Ngoc's weight increased from 53 kg to 83 kg, resulting in a larger waist, increased abdominal fat, insomnia, and frequent shortness of breath, as well as dry skin. She attempted to lose weight using various online products, but these led to diarrhea, dehydration, and exhaustion. Consequently, she sought care at Tam Anh General Hospital, Ho Chi Minh City.
Master Doctor Hoang Thi Hong Linh, from the Department of Endocrinology - Diabetes, reported that Ngoc was diagnosed with severe obesity (BMI 33). This condition resulted in elevated liver enzymes, dyslipidemia, grade 3 fatty liver, and visceral fat levels twice the safe limit. Furthermore, Ngoc suffered from sleep apnea syndrome and a stress-induced eating disorder.
Doctor Linh explained that stress can trigger uncontrolled eating. Individuals with this disorder frequently turn to food to cope with stress, anger, sadness, or boredom. During stressful periods, the body produces elevated levels of cortisol, a hormone that intensifies hunger and stimulates cravings. Sweet and starchy foods contain serotonin, which can temporarily improve mood. This creates a vicious cycle: stress leads to cravings, overeating, weight gain, and further stress, ultimately resulting in declining health and uncontrolled weight.
 |
Ngoc had blood drawn for tests during her first weight loss examination. Photo: Tam Anh General Hospital |
Ngoc's treatment plan aims for a 10-15% reduction in body weight. "Achieving this weight loss goal will lead to an improvement in other associated health symptoms," stated Doctor Linh. Ngoc was prescribed new-generation obesity medication to curb cravings and limit daily calorie intake from fast food and pastries, with a focus on green vegetables and lean protein. The treatment also incorporated stress management with a psychologist and daily exercise. Adhering to her medication schedule, Ngoc experienced reduced cravings and lost 11 kg in two months.
 |
Doctor Linh consults Ngoc during a follow-up visit. Photo: Tam Anh General Hospital |
Doctor Linh advises individuals suffering from obesity and eating disorders to seek specialized medical consultation for scientific and effective treatment. She cautions against self-medicating with unverified or unregulated weight loss products.
Duc Hanh
*Patient's name has been changed
