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Monday - Friday
10:00 am - 6:00 pm
Saturday
10:00 am - 1:00 pm
Sunday closed
PacificTime
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| Jose Clemente Orozco
#2468, Suite 407
Plaza Medical, Zona del Río.
Tijuana, Baja California.
Local: (664) 634.2014
From USA: (619) 446.6769 |
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In Sthetiqs clinic
Adapt weight loss program to meet the needs of diverse patients:
Standard treatments approaches for overweight and obesity must be tailored to need to various patients or patients groups. Large individual variation exists within any social or cultural group; furthermore, substantial overlap among subcultures occurs within the larger society. There is, therefore, no “cookbook” or standardized set of rules to optimize weight reduction with a given type of patient. However, to be more culturally sensitive and to incorporate patient characteristics in obesity treatments programs consider and adapt the setting and staffing for the program; consider how the obesity treatment program integrates into other aspects of patient health care and self care; and expect and allow for programs modifications based on patients responses and preferences.
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Why treat overweight and obesity? Obesity is clearly associated with increased morbility and mortality. There is strong evidence that weight loss in overweight and obese individuals reduce risks factors for diabetes and cardiovascular disease. Strong evidence exists that weight loss reduce blood pressure, reduces serum tryglicerides and generally produces some reduction in total serum cholesterol and blood glucose levels in some patients with type 2 diabetes.
What treatments are effective? a variety of effective options exists for the management of overweight and obese patients, including dietary therapy approaches such low calorie diets and lower fat diets; altering physical activity patterns; behavior therapy techniques; pharmacotherapy, surgery and combinations of these techniques. in our clinic we offer a customized treatment that includes each one of these aspects, to optimize results.
On which the obesity treatment is based ? treatment of overweight or obese patients is a two – steps process:
1-Assessment: requires determination of the degree of overweight and overall risk status.
a) risk status requires examination for the presence
- coronary heart disease
- atherosclerotic disease
- diabetes type 2,hypertension.
- Cardiovascular disease, others
2-Management: includes both reducing excess body weight and instituting other measures to control accompanying risks factors.
a) techniques of motivation to the patient when assessing the patients motivation to enter weight loss therapy, the following factors should be evaluated:
reasons and motivation for weight reduction, previous history of successful and unsuccessful weight loss attempts, family, friends, and work –site support, the patient understanding of the causes of obesity and how obesity contributes to several diseases. capacity to engage in physical activity, financial considerations.
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dietary therapy individually planned and takes into account the patient overweight status in order to help create a deficit of 500 to 1,000 kcal/day Should be an integral part of any weight loss program. |
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Physical activity an increase in physical activity is a important component of weight loss therapy, although it will not lead to substantially greater weight loss over 6 months, most weights loss occurs because of decreased caloric intake. Sustained physical activity is the most helpful in the prevention of weight regain. In addition, it has a benefit in reducing cardiovascular and diabetes risk beyond that produced by weight reduction alone. |
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Behavior therapy Strategies, based on learning principles such reinforcement, that provide tools for overcoming barriers to compliance with dietary therapy and / or increased physical activity are helpful in achieving weight loss and weight maintenance. Specific strategies include self- monitoring of both eating habits and physical activity, stress management, stimulus control, problem solving, contingency management, cognocitive restructuring and social support. |
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Combined therapy a combined intervention of behavior therapy, low calorie diets, and increased physical activity provides the most successful therapy for weight loss and weight maintenance for at least 6 months before considering pharmacotherapy. |
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Pharmacotherapy In carefully selected patients, appropriate drugs can augment low calorie diets, physical activity, and behavior therapy in weight loss. Weight loss drugs that have approved by the FDA for long –term use can be useful adjuncts to dietary therapy and physical activity for some patients with BMI of >30 with no concomitant risk factors or diseases, and for patients with BMI >27 with concomitant risk factors or diseases. Continual assessment by the physician of drugs therapy for efficacy and safety is necessary. |
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Weight loss surgery
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