By Lindsey VanDyke DO, FACOI, FEAA
Endocrinologists are experts in the body’s metabolism, and management of weight loss is a large and growing part of my practice. I understand that sustainable weight loss is a complex process that involves many factors. Aging, loss of muscle, psychology, social settings, medical conditions, and medications can all impact a person’s ability to lose and maintain a healthy body weight. In this blog post, I will discuss the different factors that contribute to sustainable weight loss and the tools available to help patients achieve their goals.
Aging and Sarcopenia
Aging is often associated with weight gain and changes in body composition, which can make sustainable weight loss more challenging. The loss of muscle mass, known as sarcopenia, can result in a decrease in metabolism and a reduction in physical activity, making it even more challenging to lose weight. It’s essential to note that I don’t want patients to lose “weight,” rather I want them to lose fat and preserve their lean mass. This is especially important for older individuals, and can have many health benefits, including a reduced risk of heart disease, diabetes, and certain cancers.
Psychology and Social Settings
Psychological factors, such as stress, depression, and anxiety, can contribute to weight gain and make it harder to lose weight. Social settings, including the workplace and home environment, can also impact a person’s ability to maintain a healthy body weight. Support from family, friends, and healthcare providers is vital in helping patients achieve sustainable weight loss and maintain a healthy lifestyle.
Medical Conditions
Certain medical conditions, such as hypothyroidism, polycystic ovary syndrome (PCOS), and sleep apnea, can contribute to weight gain and make it more challenging to lose weight. Some medications, such as antidepressants, corticosteroids, and antihistamines, can also cause weight gain, making it harder to lose weight. When addressing sustainable weight loss, it’s essential to take into account any underlying medical conditions and medication use.
Available Tools for Sustainable Weight Loss
There are many excellent medical and surgical tools available for sustained weight loss. Examples of medical interventions include pharmacotherapy, behavioral counseling, and meal replacement programs. For individuals with obesity who have failed at weight loss attempts despite medical management, surgery like gastric bypass surgery may be considered. However, it’s essential to note that there is no “one size fits all” approach to weight loss, and a comprehensive assessment is required to determine which tool is the best option and will work for you.
Moving Forward
Achieving and maintaining a healthy body weight is essential for overall health and well-being. Sustainable weight loss is a complex process that requires an individualized approach that takes into account a person’s unique medical, psychological, and social factors. As healthcare providers, we must work with our patients to develop comprehensive weight loss plans that incorporate all the tools available to help them achieve their goals. Through a collaborative approach, we help our patients reach their weight goals. Call (817) 380-4880 to schedule a consult.
