What if everyone was fat

Severe overweight (obesity)

To improve health, it is not necessary to lower it to a specific level. Depending on the initial weight, medical societies recommend weight loss of 5 to 10% within six to twelve months.

It makes sense to come up with a plan that is actionable and that fits your needs. Some people want to lose weight because they do not feel comfortable in their body, others are more interested in physical fitness and performance, and still others have health reasons.

A combination of more exercise and a change in diet is usually recommended for weight loss. There are various weight loss programs, some of which have been scientifically tested and recommended by medical societies, that can help with this. However, you often have to pay for them yourself, because they are not considered treatment, but rather a “lifestyle measure”. However, some health insurances subsidize the cost of participation.

Such programs usually also contain elements of behavior therapy. For example, they convey how

  • a change in diet can be designed so flexibly that it can be sustained in everyday life,
  • more physical exercise can be incorporated into everyday life and
  • you deal with circumstances that you cannot change yourself (for example at work).

If a diet and exercise program is not enough, supplementary medication can help you lose weight.

Not gaining weight in the long term after losing weight is usually more difficult than losing weight itself. This has to do with processes in the metabolism, hormonal balance and the central nervous system, which are more geared towards keeping the body in balance than losing weight. For example, weight loss also reduces muscle mass and thus energy requirements. This means: the more you lose weight, the more difficult it becomes to maintain the weight you have achieved or to lose even more weight. Many people also find it difficult to permanently change habits and behaviors that have developed over many years.

Those who continue to eat a balanced diet and exercise enough are most likely to be able to maintain their weight for a long time or gain only a little. The most important principle is not to consume more calories than you consume in the long run.

Surgical treatment may be an option for people who are severely obese (Grade 2 or 3). The most commonly used surgical techniques are gastric bypass and stomach reduction (sleeve stomach). Since these interventions can lead to various complications and side effects, and since many adjustments in life are necessary after the operation, it is important to weigh the pros and cons carefully.