WEIGHT MANAGEMENT
WEIGHT MANAGEMENT 1 . EXERCISE 2. DIET 3. MEAL REPLACEMENT 4. SURGICAL THERAPY 4a. ROUX-EN Y GASTRIC BYPASS SURGERY 4b. VERTICAL BANDED GASTROPLASTY
5. LIPOSUCTION 6. CELLULITE REMOVAL 7. PHARMACOTHERAPY 8. OTHERS
WEIGHT MANAGEMENT PRODUCT PHARMACOTHERAPY 1) XENICAL - orlistat 120mg - fat absorption inhibitor A) HOW DOES IT WORK - form covalent bond with lipase - inactivate lipase - allows 33% of fat to pass thru gut undigested
B) WHEN TO START TREATMENT - loss 2.5kg in 4 weeks thru diet. C) WHEN TO DISCONTINUE TREATMENT - loss 5% in body weight within 12 weeks - after 2 years
D) HOW TO TAKE - 1 cap before or after meal 3 times daily E) WHO ARE NOT ALLOWED TO TAKE - pregnant mother - breast-feeding mother - children
F) UNDESIRABLE EFFECT - oily spotting from rectum ( 27%) - flatus with discharge (24%) - faecal urgency (22%) - fatty/oily stools (20%) - faecal incontinence (8%)
G) HOW TO OPTIMISE RESULT - xenical therapy, diet & exercise - 1 year study Diet + exercise = 12.5 kg loss Xenical + diet + exercise = 27.5kg
2) DUROMINE - phentermine HCl 30mg - appetite suppressant A) HOW DOES IT WORK - indirectly stimulates hypothalamus (hunger centre) leading to suppression of appetite
B) WHEN TO START TREATMENT - BMI above 25 C)HOW LONG CAN I TAKE DUROMINE - short term treatment(8 - 12 weeks) - resistance to duromine after few weeks of treatment
D) HOW TO TAKE - 1 cap per day before breakfast E) WHO ARE NOT ALLOWED TO TAKE - moderate- severe hypertensive patient - cardiovascular disease - children - pregnant,breastfeeding mother
F) side effects - stay awake - lack concentration
EXPECTATION
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