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| Psychological obese factors Psychological factors may also influence eating habits. Many people eat in response to negative emotions such as boredom, sadness, or anger. Most overweight people have no more psychological problems than people of average weight. Still, up to 10 percent of people who are mildly obese and try obese to lose weight on their own or through commercial weight loss programs have binge eating disorder. This disorder is even more common in people who are severely obese. During a binge eating episode, people eat large amounts of food and feel that they cannot control how much they are obese eating. Those with the most severe binge eating problems are also likely to have symptoms of depression and low self-esteem. These people may have more difficulty losing weight and keeping it off than people without binge eating problems.
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| Take obese a careful medical history and perform a physical examination. Look at your personal weight history. Ask whether you have relatives with illnesses related to overweight, such as type 2 diabetes mellitus or heart disease. Discuss the methods you have used to lose weight in the past. obese Evaluate your risk for obesity-related health problems by measuring your blood pressure and doing blood tests. If your doctor determines that you have obesity-related health problems or are at high risk for such problems, and if you have been unable to lose weight or maintain weight loss with nondrug obese treatment, he or she may recommend that you use prescription weight-loss medications. Weight-loss medications may be appropriate for carefully selected patients who are at significant medical risk because of their obesity. They are not recommended for people who are only mildly overweight unless they have health problems that are made obese worse by their weight. These medications should not be used only to improve appearance. What other medical conditions or medications might influence my decision to take a weight-loss medication? It is important that you notify your physician if you have any of the following medical conditions: Pregnancy obese or breast-feeding History of drug or alcohol abuse History of an eating disorder History of depression or manic depressive disorder Use of monoamine oxidase (MAO) inhibitors or antidepressant medications Migraine headaches requiring medication Glaucoma Diabetes Heart disease or heart condition, such as obese an irregular heart beat High blood pressure Planning to have surgery that requires general anesthesia
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