What is the weight loss treatment for hypothalamic obesity?

Question

Hello doctor,

I have hypothalamic obesity, and my weight just keeps going up no matter what. I am just 45. What is the safest weight loss approach for hypothalamic obesity at 45? BMI is 42 now, and HbA1c went to 6.1, noticed very recently. I track calories and walk daily, but the scale does not move.

Hunger feels out of control. I read about surgery or medications, but I am totally scared. Are medications like Tirzepatide or surgery even safe for this? I feel trapped in a body that does not listen to me at all. I am scared of heart risks, but also scared of staying this way forever. Confidence is gone. Carrying this weight hurts every part of life. I need something that works with my brain, not against it.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Of course, hypothalamic obesity can be extremely hard due to the fact that the issue does not revolve around willpower or counting calories but lies with the brain's ability to regulate hunger and metabolism. With age 45, body mass index 42 and HbA1c at 6.1% (body mass index) BMI and (glycated hemoglobin) HbA1c, it's the best way to go.

This is normally done through following up with an endocrinologist specializing in obesity medicine, maintaining healthy nutrition and physical activity, as well as using weight loss drugs like Tirzepatide or glucagon-like peptide-1 medications, or any other drugs recommended by your endocrinologist.

In cases when medications fail, bariatric surgery is another safe and effective treatment strategy. You are not stuck, and hypothalamic obesity does not doom you to endless weight gain. Considering your BMI and growing HbA1c (glycated hemoglobin), it would be wise to consult your endocrinologist on the possibility of taking medications before the development of diabetes.

I hope you are satisfied with my answer.

For further queries, you can consult me at iCliniq.

Thank you.