To diagnose obesity, your doctor will typically perform a physical exam and recommend some tests.
These exams and tests generally include:
Gathering all this information helps you and your doctor determine how much weight you need to lose and what health conditions or risks you already have. And this will guide treatment decisions.
The goal of obesity treatment is to reach and stay at a healthy weight. This improves your overall health and lowers your risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.
The initial treatment goal is usually a modest weight loss — 5% to 10% of your total weight. That means that if you weigh 200 pounds (91 kg) and have obesity by BMI standards, you would need to lose only about 10 to 20 pounds (4.5 to 9 kg) for your health to begin to improve. However, the more weight you lose, the greater the benefits.
All weight-loss programs require changes in your eating habits and increased physical activity. The treatment methods that are right for you depend on your obesity severity, your overall health and your willingness to participate in your weight-loss plan.
Reducing calories and practicing healthier eating habits are vital to overcoming obesity. Although you may lose weight quickly at first, steady weight loss over the long term is considered the safest way to lose weight and the best way to keep it off permanently.
Avoid drastic and unrealistic diet changes, such as crash diets, because they’re unlikely to help you keep excess weight off for the long term.
Plan to participate in a comprehensive weight-loss program for at least six months and in the maintenance phase of a program for at least a year to boost your odds of weight-loss success.
There is no best weight-loss diet. Choose one that includes healthy foods that you feel will work for you. Dietary changes to treat obesity include:
Be wary of quick fixes. You may be tempted by fad diets that promise fast and easy weight loss. The reality, however, is that there are no magic foods or quick fixes. Fad diets may help in the short term, but the long-term results don’t appear to be any better than other diets.
Similarly, you may lose weight on a crash diet, but you’re likely to regain it when you stop the diet. To lose weight — and keep it off — you have to adopt healthy-eating habits that you can maintain over time.
Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.
To boost your activity level:
A behavior modification program can help you make lifestyle changes and lose weight and keep it off. Steps to take include examining your current habits to find out what factors, stresses or situations may have contributed to your obesity.
Everyone is different and has different obstacles to managing weight, such as a lack of time to exercise or late-night eating. Tailor your behavior changes to address your individual concerns.
Behavior modification, sometimes called behavior therapy, can include:
Losing weight requires a healthy diet and regular exercise. But in certain situations, prescription weight-loss medication may help.
Keep in mind, though, that weight-loss medication is meant to be used along with diet, exercise and behavior changes, not instead of them. The main purpose of weight-loss medications, also known as anti-obesity medications, is to help you to stick to a low-calorie diet by stopping the hunger and lack of fullness signals that appear when trying to lose weight.
Your doctor may recommend weight-loss medication if other diet and exercise programs haven’t worked and you meet one of these criteria:
Before selecting a medication for you, your doctor will consider your health history, as well as possible side effects. Some weight-loss medications can’t be used by women who are pregnant or by people who take certain medications or have chronic health conditions.
Anti-obesity medications approved by the Food and Drug Administration (FDA) include:
You’ll need close medical monitoring while taking a prescription weight-loss medication. Also, keep in mind that a weight-loss medication may not work for everyone, and the effects may wane over time. When you stop taking a weight-loss medication, you may regain much or all of the weight you lost.
These types of procedures don’t require any incisions in your skin. After you receive anesthesia, flexible tubes and tools are inserted through your mouth and down your throat into your stomach.
There are several different types of endoscopic procedures used for weight loss. One procedure involves placing stitches in your stomach to reduce its size and the amount of food you can comfortably consume. In another endoscopic procedure, doctors insert a small balloon into your stomach. The balloon is filled with water to reduce the amount of space available in your stomach. This helps you feel fuller faster.
These procedures are usually approved for people with BMIs of 30 or above when diet and exercise alone have not been successful. The expected weight loss varies among procedures from 5% to 20% of total body weight loss.
In some people, weight-loss surgery, also called bariatric surgery, is an option. Weight-loss surgery limits the amount of food you’re able to comfortably eat or decreases the absorption of food and calories, or it does both. While weight-loss surgery offers the best chance of losing the most weight, it can pose serious risks.
Weight-loss surgery for obesity may be considered if you have tried other methods to lose weight that haven’t worked and:
Weight-loss surgery helps some people lose as much as 35% or more of their excess body weight. But weight-loss surgery isn’t a miracle obesity cure.
It doesn’t guarantee that you’ll lose all of your excess weight or that you’ll keep it off long term. Weight-loss success after surgery depends on your commitment to making lifelong changes in your eating and exercise habits.
Common weight-loss surgeries include:
Vagal nerve blockade is another treatment for obesity. It involves implanting a device under the skin of the abdomen that sends intermittent electrical pulses to the abdominal vagus nerve, which tells the brain when the stomach feels empty or full. This new technology received FDA approval in 2014 for use by adults who have not been able to lose weight with a weight-loss program and who have a BMI of 35 to 45 with at least one obesity-related condition, such as type 2 diabetes.
Unfortunately, it’s common to regain weight no matter what obesity treatment methods you try. If you take weight-loss medications, you’ll probably regain weight when you stop taking them. You might even regain weight after weight-loss surgery if you continue to overeat or overindulge in high-calorie foods or high-calorie beverages.
One of the best ways to prevent regaining the weight you’ve lost is to get regular physical activity. Aim for 45 to 60 minutes a day.
Keep track of your physical activity if it helps you stay motivated and on course. As you lose weight and gain better health, talk to your doctor about what additional activities you might be able to do and, if appropriate, how to give your activity and exercise a boost.
You may always have to remain vigilant about your weight. Combining a healthier diet and more activity in a practical and sustainable manner is the best way to keep the weight you lost off for the long term.
Take your weight loss and weight maintenance one day at a time and surround yourself with supportive resources to help ensure your success. Find a healthier way of living that you can stick with for the long term.
Tour starting point: Hotel
Tour ending point: Hotel
Includes: Private tour, pick-up from hotel
Excludes: Transportation, gratitudes (recommended)
Q: Can I choose the sights to visit on my own?
A: Sure! You can choose the sights and museums along all sort of criteria you like in accordance with your tour guide.
Q: How to buy museum tickets?
A: No need to buy tickets in advance, during the tour your tour guide will help you to purchase them.
Q: How to meet my tour guide?
A: Your tour guide will be waiting in your hotel to meet you at a determined time.
Q: Can I state the departure time for my tour?
A: Of course! We operate tours on private basis, so you can customize the departure time.
Q: Am I traveling with a group on the tour?
A: No, we provide private tours for your best experience so you will have a private professional tour guide in your preferred language.
Q: How about the transportation?
A: When you book your tour with a van, you will be picked up from hotel, be transferred to the sights and then back to hotel. Otherwise, once you meet your tour guide at your hotel, you will be advised the best option for transportation such as taxi, metro or tram.
Q: How about shopping in Istanbul?
A: If you have any interest in workshops, please indicate while booking.
Q: How do I book this private Istanbul tour?
A: Easy! All you need to do is;
Fill the ‘Booking’ form where you will put your full details such as personal information, date, hotel or cruise name, arrival and departure times. Once you complete your booking we will get back to you with a confirmation email within 24 hours.
Q: How do I pay?
A: After filling the Booking form and secure the booking, the payment will be in cash directly to the tour guide during the tour. You can choose to pay in Usd, Euro, RMB, Turkish Lira or English Sterling.