Obesity is a chronic disease in which excess body fat can affect health. Its development is influenced by biology, genetics, environment and other circumstances that differ from person to person. Effective care begins with understanding these influences and the health concerns that matter to you. Dr. Alexandro Zarruk provides obesity medicine care as part of his focus on cardiometabolic health.
Understanding your weight history
Appetite, sleep, medications and medical conditions can influence weight. The body also has biological systems that affect hunger and the maintenance of weight loss. Reviewing previous attempts at weight management helps identify what was useful, what was difficult and what support may be needed now.
This discussion should be respectful and free of blame. Your experience provides important information for developing a plan that fits your health needs and daily circumstances.
A medical assessment of health and function
An assessment may include weight history, current medications, eating patterns, activity, sleep and relevant symptoms. Medical examination and appropriate testing can help identify associated concerns such as diabetes, high blood pressure or abnormal cholesterol.
The impact on everyday life also matters. Difficulties with mobility, sleep or daily activities may help guide treatment priorities. Goals should reflect what would improve your health and function, as well as what is realistic for you to maintain.
Considering treatment options
Treatment may include support for sustainable eating patterns, physical activity and behavioural changes. Recommendations should account for your preferences, physical abilities and access to resources. Some people benefit from additional support from a registered dietitian or other health professionals.
Prescription medication may be appropriate for certain patients after assessment of expected benefits, risks and other medical conditions. Bariatric surgery is another option for selected patients and requires evaluation by a specialist surgical team. These approaches are considered within a long-term medical plan, according to individual needs.
Long term care and realistic progress
Obesity management often requires ongoing care. Progress can include improved blood sugar or blood pressure, better mobility and changes in quality of life, alongside changes in weight. Follow-up allows the plan to be adjusted as your needs change and provides a chance to address treatment difficulties.
To explore medical care for obesity or related metabolic concerns, contact Dr. Zarruk's office to ask about an assessment.