Obesity caused by endocrine disorders can be scientifically reduced through adjusting dietary structure, regular exercise, improving sleep, medication intervention, and psychological regulation. Endocrine disorders may be related to factors such as abnormal hormone levels and metabolic disorders, and targeted interventions are needed to effectively control weight.

1. Adjust dietary structure
Reduce refined carbohydrates intake and replace white rice with low glycemic index staple foods such as brown rice and oats. Increase the intake of high-quality protein such as chicken breast, fish and shrimp, and ensure a daily intake of 500 grams of non starch vegetables. Avoid trans fatty acids and high sugar foods, and use olive oil for low-temperature cooking. Individuals with hypothyroidism should limit their consumption of raw cruciferous vegetables, while those with polycystic ovary syndrome should control their intake of fruits.
2. Regular Exercise
Engage in 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, etc., combined with resistance training 2-3 times a week. For obesity with elevated cortisol levels, it is recommended to choose soothing exercises such as yoga and tai chi to avoid nighttime intense exercise that affects sleep. Monitor blood sugar before and after exercise. diabetes patients need to prevent hypoglycemia.
3. Improve sleep
Ensure to fall asleep before 23:00 every day and maintain 7-8 hours of high-quality sleep. Patients with sleep apnea syndrome should sleep on their side and avoid blue light stimulation 2 hours before bedtime. People with insufficient melatonin secretion can supplement foods rich in tryptophan such as millet and bananas. Severe insomnia requires medical evaluation.

4. Drug intervention
Hypothyroidism should be treated with levothyroxine sodium tablets according to medical advice. Polycystic ovary syndrome may require metformin sustained-release tablets to regulate insulin resistance. Patients with Cushing's syndrome require treatment with glucocorticoid receptor antagonists and regular monitoring of liver and kidney function during medication. Do not self medicate for weight loss.
5. Psychological regulation
Relieves stress eating through mindfulness meditation and establishes a food diary to record the relationship between emotions and diet. Individuals with hypothalamic pituitary adrenal axis disorders require psychological counseling and, if necessary, short-term use of anti anxiety drugs such as paroxetine tablets. Avoid extreme dieting causing further metabolic disorders.

It is recommended to check hormone levels every 3 months and maintain a weight loss rate of 2-4 kilograms per month. Patients with diabetes need to monitor blood sugar daily, and patients with thyroid diseases need to check TSH indicators regularly. Use a graduated oil pot to control the amount of oil used during cooking, and choose low-fat cooking methods such as steaming and cold mixing. Maintain a daily water intake of at least 2000 milliliters and avoid sugary drinks. Skin sagging may occur after weight loss, which can be improved with collagen supplementation and strength training.
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