Obesity & Weight Loss
Overweight plays an important role in our society.
More than 25% of the population in the UAE and Oman suffer from obesity.
There is a constant effort in loosing weight through diet, exercise, medication and / or bariatric surgery (gastric sleeve, …)
Multidisciplinary Weight Loss Team
The treatment of patients with (massive) weight loss always requires a multidisciplinary diagnostic and treatment team. The patient is initially seen by the obesity doctor (General Practitioner/Obesity Medicine, Family Medicine, Internal Medicine) who holds the key position of the coordination (“Obesity success Manager”) throughout the whole journey.
Depending on the findings of the initial obesity examination, other specialities are consulted for individually tailored diagnostic and treatment.
| “Coordination“ (“Obesity Success Coach“) | ||
| Obesity medicine/Family medicine/Internal medicine | ||
| Primary Obesity Care – Weight loss/stabilisation |  |
Secondary Obesity Care – Quality of Life |
| Dietetics | Plastic Surgery | |
| Physiotherapy | Gynecology/Infertility | |
| Behavioral Therapist | Urology/Infertility | |
| Bariatric Medicine | Orthopedic Surgery | |
| Bariatric Surgery | Internal Medicine | |
| “Support“ | ||
| Dermatology, Anesthesia, Nursing, Public relation, Insurance, …. | ||
"Obesity is a Journey“
Loosing weight can be compared to a journey with several stops, depending on :
- Point of departure: initial weight
- End point/Goal: how much weight one likes to loose.
Phase I
Primary Obesity Care
→ First contact/Weight loss/stabilisation
0..3m..6m……12m…………24m………..36m
Phase II
Secondary Obesity Care
→ Quality of Life improvement
……48m………..60m………..72m………..84m.…
Phase III
Tertiary Obesity Care
→ Weight maintenance/Prevention
……….…………..……..…………(t)
Phase I: Primary Obesity Care
The term weight management includes both the phase of weight reduction and the weight stabilization after weight loss:
Weight Reduction/Loss
There are 3 different ways to lose weight:
1) Any weight loss program should be based on a combination of nutrition, exercise and behavioral therapy
2) A significant reduction in weight can be achieved in many patients by administering medication (Mounjaro, …..)
3) Significant weight loss can be achieved in an increasing number of low-risk patients by improving abdominal surgery techniques to reduce obesity (bariatric surgery).
Weight Stabilisation:
In order to avoid gaining weight again (so-called yo-yo effect), permanent weight stabilization is necessary
Phase II: Secondary Obesity Care
The term Secondary Obesity Care includes the treatment of the consequences of obesity with the aim of improving the Quality of Life, which includes:
- Body contouring after massive weight loss (Bariatric Plastic Surgery)
- Infertility treatment for women (Gynecology) and men (Urology)
- Sleep apnea and snoring treatment (ENT)
- Pain management and joint arthritis treatment (Orthopedic surger)
- and many more, ……..
Phase III: Tertiary Obesity Care
The term tertiary obesity care includes both the phase of weight maintenance and the avoidance of becoming overweight again.
The obesity doctor (“Obesity success Manager”) plays an important role to carry out regular weight and health check-ups
