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1. Win the Battle Against Obesity
Dr. Meena
MD-ABOM, ABIM

2.  Many associate obesity with sloth and deficient self-control. They
believe it can be cured simply by avoiding food which is high in
carbohydrate and sugar content. Almost everyone knows this, but in the
heat of the moment it can be difficult to implement this discipline. Very
often obesity has underlying causes that can’t be addressed only with
diet and exercise. That is why it is best to treat obesity as a disease.
 Today, there are far too many conflicting ‘tips’ on reducing weight and
curing obesity, which makes it difficult to separate facts from myths. We
want to debunk common myths about obesity and recommend a
scientific approach to dealing with it.

3. What is obesity?
Traditionally, obesity is determined based on your body mass index (BMI). Here’s
how to calculate BMI: Divide your weight in kilograms by the square of your
height in meters. You can also get your BMI by dividing your weight in pounds by
the square of your height in inches and multiplying the result by 703. The
traditional BMI based classification is as follows:

4. Distribution of fat is as important as
the amount of fat
The adipose tissue beneath the skin is called subcutaneous adipose tissue (SAT),
whereas the one lining internal organs is termed visceral adipose tissue (VAT).
Adverse metabolic impact of obesity depends upon the location of fat deposits.
Visceral adipose tissue (VAT) exerts a harmful effect on metabolic homeostasis,
but of more importance is the ratio of VAT to subcutaneous adipose tissue (SAT).
The ratio between abdominal VAT/SAT is an independent predictor of death and
coronary events, irrespective of cardiovascular risk factors,

5. Why do we have fat to begin with?
Adipose tissue is a loose connective tissue mostly composed of adipocytes. It
plays a major role in storage of energy, but also serves as an important cushion
and insulates the body from heat and cold.
Fat is more than passive depot of extra energy
Besides its passive function, adipose tissue can become a major endocrine organ.
Increased production of pro-inflammatory adipokines molecules by VAT causes insulin
resistance, leptin resistance, hepatic steatosis (fatty liver), metabolic syndrome,
hypertension and an exaggerated inflammatory state. Adipose tissue is also a source
of bad estrogen .The colon is surrounded by mesenteric visceral body fat. Based on
intimate connection, it has been hypothesized that VAT-produced metabolites may
have a direct influence on obesity-associated colon cancer aggressiveness and
progression. It’s safe to conclude that VAT is a pathogenic fat deposit.

6. Determining the Root Cause of Obesity
It is important to understand the root cause of obesity. There are several risk
factors that can lead to obesity, such as:
 Genetics: Yes, it’s true that there are some congenital syndromes e.g. Prader
Villi, where genetics play a role, but often the explanation of obesity running
in families lies in family members sharing similar eating and activity habits.
 Lifestyle: Undoubtedly, indulgence in unhealthy, processed, and junk foods
and a sedentary lifestyle tend to exacerbate obesity. Consuming empty
calories in alcohol is another known cause of weight gain.

7. Causes of Resistant Fat: Why Can't I
lose weight?
Many of you may have failed to lose weight despite eating right and exercising. It
can be very frustrating when you feel that your body is working against you. Few
examples of these scenarios can be:
 Dysbiosis: Trillions of microorganisms inhabit the human body, some good and
some bad. These microorganisms colonize the gastrointestinal tract and
outnumber our own cells. Disruption of the ecological equilibrium in the gut
(i.e., dysbiosis) has been associated with obesity and its related
comorbidities. Prebiotics and Probiotics can reshape the gut microbiota and
restore the balance between good and bad bacteria. Supermarket shelves are
overflowing with products to help but a thorough evaluation is needed to
determine what strains will help you the most.

8. WELLNESS CLINIC
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