Reasons for weight gain 

1 – Insomnia: 

The body works well when it is comfortable, but when the body does not get enough sleep; it suffers from stress. When you are tired you cannot handle stress, and food can be your resort to ease the tension accordingly your body stores more fat.

Eating a late night meal is another reason for gaining weight. Some people believe that food may help them sleep, but in fact those extra calories are counted on to the daily calorie intake.

Get enough sleep. It is important to sleep for 8 hours a day.

2-      Stress: 

Stress is another reason for weight gain. A large number of people resort to food to cope with stress, of course that does not work. Those who turn to food to relieve stress resort to carbohydrates rich food and starches, this type of food increase the serotonin secretion. Serotonin is a chemical that has a calming effect on the body and helps them feel better.  

Avoid stress by changing your lifestyle

3-      Medications: 

Some medications used to treat depression, mood disorder, convulsions and migraine, and those used to treat high blood pressure and diabetes may lead to weight gain. This gain is approximately 4 kg per month.

Corticosteroids and birth control pills can also lead to a gradual increase in body weight. In case of not changing your lifestyle, these medications can lead to an increase in body weight by 2 kg or more per month.

Each type of medication can cause weight gain with a different mechanism of action, some increase the appetite, others change fat storage, and others change percentage of insulin… etc.

 Even though the reason behind your weight gain is the medication you take, you still have a role to play by following a strict healthy diet and exercising regularly.

To sum up the medications that causes weight gain are:

Corticosteroids – Depression medication – Psychiatric medications – Antiepileptic medications – diabetes medications – Hypertension medications – heartburn medications.

4-      Menopause: 

Women reach menopause at different ages. They move less, compared to when they were at a younger age.  As women age their metabolism slows down and their hormonal level changes. These alterations lead to symptoms of hunger, depression and lack of sleep.

Menopause is a complicated process that is affected by several factors. As estrogen decreases, weight of hip and thighs decreases, but increase in the area of ​​abdomen. This leads to changes in the woman’s body weight and figure.

Exercising, healthy diet with counted calories as well as food rich in vitamin D and calcium are very essential to prevent weight gain and other symptoms of menopause.

5-      Medical condition: 

·         Thyroid gland disorders as decrease of its activity “i.e.  Hypothyroidism” , polycystic ovarian syndrome and Cushing’s syndrome are also conditions that are accompanied by weight gain.

·         Cushing syndrome is is a hormonal disorder caused by prolonged exposure of the body’s tissues to high levels of the hormone cortisol. 

·         Progressive weight gain is the most common symptom of Cushing’s syndrome. This weight gain usually affects the face, neck, trunk, and abdomen more than the limbs, which may be thin.

·         People with Cushing’s syndrome often develop a rounded face “moon face” and collections of fat on the upper back and at the base of the neck.

·         Cushing’s syndrome may occur if you take corticosteroid therapy to treat certain diseases, such as arthritis, asthma, or lupus. It can also occur as a result of imbalance in the adrenal glands which causes an increase in the production of cortisol.

Health care professionals should be consulted to diagnose and treat these medical disorders accompanied by weight gain.

To determine the cause of obesity, some laboratory tests should be done:

·         Complete blood picture: To ensure the absence of anemia.

·         Lipid profile: cholesterol, triglycerides and High density lipoprotein (HDL) and Low density lipoprotein (LDL).

·         Thyroid gland test: TT3-TT4-FT3-FT4 TSH: To ensure the absence of hypothyroidism

·         Adrenal gland test: To ensure the absence of (Cushing’s syndrome), this affects the adrenal glands.

·         Blood sugar test: fasting and two hours later for diabetics, and random one only for non-diabetics.

·         Renal function: kreatinine – BUN- and uric acid

·         Liver function: – ALP- TP-Albumin Bilirubin Total -SGOT-SGPT-Gamma GT- Direct Bilirubin

·         Ultrasound of abdomen and pelvic 

·         Helicobacter pylori bacteria Test: (Helicobacter Antibody Blood – Stool)

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