Endocrinology-Diabetes Questions Metabolic Disorders

How should I manage my weight with metabolic syndrome?

I was diagnosed with metabolic syndrome when I was a teenager, and it's been a few years since then, and I still have issues with managing my weight properly. I've mainly tried dieting programs, like Nutrisystem and Weight Watchers. Do you have any recommendations on what I should do to manage my weight with this?

3 Answers

See an Endocrinologist.
Yes! Because if not you will have diabetes, high blood pressure or cardiovascular disease in the future. Those programs are good if you can follow them, but if you need extra help you should go to a weight management clinic
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Weight management follows Newton's law of thermodynamics i.e. Matter & energy are neither increased or decreased in the universe. They are just changed from one form into another. So if you take in more matter (food) than you burn for energy (activity) you store is as fat. To get rid of the fat you must either decrease your intake of matter or increase your expenditure of energy. The best is a combination of both. Now there are other factors such as hereditary factors that make it easier for some people & harder for others (I'm one of these). Diet programs are just reminders of what you need to do. Just decreasing portion sizes will do the same thing. That's what Nutrisystem does. Wt. Watchers I think are good because they give incentives for wt. loss and their meetings are good so you can interact (&bare your testimony if you have deviated) and that's good for us. There are also several medications now available to help curb the appetite or prevent absorption of the food. Since you have metabolic syndrome, you could us one of the GLP1 RA drugs you see on TV. such as Trulicity or Ozempic (this is what I take). These drugs are expensive & you may have trouble with your insurance but if your Dr. phases it right you may be able to get one of them. Good Luck!