According to the Heart and Stroke Foundation South Africa, up to 70% of women and one third of men in South Africa are classified as overweight or obese. Furthermore, South Africa has the highest rates of obesity in sub-Saharan Africa.

Duromine, an anorectic agent used in the management of obesity, has a proven track record in weight loss treatment.

Obesity is widely acknowledged to be associated with many health risks and diseases including type 2 diabetes, heart disease, stroke, hypertension/high blood pressure, joint pain and certain cancers. Fortunately, losing excess weight has been shown to have a beneficial effect in people with diabetes, people with high cholesterol levels and people with high blood pressure.

Healthcare practitioners in South Africa no doubt regularly face one of the most difficult treatment challenges posed to healthcare professionals across the globe – the overweight or obese patient. Fortunately, South Africa’s leading weight loss medication, Duromine, can help suppress appetite. This may in turn assist with patients being able to reduce and manage their calorie intake. Through the associated iLiveLite programme, initiated and designed by iNova Pharmaceuticals, doctors are able to access tools and information to help assist patients with weight loss and provide credible guidance with regard to dietary and lifestyle changes, all with the ultimate goal of helping your patients to achieve a realistic and sustainable healthier weight.

Duromine, which is available in 15 mg and 30 mg capsules, is an anorectic agent used in the management of obesity. Its active ingredient is Phentermine resin, a sympathomimetic amine chemically related to amphetamine, which acts as an appetite suppressant. Duromine is indicated as a short-term aid to be used alongside a medically monitored comprehensive regimen of weight reduction which should include exercise, diet (caloric/kilojoule restriction) and behaviour modifications.

For many patients, the thought of losing even five to ten percent of their weight can be very intimidating. Medical research has shown that there is strong and consistent evidence that overweight and obese patients in well-designed programmes can achieve a weight loss as much as ten percent of their baseline weight. Scientific research has concluded that even by losing as little as five to ten percent of one’s body weight, a person can gain a host of health benefits.

While medical opinions may differ regarding whether gradual or more rapid initial weight loss is associated with greater weight reduction in the long-term, researchers from the Department of Clinical and Health Psychology at the University of Florida in the United States found that there were both short- and long-term advantages to fast initial weight loss. “Fast weight losers obtained greater weight reduction and long-term maintenance, and were not more susceptible to weight regain than gradual weight losers,” the study concluded.

Background: Controversy exists regarding the optimal rate of weight loss for long-term weight management success.

Purpose: This study examined whether gradual initial weight loss was associated with greater long-term weight reduction than rapid initial loss.

Methods: Groups were drawn from participants in the TOURS trial, which included a sample of middle-aged (mean =59.3 years) obese women (mean BMI =36.8) who received a 6-monthlifestyle intervention followed by a 1-year extended care program. Participants were encouraged to reduce caloric intake to achieve weight losses of 0.45 kg/ week. Groups were categorized as “FAST” (≥0.68 kg/week, n=69), “MODERATE” (≥0.23 and <0.68 kg/week, n= 104), and “SLOW” (<0.23 kg/week, n=89) based on rate of weight loss during first month of treatment.

Furthermore, for your patients, iNova’s iLiveLite program has tools to help them track their own weight and measurements on a weekly basis while getting the necessary advice, tips and support to keep them motivated on their path to attaining and maintaining their goal weight. Doctors may have access to monitor and track the progress with their patients through iLiveLite.

Go to www.ilivelite.co.za and register on the doctor site to access information that can assist you in managing your overweight patients.