How does weight loss affect urine?

How Does Weight Loss Effect Urinary Leakage? Weight loss helps urinary leakage because losing weight in the abdominal area puts less pressure on the bladder.

trihealth.com - Could Weight Loss Improve Overactive Bladder? - TriHealth

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A recent government report says nearly 50 percent of older Americans struggle with bladder incontinence, or the inability to keep urine from leaking out of the urethra (the tube that carries urine out of the body from the bladder). If you fall into that population, and you’re overweight, you might want to consider shedding a few pounds.

How Much Weight do I Need to Lose to Have an Impact?

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“It doesn’t have to be a drastic weight loss, but weight loss of around eight percent of a patient’s body weight, which is, on average, for a women, around 15 to 20 pounds, will reduce their weekly leakage – whether it’s overactive bladder or stress incontinence – by about 47 percent,” Catrina Crisp MD MSc FACOG, of Cincinnati Urogynecology Associates, explains. The less weight you lose, however, the less impact it will have on your incontinence, but regardless, studies show that weight loss does reduce urinary leakage. A 2009 study in the New England Journal of Medicine found that women who lost just two percent of their body weight (about three pounds) had about a 28 percent reduction in their incontinence episodes.

How Does Weight Loss Effect Urinary Leakage?

Weight loss helps urinary leakage because losing weight in the abdominal area puts less pressure on the bladder. “The muscles aren’t having to do so much accessory work, so to speak, and they’re able to extend their energy supporting the pelvic floor and the bladder, rather than all of the additional pressure from excess weight,” Dr. Crisp points out.

Bottom Line: It's All About Patient Preference

While Dr. Crisp does encourage weight loss for her overweight patients struggling with incontinence, she emphasizes that when she creates a treatment plan, it's all about patient preference. "We go through all of their options, including pelvic floor, physical therapy and outpatient surgery and medication, and if the patient chooses to move toward physical therapy, weight loss and behavioral training, we go through their program with them to try to not only improve muscle strength, but also improve weight loss," Dr. Crisp explains. This also involves having the patient cut out items in their diet that are bad for the bladder, like coffee and soda, and acidic foods, like citrus or fruit juices.

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What happens after stopping Saxenda?

Saxenda is not an addictive medication, so you will not get withdrawal symptoms when you stop taking it. However, the changes in the hunger hormones in your body may impact your digestive system for a few days and can cause sickness.

zavamed.com - What are the side effects of Saxenda? | ZAVA UK

Like all medications, it is possible to get side effects when you take Saxenda. Whether you get side effects and how severely they affect you varies from person to person. Side effects are listed in categories depending on how many people record the symptoms. This gives you a good idea of how common or rare the side effects are. As Saxenda impacts your digestive system, many of the common side effects that people report affect your stomach, bowels and a general feeling of wellness.

Common side effects

Very common side effects of taking Saxenda may impact more than 1 in 10 people and usually clear up within a few days of starting to take the medication:

feeling or being sick

diarrhoea

constipation

headache

If you are feeling or being sick, try the following:

eat foods with water in them (like soup)

eat bland foods (like crackers)

don’t lie down after you eat

take fresh air after you eat

Common side effects may affect up to 1 in 10 people and include:

skin reaction at the injection site

tiredness

difficulty sleeping

dizziness

stomach pain

heartburn

flatulence

change of taste

dry mouth

low blood sugar (called hypoglycemia)

change in enzyme levels in your blood (this can only be picked up with a blood test)

gallstones

Uncommon side effects may affect up to 1 in 1000 people and include:

dehydration

inflamed gallbladder

faster pulse

feeling generally unwell

allergic reaction

reduced kidney functioning

acute kidney failure

The patient information leaflet has more information on the side effects of taking Saxenda.

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