W9-L5: Weight Loss Flashcards
What is Advice on Weight Management?
(5)
- Medical nutrition therapy
- Exercise
- Psychological
- Bariatric surgery
- Medications
What is Medical nutrition therapy?
nutrition-based treatment provided by a registered dietitian nutritionist.
What level of exercise is recommended?
30 – 60 minutes of moderate to vigorous activity most days
Psychological
Cognitive approach to behaviour change, manage sleep time and stress, psychotherapy if appropriate
What is Bariatric surgery?
Stomach stapling/ removal /
bypass BMI > 40, or a BMI > 35 – 40kg.m2 with at least one comorbidity e.g. heart disease, high BP, sleep apnoea, diabetes, osteoarthritis, GERD (reflux), dyslipidemia
What medications can help with weight loss?
e.g. appetite suppressants, drugs that reduce fat absorption
BMI> 30kg.m2, or BMI >27kg.m2 with obesity adiposity related complications e.g. heart disease or high cholesterol
What is Ozempic?
What is Wegovy?
What is the Semaglutide Mechanism?
- Mimics glucagon-like peptide-1 (GLP-1) which regulates appetite – meaning you eat less when taking it
- Slows down gastric emptying to make people feel fuller when they eat
Contraindicated: patient or any member of family have ever had MTC (rare thyroid cancer) or if you have MEN 2.
What is GLP-1?
What are its Functions?
GLUCAGON LIKE PEPTIDE-1
GLP-1 is a hormone released from the intestines after eating:
- Increases insulin secretion in response to meals (to help regulate blood glucose levels).
- Reduces glucagon secretion (which lowers glucose production in the liver).
- Slows gastric emptying (the process by which food leaves the stomach), leading to feelings of fullness or satiety.
- Decreases appetite by acting on the brain, particularly in areas involved in hunger regulation, such as hypothalamus.
