Our expert says:
Thank you for your kind words. If you do suffer from insulin resistance and hormone imbalances then you may well require Glucophage combined with hormone treatments. You don't mention if the doctor(s) who is or are treating you have addressed your hormonal problems with this type of treatment. Some patients with insulin resistance may also require insulin supplementation. Thus the approach to insulin resistance, PCOS and metabolic syndrome is not just a low-fat, low-GI diet and exercise, but also appropriate medical treatment. For cases that resist all conservative treatment there is the option of bariatric surgery which can produce very positive results, but does of course have a number of side-effects that need to be considered carefully before a patient has such a drastic treatment. I agree with you that some health care workers have not realised that overweight, obesity and inability to lose weight should be treated as a disease and that they are not just the result of overeating or lack of exercise. It is possible that the obesity epidemic is being fuelled by factors outside our present control such as the presence of so-called endocrine disruptors which contaminate our water supplies and thus also our food. Hopefully scientists will be able to provide better answers as to what causes resistant overweight and also come up with solutions that can be applied to such cases.
So if all the other solutions are not working for you then you may need to consider bariatric surgery. Discuss this option with your physician and if you decide that this is a treatment you would like to explore, then contact Jana Derksen at the Call Centre for the Netcare Bariatric Centres of Excellence on 0861-623-7489 or contact her at: firstname.lastname@example.org or call her on her cell phone at: 072-373-0155 or visit their Website at www.netcare.co.za to discuss all the pros and cons of this type of treatment.
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