You have tried cutting carbs, skipping dinner, joining a gym, and maybe even following a diet plan from social media. You lose a few kilos, feel encouraged, and then slowly gain them back.
If this sounds familiar, the problem may not be a lack of willpower. Obesity is a complex health condition, and successful treatment often requires more than simply eating less.
Being overweight does not automatically mean that you need medical treatment. The bigger concern is when excess weight starts affecting your health, mobility, sleep, digestion, blood sugar, blood pressure, or overall quality of life.
A doctor may assess your body mass index, waist measurement, medical history, eating patterns, medications, and related health conditions before deciding whether treatment is appropriate.
The goal should not be chasing a particular number on the weighing scale. It should be improving your health in a way that you can maintain.
Consider speaking with a specialist if repeated attempts at weight loss have not produced lasting results or if your weight is contributing to other health concerns.
Obesity can be associated with conditions such as type 2 diabetes, high blood pressure, sleep apnoea, joint problems, and fatty liver disease.
If you have unexplained weight gain, severe snoring, daytime tiredness, reduced mobility, or metabolic problems alongside excess weight, a medical evaluation can be especially useful.
Stop treating weight loss as a simple maths problem.
“Just eat less and exercise more” sounds reasonable, but it ignores sleep, hormones, medications, emotional eating, genetics, metabolic health, and the difficulty of maintaining extreme diets.
That does not mean lifestyle changes are unimportant. They are often a major part of treatment—but they work better when the plan is realistic and tailored to the individual.
Treatment depends on the person's health and weight-related risks.
It may include structured nutrition guidance, physical activity, sleep improvement, behavioural support, medicines, or procedures in selected cases.
For patients with obesity and fatty liver, managing weight can also be an important part of improving liver health. This is one reason obesity treatment often overlaps with gastroenterology care.
The best plan is usually the one you can continue six months from now—not the one that promises dramatic results in two weeks.
We have seen patients who repeatedly followed restrictive diets but regained the weight after stopping them. Instead of putting them on another extreme plan, the focus shifted toward manageable food portions, regular activity, better sleep, and addressing related metabolic issues.
The results were slower, but the approach was more sustainable.
That is an important lesson: slow, consistent progress is often more useful than a dramatic short-term weight loss followed by regain.
Obesity is a growing global health concern. A 2024 analysis published in The Lancet estimated that more than 1 billion people worldwide were living with obesity in 2021, showing how widespread the condition has become.
But the number on the scale is only part of the picture. Your blood sugar, liver health, cardiovascular risk, sleep, mobility, and mental well-being also matter.
Dr. Kshitiz Sharan is a gastroenterology specialist who also deals with digestive and metabolic concerns linked with excess weight, including fatty liver. His approach focuses on practical, sustainable changes and appropriate medical evaluation rather than promoting quick-fix diets or unrealistic weight-loss promises.
Consider professional advice when excess weight is affecting your health or when repeated attempts at weight loss have not produced lasting results.
Yes. Excess weight and metabolic problems are important risk factors for fatty liver disease. Managing these factors can support better liver health.
No. Depending on the individual, treatment may include nutrition, physical activity, behavioural changes, medication, and other medical options.
If you have been stuck in the cycle of losing and regaining weight, don't assume you simply need more discipline. Speak with a qualified specialist, understand the factors affecting your weight, and build a realistic treatment plan that supports your long-term health.
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