医学体重管理适合谁
门槛比多数人预期的低。亚洲人在比欧洲人更低的 BMI 就会出现糖尿病与脂肪肝,所以马来西亚的标准把 23 视为过重、27.5 视为肥胖,而国外的图表这时可能还说您没问题。
- BMI 27.5 或以上,或 23 以上并有糖尿病、高血压或脂肪肝
- 男性腰围 90 公分或以上,女性 80 公分或以上
- 被告知糖尿病前期,或糖化血红素一直在往上爬
- 有体重在推动的脂肪肝、睡眠呼吸中止、膝痛或生育困难
- 反复减重,又每一次都复胖
如果 BMI 低于 23、血液检查正常,药物不是答案,我们会直说。想变轻,和需要治疗,不是同一件事。
这里的体重管理包含什么
按实际进行的顺序排列,而这和多数人预期的顺序不一样。处方在接近末尾,不在开头。
- 找出背后的原因
- 甲状腺功能低下、多囊卵巢综合症,以及好几种常见药物都会让体重增加,而且都不是少吃就会好。这是把减重当商品卖、而不是当病治时最常被跳过的一步。
- 基础血液检查
- 糖化血红素、血脂、肝肾功能、甲状腺。它们告诉您体重已经造成了什么,也给之后一个比较的基准。
- 已经在扯您后腿的因素
- 睡眠、轮班工作、酒精,以及三十岁有效的饮食法到五十岁很少还有效。这些在开任何药之前都值得谈。
- 饮食与活动,订得实际
- 不是一张传单。是您实际吃什么、实际什么时候吃,以及半年后您还会在做的事,而不是在诊间里听起来厉害的事。
- 在合适的情况下用药
- 替尔泊肽、GLP-1 类药物与奥利司他各有其位置,彼此不能互换。用哪一种,或者都不用,要看您的血液检查、其他疾病与耐受度。
- 按固定间隔复诊
- 体重、腰围、血压,并复验血液。没效的药会停掉,而不是因为开了就继续用。
体重治疗能做到什么,做不到什么
这两栏之间的落差,正是多数人对减重治疗失望的来源。
实际可期待的
- 减到足以逆转糖尿病前期、改善脂肪肝的体重
- 血压下降、睡得更好、膝盖负担更轻
- 稳定而不是戏剧性的减重速度
- 一个停药之后还站得住的计划
给不了的
- 不改变饮食就能减重,不论打什么针
- 停止治疗之后,没有计划也能守住体重
- BMI 不需要治疗,只因为您想变轻而给的治疗
- 第一次看诊、没验血也没检查就开的处方
减重没人会宣传的那一部分
停药之后,大部分体重会回来。这不是在批评这些药物,也不是避开它们的理由。这是它们的作用方式:它们在服用期间起作用,就像血压药在服用期间起作用一样,而没有人期待停药几年后血压还压得住。
这很重要,因为它改变了您开始之前该问的问题。该问的不是打针有没有效,它有效;而是之后会怎样,以及在药物让改变变容易的这段时间里,那些必须撑住成果的饮食与活动习惯,有没有建立起来。
如果一家诊所在开第一张处方之前没有和您谈这一点,那它卖给您的只是容易的那一半。
体重最常在背后推动的问题
为您看诊的是谁
- 您的医生
- 诊所每一位医生都在本网站列出姓名与资历,其中一位是名列国家专科医生名册的家庭医学专科医生。为您看诊的是医生,不是柜台。
- 您的病历
- 保存在诊所自己的加密系统里,不是放在抽屉里的纸本,所以为您看诊的医生能看到您完整的病史。
- 您的复诊
- 之后有问题或需要续药,直接用 WhatsApp 联系为您看诊的医生,不必经过前台。
- 您的时间
- 每天开到晚上8点,可不预约直接到诊。诊所自1981年起在甲洞峇鲁服务,这一页的大部分事情一次到诊就能完成。
直接来,或先问清楚
营业时间内(每日 上午9点至晚上8点)可不预约直接到诊,也可以先传讯息,把想问的都问清楚再来。
病人的话
甲洞与吉隆坡一带病人的评价
4.9来自 785 则 Google 评价
Fei Ru OohGoogle 在地向导 · a month agoI have been visiting this clinic since I was a kid, and now my children already reached adulthood! It has gone through 3 generations from Dr Chye to Dr Lee and now Dr Chan. A true family clinic, specialized in family health. Dr Chan carries the same trait of his predecessors, very caring, knowledgeable, patient and goes above and beyond to help his patients. He truly invests his time in knowing his patients' family, know every family members and remember everyone well. He spends extra hours even beyond the official working hours. Highly recommend this clinic, especially Dr Chan.来自 Google
Vidhya Naira month agoI recently had two cysts removed by Dr. Richard Ngu at Clinic Chye in Kepong. I had an excellent experience. Dr Richard was professional, skilled, and made me feel comfortable throughout the entire procedure. The surgery was smooth, and the results were clean and neat. Thank you, Dr. Richard Ngu, for your excellent care and dedication. I truly appreciate your professionalism and kindness. I highly recommend Dr. Richard Ngu to anyone looking for a trustworthy and excellent experienced doctor.来自 Google
ParrotGoogle 在地向导 · a month agoThank you Dr.Chan for your amazing care and support during a difficult time. Forever grateful for Dr.Chan for your dedication and expertise. Dr.Chan for your compassionate care made all the difference in my recovery. Thank you Dr.Chan for helping me stay strong and hopeful. Dr.Chan for your hard work and commitment truly saved lives.来自 Google
June Lee2 months agoI had a great experience at this clinic. The staff were friendly, professional, and welcoming. The doctor was patient, listened carefully to my concerns, and explained everything clearly. The clinic was clean, well-organized, and the waiting time was reasonable. I felt well cared for throughout my visit. I highly recommend this clinic to anyone looking for quality medical care.来自 Google
Lee JinHao4 months agoFirst and foremost, I would like to express my sincere gratitude to Dr. Chan, Dr. Hoo, and the nursing team. I am deeply impressed by their dedication and high sense of responsibility. They were incredibly patient and professional when explaining my medical condition, ensuring I fully understood every detail. Furthermore, they were proactive in providing an effective treatment plan that addressed my symptoms immediately. I truly appreciate their exceptional care.来自 Google
Maryam Aziz2 months agoI choose this clinic when i moved to Kepong because of the good reviews. And once i attend this clinic, i experienced it myself. The clinic is clean, the staff are professional and welcoming, incredibly efficient. The clinic interior design also calming and made my visits less anxious. The doctors here (Dr. Chan & Dr. Kon - sorry if misspelled) are very attentive, explain briefly to me what the do's and don'ts on after care treatments and for future preventions. I also just learned that this clinic is specialized in skin problems and i refer my dry and ictchy skin problems on my fingers. I've been put some plasters to hide the crack and dry skin for months. Thanks for the advise, now my skin is getting better. I will always come here for treatment and medical advises in future.来自 Google
Lye kok fai4 months agoSome clinics treat patients, but this clinic truly cares for people. Every visit here reminds me why trust matters so much in healthcare. Dr Chan is incredibly patient, detailed, and attentive, no matter how busy the clinic gets, he never makes you feel rushed. He listens, explains, and reassures, which makes a big difference when you’re not feeling your best. Carmen and the entire team deserve just as much recognition. From the moment you walk in, you’re welcomed with warmth and kindness. Even on the busiest days, the staff remain calm, friendly, and professional, something that is not easy to maintain. The clinic is always full, and honestly, that speaks for itself. It’s not just about treatment, it’s about the trust they’ve built with every patient who walks through their doors. For me, this is a place where I feel safe, heard, and genuinely cared for. At the same time, I hope the team, especially Dr Chan, will remember to take care of their own health too. Behind the dedication and long hours, I can see the tiredness , and it just shows how much effort is being put into caring for others. Thank you for your unwavering dedication, compassion, and excellent service. This is more than just a clinic , it’s a place people can rely on.来自 Google
joey liew7 months agoDoc tor here is professional with good attitude toward patients. Environment is new and clean. Suggest to put a little playground for kids in case of long waiting time.来自 Google
LeeminGoogle 在地向导 · 2 months agoDr Ivan is a very reliable and humble doctor. The atmosphere of the office is clean and quiet. The staffs are kind too. I highly recommend this clinic when you need to consult a doctor.👍👍来自 Google
yuen szhi7 months agoI am truly grateful to Dr Chan for his marvellous diagnosis and attentive care during the few difficult days when I was down with dengue. He was very thorough, patient, and reassuring, and his medical advice was clear and genuinely helpful throughout my recovery. He took the time to monitor my condition closely and explained everything in a way that gave me confidence and peace of mind. On top of that, the charges were very reasonable, which I deeply appreciate. Thank you Dr Chan for his dedication, professionalism, and kindness. I highly recommend him to anyone seeking a trustworthy and caring doctor.来自 Google
Kristina JGoogle 在地向导 · 2 years agoDr Chye and his fellow associates along with his admin staffs has always been helpful and knowledgeable. They always act with urgency and they consult in detail. You’ll always be satisfied. They always listen to your concerns and advise for each of your concerns. Good sets of meds. I’ve been coming here for more than 2 years plus and also my family members and we’re always delighted with the doctors treatments来自 Google
Michael CheongGoogle 在地向导 · 7 months agoEver since my bro told me about this place, this is my go to when I feel unwell or want medical advice. When im here I feel safe and the doctors here give very good consultations and treatments. The price is also affordable and they don't simply do things. Super reccomended 👍🏼👍🏼👍🏼👍🏼👍🏼来自 Google
Jessy Ooi9 months agoVery friendly and kindly responsible klinic dr. detial is much help me. Explain and teach you how to do thnext step. Help you balance life, take more vitamins ect...来自 Google
Yong Chuen Choi7 months agoHighly recommend for their outstanding service. The entire team was professional, welcoming, and incredibly efficient. The level of care provided was excellent, and the treatment received was highly effective. Healthcare environments can sometimes feel stressful, but this clinic has a wonderful, relaxing atmosphere. The interior design is tasteful and calming, using warm colors and great lighting that made my visit much less anxious. It felt more like a wellness center than a clinic. Wouldn't hesitate to return here for any future medical needs.来自 Google
Mohan Das2 years agoDr. chan is very friendly and knowledgeable. He gave proper advice and gave a lots of tips on how to overcome my dry cough. The clinic ambiance is so good and the nurses are so friendly. Since this is my panel clinic and nearby my house , I always prefer this clinic for my medication and for my family.来自 Google
Lee Daphane4 months agoVery happy with the service here. The doctors and nurses are friendly, kind, and patient. The place is clean, and the pricing is reasonable too. Highly recommended!👍🏻来自 Google
Zo EeGoogle 在地向导 · 2 years agoThe clinic admins were friendly and polite. The atmosphere of the clinic is clean and neat, I don't feel uncomfortable or sickly being here. Doctor is very good, he explained my medical situation and patiently explained what I needed to be precautions of. Highly recommend this clinic.来自 Google
Aqilah NizarGoogle 在地向导 · 2 months agoNice sraff, clean clinic and efficient live numbering waiting queing system. Dr Kon is really helpful. Explanations is detailed but easily understamdable. Recommended.来自 Google
Asmine Nga year agoOur family have been with Chye Clinic for many years. Dr Chan is a very caring doctor. Well explained things to us, he even answered our questions by whatsapp. Nurses are friendly & helpful. Clean and comfortable waiting area and toilets. The best clinic by far.来自 Google
murny razi7 months agoI had a very pleasant experience at this clinic. The staff were friendly. The doctor took time to listen, explained everything clearly, and made me feel comfortable and well taken care of. The clinic is clean and well-organized. Highly recommended to anyone looking for great service and genuine care. Thank you so much! Keep up the great work and excellent service! Worth every penny. Important is affordable price! ❤️❤️❤️❤️来自 Google
常见问题
- BMI 要到多少才适合接受治疗?
- 依马来西亚的标准是 27.5 以上;若已经有糖尿病、高血压或脂肪肝,23 以上即可考虑。这些数值比国际标准低,因为亚洲人在更低的 BMI 就会出现这些疾病。
- 一定要打针吗?
- 不一定。药物只是其中一个选项,而且不是起点。有些人需要治疗的是甲状腺,有些人需要检讨正在服用的药,也有些人两者都不需要。
- 停药后体重会回来吗?
- 多数人会,而这件事在开始之前知道,比事后才知道好。这些药物是在服用期间起作用的,之后能不能守住成果,靠的是您在用药期间改变了什么。
- 第一次看诊就能拿到处方吗?
- 没有验血与身体检查就不会。体重背后的原因会决定哪一种治疗合适,在不知道原因之前开药,正是用错药的原因。
- 保险有理赔吗?
- 通常没有,体重治疗一般属于除外责任。若验血是为了糖尿病或肝病而做,则有可能获赔,这一点建议直接向保险公司确认,不要两边猜测。
- 体重管理费用多少?
- 首次咨询与基础血液检查,视验哪些项目而定,健康检查配套从 RM 60 起。药物按剂量与种类另计,替尔泊肽的价格请问您实际会用到的剂量。来诊前可以先问我们。
- 多久复诊一次?
- 开始用药的头几个月每四周一次,配合剂量调整;之后一般每一至三个月一次,量体重、腰围、血压,并定期复验血液。
- 一个月可以减多少?
- 稳定的速度是每周 0.5 至 1 公斤。太快的减重会流失肌肉、增加胆结石的风险,也更难维持。药物的目标是让这个速度做得到,不是让它更快。
问问什么对您真正有用,甲洞,每天开到晚上8点
48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.
Chye Clinic