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Treatments for Truncal obesity

Treatment List for Truncal obesity

The list of treatments mentioned in various sources for Truncal obesity includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Adjunctive therapies which may be prescribed by a physician are orlistat or sibutramine. In the presence of diabetes mellitus type 2, the physician might instead prescribe metformin and thiazolidinediones (rosiglitazone or pioglitazone) as anti-diabetic drugs rather than sulfonylurea derivatives. Thiazolidinediones may cause slight weight gain but decrease "pathologic" abdominal fat, and therefore may be prescribed for diabetics with central obesity
  • Lifestyle modification is the cornerstone of management and includes:
  • Dietary modification:
  • Low Calorie Diet - 800-1500 calories
  • Very Low-Calorie Diet (VLCD) - less than 800 calories - should only be undertaken under medical supervision
  • Low fat diet - fat should comprise <30% of total calories
  • Exercise programs
  • Behaviour modification programs
  • Other approaches include:
  • Consider stopping or replacing drugs that may contribute to weight gain (steroids, some antipsychotics, hormonal agents
  • Treating underlying conditions that may contribute to obesity
  • Medications - consider in patients who have been unsuccessful losing weight with lifestyle changes and have a BMI >30 or a BMI >27 with other medical problems. This should still be combined with lifestyle modification. Medications include:
  • Orlistat - prevents absorption of dietary fat
  • Sibutramine - centrally acting
  • Sympathomimetic anorectics (diethylpropion, phentermine) - potential for abuse and not recommended for long term weight loss
  • Fluoxetine and other SSRI's - may aid weight loss in depressed people
  • Meal replacement - may cause weight loss in the short term but weight is usually regained when treatment is stopped
  • Bariatric surgery - generally indicated for patients with a BMI >40, or a BMI >35 with serious medical complications. Effective in the treatment of severe obesity, but has associated risks

Alternative Treatments for Truncal obesity

Alternative treatments or home remedies that have been listed as possibly helpful for Truncal obesity may include:

  • Regular and frequent aerobic exercise at least four times a week
  • Disperse two or more workouts in a day
  • Cut saturated fat from the diet
  • Glutamine
  • Tyrosine
  • more treatments »

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