1. WEIGHT
MANAGEMENT

2. WEIGHT MANAGEMENT 1 . EXERCISE 2. DIET 3. MEAL REPLACEMENT
4. SURGICAL THERAPY
4a. ROUX-EN Y GASTRIC BY PASS SURGERY
4b. VERTICAL BANDED GASTROPLASTY

3. 5. LIPOSUCTION
6. CELLULITE REMOVAL
7. PHARMACOTHERAPY
8. OTHERS

4. 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

5. 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

6. 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

7. F) UNDESIRABLE EFFECT
- oily spotting from rectum ( 27%)
- flatus with discharge (24%)
- faecal urgency (22%)
- fatty/oily stools (20%)
- faecal incontinence (8%)

8. G) HOW TO OPTIMISE RESULT
- xenical theraphy, diet, and exercise
-1 years study
Diet + exercise = 12.5 kg loss
Xenical + diet + exercise = 27.5kg

9. 2) DUROMINE
- phentermine HCl 30mg
- appetite suppressant
A) HOW DOES IT WORK
- indirectly stimulates hypothalamus (hunger centre)
leading to suppression of appetite

10. B) WHEN TO START TREATMENT
- BMI above 25
C) HOW LONG CAN I TAKE DUROMINE
- short term treatment ( weeks)
- resistance to duromine after few weeks of treatment

11. 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

12. F) SIDE EFFECTS
- stay awake
- lack concentration

13. EXPECTATION

15. THE END