[SportMed] SPORTS MEDICINE : MEDICAL: CONDITIONS: OBESITY : MEDICAL: DISEASES: DIABETES : MEDICAL: TREATMENTS: Friday Feedback: Expanding Options to Treat Obesity

David P. Dillard
 

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SPORTS MEDICINE :

MEDICAL: CONDITIONS: OBESITY :

MEDICAL: DISEASES: DIABETES :

MEDICAL: TREATMENTS:

Friday Feedback: Expanding Options to Treat Obesity

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Friday Feedback: Expanding Options to Treat Obesity

Experts weigh in on pros and cons of new treatments

Endocrinology

07.31.2015

by Molly Walker

Medpage Today

http://www.medpagetoday.com/Endocrinology/Obesity/52879

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The FDA has approved ReShape, a dual balloon system for temporary treatment of obesity, which means there are now three devices -- the dual balloons, the gastric band, and the vagal nerve stimulator -- as well as bypass surgery and several drugs, available to treat obesity.

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We contacted a variety of clinicians via e-mail to ask:

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What effect, if any, will this plethora of treatment options have on the willingness of medical professionals to tackle obesity?

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Will these expanded options prove to be a public health benefit or will the result be unnecessary care and yet another spike in healthcare costs?

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snip

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Lori Rosenthal, MS: "To lose weight for life it takes a commitment to healthy dietary and lifestyle changes. There is no magic quick fix. Weight loss drugs and the balloon are temporary aids to help promote weight loss. For some people that are having difficulty with mobility, these can give the weight loss boost needed to begin exercising. They can also be good to consider for those that are not comfortable or ready for weight loss surgery. Even bariatric surgery is a tool. If we don't learn how to use the tool properly it will not be effective. These can be effective when used along with healthy dietary and lifestyle modifications. It's very important to follow up with the doctor when using these aids to prevent health complications and nutrient deficiencies."

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Leavey: "Unfortunately, obese individuals have a tendency to try this or that technique, device or program looking for an instant fix. If those choices involve healthcare costs, as opposed to out of pocket discretionary spending, they may, in fact, result in an increase in healthcare dollars spent, rather than of pounds lost. Physicians stand in a pivotal position with the ability to direct efforts to the most cost effective and weight loss effective programs, saving money and lives.

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Gosmanov: "Obesity is a chronic medical problem. Any provider who initiates pharmacological therapy to treat obesity should be aware that therapy is long term. There are many options available ranging from over-the-counter to prescription medications to help lose weight. However, the number of options may not translate into success. Diet and physical activity are the foundations of any weight-loss program, whether with or without a weight-loss 'pill.' A lifestyle change is the most difficult task to accomplish in real life. Therefore, I believe more does not mean better, because we are still behind in educating our patients how to help lose weight using non-pharmacological approaches."


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The complete article may be read at the URL above.

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