The pharmacologic treatment of obesity has been challenging. Recent surveys by the Centers for Disease Control and Prevention (CDC) indicate that approximately 40% of women and 20% of men report trying to lose weight at any one time, and a greater percentage of adult Americans engage in weight loss behavior over the course of a year. (Berg, Frances M.) Consumer Reports on Health discusses how supplements are not as safe as consumers assume it to be. Dietary supplements promise consumers that weight loss is guaranteed and yet only “28 percent said they thought supplements worked better than other weight-loss methods”(Consumer Health.) After many trials and errors from consumers, consumer health can conclude that 50% of those users who used dietary supplement reported at least one side effect. The side effects can range from high heart rate, jitteriness, and dry mouth. Pieter Cohen, M.D., a physician at Harvard Medical School, once stated “There’s no ‘natural’ herb in legitimate supplements that leads to weight loss. And because natural ingredients don’t work, unethical manufacturers are putting drugs into supplements”( Consumers Health.) “In some ways this is a no-brainer”, task-force member James Hill (University of Colorado Health Sciences Center, Denver, USA) explained. “If you stop the drug, you are going to stop the effect.” Obesity, being a lifelong problem, is going to require life-long treatment, he added. (McCarthy, Michael.)With many consumers trying to figure out a way to solve their weight issue they’re only compensated for their money and health. There is evidence of widespread and damaging bias in Western society. According to recent studies, a significant number of college women are at risk for eating disorders that are using diet aids. It’s recommend that clinicians inquire about diet aid use among college-aged patients. (Celio, Christine I., et al.) Since many physicians are treating obesity as a chronic disease and prescribing drugs for years rather than week, it does damage to the body. George Ricaurte once said because the drug stays in people seven times longer than animals, it’s likely that people could, over time, experience the same toxic effects, possibly leading to disturbances in mood or sleep (A Risky Prescription for Weight Loss?,1994). After having increased occurrences of self image problem, many turn to plastic surgery as a solution. Plastic surgery pressure women and young girls to live up to a set of norms and values surrounding unrealistic body images. Large amount of money is wasted every year even with the possibility that  something might go wrong in the surgery. Liposuction is one the most common cosmetic surgery, it removes body fat by giving the patient a slim healthier look. However, it does not lower  blood pressure,  sugar levels or cholesterol. Losing body fat through a clean diet and exercise  have far more benefits in addition to improving appearances.  If weight is gained post surgery, it is unpredictable where the  new fat “will go” in the body. It often will accumulate in untreated areas, leaving patients with sometimes bizarre and unnatural fat distribution and back to feeling “heavy”. Given the current rate of obesity in the USA, it has been estimated that close to half of the US adult population can be obese by 2030, resulting in a demand for bariatric surgery. .Bariatric surgery is a largely known surgery for someone who suffers through life styles changes and who have use medication unsuccessfully. The surgery was design to decrease the size of stomach to one cup and decrease the absorption of calories in the small intestines in order to have a more permanent weight loss. Studies have shown 30% of all bariatric surgery patients will at some point seek plastic surgical correction. With removal of excess skins during the surgery,  there will be some complications.”Physical problems such as pain caused by a loss of fixation of the skin, eczema, maceration of the skin, and fungal infection.Psychosocial problems such as impaired sexual life, inconveniences with public exposure at the beach or similar leisure areas, and troubles fitting into ordinary clothes.  Cosmetic problems, where the patients objectively functions in a normal way, but feels uncomfortable because of their appearance” (Wagenblast, Anne Lene, et al,2014)Through a case study for self-reported problems and wishes for plastic surgery after bariatric surgery,there is a substantially larger demand for plastic surgery within gastric bypass patients. Out of 150 GB patient  in the hospital, 92% of the responders indicated a wish for plastic surgery wishes towards plastic surgery 1 year after bariatric plastic surgery. The gender distribution for plastic surgery leans toward more females than males (80.5% vs 21%)

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