Latest / Morning Medical with Dr. Chow / Comparing weight loss treatments and the importance of continuous care for obesity

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Comparing weight loss treatments and the importance of continuous care for obesity · Morning Medical with Dr. Chow

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  Good morning, and welcome to another episode of Morning Medical with Doctor Chow.
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  I am your host, Doctor Ching Chow.
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  And today, we have some fascinating topics to dive into.
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  We will be looking at the latest research comparing weight loss surgery to popular drugs
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  like and set bound, discussing factors that can affect a man's sexual health and examining the
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  rise in US health health care spending.
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  So let us get started.
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  First up, we have some significant findings from a new study that was presented at the
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  American Society for Metabolic And Bariatric Surgery 20 24 annual scientific meeting on June
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  11th.
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  The study revealed that metabolic and bariatric surgery is more effective for long term weight
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  loss than lifestyle changes and GLP 1 medications such as Ozempic, WIGOVI, and
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  ZEPbound.
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  This research was conducted by reviewing earlier studies that evaluated the benefits of
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  these treatments for weight loss.
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  The study found that lifestyle changes such as diet and exercise resulted in an average weight
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  loss of 7.4%.
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  However, most people regained this weight within about 4 years.
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  On the other hand, people who underwent metabolic and bariatric surgery experienced
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  greater weight loss which was more sustainable over the long term.
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  The surgery led to an average weight loss of 29.5% to 31.9% 1 year after the procedure, and
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  people maintained a weight loss of about 25% for up to 10 years.
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  In comparison, those who use GLP 1 receptor agonists like semaglutide marketed as Ozempic
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  and Wagavi and tirzepatide marketed as Munjaro and Zipbound also saw significant weight loss.
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  After 20 weeks of weekly injections of semaglutide, people lost an average of 10.6
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  percent of their weight.
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  With tirzepatide, the average weight loss was 21.1% after 36 weeks of weekly injections.
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  However, participants who stopped receiving the injections regained about half of the lost
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  weight within a year.
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  Doctor Bardy, Marina Curian, a bariatric surgeon at New York University, Langoni Health,
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  and one of the study's co authors emphasize that metabolic and bariatric surgery remains
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  the most effective and durable treatment for severe obesity.
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  Unfortunately, it is also one of the 280,000 people underwent these surgeries in 2022,
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  representing just 1 to 2% of those who are eligible.
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  The study also highlighted that even though metabolic and bariatric surgery and GLP 1 drugs
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  do not cure obesity, they offer significant benefits.
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  For instance, metabolic and bariatric surgery induces long term metabolic changes that the
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  drugs cannot surgeon and medical director of Memorial Care Surgical weight loss center in
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  California noted that even individuals who regain some weight after surgery still
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  experience protective effects against diabetes and other conditions due to these metabolic
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  changes.
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  Doctor Jaime Almandoz, associate professor in the University of Texas, Southwestern Medical
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  Center's Department of Internal Medicine, Division of Endocrinology, pointed out that
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  obesity is a chronic and complex disease.
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  He explained that like other chronic conditions, such as hypertension and elevated
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  cholesterol, discontinuing effective treatments often leads to disease recurrence.
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  This is why continuous treatment is crucial for managing obesity effectively.
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  Both metabolic and bariatric surgery and GLP 1 drugs are underutilized due to factors like
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  insurance coverage affordability, and access.
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  Doctor Almondaz and doctor Ali both stressed that these treatments are safe and effective
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  tools for treating obesity.
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  They also highlighted that some of the newer medications used for obesity treatment are also
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  effective for managing type 2 diabetes and reducing the risk of cardiovascular disease,
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  liver disease, to treating obesity depends on an individual's unique situation.
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  Doctor Almandaz emphasized the importance of a patient centered approach that focuses on
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  overall over surgery.
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  However, in many cases, a combination of treatments, such as diet and exercise before
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  surgery or medications after surgery may be the most effective strategy.
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  Let us shift gears and talk about an important topic that often goes unaddressed a man's
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  sexual health.
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  Doctor Jamen Brompott, a urologist and robotic surgeon with Orlando Health, and an assistant
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  professor at the University of Central Florida's College of Medicine recently
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  highlighted 10 factors that can significantly affect a man's sexual health and what can be
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  done about them.
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  1st and foremost, chronic stress is a major contributor to reduced libido and erectile
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  dysfunction.
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  Stress can elevate levels of cortisol, a hormone that interferes with testosterone
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  production.
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  Studies show that men experiencing high levels of stress are more likely to face sexual
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  dysfunction, including premature ejaculation, erectile dysfunction, and low sexual desire.
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  It is crucial to incorporate stress reducing activities into your daily routine.
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  Regular exercise, meditation, proper sleep, and engaging in hobbies can help mitigate stress,
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  seeking professional help from a therapist can also provide effective coping strategies.
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  Next up, diet plays a significant role in sexual health.
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  Poor eating habits can lead to obesity, diabetes, and cardiovascular issues, all of
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  which adversely affect sexual function.
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  Research indicates that men with a waist circumference over 40 inches are at higher risk
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  of metabolic syndrome, which is linked to erectile dysfunction.
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  Adopting a balanced diet rich in fruits, vegetables, lean proteins, and whole grains can
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  make a substantial difference.
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  Limiting alcohol intake and avoiding ultra processed foods can further enhance your sexual
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  health.
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  Physical activity is another critical factor.
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  Lack of exercise is detrimental to heart health, which is crucial for maintaining sexual
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  function.
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  Regular exercise helps improve blood flow, which is essential for achieving and
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  maintaining an erection.
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  Studies suggest that men who exercise regularly report improved erectile function compared to
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  those who are inactive.
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  The American Heart Association recommends at least a 150 minutes of moderate aerobic
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  activity.
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  Or 75 minutes of vigorous activity each week, along with strength training exercises.
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  The more you exercise at the gym, the more exercise you will get in the bedroom.
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  Smoking is a leading cause of erectile dysfunction due to its negative impact on blood
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  vessels and blood flow.
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  The toxins and cigarettes can damage the lining of blood vessels, reducing blood flow to the
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  penis.
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  Research shows that men who smoke are about twice as likely to develop erectile dysfunction
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  as non smokers.
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  Quitting smoking can significantly improve your sexual health.
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  Consider resources such as nicotine replacement therapy, support groups, and counseling to help
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  you quit.
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  Sleep disorders, including sleep apnea, can severely affect testosterone levels and lead to
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  sexual dysfunction.
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  A study found that men with severe sleep apnea had significantly lower testosterone levels
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  compared to those without the condition.
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  Prioritizing good sleep hygiene is essential.
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  If you suspect a sleep disorder, consult a health care provider for a proper diagnosis and
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  treatment plan, which may include lifestyle changes or medical interventions.
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  Mental health issues such as depression and anxiety can have a profound impact on sexual
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  desire and performance.
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  About 20% of patients with anxiety and up to 40% of men with depression report experiencing
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  some form of sexual dysfunction.
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  Mental health conditions can lead to a decrease in libido and difficulties in achieving or
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  maintaining an erection.
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  Seeking help from mental health professionals can be highly beneficial.
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  Therapy and medication can significantly improve both mental health and sexual function.
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  Hormonal imbalances, particularly low testosterone, can negatively affect sexual
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  health.
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  Testosterone levels naturally decline with age, but conditions such as hypogonadism can
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  accelerate this process.
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  Studies suggest that about 20% of men over the age of sixty have low testosterone levels.
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  Regular checkups with a health care provider can help monitor hormone levels.
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  Treatments may include lifestyle changes, medications, or hormone replacement therapy to
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  restore balance.
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  Certain medications, including those for hypertension and depression, can cause sexual
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  dysfunction as a side effect.
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  Beta blockers, for example, can decrease libido and lead to erectile issues.
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  It is important to discuss potential side effects with your doctor.
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  They may adjust your dosage or switch you to a different medication that has fewer effects on
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  sexual health.
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  Chronic illnesses such as diabetes, heart disease, and kidney disease can significantly
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  affect sexual function.
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  Diabetic men, for instance, are three times more likely to experience erectile dysfunction
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  compared with non diabetic men.
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  Managing chronic illnesses effectively with the help of a health care provider is crucial.
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  This includes following prescribed treatments, maintaining a healthy lifestyle, and monitoring
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  yourself regularly to keep conditions under control.
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  Lastly, relationship issues can cause stress and decreased sexual desire.
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  Communication breakdowns unresolved conflicts and lack of intimacy can all contribute to
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  sexual dysfunction.
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  Open communication with your partner is key to addressing these issues.
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  Consider couples counseling to help resolve underlying problems and improve your
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  relationship and sexual health.
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  In conclusion, taking care of your sexual health is not just about avoiding problems
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  today.
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  It is about ensuring you are ready for action tomorrow and beyond.
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  Managing stress, eating right, staying active, and kicking bad habits, such as smoking, are
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  the foundation of a healthy sex life.
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  If you are dealing with persistent issues, do not tough it out alone.
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  Talking to a doctor is not admitting defeat.
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  It is making a smart play.
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  There is no better time to focus on your well-being than during National men's health
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  month in June.
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  It is dedicated to encouraging men to take control of their health and make the necessary
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  changes to improve their lives.
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  Use this opportunity to schedule that checkup you have been putting off start a new exercise
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  routine or seek help for any health issues you have been ignoring.
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  You have got one body and one life make sure both are in peak condition.
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  Now let us turn our attention to the financial landscape of health care in the United States.
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  Recent data released by the US, centers for Medicare and Medicaid services, or CMS, has
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  shown a significant rise in health care spending in 2023.
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  According to the report, health care spending in the United States is projected to have
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  increased by 7.5 percent, reaching a staggering $4,800,000,000,000.
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  This growth rate is notably higher than the projected annual gross domestic product or GDP
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  growth rate of 6.1%.
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  This surge in spending is largely driven by increased expenditures on Medicaid and private
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  health insurance.
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  The insured share of the population reached a historic high of 93%, primarily due to record
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  high enrollment in Medicaid.
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  In 2023, 91,200,000 people were covered under this federal and state health program designed
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  for low income individuals.
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  Medicare spending also saw a significant rise growing by 8.4 percent to over
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  $1,000,000,000,000, while Medicaid spending increased by 5.7% to $852,000,000,000.
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  Private health insurance spending experienced a more modest growth of 1.1%.
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  Totaling $1,400,000,000,000.
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  Approximately 14,220 threes in 2023 and is projected to rise to 15,070 falls in 2024.
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  Looking ahead, national health spending is expected to grow by 5.2% in 2024.
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  However, Medicaid enrollment is set to decline by 11.2% as over 10,000,000 people lose
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  coverage now that pandemic response measures guaranteeing continuous enrollment have
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  expired.
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  An additional 2,000,000 people are expected to lose coverage in 2025.
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  Over the long term, Spending is projected to grow at an average rate of 5.6 percent per year
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  between 20232032.
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  This growth rate will outpace the projected annual GDP growth rate of 4.3% during the same
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  period.
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  As a result, the health spending share of GDP is expected to increase from 17.3% in 2022 to
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  19.7% by 2032.
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  Several factors will influence Medicare spending in the coming decade.
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  Initially, spending is expected to grow due to measures included in president Joe Biden's
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  inflation reduction act.
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  This legislation introduced a $2000 annual cap on out of pocket spending, which will provide
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  financial relief for many Medicare beneficiaries.
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  However, spending is anticipated to gradually decline in the following years as other
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  provisions of the act take effect.
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  These include drug prices negotiated by Medicare with pharmaceutical companies set to
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  begin in 2026.
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  And the tying of drug price increases to inflation, which started in 2023.
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  In conclusion, The financial trajectory of health care in the United States is 1 of
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  continued growth, driven by both increased coverage and rising costs.
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  As we navigate these changes, it is crucial to consider the impact on both the health care
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  system and the individuals it serves.
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  Staying informed and proactive in addressing these challenges will be key to ensuring
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  sustainable and equitable health care for all Americans.
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  That wraps up today's episode of Morning Medical with Doctor Chow.
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  I hope you found our discussion on weight loss surgery, men's sexual health, and US, health
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  care spending, both informative and insightful.
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  Remember, your health is your most valuable asset.
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  So take good care of it.
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  Join us again tomorrow for more updates on the latest in medical and health news.
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  Until then, stay healthy and take care.