Do Weight Loss Medications Enhance Diet and Exercise Results? - Nutrition

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Is medication necessary for weight loss?


I have a big question! I am currently 175 cm tall and weigh 82 kg.
Am I overweight? I've been trying to lose weight through dieting and exercise, and I've lost three kilograms in a month, but it seems like I've hit a plateau.
Why is that? I noticed that a classmate went to see a doctor, had blood tests, took medication, and lost over fifteen kilograms in a month without exercising! It's quite puzzling.
Does combining medication with a diet yield better results? If I decide to see a doctor, which specialty should I consult? Also, what are the costs involved? My classmate mentioned spending around four to five thousand NT dollars at the clinic in a month! Can you provide some answers? Thank you! ^^

A Cun, 20~29 year old female. Ask Date: 2003/09/18

Dr. Zhuang Yizhen reply Nutrition


Hello, A-Chun: Based on your height of 175 cm and weight of 82 kg, your BMI is 26.7, which indeed classifies you as overweight according to our country's obesity standards (BMI 24-27).
However, it seems you have already started a weight loss plan, and the methods you are using are correct! Regarding your mention of weight loss stopping after losing 3 kg, this is a common physiological response encountered by many individuals trying to lose weight.
At this point, I recommend adjusting your caloric intake and increasing both the amount and frequency of your exercise, which should help you continue to lose weight successfully! Additionally, since your email did not provide detailed information about your diet and exercise regimen, I cannot offer further specific advice.
I suggest you visit a nearby medical institution's nutrition clinic for a face-to-face discussion with a dietitian, who can tailor a weight loss plan specifically for you.
This will definitely yield better results! Keep it up! Wishing you success in your weight loss journey! Best, Chuang Yi-Chen

Reply Date: 2003/09/18

More Info


Weight loss can be a challenging journey, and many individuals find themselves struggling to achieve their desired results despite their best efforts with diet and exercise. Your current height of 175 cm and weight of 82 kg gives you a Body Mass Index (BMI) of approximately 26.8, which classifies you as overweight. This classification indicates that you may benefit from a structured weight loss plan that includes dietary changes, physical activity, and possibly medical intervention.

The question of whether weight loss medications enhance the results of diet and exercise is a complex one. Research has shown that weight loss medications can be effective in helping individuals lose weight, especially when combined with lifestyle changes. These medications work through various mechanisms, such as suppressing appetite, increasing feelings of fullness, or altering how the body absorbs nutrients. For some individuals, these medications can provide the additional support needed to break through weight loss plateaus, as you have experienced.

It is not uncommon for individuals to experience a weight loss plateau after an initial period of success. This can occur for several reasons, including metabolic adaptations, changes in body composition, or even psychological factors. When you lose weight, your body may respond by slowing down its metabolism, making it harder to continue losing weight at the same rate. Additionally, as you lose weight, your body may require fewer calories to maintain its new weight, which can also contribute to a plateau.

Your observation about your classmate's significant weight loss through medication without exercise is not unusual. Some weight loss medications can lead to rapid weight loss, especially in individuals who may have a higher initial weight or specific metabolic conditions. However, it is essential to approach weight loss with a long-term perspective. While medications can provide short-term results, sustainable weight loss typically requires ongoing lifestyle changes, including a balanced diet and regular physical activity.

If you are considering weight loss medications, it is crucial to consult with a healthcare professional who can assess your individual health needs and determine the most appropriate treatment plan. You may want to visit a primary care physician or a specialist in obesity medicine. They can perform necessary evaluations, such as blood tests, to rule out any underlying health issues that may be contributing to your weight gain or difficulty losing weight.

Regarding costs, weight loss medications can vary widely in price, and insurance coverage may differ based on your plan. Some medications may be covered by health insurance, while others may not. It is advisable to check with your insurance provider and discuss potential costs with your healthcare provider during your visit.

In summary, while weight loss medications can enhance the results of diet and exercise for some individuals, they are not a substitute for a healthy lifestyle. A comprehensive approach that includes dietary changes, regular physical activity, and possibly medication under medical supervision is often the most effective strategy for achieving and maintaining weight loss. If you are experiencing challenges in your weight loss journey, consider seeking professional guidance to create a personalized plan that addresses your specific needs and goals.

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