Friday , June 18 2021

If I want to lose weight, should I go to a nutritionist or endocrinologist?

Obesity is a chronic disease and stay away from more diseases, we must take the diet during our lives. The first step is to go to the nutritionist, and if you find a problem that is difficult, the patient will be referred to an endocrinologist who will make the necessary evaluations.

While the summer is approaching, many care about how they look when they go to the beach or when they wear lighter clothes. However, maintaining healthy weight is not something that needs to depend on the season, because obesity is a chronic disease that can result in serious health complications.

Dr. Sylvia Ganosa, endocrinologist at the Clinical Center SANA, La Molina, helps us to clarify some doubts and myths because she explains that weight-bearing goes beyond the aesthetic issue and may depend on genetic, environmental and behavioral factors.

  1. More than weight, the problem is in excess of fat
    One of the safest methods for detecting body fat is body mass index (BMI) which is calculated based on the weight and height of the face, resulting in a rating. If it is in the range of 18.5 to 24.99, it is a normal weight, but if it exceeds it, then 25 is considered overweight, and 30 is the thickness.

    "It does not matter whether my bones are large, weigh heavily, or seem to be fat. What needs to be discovered is if there is excess adiposity, first through ITM, and then by studies, such as the impedance method, which is a machine used by nutritionists, endocrinologists and fitness halls to calculate the percentage of body fat, water and muscles, "he explains.

  1. There is no saint for prayer: A strange diet does not exist
    Although there are always diets that promise sudden changes, Dr. Ganosa recommends that "we do not ask for miracle, strange, very restrictive diets that promise to lose weight quickly." What needs change is habits, but without reaching extremes, maintaining proper nutrition, rich and balanced, accompanied by regular exercises and appropriate sleeping hours. "
  1. When to take emergency measures (and not just those of the centimeter)
    If you register a BMI greater than or equal to 25, you should seek help if you also experience some of these symptoms: fatigue, insomnia, headache, knee pain, irregular rules, dark pigmentation of the neck and bosom. Also, if you have a half greater than 80 cm in women and greater than 90 cm in men, because they indicate a central obesity associated with cardiovascular disease.
  1. Nutritionist or endocrinologist?
    For weight loss, says a specialist, you must first visit a nutritionist and after evaluating you, you will be referred to the endocrinologist if the nutritionist thinks there are signs of a disease that can interfere with the normal weight loss (which usually has to be between 2 and 4 kg per month maximum).

Finally, Dr. Ganosa commented that "we must all have nutritional evaluations at different stages of our lives: childhood, adolescence, during pregnancy and as adults." "Mainly, as a primary prevention against overweight and obesity, and to prevent or treat diseases such as diabetes, hypertension, dyslipidemia, fatty liver, kidney disease, among others. "


  • Among the overweight diseases are metabolic syndrome, diabetes, insulin resistance, high blood pressure, cardiovascular diseases, fatty liver, polycystic ovarian syndrome, male hypogonadism, and female infertility. In addition, it can cause other diseases due to increased mechanical stress (compression or mass effect), such as sleep apnea, osteoarthritis and gastroesophageal reflux.
  • There are exceptions like bodybuilders, pregnant women and fluid retention individuals who have high BMI, but do not have excess adiposity.

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