A multifaceted view of overweight and obesity

Obesity – a chronic disease associated with excess body weight, which manifests itself in excessive body fat, which is harmful to health.

In addition to a healthy diet and regular physical activity, faster weight loss results can be achieved by taking nutraceuticals and using lipolytics.

Anna Tsebrovskaya – practicing doctor-cosmetologist, dentist, teacher of individual and group training programs on mesotherapy, biorevitalization, injection contouring and botulinum therapy, expert of TOTIS company.

• How to determine overweight using Broca's formula
• Diseases and pathological conditions caused by obesity
• Correction of age-related changes associated with overweight using nutraceuticals
• Methods of injection lipolysis depending on the forms of panniculopathy
• Correction of fat deposits in the facial area with the help of lipolytics

Anna Tsebrovskaya – practicing doctor-cosmetologist, teacher of individual and group training programs in mesotherapy, biorevitalization, injectable contouring and botulinum therapy, expert of the company TOTIS. How to determine overweight using Broca's formula

A.C.:

In order to determine whether body weight is really considered overweight, you can calculate this indicator using the Brock formula:

For example, if your height is 160 cm and your actual body weight – 50 kg, then Broca's Index=(50/(160-100))*100%=83.333%.

Body weight is considered to be within the normal range if Broca's index = 90-100%, and overweight if it is exceeded by 15% or more.

Another indicator to detect the presence of obesity – body mass index (BMI).

A BMI greater than 25 indicates pre-obesity and thus obesity.

Follow us on

Instagram! The OT size indicates the type of obesity.

Body parameters

also indicate the presence or degree of obesity. So, for example, you should estimate the waist (WT) and hips (HB) and their ratio.

FROM in women should normally be up to 80 cm, in men – up to 94 cm.

Within the normal range, the OT / OB ratio in women should be no more than 0.85, in men – no more than 0.9.

FAT size indicates

obesity type

:

gynoid
• or gluteofemoral, when fat deposits are localized mainly in the lower part of the body. With this type of obesity, weight loss is faster;
visceral
• or android – a type of obesity in which fat is localized in the upper body.
This type of obesity is the most dangerous, as it indicates the presence of a large amount of visceral fat (located in the abdominal region and surrounds the internal organs).

This is fraught with the occurrence of diseases such as:

type 2 diabetes mellitus;

1. cardiovascular disorders;
2. oncological diseases
3. me and others
Diseases and pathological conditions caused by obesity

A.C.:

Being overweight and obese is a health hazard and can cause the following problems: metabolic or endocrine disorders

(type 2 diabetes mellitus, atherosclerosis, insulin resistance, etc.);

• disturbances of the neurological system (cerebral stroke, intracranial hypertension, neuralgia of the lateral femoral cutaneous nerve);
• cardiovascular diseases (ischemic heart disease, myocardial infarction, thromboembolism, varicose veins of the lower extremities, hypertension);
• respiratory system disorders (sleep apnea, hypoventilation syndrome, shortness of breath);
• diseases of the genitourinary system (polycystic ovaries, amenorrhea, severe menopause in women, hypogonadism (in men));
• Problems of the gastrointestinal tract (cholelithiasis, non-alcoholic steatohepatosis, hernias, gastroesophageal reflux disease);
• disorders of the musculoskeletal system (degenerative arthritis, arthrosis, spinal osteochondrosis, limitation of mobility);
• dermatological disorders (atopic allergic diseases, diaper rash, pustular skin lesions);
• Neoplasms (colon cancer, breast and uterine cancer
• ci).
Aesthetic medicine: when quality comes first

Correction of age-related changes associated with overweight with the help of nutraceuticals

A.C.:

Depending on

type and degree of obesity

I prescribe the following products: 1. K-linfo from the Spanish brand

Simildiet:

eliminates edema (lymphostatic, vascular, traumatic);

contains 100% of the norm of B vitamins (B3, B5, B6, B1, B9, B12) to improve metabolism;

• neutralizes the adverse effects of excess salt in the diet, which provokes the appearance of puffiness;
• 2. Vacirton
from

Simildiet:

used in the treatment of varicose veins;

improves blood circulation;

• reduces capillary permeability;
• reduces the formation of edema;
• increases lymphatic drainage;
• helps improve blood flow and rheological properties of blood;
• prevents blood clots.
• 3. Reducer Plus
from Spanish brand

INNOAESTHETICS:

optimizes energy metabolism and promotes fat burning;

prevents the release of glucose from glycogen and promotes the activation of fat burning as an energy source;

• blocks the conversion of excess carbohydrates into visceral fat and helps reduce hunger;
• stimulates and accelerates lipid metabolism;
• promotes the transport and metabolism of fats in the liver;
• prevents the development of atherosclerosis and fatty hepatosis.
• 4. Lipotrofin
by

Simildiet –

nutraceutical, recommended in complex anti-cellulite and lymphatic drainage programs: improves microcirculation and lymphatic drainage;

activates the removal of excess fluid from the body;

• improves blood circulation;
• increases lymphatic drainage.
• 5. Metabol
by

Simildiet:

speeds up metabolism;

prevents the accumulation of fat deposits by stimulating muscle cells to burn fat as an energy source;

• activates lipid metabolism;
• restores the barrier functions of the epidermis and helps retain moisture in the skin;
• increases insulin sensitivity;
• helps maintain normal blood glucose levels;
• reduces pathological cravings for sweets.
All nutraceuticals in Ukraine are represented by the official distributor of European brands
s –

by

TOTIS. Methods of injection lipolysis depending on the forms of panniculopathy

A.C.:

Panniculopathy

– imbalance between lipolysis and lipogenesis. It comes in the following forms: edematous, fibrous and mixed. For each form of the disease, it is necessary to choose a certain type of lipolytics.

In my practice, the favorites among

lipolytics

are the following drugs:

In the edematous form of panniculopathy

it would be advisable to use

drugs that stimulate lymphatic drainage, preferably with capillary-stabilizing components
• . I use lipolytic

Cynara+

from the Spanish brand Innoaesthetics, which effectively regulates blood microcirculation, starts lymph outflow, and, as a result, relieves edema. Another one of my drug of choice – Lipotrofin from the brand

Simildiet,

which has a pronounced anti-cellulite effect, reduces localized fat deposits. These preparations contain components such as sweet clover, bladderwrack, rutin, spiral hedera, centella asiatica, artichoke.

They have long been used in medicine to achieve a drainage effect, and in combination they have a powerful effect for the fastest possible weight loss.

For mixed panniculopathy

I choose

indirect lipopolicies
• . Such preparations must contain L-carnitine, caffeine, green tea extract.
This is, for example,

Slimming

(

Innoaesthetics

), which in addition also contains organic silicon and rutin (in addition to the lipolytic effect, they improve the quality of the skin). Metabolites by

Simildiet –

A milder lipolytic that activates tissue metabolism, relieves edema and significantly accelerates cellulite therapy. Both preparations can be used to work on the body and on the face;

For fibrotic panniculopathy

I use

defibrosants
• as this is the only group of drugs that will be effective in this problem. They must contain sodium deoxycholate and phosphatidylcholine, which have the ability to break down fats, destroying the membranes of fat cells, reducing the layer of subcutaneous fat and signs of cellulite.
These drugs must be injected strictly into the subcutaneous fat (to a depth of 12-13 mm in the body).

The essence of the procedure is the death of fat cells, so the appearance of such complications as hyperemia in the area of ​​drug administration, fever, itching will be expected.

If the injection techniques are followed correctly, these symptoms resolve on their own after a few days, however, failure to follow the techniques may cause necro

za.

Correction of fat deposits in the facial area with lipolytics

A.C.:

For the delicate area of ​​the face, I use

Face Nade

from the Spanish laboratory Innoaesthetics, represented by company TOTIS. It has a narrow focus and is designed specifically to work in the facial area. Cinara, which has a diuretic effect, as well as L-carnitine, lecithin, tyrosine, troxerutin, sweet clover together make up an effective lipolytic cocktail.

Lipolytic injections in the

periorbital area with hernias

should be avoided (it would be correct to refer the patient with such a problem to a plastic surgeon).

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