Как правильно назначать гормоны при ожирении

HIV, cancer, dangerous infections, congenital pathologies – how many frightening diseases almost every modern person knows. People are afraid of such pathologies, but massively ignore the condition, which very often leads to death – obesity. According to 2014 data, about 2 billion people on the planet are overweight, while 6,000 million of them are obese.

Cardiovascular diseases, which are currently leading in the list of leading causes of death, are very closely related to the problem of excess weight. And the worst thing is that taking many drugs is highly undesirable for overweight people. About how they are "friends" with each other hormones and obesity read in this article.

Peculiarities of prescribing hormones for obesity: COCs, corticosteroids and thyroid-stimulating hormones

As you know, each system in the human body performs a whole range of important functions. The cardiovascular and respiratory systems are responsible for vital functions, that is, the most important life support functions, kidneys and liver – kind of filters in our body. But for coordinated work, the body needs leaders, which are the nervous and endocrine systems.

If, for one reason or another, the hormonal background fails in the human body, and important hormones are not released into the blood in sufficient quantities, or are not released at all – hormone replacement therapy helps to compensate for their lack. An athletic, healthy body copes with such problems quite easily, & nbsp; but combining hormones with obesity is often quite difficult.

Obesity and hormones:

  • prescribing combined oral contraceptives for obesity;
  • specific features of prescribing steroid hormones for obesity;
  • thyroid stimulating hormones and obesity: why you need to increase the dose.

Prescribing combined oral contraceptives for obesity

Combined oral contraceptives – it is one of the most common contraceptive methods available today. High efficiency and ease of use make COCs one of the most popular contraceptives, but the appointment of female hormones for obesity is relatively contraindicated. It is quite simple to explain this: both oral contraceptives and a high body mass index – these are factors that increase the risk of venous thrombosis. Of course, their combination threatens a woman with extremely dangerous consequences. The following drugs can be recommended as hormonal contraception for obese patients:

  • preparations containing drospirenone or gestodene as a progestogen;
  • preparations containing only progestogens.

 kak-pravilno-naznachat-gormony-pri-ozhirenii

Peculiarities of prescribing steroid hormones for obesity

Glucocorticoids – These are steroid hormones that are produced in the adrenal cortex. Glucocorticoid drugs are prescribed for adrenal insufficiency and have a huge range of pharmacological properties: anti-inflammatory, anti-shock, immunosuppressive, anti-allergic and others.

But in case of obesity, glucocorticoids must be prescribed very carefully and only according to strict indications.

These hormones tend to increase the body's resistance to insulin, which has a very adverse effect on metabolic parameters. That is why the prescription of such steroid hormones for obesity should be strictly justified.

Thyroid-stimulating hormones and obesity: why you need to increase the dose

Hypothyroidism – This disease is characterized by an insufficient concentration of thyroid hormones in the body. Hormone replacement therapy for obesity in this case has its own characteristics. The body's need for thyroid hormones in obesity increases significantly, therefore, it is necessary to prescribe them to overweight patients in higher doses.

The adequacy of the prescribed therapy is controlled by the level of thyroid-stimulating hormone in the blood: if its level is at the upper limit  norms – the dose of drugs is increased if the level is below the norm – the dose is reduced. The use of thyroid hormone preparations for weight loss is also not recommended unless patients have laboratory or clinical evidence of hypothyroidism.

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