Steroid-Induced Obesity: Exploring Weight Loss Surgery Options

Obesity caused by steroid use and seeking gastric bypass surgery for weight loss?

I mistakenly consumed a compounded pain medication from the pharmacy, thinking it was a regular analgesic, for four years.
I took it for various types of pain, including toothaches, menstrual cramps, and headaches.
During this time, I also continued to take weight loss pills, believing that my inability to lose weight was due to the ineffectiveness of the diet pills.
Later, I discovered that the pain medication I had been habitually taking contained steroids, which contributed to side effects.
My height is 165 cm, and my weight increased from 60 kg to 95 kg, gaining 35 kg! I have now realized that medications should not be taken indiscriminately, but it is too late! I cannot find answers on how to eliminate the side effects of steroids.
However, my father also took the same compounded pain medication due to gout, which caused him to gain weight.
After being hospitalized for gout treatment, he lost 30 kg within a month.
I believe this was due to the elimination of steroids from his body.
I asked his doctor, but since they were not addressing his obesity specifically, but rather treating his gout, they did not have an answer.
My questions are: 1.
Can the steroids accumulated in the body be eliminated with medication, and if so, which specialty should I consult? 2.
If steroids are difficult to eliminate, would gastric bypass surgery be a suitable option for restoring my body shape? Thank you very much for your response!

tina, 40~49 year old female. Ask Date: 2010/01/21

Dr. Lai Hexian reply Family Medicine

Hello, please visit the Metabolism Clinic for further evaluation after your appointment.

Reply Date: 2010/01/21

More Info

Steroid-induced obesity is a significant concern for many individuals who have inadvertently consumed corticosteroids, whether through prescribed medications or over-the-counter products. In your case, it appears that the prolonged use of a pain relief medication containing steroids has led to a substantial weight gain, which can be distressing and impact your overall health.

Understanding Steroid-Induced Obesity
Corticosteroids can lead to weight gain through several mechanisms. They can increase appetite, alter metabolism, and promote fat deposition, particularly in the abdominal area. This can result in a condition known as Cushing's syndrome, characterized by obesity, hypertension, diabetes, and other metabolic disturbances. The weight gain you experienced, from 60 kg to 95 kg, is significant and suggests that your body has been affected by the steroid use.

Addressing Steroid Accumulation
1. Medication Management: Unfortunately, there is no specific medication that can "flush out" steroids from the body. The body metabolizes and eliminates steroids naturally over time. However, if you suspect that you are still taking steroids or if you have been prescribed them, it is crucial to consult with a healthcare provider to review your medications. A primary care physician or an endocrinologist would be appropriate specialists to consult regarding steroid use and its effects on your body.

2. Lifestyle Changes: While you cannot directly eliminate steroids from your body, adopting a healthy lifestyle can help mitigate some of the weight gain effects. This includes a balanced diet, regular physical activity, and possibly working with a nutritionist or dietitian to create a tailored weight loss plan.

Considering Weight Loss Surgery
Given your significant weight gain and the challenges you face with traditional weight loss methods, weight loss surgery, such as gastric bypass (Roux-en-Y) or sleeve gastrectomy, may be an option worth exploring. Here are some considerations:
1. Eligibility for Surgery: Typically, candidates for weight loss surgery must have a Body Mass Index (BMI) of 40 or higher, or a BMI of 35 with obesity-related health conditions. With a height of 165 cm and a weight of 95 kg, your BMI is approximately 34.9, which is close to the threshold. However, if you have obesity-related health issues (like hypertension or diabetes), you may qualify for surgery even with a lower BMI.

2. Consultation with a Specialist: It is essential to consult with a bariatric surgeon who can evaluate your overall health, weight history, and any underlying conditions. They will conduct a thorough assessment, including psychological evaluations, to determine if you are a suitable candidate for surgery.

3. Post-Surgery Considerations: It is important to understand that weight loss surgery is not a quick fix. It requires a commitment to lifestyle changes post-surgery, including dietary modifications and regular exercise. Additionally, some patients may experience complications or nutritional deficiencies after surgery, so ongoing medical follow-up is crucial.

4. Insurance Coverage: Many insurance plans cover weight loss surgery if you meet specific criteria. It’s advisable to check with your insurance provider regarding coverage for the procedure and any associated costs.

Conclusion
In summary, while there is no quick way to eliminate steroids from your system, consulting with healthcare professionals can help you manage your weight and health effectively. If you consider weight loss surgery, ensure you are well-informed about the process, risks, and lifestyle changes required for success. Remember, you are not alone in this journey, and there are resources and support systems available to assist you in achieving your health goals.

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