The staff of the obesity clinic consists of an endocrinologist, a dietitian and a nurse, each of whom is responsible for the following tasks. Step 1: Identify the cause of obesity The first task of the endocrinologist is to help each obese person identify the cause of obesity. In general, obesity can be divided into simple obesity and secondary obesity. Simple obesity means that there is no disease other than obesity, but there may be complications caused by obesity; secondary obesity means that there is a disease that causes obesity, such as low thyroid function or a history of long-term glucocorticoid use. Different types of obesity, of course, the treatment method is different! The primary task of pure obesity is to lose weight; for secondary obesity, must first find out the cause, and then for the cause of treatment, when the cause of obesity is cured, weight can often fall, or even restore normal. But most obese people belong to the former – simple obesity. Step 2: Evaluation of relevant indexes When the doctor diagnoses that he/she is a simple obese person, the nurse will use the instrument and some auxiliary tools to conduct fat determination, waist and hip circumference measurement, calculation of body mass index, and also do some relevant blood tests to help the doctor determine whether he/she is mildly, moderately or severely obese. At the same time, liver and kidney function, blood sugar, blood lipid level and fatty liver degree are checked to determine whether there are complications of obesity. Of course, the measurement of blood pressure and heart rate is essential, these indicators will provide scientific basis for the choice of treatment later. The third step:analyze the diet structure and intake The duty of dietitian is to understand the obese person’s diet, analyze whether there are dietary misconceptions that lead to obesity in their daily life, and help formulate reasonable daily recipes. Such recipes ensure the basic energy needs of the body, but also achieve the purpose of weight loss. Some people think that weight loss is a chore, the problem is mostly in the diet, eat more, can not lose weight, eat less, hungry, no energy, more distressing is easy to reduce weight in the diet back to normal, and immediately rebound. At this point, the dietitian will tell you: “It is not possible to lose weight by not eating, that diet is not only easy to deviate in the nutritional structure, but also does not last long. Excessive weight loss is most likely to rebound, and once the weight loss stops, the weight will go right back up.” Dietitians are guided by the principle of developing a caloric intake plan that starts with reducing fat accumulation, i.e., making caloric consumption greater than caloric intake. While losing weight, but also to maintain physical strength, and then provide him or her with a variety of weight loss recipes to choose from, so that weight loss without the pain of hunger, is not a happy thing. Step 4: Develop a weight loss goal Weight losers are no strangers to weight loss goals and always vow to lose as much as they can in a few days or weeks before each planned weight loss. Many times, this plan just stays on the lips, it is difficult to achieve. Even if it is temporarily achieved, once the weight loss stops, it will rebound more than what is lost. Why is that, exactly? The problem lies in the formulation of weight loss goals. Endocrinologists for obese people to develop the weight loss goal: 3 months to lose 5% to 10% of body weight, and with the gradual reduction of weight, blood pressure, blood sugar, lipids and other indicators also gradually improve, until normal. Doctor’s analysis: Obesity is an important cause of type 2 diabetes. When weight loss is achieved, insulin resistance is reduced, the body’s sensitivity to insulin is restored, and blood sugar can reach normal levels. The use of weight loss to treat obese type 2 diabetes has had many successful experiences at home and abroad. Step 5: Guidance on taking weight loss pills It is common for obese people to lose weight with the help of weight loss pills, but there is a big difference between the prescription weight loss pills in weight loss clinics and the weight loss pills bought over the counter in shopping malls. The weight loss clinic selects weight loss pills that are approved by the health department and approved by the hospital and have undergone many clinical studies to confirm their efficacy and safety. Different diet pills are suitable for different groups of people. Without the guidance of a doctor, it is difficult to achieve weight loss goals by blindly choosing diet pills, and they are prone to bring about adverse reactions. The doctor in the weight loss clinic is to guide the use of drugs according to the different conditions of obese people, and to monitor the weight of the patients during the period of taking weight loss drugs, and to adjust the dosage of drugs and exercise prescriptions at the right time. Related Links Types of common weight loss drugs Central weight loss drugs: These weight loss drugs have a dual role, both to suppress the appetite center and reduce the desire to eat, but also to make the peripheral excess fat consumption away. Drug name: sibutramine. Representative drug trade names: Nomectin, Trimethoprim, Aoquil Light. Contraindications: It is prohibited for obese people with unstable blood pressure, palpitations, and abnormal liver and kidney function. Gastrointestinal type diet pills: This type of diet pills is to achieve weight loss by inhibiting the absorption of fat from food in the intestinal tract. Drug name: orlistat. Representative drug trade name: Senicor. Contraindications: Contraindicated in obese people with gastrointestinal dysfunction and gastric ulcers. Step 6: Establish a long-term medical follow-up relationship Weight loss is not a short-term behavior, it is impossible to finish the job in one go. Also reducing weight cannot be done too fast, losing weight too fast means losing mainly water and protein, not the fat that should be lost. Only by losing weight slowly can we really burn fat and achieve the desire not to rebound after weight loss. Therefore, dieters should have a follow-up appointment once a month. The follow-up appointment will allow the doctor to share the happiness of weight loss with you and also further improve the medication, diet and exercise program under the guidance of the doctor to ensure that the next step of weight loss goal is achieved.