I would like to talk about two parameters that I have seen in a few cases in the evaluation of obesity
. Anti-Tg and Anti-Tpo antibodies. As it is known, obesity is considered a chronic disease whose prevalence is increasing worldwide and brings with it other diseases. Obesity can be briefly defined as the increase in fat
tissue in the body that harms health. In order to measure and evaluate this
situation, simple anthropometric calculations and measurements are made in practice by dietitians
. The ratio of body weight to the square of height is used as body mass index
. Biochemical parameters must also
be evaluated in the evaluation of obesity. It is necessary to evaluate the signs and symptoms very well in protecting health and preventing the formation of diseases. The diseases whose names we have to mention together with obesity
should not be overlooked during screening. Diabetes, cardiovascular diseases, hypertension, abdominal obesity and insulin resistance are among the known and frequently diagnosed diseases. There is something that I think is missing in the routine
evaluation of the thyroid gland, which is an indicator of metabolic activities related to obesity. Thyroid diseases and their relationship with thyroid cancers and obesity are areas that are not screened in practice.
Family medicine clinics and internal medicine outpatient clinics are the outpatient clinics we go to with weight control complaints. And the physician
orders Tsh and T4 in his routine. Considering the relationship between routine Tsh and T4 requirements and thyroid functions and obesity, subclinical cases are not screened in euthyroid people. It is possible to see in published scientific articles that there are many studies that support this idea.
As it is known, the principle of cooperation and teamwork between doctors and dietitians in ensuring weight control is available all over the world and in our country. The doctor evaluates the patient, examines him/her, requests tests, and the dietitian writes his/her diet. This is where the movie starts. I think the fact that thyroid antibodies
are not requested in routine orders can be a problem in determining thyroid diseases, and even after the request
the autoimmune antibodies are positive and the doctor's findings When you want to reach a point,
papilla CA and/or the beginnings of malignant tumors can be detected
after the ultrasound and biopsy adventure. There are two examples where I experienced this. I had clients who consulted a dietitian just to eat healthy and lose some weight, and then underwent surgical intervention. I think there is a general opinion among the doctors we work with in the clinic. If the patient's Tsh and T4
are normal, there is no need to request antibodies. However, even though this situation may be coincidental and/or subclinical and we cannot generalize it to all scientific studies, in some cases even when the patient is euthyroid, thyroid
antibody elevation is detected and the results of which we see later with ultrasound and biopsy are found in thyroid and
papillae. There are individuals diagnosed with CA. This being the case, I wonder why this
test is not included in the routine for obese and fat individuals who are in the risk group. In terms of prediabetes, vitamin D and Insulin resistance
values are also not required in the routine in the same context. Therefore, I do not know what our endocrine and metabolism
doctors would say about this situation. I would like to emphasize the necessity of performing these examinations in the first step of healthcare services in the fight against obesity and cancer.
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