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Overweight
My relative who is a female eats less generally is over weight(32 years 88kgs 158 cms). The problem of overweight is has not come suddenly. Her nature is like that. Is this metabolic disorder. What is the solution. Her mother is also like that.
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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If the patient is not aware, it's difficult to help.
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Hello,
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Regular exercise to loss wt
Balanced diet
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Hi detailed investigation is required to rule out any metabolic disorder...you can consult me on nine nine three 48 three one six zero six
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Hey, ur female relative is little overweight. It may be thyroid or any other metabolic disorder. Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance
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Good day to you sir
I understand your concern and it's good to know that you are concerned for your family members health and well being. I am sure this must be distressing for the person and causing a hindrance in their day to day activities. I shall try to the best of my abilities to consult you
Your relative's BMI is 35 which is in Obese category 2. Your question is quite justified as diet and consumption of excess calories is often the cause of obesity
However there are many other genetic and metabolic conditions which limits the body's ability to regulate fat distribution causing it's excess build up leading to obesity.
It is beyond the scope of this Q/A forum to rule out all the possible causes.
It will require extensive workup (history, investigations) to reach the root cause of the issue followed by corresponding treatment plan
Next Steps
I kindly urge you to get in touch with and book a one to one consultation for your relative with your family physician or any physician you are comfortable with
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Hope this advice provides you the much needed insight
Wishing you a speedy recovery.
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Please schedule an appointment to discuss in details
Next Steps
Continue healthy lifestyle and diet
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Hello, I am Dr Romain Rajan, General Physician. Your case has been allotted to me.
I understand your concern. Some individuals gain weight easily and struggle to lose it even when they eat very little. This pattern developing slowly over years, along with a similar history in her mother, strongly suggests an underlying metabolic tendency rather than simple overeating.
Advices
1 Encourage her to eat regular balanced meals instead of long gaps because long fasting slows metabolism further.
2 Begin light daily activity like walking for twenty to thirty minutes as it improves insulin sensitivity.
3 Include protein sources like eggs, paneer or dal in every major meal as this stabilises metabolism and reduces fat storage.
What to Monitor
1 Increasing fatigue or hair fall which may indicate thyroid or vitamin deficiency.
2 Sudden central weight gain around the abdomen.
3 Irregular menstrual cycles which often point towards hormonal imbalance.
Management
She may have conditions like insulin resistance, hypothyroidism or vitamin deficiencies. These are very common in women who remain overweight despite eating less and having a family history of similar body type.
You being an expert in weight loss is an added advantage, but first we need to check basic medical parameters like thyroid profile and fasting insulin to understand the exact reason for her slow metabolism. After that, I can guide with the precise lifestyle modifications and, if required, a safe medicine to correct the underlying issue so that your weight-loss coaching becomes more effective for her.
When to Consult a Doctor Immediately
1 Severe fatigue or dizziness.
2 Sudden swelling of the legs.
3 Very irregular periods with severe pain.
Every patientâs situation is unique. For accurate diagnosis and lasting relief, it is important to discuss her symptoms and medical history in detail.
You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation where you will receive
1 A personalised treatment plan
2 Safe medicine adjustments if required
3 Quick follow ups to track her progress
Take care, wishing your relative good health.
Dr Romain Rajan
General Physician
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It's important to approach this topic with sensitivity, focusing on health and well-being rather than just weight.
🍎 Is She Overweight?
To get a general idea of weight status, a common measure is the Body Mass Index (BMI), which is calculated using weight and height. Her BMI is approximately 35.25 which falls into the Obese category (specifically Class II Obesity).
BMI is a screening tool, not a diagnostic one. It doesn't account for muscle mass or fat distribution, so it's not a perfect measure. However, a high BMI is generally associated with an increased risk for health issues like Type 2 diabetes, high blood pressure, heart disease, and joint problems. The family history ("her mother is also like that") suggests that genetics or shared lifestyle/environmental factors may also be at play, which can sometimes increase health risks further.
You can help her with these positive and helpful strategies:
1. Lead by Example and Offer Support
Make it Shared: Invite her to do healthy activities with you. This takes the focus off her needing to change alone.
Example: "I'm going for a walk in the park; would you like to join me for some fresh air?" or "I'm trying a new healthy recipe tonight, want to cook it together?"
Focus on Feelings, Not Numbers: Encourage her to notice positive feelings from activity.
Example: Instead of saying, "You should lose weight," say, "I felt so much more energetic after that walk."
2. Create a Healthier Environment
Stock the Fridge: If you share living space, ensure the kitchen has plenty of healthy options (fruits, vegetables, lean proteins) readily available and visible.
Plan Active Socializing: Suggest activities that involve movement instead of only sitting down (e.g., visiting a botanical garden, going bowling, or a light bike ride).
3.Listen: If she talks about her weight or health, just listen without judgment. Acknowledge that change is hard.
Be Positive: Celebrate small victories, like trying a new vegetable or taking the stairs. Avoid framing slip-ups as "failures."
4. Finally she needs professional guidance and evaluation of her metabolic panel, kindly consult with me on practo for further information
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✅ Is this a metabolic disorder?
Based on what you described, not necessarily.
If someone has been overweight since many years, has a genetic/family tendency (mother also similar), and eats less but still gains easily, the most common reasons are:
1. Genetic Predisposition
Some people naturally have:
Slower metabolism
Higher tendency to store fat
Different body composition
If the mother has the same pattern, this is very likely.
2. Lifestyle + Low Muscle Mass
People who “eat less” may still gain weight because:
Low physical activity → low muscle → low metabolism
Long gaps between meals → body stores more fat
High-calorie small meals (tea + biscuits, fried snacks, sweets)
3. Hormonal Causes (But not always)
Some hormonal diseases can contribute:
Hypothyroidism
PCOS
Insulin resistance
These do not appear suddenly; they develop slowly but are treatable.
✅ Should we check for medical issues?
Yes — simple tests can rule out treatable causes.
📌 Recommended tests:
TSH, T3, T4 (thyroid)
HbA1c (prediabetes / insulin resistance)
Fasting insulin
Lipid profile
LFT
USG abdomen (to check for PCOS if periods irregular)
If any of these is abnormal, treatment helps with weight control.
✅ Solution (Practical & Achievable)
⭐ 1. Diet: Not “eat less”, but “eat correctly”
3 proper meals + 1 protein snack
Avoid long fasting
Include protein in each meal (dal, chana, egg, curd, paneer, fish, beans)
Reduce sugar, juice, bakery items, fried food
Avoid late-night eating
⭐ 2. Activity
Even 30–40 min brisk walking daily increases metabolism more than dieting alone.
⭐ 3. Strength Training (very important)
2–3 days/week
Builds muscle → increases metabolism → burns fat even at rest.
⭐ 4. Sleep + Stress
Less sleep or high stress increases cortisol → more fat storage.
⭐ 5. Consider medical weight management (if needed)
If BMI > 30 (obese) and lifestyle fails:
Doctor may consider Metformin, GLP-1 agonists (like semaglutide) after testing.
These are prescription only and require supervision.
⭐ 6. If fertility issues, acne, irregular periods → check for PCOS
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It's doable with meds like orlistat or 2–3 others. But first the evaluation is very important. Like calculating your BMI and some blood investigation e.g- TSH.
You can definitely lose some weight but if you can't do some lifestyle modification it'll eventually go in vain and you'll have to start the process again.
Next Steps
check some parameters. get some blood work done.
Health Tips
don't go to any pharmacy and use any random tablets.
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Need to make lifestyle changes
A slow metabolism can be improved with proper changes
Book consultation
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She need’s better counselling
And lifestyle modification with balance diet
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For better help consult me
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Brisk walk 30 minutes per day
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Can help
Contact on 9three28010077
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Genetic problem
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide detailed history for proper diagnosis and further management
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