Dr. Cai Mingjie reminded that it is still necessary to prescribe the right medicine to lose weight. (Schematic / pixabay)
In recent years, due to the rise of health awareness, many people will adjust their body posture through various drugs and diet. Cai Mingjie, a specialist in metabolism and endocrinology, posted on his Facebook page, claiming that according to international journal research, “there are four types of obesity.”
Dr. Cai Mingjie is infan pageIn the above article, the content pointed out that according to a 2021 document in the Obesity journal, the research team recruited 450 obese subjects, from dietary patterns (hunger, satiety, gastric emptying), hedonic Carry out a comprehensive analysis of eating, basal metabolic rate, etc., and finally divide obese people into four types, and give corresponding countermeasures for each type:
1. Hunger brain: You must eat food with 62% more calories than others in order to feel full. Such patients are treated with the oral drug phentermine-topiramate, which suppresses appetite, or lorcaserin (the latter is no longer available in 2022).
2. Hungry intestine: The speed of gastric emptying is 31% faster than others. Such patients are subcutaneously injected with liraglutide, commonly known as thin needle, which has the effect of inhibiting gastric emptying.
3. Emotional hunger: Anxiety is particularly high, 2.8 times that of other ethnic groups. Such patients are given the oral drug naltrexone/bupropion, which has an antidepressant effect.
4. Poor metabolism: Basal metabolic rate is 12% lower than others. Such patients are treated with the oral drug phentermine, which stimulates sympathetic arousal.
The research team also divided the subjects into two categories: “classified group” and “unclassified group”. Among them, the “classified group” will be administered separately according to the physique of the subjects, and the average still allows the subjects to lose 15.9 % of body weight, while the “unclassified group” was administered directly, with an average weight loss of 9.0%. While 79% of subjects in the classified group lost more than 10% of their body weight, only 34% of the unclassified group lost more than 10%.
Cai Mingjie said that the division of these four physiques is not one-size-fits-all. There are many patients who span both physiques at the same time, and some even have all four physiques. Cai Mingjie also emphasized that diet and exercise are the foundation of a healthy body, but he does not oppose rational drug use. Legal weight-loss drugs have strict indications and specifications (BMI exceeds the standard, combined with three high chronic diseases, etc.). The benefits to patients of precise drug administration outweigh the disadvantages.
And he also emphasized that “abusing drugs that do not meet the indications”, “prescribing cocktail diet pills with many side effects”, “applying extreme diets regardless of physical differences”, these behaviors should be vigilant to the public and doctors .
