Weakened analysis. Healthy weight loss is essential in order to maintain dietary results. And first of all, we need a set of analyzes.
“We must first investigate thyroid function by an ultrasound and a few investigations specific to the proper functioning of the thyroid, ie thyroid hormones.
Then we need to do an abdominal ultrasound to see the fat in the internal organs. Most obese people have a fatty liver and, in general, fatty organs. Where we have fat: on the internal organs (fatty liver is the best known, a fat deposition specific to men), in circulation (cholesterol, triglycerides, cholesterol fractions, this is specific to both men and women) and subcutaneously, that fat visible to the naked eye (specific to women).
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Then, we do the usual investigations, which are related to the function of the liver, kidneys, carbohydrate metabolism, ie sugars and fats, ”recommends doctor Ioan Florin Bălănică, an expert in lifestyle medicine.
Overweight people have a body mass index greater than 25, while obesity is associated with a body mass index greater than 30. It is calculated by dividing the weight expressed in kilograms by the height in meters squared. However, the abdominal circumference as well as the weight composition must be taken into account. Worrying is the excess adipose tissue in the first place. Therefore, assessing the amount of fat is very important in an overweight patient.
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“We need to identify the amount of fat in the blood, ie cholesterol, cholesterol fractions and triglycerides, because most of the time, in an overweight patient, they are high, those on the internal organs and deposited subcutaneously. At the same time, it is very important to check if the patient has good blood pressure, because cardiovascular diseases are the main cause of mortality in Romania and the EU.
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If we meet a patient who, in addition to obesity, has diabetes or a prediabetic condition, high blood pressure and high uric acid, ie poor protein metabolism, that patient is in metabolic syndrome, a complex pathology that is associated with snoring disease or chronic snoring, and the danger is great because he may die in his sleep.
We don’t have to play with such things, and we have to identify the metabolic syndrome in time, it is unfortunately underdiagnosed in Romania and treated in pieces, ie the nutritionist deals with obesity, the diabetes diabetologist, the cardiologist in the area hypertension. It is very important to integrate things. In my method, we look at the integrative and holistic patient from all perspectives “, adds the specialist who treated hundreds of patients with weight problems.
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Vitamin D and blood glucose tests
The list of tests needed to determine the best course of action for obesity includes assessing blood sugar and vitamin D levels. Any potential condition causes certain menus and lifestyle changes. A common mistake of those who want to lose weight is intense physical activity, in terms of an impressive number of extra pounds. Doctor Ioan Florin Bălănică recommends the functional movement, but only after a careful evaluation.
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We need to identify the condition of the joints, because if we want that patient to follow a movement program (in my case – functional movement), we need to know if he can do this and what degree of physical activity he can be supus.
In conclusion, it is important to investigate thyroid function, liver function, kidney function, fat metabolism, carbohydrate metabolism, protein metabolism, to investigate cardiovascular function by an EKG and by measuring blood pressure and, optionally, vitamin D. Otherwise, of course each person is particular and we have to address them differently ”, describes the doctor Florin Ioan Bălănică the most important parameters in the evaluation and treatment of excess weight.
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