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In my years of clinical practice, Ive identified five distinct types of obesityeach with different underlying causes: Caloric Obesity : Simply consuming more calories than your body burns Inflammatory Obesity : Where chronic inflammation triggers fat storage and prevents fat-burning Metabolic Obesity : Involving insulin resistance, hormonal imbalances, and a damaged metabolism Microbiome Obesity : When gut bacteria imbalances hijack your appetite and metabolism Chemical Obesity : Exposure to obesogensenvironmental chemicals that disrupt your bodys weight regulation Theres also a crucial neurological factor: When your nervous system stays in fight-or-flight mode, your body doesnt feel safe enough to release weight

Weight regain following bariatric surgery represents a significant clinical challenge, with studies suggesting it affects a substantial proportion of patients within 25 years post-operatively

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Pelvic exam: The evaluation almost always begins with a physical and pelvic exam to check for any obvious abnormalities, tenderness, or masses