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{"id":222,"date":"2023-10-11T00:19:49","date_gmt":"2023-10-10T22:19:49","guid":{"rendered":"http:\/\/studiomedicomaino.it\/?page_id=222"},"modified":"2026-06-14T12:59:01","modified_gmt":"2026-06-14T10:59:01","slug":"obesita-e-terapia-medica","status":"publish","type":"page","link":"https:\/\/studiomedicomaino.it\/index.php\/obesita-e-terapia-medica\/","title":{"rendered":"Obesit\u00e0 e Terapie Mediche"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"222\" class=\"elementor elementor-222\">\n\t\t\t\t<div class=\"elementor-element elementor-element-76b82e3 e-flex e-con-boxed e-con e-parent\" data-id=\"76b82e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d27af5 elementor-widget elementor-widget-html\" data-id=\"7d27af5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t\n<style>\n@import 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p{color:rgba(255,255,255,.8);margin-bottom:24px}\n.smm .ctaband a{display:inline-flex;align-items:center;gap:9px;background:var(--accent);color:#fff;padding:14px 30px;border-radius:40px;font-weight:600;transition:.3s}\n.smm .ctaband a:hover{transform:translateY(-2px);box-shadow:var(--shadow)}\n\/* footer *\/\n.smm footer{background:#0A2522;color:rgba(255,255,255,.6);padding:44px 0 28px}\n.smm .foot{display:flex;justify-content:space-between;align-items:center;flex-wrap:wrap;gap:18px}\n.smm .foot .brand{color:#fff}.smm .foot .brand small{color:rgba(255,255,255,.5)}.smm .foot .mono{background:rgba(255,255,255,.1)}\n.smm .foot-links{display:flex;gap:20px;flex-wrap:wrap;font-size:.86rem}\n.smm .foot-note{font-size:.8rem;max-width:60ch;margin-top:24px;padding-top:20px;border-top:1px solid rgba(255,255,255,.1)}\n@media(max-width:860px){\n .smm nav ul{position:fixed;inset:0 0 0 auto;width:min(80vw,320px);background:var(--paper);flex-direction:column;justify-content:center;padding:40px;gap:22px;transform:translateX(100%);transition:.4s;box-shadow:-20px 0 60px -20px rgba(0,0,0,.3)}\n .smm nav ul.open{transform:none}.smm .menu-toggle{display:flex}\n .smm .vgrid{grid-template-columns:1fr}\n}\n<\/style>\n<div class=\"smm\">\n<header><div class=\"nav\">\n<a href=\"https:\/\/studiomedicomaino.it\/\" class=\"brand\"><span class=\"mono\">FM<\/span><span>Dott. Fabio Maino<small>Endocrinologia<\/small><\/span><\/a>\n<nav><ul id=\"m\"><li><a href=\"https:\/\/studiomedicomaino.it\/\" class=\"\">Home<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/curriculum-vitae\/\" class=\"\">Curriculum<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/tiroide-e-gozzo\/\" class=\"\">Tiroide e Gozzo<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/ipotiroidismo\/\" class=\"\">Ipotiroidismo<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/tiroide-e-gravidanza\/\" class=\"\">Gravidanza<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/tumore-della-tiroide\/\" class=\"\">Tumore Tiroide<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/la-termoablazione-dei-noduli-tiroidei-laser-radiofrequenza-e-microonde\/\" class=\"\">Termoablazione<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/obesita-e-terapia-medica\/\" class=\"act\">Obesit\u00e0<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/index.php\/media\/\" class=\"\">Media<\/a><\/li><li><a href=\"https:\/\/studiomedicomaino.it\/#contatti\" class=\"cta-btn\">Prenota<\/a><\/li><\/ul><\/nav>\n<button class=\"menu-toggle\" onclick=\"this.nextElementSibling;document.getElementById('m').classList.toggle('open')\" aria-label=\"Menu\"><span><\/span><span><\/span><span><\/span><\/button>\n<\/div><\/header>\n<section class=\"phero\"><div class=\"wrap\">\n<div class=\"crumb\"><a href=\"https:\/\/studiomedicomaino.it\/\">Home<\/a> &nbsp;\/&nbsp; Obesit\u00e0 e Terapie Mediche<\/div>\n<span class=\"eyebrow\">Malattie del metabolismo<\/span>\n<h1>Obesit\u00e0 e Terapie Mediche<\/h1><p>Dalla valutazione del BMI alle pi\u00f9 recenti terapie farmacologiche per il controllo del peso.<\/p><\/div><\/section>\n<section class=\"article\"><div class=\"wrap\">\n\n<p class=\"lead\">Si definisce obesit\u00e0 un eccessivo accumulo di grasso corporeo in relazione alla massa magra, sia in quantit\u00e0 assoluta sia per distribuzione in punti precisi del corpo.<\/p>\n<p>La classificazione in base al peso si avvale dell'indice di massa corporea (<strong>BMI = body mass index<\/strong>) e della misurazione delle circonferenze, in particolare di quella addominale. Il BMI si calcola come <strong>peso (kg) \/ altezza\u00b2 (m)<\/strong>.<\/p>\n<table class=\"tbl\">\n<tr><th>Classe<\/th><th>BMI (kg\/m\u00b2)<\/th><\/tr>\n<tr><td>Sottopeso<\/td><td>&lt; 18,5<\/td><\/tr>\n<tr><td>Normopeso<\/td><td>18,5 \u2013 24,9<\/td><\/tr>\n<tr><td>Sovrappeso<\/td><td>25 \u2013 29,9<\/td><\/tr>\n<tr><td>Obesit\u00e0 di I grado<\/td><td>30 \u2013 35<\/td><\/tr>\n<tr><td>Obesit\u00e0 di II grado<\/td><td>35,1 \u2013 40<\/td><\/tr>\n<tr><td>Obesit\u00e0 di III grado<\/td><td>&gt; 40<\/td><\/tr>\n<\/table>\n\n<style>\n.smm .bmi{background:linear-gradient(160deg,var(--teal),var(--teal-deep));border-radius:22px;padding:30px 30px 34px;margin:30px 0 10px;color:#fff;box-shadow:var(--shadow)}\n.smm .bmi h3{color:#fff;font-size:1.5rem;margin:0 0 4px}\n.smm .bmi .sub{color:rgba(255,255,255,.78);font-size:.98rem;margin:0 0 22px}\n.smm .bmi-inputs{display:grid;grid-template-columns:1fr 1fr;gap:16px}\n.smm .bmi-inputs label{display:flex;flex-direction:column;gap:7px;font-size:.82rem;letter-spacing:.06em;text-transform:uppercase;font-weight:600;color:var(--accent-soft)}\n.smm .bmi-inputs input{font-family:'Hanken Grotesk',sans-serif;font-size:1.3rem;font-weight:600;color:var(--ink);background:#fff;border:2px solid transparent;border-radius:12px;padding:13px 16px;outline:none;transition:.25s;width:100%}\n.smm .bmi-inputs input:focus{border-color:var(--accent)}\n.smm .bmi-result{margin-top:24px;opacity:0;max-height:0;overflow:hidden;transition:.5s ease}\n.smm .bmi-result.show{opacity:1;max-height:340px}\n.smm .bmi-top{display:flex;align-items:baseline;gap:14px;flex-wrap:wrap;margin-bottom:18px}\n.smm .bmi-num{font-family:'Fraunces',serif;font-size:3.4rem;line-height:1;color:#fff}\n.smm .bmi-num small{font-size:1rem;color:rgba(255,255,255,.65);font-family:'Hanken Grotesk';margin-left:6px}\n.smm .bmi-cat{font-weight:700;font-size:1.05rem;padding:8px 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var(--line);border-radius:16px;overflow:hidden;margin:18px 0;box-shadow:var(--shadow-sm);transition:.3s}\n.smm .drug2:hover{transform:translateY(-3px);box-shadow:var(--shadow)}\n.smm .drug-media{background:var(--bg-2);position:relative;min-height:160px}\n.smm .drug-media img{width:100%;height:100%;object-fit:cover;position:absolute;inset:0}\n.smm .drug-media.icon{display:grid;place-items:center;color:var(--teal);background:linear-gradient(160deg,rgba(28,106,99,.10),rgba(190,107,60,.08))}\n.smm .drug-media.icon svg{width:64px;height:64px}\n.smm .drug-body{padding:24px 28px}\n.smm .drug-body h3{margin:0 0 8px;color:var(--teal)}\n.smm .drug-body p{margin:0;font-size:1rem}\n@media(max-width:600px){.smm .drug2{grid-template-columns:1fr}.smm .drug-media{min-height:140px}.smm .drug-media img{position:relative}}\n<\/style>\n<div class=\"bmi\">\n  <h3 class=\"serif\">Calcola il tuo BMI<\/h3>\n  <p class=\"sub\">Inserisci peso e altezza per conoscere il tuo indice di massa corporea e la relativa classe.<\/p>\n  <div class=\"bmi-inputs\">\n    <label>Peso (kg)<input id=\"bw\" type=\"number\" inputmode=\"decimal\" min=\"20\" max=\"400\" placeholder=\"es. 78\"><\/label>\n    <label>Altezza (cm)<input id=\"bh\" type=\"number\" inputmode=\"decimal\" min=\"100\" max=\"230\" placeholder=\"es. 175\"><\/label>\n  <\/div>\n  <div class=\"bmi-result\" id=\"bres\">\n    <div class=\"bmi-top\">\n      <div class=\"bmi-num\"><span id=\"bval\">0<\/span><small>kg\/m\u00b2<\/small><\/div>\n      <div class=\"bmi-cat\" id=\"bcat\">\u2014<\/div>\n    <\/div>\n    <div class=\"bmi-bar\"><div class=\"bmi-marker\" id=\"bmark\"><\/div><\/div>\n    <div class=\"bmi-scale\"><span>15<\/span><span>18,5<\/span><span>25<\/span><span>30<\/span><span>35<\/span><span>40<\/span><span>45<\/span><\/div>\n    <p class=\"bmi-note\">Il BMI \u00e8 un indicatore orientativo e non sostituisce una valutazione medica.<\/p>\n  <\/div>\n<\/div>\n<script>\n(function(){\n  var w=document.getElementById('bw'),h=document.getElementById('bh');\n  var res=document.getElementById('bres'),val=document.getElementById('bval'),cat=document.getElementById('bcat'),mark=document.getElementById('bmark');\n  var cats=[[18.5,'Sottopeso','#3E7CB1'],[25,'Normopeso','#2E9E86'],[30,'Sovrappeso','#E0B04A'],[35,'Obesit\u00e0 I grado','#D98343'],[40,'Obesit\u00e0 II grado','#C25E33'],[999,'Obesit\u00e0 III grado','#9E3F22']];\n  function calc(){\n    var kg=parseFloat(w.value), cm=parseFloat(h.value);\n    if(!kg||!cm||cm<100){res.classList.remove('show');return;}\n    var b=kg\/Math.pow(cm\/100,2);\n    if(!isFinite(b)||b<=0){res.classList.remove('show');return;}\n    var c=cats.find(function(x){return b<x[0];});\n    val.textContent=b.toFixed(1).replace('.',',');\n    cat.textContent=c[1]; cat.style.background=c[2];\n    var pct=Math.max(0,Math.min(100,(b-15)\/(45-15)*100));\n    mark.style.left=pct+'%';\n    res.classList.add('show');\n  }\n  w.addEventListener('input',calc); h.addEventListener('input',calc);\n})();\n<\/script>\n\n<p>L'obesit\u00e0 \u00e8 una patologia cronica il cui trend, in costante aumento, \u00e8 paragonabile a una vera epidemia: si stima che circa il 30% della popolazione italiana sia in sovrappeso e il 10% obesa, senza considerare l'obesit\u00e0 infantile, oggi un rilevante problema sociale.<\/p>\n<p>Le linee guida, che fino a pochi anni fa contemplavano \"solo\" dieta, attivit\u00e0 fisica e chirurgia bariatrica, oggi possono contare su nuove scelte terapeutiche, derivate principalmente da classi di farmaci gi\u00e0 impiegate nel trattamento del diabete.<\/p>\n<div class=\"box\"><h4>Quando \u00e8 indicata una terapia medica<\/h4>\n<p>I candidati sono soggetti con <strong>BMI \u2265 30 kg\/m\u00b2<\/strong>, oppure con <strong>BMI \u2265 27 kg\/m\u00b2<\/strong> in presenza di altri fattori di rischio o patologie correlate all'obesit\u00e0.<\/p>\n<\/div>\n<h2>I farmaci utilizzati<\/h2>\n<div class=\"drug2\"><div class=\"drug-media icon\"><svg viewBox=\"0 0 64 64\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\" stroke-linecap=\"round\"><rect x=\"10\" y=\"22\" width=\"44\" height=\"20\" rx=\"10\"\/><line x1=\"32\" y1=\"22\" x2=\"32\" y2=\"42\"\/><\/svg><\/div><div class=\"drug-body\"><h3>Orlistat<\/h3><p>Inibitore selettivo delle lipasi pancreatiche, riduce l'assorbimento intestinale dei grassi (circa 30% a dose piena, 25% a met\u00e0 dose) con aumento dell'escrezione fecale. In commercio dal 1998, \u00e8 il farmaco pi\u00f9 \"datato\" ancora in uso; prescrivibile in due dosaggi (120 mg e 60 mg) da assumere durante i tre pasti.<\/p><\/div><\/div>\n<div class=\"drug2\"><div class=\"drug-media icon\"><svg viewBox=\"0 0 64 64\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"3\"><circle cx=\"24\" cy=\"24\" r=\"13\"\/><circle cx=\"42\" cy=\"42\" r=\"13\"\/><line x1=\"15\" y1=\"24\" x2=\"33\" y2=\"24\" stroke-linecap=\"round\"\/><\/svg><\/div><div class=\"drug-body\"><h3>Bupropione \/ Naltrexone<\/h3><p>Associazione di due farmaci di ambito psichiatrico: il bupropione stimola la produzione di un ormone con effetto anoressizzante, mentre il naltrexone ne prolunga l'azione inibendo i recettori che lo neutralizzerebbero. Approvata in Europa nel marzo 2015 per obesit\u00e0 e sovrappeso (BMI &gt; 27) con comorbidit\u00e0, in aggiunta alle modifiche dello stile di vita. Si assume in compresse, fino a 32\/360 mg al giorno in due somministrazioni.<\/p><\/div><\/div>\n<div class=\"drug2\"><div class=\"drug-media\"><img decoding=\"async\" src=\"https:\/\/studiomedicomaino.it\/wp-content\/uploads\/2023\/10\/sax-1.jpeg\" alt=\"Penna per somministrazione sottocutanea di liraglutide\" loading=\"lazy\"><\/div><div class=\"drug-body\"><h3>Liraglutide<\/h3><p>Tra le prime terapie approvate, oltre che per il diabete tipo 2, anche per l'obesit\u00e0. \u00c8 un analogo del GLP-1 umano: in commercio dal 2009 come antidiabetico (1,8 mg\/die) e dal 2015 per l'obesit\u00e0 (3,0 mg\/die). Il GLP-1, ormone intestinale rilasciato dopo il pasto, entra in azione quando la glicemia sale: per questo non causa ipoglicemia. Rallenta lo svuotamento gastrico (saziet\u00e0 precoce), aumenta la secrezione insulinica e agisce a livello cerebrale riducendo l'appetito. Somministrazione sottocutanea giornaliera.<\/p><\/div><\/div>\n<div class=\"drug2\"><div class=\"drug-media\"><img decoding=\"async\" src=\"https:\/\/studiomedicomaino.it\/wp-content\/uploads\/2023\/10\/211b3f4f-e485-43ae-abb8-70a0cd522401-1-300x200.jpeg\" alt=\"Penna per somministrazione sottocutanea di semaglutide\" loading=\"lazy\"><\/div><div class=\"drug-body\"><h3>Semaglutide<\/h3><p>Tra gli ultimi analoghi del GLP-1 approvati per obesit\u00e0 e diabete tipo 2. La somministrazione \u00e8 sottocutanea ma <strong>settimanale<\/strong>. In Europa \u00e8 usato dal 2019 come antidiabetico (0,5\u20131,0 mg\/sett); negli USA approvato nel 2021 per l'obesit\u00e0 con comorbidit\u00e0 (2,4 mg\/sett) e in Italia disponibile da luglio 2024. Nei trial la perdita di peso \u00e8 risultata circa doppia rispetto alla liraglutide, con un calo ponderale di circa il 15% del peso di partenza.<\/p><\/div><\/div>\n<div class=\"drug2\"><div class=\"drug-media\"><img decoding=\"async\" src=\"data:image\/jpeg;base64,\/9j\/4AAQSkZJRgABAQAAAQABAAD\/2wCEAAkGBxISEhUSExIVFhUXFRUVFRcVFRUXFRYXFRUWFxUVFRUYHSggGBolHRUVITEhJSkrLi4uFx8zODMtNygtLisBCgoKDg0OFxAQGC0dHx0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLf\/AABEIAKgBLAMBIgACEQEDEQH\/xAAbAAABBQEBAAAAAAAAAAAAAAAAAQIDBAUGB\/\/EADsQAAIBAgQEBAMGBAUFAAAAAAABAgMRBAUSITFBUXEiYYGRBqHBEzJCsdHwByNSYhQVcpLhFjNTgpP\/xAAZAQADAQEBAAAAAAAAAAAAAAAAAQIDBAX\/xAAiEQEBAAICAQUBAQEAAAAAAAAAAQIRAyExBBITQVFhIhT\/2gAMAwEAAhEDEQA\/AO9URYxHxHWMNOnZukVQHxFsGi2akO0iipDBIoekFh1hpLYUQVDI5D0RjlIYOBsY5jXMNhJrGSqEUqpSxWLUU2GxIsVsQitrvuZ1Ou5SL8UTtpMUmsE2JGBJpFuq1DGMZNpGsQRJ9SanN8BkoEM7r05ip+VycyByGOoRuZO1aEpEFWp5hVmZ+Jr2JpwVqpU1Nj4pyfkT6EkTrZ7QQh1L2Fo82Mw9G7u+HIupG\/Fx67rl5uTfUAjHMYzZgaxjHsYxAggogBv2FSBIUzdBUhREKACBMRDkMFQ4aDAjkLcZcRyGSRjXIY5EcpgE0pkEqpFOoU61cDiatiLGbVlrlbkiHFYkZhZslpji18PTSLcYlTDyZdpxuPSrNHwQ+UQKmOxqgrc+g9aKTaaUkuJVddXsmZtXGuRFhqqTuxWtPY24yHablbD1U+Bbghs7NKeIg4rYgdQ1pQTMPN4OnvyfyfQyzw13FY5fSDFYmyK9Ki5bsbQpanql6ItOTe0UTJs8spDZyUdkPo0nLeXAko4a273ZYSNseP8AXNny76hYoUQDRiGNYrEYA1jGOY1iBBBRADoExbgxLmboOuFxlxQBzYikI2NcgCRsRyI7iOQxpJcbKRG5DJSAjnUIqlUZUmVq1QAWrXM7FYkXE1bGNjMSK1ch9bEXfHZF3CVODuu1jnlNtSd+a+v6mngJ9WZ7b4zp1mDndLn2NOkYWXO5uU+BrizyMxVVRTZz8sZBtuTvJ8l05Fb45zDSo0k34vFK39K4L1b+Rh5dj4QjtxIyy7a4Yf5bNaq3wi+5Gp8jOxGdpLcxsRn6UrJXb2SXUnbTTvY4mMI+ZpYKq5I4nKYzdp1NnyV+B12WysjTGsc8ZGtTRHisOpRaa4jqMh1WVimX25yWHlrcXwXzLMIJFnHNbNcSvceMkYcu99lC46FKUuCb9NvcwfirOHhtMV96V31sl2NcMLldRk25zSV27DKNeMt4tPszzuhnFXEVYwk3pd35bJv6GplOLdKot9ntJeT5nZPRW4XLfcN2g1iiM4CNY1jmNYgQQAA3QsRjUxWzNuJIY2OchriBhyGykIxGBhyEchrkR6wB05kUpiSkVpzDYLKsVKtVi1qvmUq1UR6QYusYuLql\/FVGZOIFThdemmn1bfzt9DTy3EJpX97Mbgsu1\/ZJ8EtTXtZe7+R3+XYSOn7q9iseL3d7aZcswk62yMuqRut0zpaaWkzc3yqMNNWmtLckpJcHfnYtYirohqk7JK7b5LmXMfbuUsrMpLHkHxzjp\/42tvdJxivJKK+rZgRzOa6l\/OKyqVJ1JNJylKW\/Hd8Ctgckr4j\/ALNGc11UXp\/3cEY+3d6V8lx+1erjnJcTR+GaGqTm+C2Xfmzpsh\/htO+vGeGPKEZLVJ+bjey7O52+XZJhaCSp0Yq3N3k\/eV2a48GV\/jPL1eM\/rnsuwzl91N9k2dJgMDNNWi13aLzq9B+Bq\/zF2f5M2np5HPl6u3xD3h5R5p9mOlRuuNhMZX8L\/tab7cGUaWNVrX9VFxjv0vxL+KM7z5Jq2Ejq8V5Ws1y4rdvdE1OFNNWivz49zMzPGJRVTZpPRK6vb+mVv3wZS\/zdW4t+bi437J8i5hIjLkyy8thV0k48NLat6nmn8QKq+1hK\/KS9mn9Toc5zlLTVTtfwT78n6\/qcB8X437RN33i7rtwZphlMameUOV5hGFelK+2pJ9pbP8zpKtNJtc1e3on+h5fPFM7vJ8yVelGV\/ElaXdHoen5ZbcWz0TLauqlCX9q\/QssoZGrUIX6fVl5ni8kkzyk\/UkY1isaZggAAG3LijGFzN0aOY24jkNuALIZcJMY2BmyYxsc2QzYgZNkFSSJajKVWYHDasupRryJ6sytWlcRqWJKFamaiwk5vwxb9Nvcmjkjf35xj1SvKX+1BobXciaur9F8l\/wAs7TBtaUcPSjToSSlUSjZWk2rdm+T35nQ0s3oRS\/n0\/SafyRrx5anaM+66DMkmorzuZ+b5TDFQ+znKahdalBpOaX4W2n4e1uByfxh\/EShRjanJSq2tFcl\/dPovLizzmee5ji0oxniKq\/sTjD10JR9zp4eD5bcrdRF3jj+PXMm+FMPQm5ujTv8Ah1XqNdXqnffsdA6yWxyXw\/jqlPCUYVVpqRpxjJNptadldrysS1s18zT2SXTlyzrXzHFpNb8jPlmKMTMcfqjdcVv6c\/35GLPMn1H1GfddhPM0R4fN1GpGTe19+z2ZxNXNfMo1c2k+BNzgmNr0zMs0+yn4t1umuqfG35nJY3OfsajhJ8LuDcpWlB7pwitpPcflmrG04wrQqRcNlUVrSguCknumupsUshw0Y6XBzS4KpKU0u0XsvYzy5ZJ06MOHK+enN\/8AU8G3BuTjNaZKKbkr8Go9U7Mho4PGzb0RTXKc9cbrktM7OL9DqoU4RlaEYxu\/wxS\/I0IoynLcl58UwcjQ+GsTJNVasFGStKKi5397bk+G+BMKvv66neTSXlZcjqAC21DhcR\/DHDyqOUatSMG7qC0u3km1wNPKvgbC0Hqi6jfO89n3S2OnAJlZdygRikrLguANgIIBjRWIIEAAA2xcbcaFzJ0nISTI2DYASYy4rZE2ALcjbEqVLEM5bN+WxUlpW6PqFKpHny6vh78DK\/x9SUp6XaMZNJ2Wp2eltvumU69Nyd5SlLu2xWDbXjUo33qJ9t\/drgQ47OKNGKap33\/9r7vi+z5GDmWJ+yjdR4pr12Zh5tj51YyWqMX4ZK76bO8VeXC\/I1xwx9u2OXJl7tO9y7N5146vsnFcnN+GS6pbJ+wmMzinFaZ1Ir+1fRHnuT4qc9NJzq1VayUITVNdFqb4d4nS4TAad3GEPN7v24fIm2Rc91PxufRn4Ypu\/Nrwu3Kz7Ec8io1YxktUU7S8EnF+cXYkm6STWq\/W2yb89KEwmNabja6vtx9eJWOU+xccvqrGWZHh6W8aELr8Ulql31SuzZlVlYiwsr8ZJF2NKL\/EX8\/4f\/Nb5Z9SbKdaozoVl8OLfzIZ4Ci\/wpkXmq56XFyWIxluftv8kZGI1yfgjLfqrJdudj0H\/LKfJKw9ZfBckRc86v4OOOBwmT1p8Vb5mzhsh08eJ1LhGK5EdLExbsTf7VY4yeIkwNDRFWHVqtky3FK3l+plYqpeSXmO9QaTYOO9\/wB+RcRHQjZEhWM1HJyXeRQEuFymZQEC4AogCAAIKIIEAAA2kmDkI0IZOkOQ2UhGyNyEZZMqV61ixIzsagEV6mO3S8+pXzHHTbVk7cGUa9N35jak6iVtW3pf3Kw5NFnhs7CpxnJSXhcnO9+U95xfmm215GjWpU4rxTivO\/EwFOV73d+5WxlQPcXtamYVcNODpy1ST6bb8mmZNGlQglppR4WvLd+zvb0ZUc2RTqi3T1GhVzCX3U7LoiKWI5t377v5mZOoI6wjaH+JuW8trRUry4W+pgfa2HfbNcwOO8nUw9SO0tD8m\/qY2JzKdF6XLUuTRz8a76kc5aub92O2a8Lxyyl8uzwmfrmx085V+PQ4GUpLgQVMbLbiRNtLyPUKWcq3EkeZ3R5jSzZrm\/Zluhm05bRTZW6zuUd3Xx6ae5jVMwcZXTujOo4evUV7pL3J4ZPdpOc272Silx6Ws9xU5k6TLs0nPbfeyS5tvhY6KGW20p\/flxfS\/Tt9BPhj4djh465q9S213fSu\/U1YeKpf+lP57L6lyfpZZ\/ihiIpOy4cvQiJ8YvEQGkcWXkoCANJQEAAUQBAABgAgQAADX7hYibYuox26dCSYxjpSI2wMjZVxCJ5vkxko79QDOlQIKmHNOdMilTDRsieEM3G4Y6SdMoYmkugE5edFoq1KB0c6C6FavhVyQ9BzdWmyCSNyvhTOr4YRM6TGKbLU6RDKkBljPYdGZFYW4lSpbatinXpSXmaODpNvgWsTGi1xlCXVxvB97bruk+wK9ts6c93j7FzBOSacYt+jJ3C2+0kvxR3Xd9PWxcwWYRjyBM3K6nIsNWqRa0KN+vS\/TidxkmTQo+Jq87fefH06HJZBnMOcly+iOmrZutF43b4bc+it5lY6XVzMceokmXQag5S2cm210S2S\/fUpYHL2v5tb7\/GMfww831l+XzNKD8C89\/d3+pcnbPLxpQxvErk+Ld2QFOXLyAABpAAAgBBQAEEFAAQAADWdQ1sbcSTMHWd+QDbjbgD2kMewq2EYyN4kdQklS9xrQwrz34FapTuXnH3K7W7GGdUp9SGpSNKUepFKkArHr0OZQr4Y350E+JTxFEROdxFGxnYg3cXh+hi4ukwChKQ2LuxKsWOoxuI46zAYSSpJqG3zb5u3Eq4ihTltumOyvXt4pLzv+pfzXLa846opTa3dlaaXa\/i9ByTTb5L4c9DKqilqpNprg4tpr1RqYP4adRrVtd2duPk\/kOynHK9pcfM6vA5hFb7X\/f6k9NJ2wIfAeMjL+VOm1ycnKL9VZ\/Js7f4fyd4Zaq01OpysvDH\/AE33b8+jE\/z1Ri90v3\/wVKdaviH\/AC4vS\/xzvGHdPjL0uXJPLK3XTYr4nU9K5uy9S3OWxn5bl32XinNzn1taK\/0r6tstTkXGOVl8KmIluRjqr8Q0bnz8gAAaShYQAAAAAEAAYgQAADKtxNQy4mo567Ilk+YjkRuQQkLZ6PUrCqS5kVR8wiyoNLBHIXUM1FI0SQ2pDyHy6kc2xhFOI3TsTq75DXTAK84XK9WldF9UyOpTQBhYnD34IycTgX0OonR3Ip4a\/IRuLrZa2Pw2VPodasGuhJDBhomfluBtyOmwUGrFfD4WyujQw1K3cqBDjvh\/DYh3qU1q\/qi3GXq48fW5FT+DMIv\/AC\/\/AFkbEHYfKY9QvdVPB5FhaTvGkm+N5uVS3bW2l6GjOoV9YycwLe07qEc5WGRYypPYeyRN7gJAcOMciAKA0kAUABAFAAaDFYggQAADMnIhcgAwdkCVx0WAEqK9xFsADgLCXsLcAKiaR1LDtXNABUGi2vwEfcABMJFeSsRygABR9iUb8iONPqADNKqCuKqXAQASsUqfIsQXUQBkfFiymADoRyqEWsAJAVUjqVLgAQVJEUALjnoAAGQAAAAAAARiAAgQAADf\/9k=\" alt=\"Somministrazione sottocutanea con penna di tirzepatide\" loading=\"lazy\"><\/div><div class=\"drug-body\"><h3>Tirzepatide<\/h3><p>Commercializzata come Mounjaro, \u00e8 un farmaco innovativo con un meccanismo d'azione unico che combina l'attivazione di <strong>GLP-1<\/strong> e <strong>GIP<\/strong> (glucose-dependent insulinotropic polypeptide). La doppia azione amplifica la riduzione dell'assunzione calorica e promuove una maggiore perdita di peso. Somministrazione sottocutanea settimanale, con dosaggi da 2,5 a 15 mg secondo tolleranza e obiettivi terapeutici.<\/p><\/div><\/div>\n\n<\/div><\/section>\n<section class=\"ctaband\"><h2 class=\"serif\">Hai bisogno di una valutazione?<\/h2>\n<p>Prenota una visita presso una delle sedi tra Toscana e Calabria.<\/p>\n<a href=\"https:\/\/studiomedicomaino.it\/#contatti\">Prenota una visita \u2192<\/a><\/section>\n<footer><div class=\"wrap\">\n<div class=\"foot\"><a href=\"https:\/\/studiomedicomaino.it\/\" class=\"brand\"><span class=\"mono\">FM<\/span><span>Dott. Fabio Maino<small>Endocrinologia \u00b7 Malattie del metabolismo<\/small><\/span><\/a>\n<div class=\"foot-links\"><a href=\"tel:+393494732250\">+39 349 4732250<\/a><a href=\"mailto:maino.studiomedico@gmail.com\">Email<\/a><a href=\"https:\/\/www.facebook.com\/studiomedicomaino.it\/\">Facebook<\/a><\/div><\/div>\n<div class=\"foot-note\">Le informazioni cliniche presenti hanno finalit\u00e0 divulgativa e non sostituiscono il parere del medico. Bozza di restyling.<\/div>\n<\/div><\/footer>\n<\/div>\n<script>(function(){var m=document.getElementById('m');if(m)m.querySelectorAll('a').forEach(function(a){a.addEventListener('click',function(){m.classList.remove('open')})});})();<\/script>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>FMDott. Fabio MainoEndocrinologia Home Curriculum Tiroide e Gozzo Ipotiroidismo Gravidanza Tumore Tiroide Termoablazione Obesit\u00e0 Media Prenota Home &nbsp;\/&nbsp; Obesit\u00e0 e Terapie Mediche Malattie del metabolismo Obesit\u00e0 e Terapie Mediche Dalla valutazione del BMI alle pi\u00f9 recenti terapie farmacologiche per il controllo del peso. Si definisce obesit\u00e0 un eccessivo accumulo di grasso corporeo in relazione alla [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"tags":[153,158,141,135,132,126,130,151,152,159,142,131,140,128,134,150,73,136,161,160,127,139,138,157,133,12,154,155,137],"class_list":["post-222","page","type-page","status-publish","hentry","tag-analoghi-glp1","tag-analogo","tag-bmi","tag-diabete","tag-europa","tag-farmaco","tag-farmaco-per-perdere-peso","tag-gip","tag-glp-1","tag-glp1","tag-grado","tag-italia","tag-lira","tag-liraglutide","tag-metformina","tag-mounjaro","tag-obesita","tag-penna","tag-perdita-peso","tag-peso","tag-saxenda","tag-sema","tag-semaglutide","tag-sovrappeso","tag-svizzera","tag-tiroide","tag-tirze","tag-tirzepatide","tag-wegovy"],"_links":{"self":[{"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/pages\/222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/comments?post=222"}],"version-history":[{"count":18,"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/pages\/222\/revisions"}],"predecessor-version":[{"id":324,"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/pages\/222\/revisions\/324"}],"wp:attachment":[{"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/media?parent=222"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/studiomedicomaino.it\/index.php\/wp-json\/wp\/v2\/tags?post=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}