Obesity
Obesity is a chronic condition in which excess body fat builds up enough to affect health. A BMI of 30 or higher is the usual clinical threshold, though waist size and where fat is stored also count. It is becoming more common in cities worldwide, where work and diets have changed.
Key points
- Obesity is long-term and is assessed using BMI together with waist measurement and fat distribution.
- Leptin and ghrelin, hormones involved in hunger and fullness, can change after weight loss and make appetite stronger.
- Treatment can pair lifestyle changes with medicines: orlistat reduces how much dietary fat is absorbed, while bupropion with naltrexone acts on appetite and reward pathways.
Causes and triggers
Less active jobs and diets high in energy have contributed to rising obesity rates around the world. Urban living is associated with both. Before treatment, a clinician can check for other causes, including hypothyroidism or the effects of medicines.
Signs and health effects
Metabolic disease can develop alongside obesity. Chest pain with no clear cause, breathlessness while resting, or blood-sugar warning signs such as severe thirst and blurred vision together with major weight gain need urgent medical assessment.
Treatment
Calorie awareness, movement and sleep remain the base. The ingredient orlistat reduces fat absorption and is supplied as Xenical and Orlistat tablets in 60 mg and 120 mg strengths. Contrave combines bupropion and naltrexone at 8/90 mg, acting on appetite and reward pathways. These options sit within a wider weight management plan. Licensed pharmacy partners in India ship to Malaysia in discreet packaging.
Further reading
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