Obesity caused by endocrine disorders can be improved through adjusting diet, regular exercise, medication treatment, psychological intervention, and traditional Chinese medicine regulation. Endocrine disorders may be related to factors such as abnormal hormone levels and metabolic disorders. It is recommended to develop personalized weight loss plans under the guidance of a doctor.

1. Adjust diet
Reduce intake of refined carbohydrates and high-fat foods, and increase the proportion of high-quality protein and dietary fiber. Daily staple foods can include low glycemic index foods such as oats and brown rice, paired with dark vegetables such as broccoli and spinach. Avoid sugary drinks and alcohol, and control daily total calorie intake at 80% -90% of basal metabolism.
2. Regular Exercise
Engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, or cycling, combined with resistance training 2-3 times a week. Exercise can increase insulin sensitivity, improve thyroid function, and promote fat breakdown. Be careful to avoid excessive exercise that can cause an increase in cortisol levels.
3. Drug therapy
For polycystic ovary syndrome, metformin enteric coated tablets can be used according to medical advice. For hypothyroidism, levothyroxine sodium tablets should be supplemented. For Cushing's syndrome, mifepristone tablets may be needed. All medications must strictly follow the prescription of an endocrinologist and the dosage cannot be adjusted by oneself.

4. Psychological Intervention
Long term stress can exacerbate abnormal cortisol secretion, and anxiety can be alleviated through mindfulness meditation and cognitive-behavioral therapy. Establish a regular daily routine, ensure 7-8 hours of sleep, and avoid exposure to blue light at night that affects melatonin secretion. If necessary, seek professional psychological counseling.
5. Traditional Chinese Medicine Treatment
For spleen deficiency and dampness excess type, Shen Ling Bai Zhu San can be modified. For liver stagnation and qi stagnation type, Chai Hu Shu Gan San can be used. For kidney yang deficiency type, You Gui Wan can be selected. Cooperate with acupuncture and moxibustion to select points such as Zhongwan and Zusanli to regulate the function of spleen and stomach, and press the ear points to suppress appetite. It needs to be diagnosed and treated by a practicing traditional Chinese medicine practitioner. Obese individuals with endocrine disorders should monitor hormone levels and body composition changes every 3 months to avoid further metabolic damage caused by extreme dieting. The main cooking method is steaming and boiling, with a daily sodium intake limit of less than 5 grams. It is advisable to maintain a weight loss rate of 2-4 kilograms per month, as rapid weight loss may exacerbate endocrine disorders. Patients with diabetes or hypertension should give priority to control the primary disease, and regularly review the liver and kidney functions during weight loss.

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