning it off later, because too much exercise can lead to overtraining and weight plateau.

 

This condition can easily diagnosed by taking a Tanita Scale test and a physical exam.

 

Commonly this condition can be managed by eating food that will fuel your workout and include a small snack for recovery.

 

11.   You eat small, frequent meals.


You might think eating mini meals every 2 to 3 hours will help stabilize your blood sugar and prevent you from overeating, but it can actually drive your insulin up so you can’t access stored fat for fuel.  If you eat a combination of lean protein, low-carb fruits and vegetables, whole grains and healthy fats, you’ll feel fuller longer and still lose weight.

12.  You’re eating too much sugar and you don’t even know it.


Blatant sugar isn’t the only problem; it’s the sneaky sugars in so-called healthy smoothies, yogurt, and processed foods that can wreak havoc on your waistline. Fructose is by far the worst because it goes straight to the liver where it makes fat. It also elevates your sweet tooth so you want more and bypasses satiety signals so you eat but you’re still hungry. So read labels and slowly cut down on sugar.

13.   You train too hard.
You’re a cardio queen but too much can actually backfire. Interval training is best for weight loss and you can also train less in a shorter amount of time. Be sure to keep cardio to 2 or 3 times a week, because it’s psychologically and physically demanding, Elkaim said.

14.     You don’t eat enough fat.
Your body needs fat to burn fat but the key is choosing the right type of fat to eat. Healthy fats like those found in fish, avocado, grass fed butter, olive oil, coconut oil, and nuts and seeds are best.

15.    You’re vitamin D-deficient.
Vitamin D is actually a pro-hormone that is responsible for many of the body’s functions and without it, you can’t burn off fat. So ask your doc to check your levels and eat vitamin D-rich foods like salmon, sardines and cow’s milk.

16.       You eat too late.
You might have a bedtime snack habit, but it can prevent your body from burning fat at the ideal time at night so try to eat dinner at a reasonable hour and then close the kitchen.

“One of the key things you can do to lose weight is extend your fasting period when you go to sleep,” Virgin said.  

17.       Your body is toxic.
Environmental toxins are everywhere and they can actually disrupt your hormones, lower your body temperate and makes your body hold onto fat. You can’t completely eliminate toxins, but eating lots of fiber, protein, green vegetables, having good elimination, and reducing your exposure can help your body detox each day.

18.          You yo-yo diet
You try to “be good” or hop on the latest diet craze, but this isn’t a good way to sustain weight loss and studies show it can even increase the chances for cardiovascular disease. Instead, put the focus on your health, not your weight and your self-image.