What added value does a doctor have in a weight correction programme?

There are many ‘slimming treatments’ on offer and dieting products are available everywhere. Losing weight in a healthy and responsible way requires more than a rigorous reduction of food-intake. The usual dieting products are meal replacements with a statutorily prescribed composition of sugars, carbohydrates, proteins and fats. These products can only be used for three consecutive weeks at most.

If there is a departure from the statutory composition and duration of use it is considered to be a medical product that can only be used as a nutritional supplement under strict medical supervision.

Fat metabolism influences all kinds of processes in the body and these processes become disordered. Many people complain of dizziness, feelings of weakness, hunger and listlessness when being on a diet. Blood pressure and blood sugar drops, muscle tissue is broken down and energy supply in the cells gets disrupted. Many people also notice that after a period of having eaten less they no longer lose weight.

What processes are involved in weight loss?

  • Blood pressure decreases through loss of fluids.
  • Because of re-absorption of salt by the kidneys a shortage of potassium can arise.
  • The liver is overtaxed because it has to convert fats and detoxify the body more than usual.
  • The gallbladder is overburdened and there is a risk of formation of gallstones.
  • The kidneys are overburdened by increased excretion and re-absorption of certain substances.
  • The balance of electrolytes, which is important for normal muscle cell functions, is disturbed.
  • Metabolism slows down and there is a change in the production of hormones (thyroid).
  • Fatty tissue decreases and as a result the conversion of a number of hormones, too.
  • As a result of a lack of proteins, muscle cells are broken down.
  • The body acidifies, crystals concentrate in joint spaces and there is a chance of gout.
  • Peristalsis and water balance in the intestine changes and that can cause constipation.
  • A shortage or surplus of minerals and calcium may lead to bone or kidney problems.
  • Weight loss can lead to changes in posture and therefore the joints may be taxed differently.

That is why it is important to determine by means of a blood test what medication and supplements are necessary in order to maintain blood pressure and a correct functioning of the organs such as liver and kidneys.

Determining the real need for energy (basal metabolism) can only be measured individually and is indispensable for maintaining the desired weight.

People who suffer from diabetes, high blood pressure or disorders of the thyroid cannot go on just any diet because their medication is not adapted to it. It is not only about kilograms lost but also about the way the body functions. Even people who think they are perfectly healthy may suffer from hidden disorders which come to light during the medical examination previous to treatment.

In order to make sure that everything goes according to plan, a regular check up is required.