Educational article

Obesity: Treatment Strategies and Realistic Expectations

Dr. Teresita Cortés Segura, medical reviewer

Dr. Teresita Cortés Segura, medical reviewer

Author and medical review: Dra. Teresita del Niño Jesús Cortés Segura, endocrinologist.

Location: Bogotá, Colombia.

Published: July 10, 2026 · Updated: July 10, 2026 · 6 min read.

Educational content. It does not replace an individual medical assessment and should not be used for self-medication.

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What is obesity?

Obesity is a medical condition defined by an excess of body fat, which can compromise health. It is often measured using the body mass index (BMI), calculated by dividing weight in kilograms by height in meters squared. A BMI of 30 or higher indicates obesity.

Signs and symptoms of obesity

Symptoms may include difficulty breathing, excessive fatigue, joint pain, and self-esteem issues. Additionally, obesity is associated with an increased risk of diseases such as type 2 diabetes, hypertension, and sleep disorders.

Medical consultation about obesity treatment with an endocrinologist in Bogotá
Endocrinology consultation in Bogotá, focused on obesity treatment and personalized strategies.

Treatment options for obesity

Treatment can include dietary changes, increased physical activity, behavioral therapy, and in some cases, medications or bariatric surgery. A comprehensive approach combining several methods is essential for success.

Realistic expectations in treatment

It is crucial to have realistic expectations. Sustainable weight loss is a gradual process, with a healthy goal of 0.5 to 1 kg per week. Success is measured not only by kilograms lost but also by improvements in overall health and well-being.

Common mistakes in obesity treatment

Common mistakes include seeking quick fixes, lack of medical follow-up, and abandoning healthy habits. These errors can lead to frustration and setbacks in treatment. Maintaining a consistent approach and seeking professional support is essential.

When to consult a specialist?

It is advisable to consult an endocrinologist if you have a BMI of 30 or higher, if you have tried to lose weight without success, or if you face health problems related to your weight. A specialist can offer you a treatment plan tailored to your needs.

When to seek medical care

If symptoms persist, test results are abnormal, or you have questions about medication, arrange an individual assessment. Do not change treatment or doses without medical guidance.

Frequently asked questions

How much weight can I expect to lose with obesity treatment?

Weight loss varies depending on the individual and the treatment approach. A healthy goal is to lose between 0.5 to 1 kg per week.

Is bariatric surgery the only option to treat obesity?

No, bariatric surgery is only one option for some individuals. There are multiple approaches including dietary changes and exercise.

Is it possible to maintain lost weight long-term?

Yes, with an appropriate treatment plan and lifestyle changes, many people achieve long-term weight maintenance.

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