2024 Weight Management Resolution

Many individuals face challenges with managing their weight, often experiencing quick rebounds. This article provides a comprehensive summary of weight management strategies available in 2024. Following these strategies can help you fit into your favorite clothes and maintain a healthy lifestyle to prevent chronic illnesses.

New year, new me, setting goals for resolution
Credit by Irynakhabliuk

Are you planning your New Year revolution? Does your revolution include fitting some of your favorite clothes? You are not alone. Let’s take a look at the weight management option in 2024.

  1. Introduction to Weight Management
  2. Understanding Your Goals for the New Year
  3. Exploring Various Weight Management Options
  4. How to Choose the Right Weight Management Plan
  5. Tips for Staying Motivated

Introduction to Weight Management

Weight scale, measurement tape and a lot of veggie together for a great idea to have weight control
Credit by: Daria Guseva from Getty Images

Managing your weight is all about embracing lifestyle changes that keep you healthy and happy, taking into account your age, sex, and height. It’s like a balancing act between the calories you get from your yummy meals and drinks and the calories you burn off doing fun physical activities. And hey, it’s not just about losing weight but also about steering clear of weight gain and keeping a healthy weight in the long run. Remember, the best way to manage your weight effectively should include enjoying healthy food and regular exercise.

Is weight loss the same as weight management?

Weight loss and weight management are distinct concepts. Weight loss involves reducing extra weight through diet and exercise. Weight management, however, focuses on maintaining a healthy weight long-term. Depending on individual needs and goals, this may involve weight loss, gain, or maintenance. It requires long-term lifestyle changes like healthy eating and regular physical exercise.

Understanding Your Goals for the New Year

Embrace the New Year with determination and enthusiasm! It’s time to set your goals, whether it’s aiming for a healthier lifestyle, shedding those extra pounds, or building resilience. This is your year, your journey, and your success story waiting to be told. Grab the reins of your life and steer towards your dreams!

Exploring Various Weight Management Options

There are several approaches to consider when embarking on a weight management journey.

  • One popular method is the 16:8 diet, also known as intermittent fasting (IF). This involves eating within an 8-hour window and fasting for the remaining 16 hours of the day. It can help reduce calorie intake and improve metabolic health.
  • Calorie counting is another effective strategy. You can create a calorie deficit by tracking the calories you consume and burn, which is key to losing weight.
  • Pharmaceutical advancements have also provided new options. Medications like Wegovy and Zepbound have been developed to aid in weight management. These work by altering hunger and satiety signals in the brain, helping to reduce appetite and increase feelings of fullness.
  • Endoscopic intragastric balloons are another option. This non-surgical procedure involves placing a balloon inside the stomach to reduce space and limit food intake.
  • A relatively new technique, endoscopic sleeve gastrectomy, involves reducing the size of the stomach endoscopically. This makes you feel full quicker, thereby decreasing food intake.

Let’s delve into the details of each option.

Intermittent fasting:

16:8 Fasting Plan Details:

Number 168 on the wall
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The 16:8 fasting plan, also known as time-restricted feeding, involves fasting for 16 hours a day and eating during an 8-hour window. For example, you can eat between noon and 8 pm and fast from 8 pm until noon the next day.

Pros:

  • Flexibility: You can choose any 8-hour window that fits your schedule.
  • Simplicity: There is no need to count calories or restrict certain foods; watch the clock.
  • May promote weight loss: Some studies suggest that intermittent fasting can lead to weight loss, as it can help to reduce calorie intake.
  • Potential health benefits: Some research suggests intermittent fasting may improve metabolic health, decrease inflammation, and increase lifespan.

Cons:

  • Hunger and fatigue: You might feel hungry and low on energy during fasting hours, especially when starting the diet.
  • Overeating: There’s a risk of overeating during the eating window, especially if you’re feeling very hungry from the fast.
  • Social events: The fasting schedule can interfere with social events that involve eating and drinking.
  • Not suitable for everyone: This diet is not recommended for people with certain health conditions, like diabetes, or for pregnant or breastfeeding women.

Calorie Counting:

daily calories count for each meal with veggie and fruits on the table
Credit by: Asiandelight from Getty Images

Calorie counting involves tracking the calories you consume through food and drink and ensuring they don’t exceed the calories you burn through physical activity. This creates a calorie deficit, which is essential for weight loss. You can calculate your daily calorie needs based on factors like age, sex, weight, and activity level.

Detailed Plan for Calculating Calories for Women and Men:

Determine Basal Metabolic Rate (BMR): This is the number of calories your body needs to perform basic functions like breathing and circulation. Use the Harris-Benedict formula:

  • For women: BMR = 655 + (4.35 x weight in pounds) + (4.7 x height in inches) — (4.7 x age in years)
  • For men: BMR = 66 + (6.23 x weight in pounds) + (12.7 x height in inches) — (6.8 x age in years)

Calculate Physical Activity Level (PAL): Estimate the number of calories burned through physical activity. Choose a multiplier based on your activity level:

Sedentary (little to no exercise): BMR x 1.2

Lightly active (light exercise/sports 1–3 days/week): BMR x 1.375

Moderately active (moderate exercise/sports 3–5 days/week): BMR x 1.55

Very active (hard exercise/sports 6–7 days a week): BMR x 1.725

Extra active (very hard exercise/physical job & exercise 2x/day): BMR x 1.9

Calculate Daily Calorie Intake: Multiply your BMR by your PAL to find the amount of calories you can consume daily to maintain your current weight.

Create a Calorie Deficit for Weight Loss: To lose weight, you need to consume fewer calories than you burn. A common approach is to create a calorie deficit of 500–1000 calories per day, which can result in losing 1–2 pounds per week.

Monitor and Adjust: Track your intake and expenditure of calories regularly, adjusting your plan as needed based on changes in your weight or activity level.

Pros:

  • Flexibility: You can eat any food you like as long as you stay within your calorie limit.
  • Awareness: It can increase your awareness of the nutritional content of different foods, helping you make healthier choices.
  • Weight loss: Creating a calorie deficit is a proven method for losing weight.

Cons:

  • Time-consuming: Tracking every calorie can be tedious and time-consuming.
  • Obsession: It can lead to an unhealthy obsession with food and calories.
  • Not always accurate: Calorie counts on food labels or in databases can be inaccurate, and it’s challenging to calculate the calories burned through exercise accurately.
  • May encourage unhealthy eating: You might be tempted to eat low-calorie processed foods instead of nutrient-dense whole foods to stay within your calorie limit.

Wegovy and Zepbound:

Wegovy and Zepbound are prescription medications designed to assist with weight management. Both drugs work by altering the hunger and satiety signals in the brain. This helps reduce appetite and increase feelings of fullness, assisting individuals in consuming fewer calories and losing weight.

Man in Oversized Pants in Weight Management Concept
Credit by: Elnur

Wegovy (semaglutide) and Zepbound (phentermine-topiramate) are prescription medications that aid in weight management by altering the hunger and satiety signals in the brain.

Semaglutide, the active ingredient in Wegovy, is a glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 is a hormone that is released in the intestine during digestion and signals the brain that the stomach is full. By mimicking this hormone, semaglutide helps increase feelings of fullness, thereby reducing food intake and leading to weight loss.

On the other hand, Zepbound reduces appetite and food intake by stimulating GLP-1 and GIP receptors, which are hormones released during digestion. These hormones, GLP-1 (glucagon-like peptide 1) and GIP (glucose-dependent insulinotropic polypeptide), are incretins secreted by the intestine after eating. Activation of the GLP-1 receptor contributes to weight loss by reducing appetite in the hypothalamus and promoting a feeling of fullness. By acting on these receptors, Zepbound helps control food intake, aiding in weight management.

Both medications should be used in conjunction with a reduced-calorie diet and increased physical activity for chronic weight management.

Pros:

  • Effective Weight Loss: Both Wegovy and Zepbound have been clinically proven to help patients lose significant amounts of weight.
  • Appetite Control: These medications can help control hunger and cravings, making it easier to stick to a calorie-reduced diet.
  • Improved Health Markers: Weight loss achieved with these medications can lead to improvements in many health markers, such as blood pressure and cholesterol levels.

Cons:

  • Side Effects: Like all medications, Wegovy and Zepbound can cause side effects. These can include nausea, diarrhea, constipation, gastroparesis, and, in rare cases, serious health complications.
  • Cost: These medications can be expensive, and they may not be covered by all insurance providers.
  • Not a Standalone Solution: These drugs are meant to be used in conjunction with a healthy diet and regular exercise, not as a standalone solution for weight loss.
  • Temporary Solution: Once the medication is stopped, appetite may return, and weight may be regained unless lifestyle changes are made.

Will my insurance pay for Wegovy and Zepbound?

Approval typically depends on your insurance plan, but generally, there’s a higher likelihood of approval if your BMI exceeds 30 or if it’s over 27 with an associated condition, such as diabetes or heart disease.

Endoscopic intragastric balloon

The Endoscopic Intragastric Balloon procedure is a non-surgical approach to weight management. This method involves placing a balloon inside the stomach to limit food intake by reducing available space.

Endoscopic gastric balloon inside a stomach
Credit by: Mohammed Haneefa Nizamudeen from Getty Images

The ORBERA Intragastric Balloon System is a weight loss tool designed for obese adults with a body mass index (BMI) between 30 and 40 kg/m2. It’s intended for those who have tried other weight loss programs, such as a supervised diet, exercise, and behavior modification but were unable to maintain weight loss.

To effectively use ORBERA, individuals must commit to a 12-month program, beginning with the ORBERA placement and continuing for six months afterward. This program incorporates a healthy diet and exercise plan. Without adhering to this plan, significant weight loss might not occur, and there might be no weight loss at all.

Orbera is a clinically proven and non-surgical weight loss treatment designed to help you achieve your weight loss goals and lead a healthier lifestyle without medication.

Pros:

  • Non-Surgical: The Endoscopic Intragastric Balloon procedure is non-surgical, reducing risks associated with surgical interventions.
  • Weight Loss: It can lead to significant weight loss by reducing space in the stomach and limiting food intake.
  • Temporary: The balloon is only in place for a certain period, which can be an advantage for those who do not want a permanent adjustment.

Cons:

  • Side Effects: Potential side effects include nausea, vomiting, abdominal pain, or feeling of fullness.
  • Requires Commitment: The procedure is part of a 12-month program that requires a commitment to a healthy diet and exercise plan.

Endoscopic sleeve gastrectomy (involves reducing the size of the stomach endoscopically)

endoscope to suture the stomach, reducing its size significantly.
Credit by: Shidlovski from Getty Images

Endoscopic Sleeve Gastroplasty (ESG), also known as endoscopic sleeve gastrectomy, is a relatively new, minimally invasive weight loss procedure. It involves using an endoscope to suture the stomach, reducing its size significantly. This procedure is performed under general anesthesia, and it usually takes about 90 minutes.

Detailed Procedure:

A flexible tube (endoscope) with a camera is inserted down the throat into the stomach. The doctor then uses a suturing device attached to the endoscope to stitch pleats into the stomach, reducing its size by about 70%. A smaller stomach limits the amount of food intake, causing a feeling of fullness after eating only small amounts of food, which helps in weight loss.

Pros:

  • Minimally invasive: Unlike traditional bariatric surgery, ESG is performed endoscopically without the need for external incisions.
  • Promotes Weight Loss: The procedure restricts food intake, leading to significant weight loss.
  • Reversible: Unlike some surgical procedures, ESG can be reversed if necessary.

Cons:

  • Complications: Although rare, complications can occur, including pain, nausea, vomiting, and, in rare cases, leakage from the sutures.
  • Requires Lifestyle Changes: To maintain weight loss, patients must commit to a healthy diet and regular exercise. How to Choose the Right Weight Management Plan

Choosing the right weight management plan depends on various factors such as your lifestyle, dietary preferences, medical history, and weight goals. Here are some steps to help you choose the right plan:

  • Assess Your Lifestyle: Consider your daily routine, work schedule, and physical activity level. Choose a plan that fits seamlessly into your lifestyle to ensure long-term commitment.
  • Consider Your Preferences: Some people prefer structured plans, such as calorie counting or intermittent fasting, while others may prefer a more flexible approach. Choose a plan that aligns with your food preferences and eating habits.
  • Consult a Healthcare Professional: Before starting any weight management plan, it’s essential to consult with a healthcare professional. They can provide guidance based on your health status and weight goals.
  • Set Realistic Goals: Your weight management goals should be realistic and achievable. Setting unrealistic goals can lead to disappointment and may affect your motivation.
  • Think Long-Term: The best weight management plan is the one you can stick to in the long run. It should promote a balanced diet and regular physical activity, which are key to maintaining a healthy weight.

Tips for Staying Motivated

Gold and Black color Balloons
Credit by: Liloalalaa from Liloalulla

Here are some tips to help you stay motivated in your weight management journey:

  • Set Realistic Goals: Aim for attainable, realistic goals that you can measure. This could be something like losing 1–2 pounds per week or exercising more days each week.
  • Track Your Progress: Keep a journal of your food intake, exercise, and emotions. This can help you become more aware of your habits and inspire change.
  • Celebrate Successes: Don’t wait until you’ve reached your final goal to celebrate. Each small step towards your goal is a victory. Celebrate your progress and reward yourself along the way.
  • Find Support: Seek encouragement from friends, family, or a support group. They can provide motivation, share tips, and celebrate your successes along the way.
  • Stay Positive: Weight management is a long journey, and there will be ups and downs. Keep a positive attitude, and don’t get discouraged if you have setbacks. Remember, every new day is a chance to get back on track.

Summary of weight management option

Weight management options for 2024, including lifestyle changes, diet plans, pharmaceutical aids, and surgical procedures. It first emphasizes the need to understand personal goals and the difference between weight loss and weight management. It presents various methods, such as the 16:8 fasting plan and calorie counting, which involve controlling food intake timings and monitoring calorie consumption. Pharmaceutical aids like Wegovy and Zepbound, which alter hunger and satiety signals, are also covered. Finally, it explores surgical options such as the endoscopic intragastric balloon and endoscopic sleeve gastroplasty, which physically limit food intake by reducing stomach space.

Reference:

SoCal Digestive Wellness

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Angela Oi Chung PA-C, ER nurse, Oi Chung Channel
Writing GI stories Oi Chung Channel

I am Angela Oi Chung, a certified physician assistant in the GI world for over 10 years in California. I am a former ER nurse for 5 years. I love to read .