Obesity in adults and children

Obesity is a chronic disease and deserves continuous, individualized care, free of judgement.

Complete assessment

Far beyond weight: body composition by bioimpedance, metabolic blood tests, screening for related conditions (sleep apnoea, fatty liver, diabetes) and investigation of secondary causes.

Treatment options

Nutritional re-education with a dietitian
Structured physical activity
Modern medications (GLP-1 analogues, dual GIP/GLP-1 agents)
Psychological or psychiatric support when needed
Careful assessment of bariatric surgery when indicated

Long-term follow-up

Obesity requires continuous follow-up. The focus is health, function and quality of life — not only the number on the scale.

Frequently asked questions

When are medications such as semaglutide or tirzepatide indicated for weight loss?+

They are indicated with a BMI ≥ 30 (obesity) or a BMI ≥ 27 with related conditions (diabetes, high blood pressure, fatty liver, sleep apnoea). Prescribing is individual, after checking contraindications and with medical follow-up.

Do GLP-1 medications cause muscle loss?+

Any marked weight loss includes some muscle loss. That is why treatment requires a protein-rich diet, strength training and follow-up with bioimpedance, especially for women after menopause and for older adults.

Is obesity really a disease?+

Yes. Obesity is a chronic, multifactorial disease with genetic, hormonal, environmental and behavioural components — it deserves long-term medical care, not willpower alone.

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Adult and pediatric care in São Paulo · CRM 141594/SP · RQE Endocrinologia 50079

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