Obesity

at Concierge Endocrinology of New Jersey

Overview

Obesity is a chronic disease of energy imbalance that usually results in having more body fat than is considered healthy. Pre-obesity is sometimes called overweight. An elevated BMI is an indicator of possibly having too much body fat, but a comprehensive history and medical exam is important to distinguish other conditions.

Obesity happens over time when you eat more calories than you use. The balance between calories-in and calories-out differs for each person. Factors that might affect your weight mostly include your genetic makeup, dietary patterns, sleep, stress, and activity levels.

Obesity is a widespread chronic disease, affecting more than 40% of adults in the United States, with nearly 10% having severe obesity. It increases your risk of type 2 diabetes, heart disease, stroke, arthritis, and some cancers.

Signs & Symptoms

Excess body fat accumulation
BMI of 30 or greater
Increased waist circumference
Difficulty with physical activity
Joint pain and discomfort
Sleep apnea and breathing difficulties
Fatigue

Causes & Risk Factors

Consuming more calories than the body uses over time
Genetic predisposition
Unhealthy dietary patterns
Insufficient physical activity
Inadequate sleep
Chronic stress
Certain medications that affect weight
Hormonal imbalances
In rare cases, genetic disorders can be a direct cause

Diagnosis

Obesity is diagnosed primarily through the calculation of Body Mass Index (BMI), which is a measure of body fat based on height and weight. A BMI between 25 and 30 is classified as overweight, while a BMI of 30 or greater is classified as obesity.

A comprehensive medical evaluation includes assessment of overall health, risk factors, waist circumference, and metabolic health markers. Your endocrinologist will also evaluate for underlying hormonal or metabolic conditions that may contribute to weight gain.

Treatment Options

Lifestyle modifications including healthy eating plans and regular physical activity
GLP-1 receptor agonist therapy (semaglutide, tirzepatide, liraglutide)
Other FDA-approved anti-obesity medications (orlistat, phentermine-topiramate, naltrexone-bupropion)
Comprehensive metabolic evaluation to identify underlying causes
Behavior modification strategies
Nutritional counseling and meal planning support
Ongoing monitoring and medication adjustment
Coordination with other specialists as needed, including bariatric surgery evaluation

Important Facts

Obesity affects more than 40% of adults in the United States.

Losing even 5 to 10% of your starting body weight can lead to significant health improvements, such as lower blood sugar, blood pressure, and triglyceride levels.

Studies show an average of 3% to 12% more weight loss after one year for individuals using prescription medications as part of a comprehensive lifestyle program.

Obesity is a medical condition — not a character flaw. Modern treatments are highly effective.

Medical information adapted from Concierge Endocrinology. Always consult with your physician for personalized medical advice.

Expert Obesity Care

Schedule a consultation with our board-certified endocrinologists.