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甘木第一クリニックで行ってzいるメディカルダイエットを40代男性に行ってもらいました。およそ1ヶ月間のダイエットでどれくらい痩せられるんでしょうか!? 気になる食生活などをレポートしてもらいました。 肥満は高血圧症・糖尿病・脂質異常症などの生活習慣病をはじめとして、数多くの疾患と関連します。現在、世界人口の約3割にあたる21億人あまりは、過体重もしくは肥満とされ、2010年に肥満・過体重が原因で死亡した人の数は世界で340万人と推定されています。日本でも生活習慣の欧米化に伴い、確実に増加しています。 肥満症治療の中心は、食事・運動療法が主たる２本柱ですが、残念ながら、約95%の方は長期的には、それらの手段で体重減少を維持することが困難です。 現時点では『肥満外科手術』のみが、長期的な体重減少と肥満関連疾患の改善を図れることが証明されている唯一の方法となります。しかし、保険診療による手術適応には厳格な適格基準があり、まだまだ一般化されているとは言い難い状況です。 そこで当院では、食事・運動療法で長期的に成功しない患者さんに、あるいは上記の“肥満外科手術”適応外の患者さんに対して、保険外診療（自費療法）を提案しています。 メディカルダイエットについて詳しくはこちら https://amagi-daiichi-clinic.com/diet/ 【メディカルダイエットとは･･･】 GIP/GLP1あるいはGLP1、または補助的にSGLT2阻害剤を併用する、つまり薬を利用することが最大の特徴で、最終的には体重減少に至るダイエット方法の１つです。 【GLP-1とは 「ダイエット注射」や「食欲抑制ホルモン」と呼ばれている】 GLP-1とは別名、“ダイエット注射”や“食欲抑制ホルモン”と呼ばれています。 GLP-1は元々、体内に存在するホルモンの１つです。GLP-1は、栄養を吸収する①小腸を中心として、②胃、③膵臓、④脳神経系、⑤肝臓、⑥筋肉、⑦心臓などの複数臓器に総合的に働きます。ダイエットにおける作用機序を要約すると、 消化器系臓器に働き、血糖上昇を抑えやすい 脳神経系に働き、胃内容排泄遅延作用をもたらす 以上のことから、自然な食事制限をやりやすい、の2点が最大の特徴です。 【GLP-1ダイエットをおすすめする方】 ・体重が重く運動が苦手な方 ・以前ダイエットを成功したが、リバウンドしてしまった方 ・食事制限で極度なストレスを考えている方 ・健康診断の結果で悩み、体質改善も考えている方 ダイエットに向けて院長からのメッセージ要約 １、まずは食制限と間食中止の習慣化 ２、体重減に至る成功体験を１度経験すること ３、体重増減は誰にでも少なからずあるため、体重増に転じても自分を責めすぎないこと ４、メディカルダイエットは手段の１つでしかないため、成功体験とそのイメージが固まったら、減量や中止を柔軟に考えること(半永久にやり続けるなどは思う必要がありません) GLP-1のデメリット 低血糖リスク： GLP-1治療は低血糖を引き起こす可能性があります。これは、インスリン分泌の増加により、血糖値が過剰に下がるためです。 消化器系の副作用： 吐き気や嘔吐などの消化器系の副作用が報告されています。これらの症状は治療の初期によく見られます。 膵炎のリスク： まれに、GLP-1治療は膵炎を引き起こす可能性があります。このリスクは低いですが、注意が必要です。 体重増加： 一部の患者では、GLP-1治療によって体重が増加することがあります。これは、食欲抑制効果が個人差があるためです。 注射部位の副作用： 注射部位の痛み、腫れ、かゆみなどの副作用が報告されることがあります。 未知の長期リスク： GLP-1治療の長期的な安全性に関する情報は限られています。そのため、長期的なリスクや副作用についてはまだ十分に理解されていません。 GLP-1ダイエット の注意点 GLP-1ダイエットは、特に運動や食事制限をしなくても体重減少が見込めるなどメリットの多い方法ですが、医薬品ということもあって使用に関してはいくつか注意点があります。 料金 マンジャロ（注射） 2.5mg 2週間分（2本） 10,340円（税込） 2.5mg 1ヶ月分（4本） 20,680円（税込） 5mg 2週間分（2本） 16,500円（税込） 5mg 1ヶ月分（4本） 33,000円（税込） ジャディアンス（内服） 10mg 1ヶ月分（30錠） 13,200円（税込） 25mg 1ヶ月分（30錠） 18,700円（税込） リベルサス（内服） 3mg 1ヶ月分（30錠） 14,300円（税込） 7mg 1ヶ月分（30錠） 19,800円（税込） 14mg 1ヶ月分（30錠） 28,600円（税込） 初診料 ： 3,300円（税込）　※保健診療ある時・かかるつけの方は不要。 再診療 ： 1,650円（税込）　※保健診療ある時は不要。 採血・採尿検査一式 ： 8,360円（税込）　※初回・必要時 実際の診療における注意事項 初回は必ず対面診察にて適応可能かどうかを判断させていただきます。 初診時はオンラインでの診療は出来ません。 日本では肥満治療薬としての保険適応は無いため、全て自費診療となります。 他院で施行されて当院で継続を希望されるなどの場合、初回は必ず採血を行います。 再開を希望され御来院の際、最終受診から1年以上間隔があいているときは、初診扱いとなり、採血などの確認を行いますので、ご了承ください。 体調不良時や全く食事が摂れない状態などで使用しないでください。 未使用の場合は冷蔵庫で凍結させないよう保管してください。 使用後の針は医療廃棄物となります。当院へ持参もしくは当院宛にご郵送ください（送料はご負担ください。） 採血の結果により治療が受けられない場合があります。 オゼンピック、リベルサス、マンジャロの医薬品と、それに関わる針、アルコール綿はいかなる場合におきましても、返品・返金はできませんのでご了承ください。 治療の効果は、体質や基礎疾患、食事や日々の運動量等にも影響を受け、絶対の効果を保証するものではありません。 可能性のある副作用や注意事項等 注射部位に内出血、赤み・腫れ・かゆみが起こることがあります。 胃部不快感、脱力感、倦怠感、嘔気、嘔吐、低血糖、下痢、便秘、頭痛、消化不良、疲労、めまい、腹痛といった症状がでることがあります。 未承認医薬品等（異なる目的での使用）に関する明記 １、未承認医薬品であることの明示 リベルサスⓇ、マンジャロⓇ、ジャディアンス®は、医薬品医療機器等法において、「2型糖尿病」の効能・効果で承認されていますが、当院で行う肥満治療目的での使用については国内で承認されていません。 ２、入手経路等 国内の医薬品卸業者より国内承認薬を仕入れています。 ３、国内の承認医薬品の有無 国内で「肥満治療」の効能・効果で承認されている、GLP-1製剤とGLP-1/GIP 受容体作動薬はありません。 ４、諸外国における安全性などに係る情報 オゼンピック・リベルサス・マンジャロと同一成分の注射製剤が、米国FDA(アメリカ食品医薬品局)で肥満治療薬として承認されております。オゼンピック・リベルサス・マンジャロは糖尿病治療薬として承認されており、上記のような副作用のリスクがあります。 医療法人　甘木第一クリニック 〒838-0064 福岡県朝倉市頓田596-3 TEL：0946-24-5151 FAX：0946-24-1834 診療開始：8:30〜 ／ 14:30〜 休診日：日曜、祝日、水曜午後、土曜午後 FAX 0946-24-1834　院長 川﨑誠一 https://amagi-daiichi-clinic.com/

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