When someone comes to the clinic after years of dieting, the first thing they want to know is what the real options are. The answer is that today there are more and better ones than ever, but not all of them suit everyone.
1. The foundation: nutrition and physical activity
It is not the flashiest step, but it is the essential one. No later treatment works well or lasts over time without an orderly eating pattern and daily movement.
2. Drug treatment
GLP-1 and GIP analogues have changed the picture in recent years: they act on the satiety signal and make it possible to sustain a calorie deficit without the constant fight against hunger. They require a prescription, dose adjustment and medical follow-up; they are not an over-the-counter product.
3. Intragastric balloon
An intermediate option, reversible and without surgery, useful in selected patients and as a bridge to start changing habits with less hunger.
4. Bariatric and metabolic surgery
Sleeve gastrectomy and gastric bypass remain the most effective treatment in severe obesity and in obesity with comorbidities such as type 2 diabetes. It requires prior assessment, a change of habits and lifelong follow-up.
Which one is right for you?
It depends on your body mass index, your body composition, your associated conditions, your history of previous attempts and your preferences. That decision is made in consultation, with you, not in a search engine.
Shall we talk about your case?
Full endocrinology assessment in Palma de Mallorca: Wednesdays at Mesomedic and Thursdays at Quirúrgica Balear. Consultations in Spanish, English and Portuguese.
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