Brief Answer: What is your current BMI measurement? Detailed Answer: Hi, Very often I see people having misconception with regards to body weight. Body mass index of an individual is better anthropometric measurement than body weight alone. I see you are are current 74 kg. If your height is around 5'7" - 5'8", then you are just about normal weight. Please specify your height. There are plenty of pills and supplements marketed for weight loss; but not all have clear scientific backing their claim. Only few are approved by FDA as weight loss pill. Some names are tetrahydrolipstatin (orlistat), metformin, phentramine and so on. However I do not recommend them as magic pill that cuts body weight. They have risk of side effects and most of them act as supporting drugs - maintaining body weight than cutting down excess fat. What I would definitely suggest is improving your lifestyle. I am sure you would be losing weight if you are on low calorie diet of under 1200 calorie per day with the right exercise. Spend more time on cardioexercise - cycling, swimming, climbing stair, over hill jogging and so on. Add fruits and vegetables in the list of diet. Contrarily, if your body mass index is in limit, perhaps you just have fat stores which can be burnt with specific exercise taught by a physical trainer. I shall await further details about your height and body mass index to comment further. Regards

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Brief Answer: Exercise; medicines to be avoided... Detailed Answer: Weight of 74kg is overweight for 5'3" height. If you have no other health troubles, your sugar and thyroid are in normal limits, then it is unlikely to be due to organic medical reason. In this context, I stick to my previous advice. Weight loss supplements or any kind of magic pills to reduce weight is either associate with high side effect risks or won't help. You may use metformin or orlistat as maintainence pills after exercise and diet cuts down the weight. You need to pull up courage and effort to start exercise religiously. Spend more quality time on cardioexercise - try cycling for 3-5 kms everyday or perhaps over hill cycling. Alternatively try swimming or jogging. 30minutes of cardioexercise for 5 days a week along with under 1200 calories food should reduce weight by 1 kg in couple of month. More and sustained body fitness should follow in 3-4 months time. Hope this helps. Let me know if you need clarifications. Regards

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Brief Answer: Medicines have side effects... Detailed Answer: 1. As I discussed earlier any medicines are not my first choice to treat patient with over weight. They have varied side effect and those side effect does not balance the results you would get from them. Put in your efforts to burn calories. I am sure the exercise suggested should burn them off. 2. As far as your other reports, I was able to review them now. Of those I found your TSH at 7 and marginally elevated amylase and lipoprotein A. I am not concerned about amylase and lipoprotein, but, I believe your thyroid needs reassessment. I would suggest that you consult a thyroid specialist. He/she should check your free T3 and T4 values before choosing to "NOT" treat it. 3. Weight reduction pill of either orlistat or metformin should not be used over the counter. I refer my patients to internist if needed for appropriate dosing and monitoring. Hope this helps. Regards

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