1- MEDICATION TREATMENT:
Obesity is measured and evaluated using the Body Mass Index (BMI), which is an internationally accepted parameter. Since there is no single cause of obesity, there is also no single treatment for it.
In the "ideal treatment of obesity," the responsibility falls on the individual to make the necessary changes in their lifestyle and eating habits in the right direction. If obese individuals adopt these behavioral changes as a new way of life, internalize them, and embrace them as part of their mindset, obesity treatment can be successful in achieving and maintaining good health.
Medication treatments for obesity are suitable for patients with a BMI >30 or a BMI >27.5 with associated comorbidities (such as hypertension, diabetes, high cholesterol, sleep apnea, polycystic ovary syndrome, fatty liver). They are recommended in such cases.
Currently, there are only a few medications approved for use in obesity treatment on the market. In Europe, only three medications have received approval for clinical use in obesity management: orlistat, liraglutide, and the combination of bupropion/naltrexone.
2 -STOMACH BOTOX:
Botulinum toxin A administration via endoscopy is a procedure in which specific parts of the stomach are targeted. This method aims to prevent stomach contractions and extend the process of stomach emptying. With this method:
- Delay in gastric emptying
- Early feeling of fullness
- Reduction in food intake
- Decreased levels of the hunger hormone Ghrelin can be achieved.
This method does not yield results unless supported by a diet.
Permanent weight loss is not possible with only stomach Botox because it does not limit the stomach volume like other surgical interventions, nor does it promote behavioral changes.
3- STOMACH BALOON:
A stomach balloon (gastric balloon) is one of the obesity treatment methods made of silicone or polyurethane material. It is placed in the stomach before inflation and then filled with sterile liquid. The procedure is not a surgical intervention, but depending on the type of balloon, some balloons are placed and removed under anesthesia through endoscopy.
The mechanism of action of the gastric balloon is to create a constant feeling of fullness by occupying space in the stomach. This way, it promotes weight loss by reducing the amount of food consumed during each meal.
Considering obesity as a prevalent disease in modern times, gastric balloon procedures are frequently chosen as a treatment method for excessive weight and obesity, especially by individuals who may have concerns about undergoing anesthesia or surgical procaedures.