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Obesity Or Bariatric Surgery

15 questions answered by doctors & treatment decisions assisted by team clinicspots.

Male | 14

Effective Ways to Lose Weight

Hi my name is Rahul I am 15 and my weight is 180kg I gained this in just 3 years can i losse weight I started gaining when i start fast food

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

14 years of experience

Answered on 13th Dec '23

YES, YOU CAN LOSE WEIGHT. Fast food is high in calories, salt, sugar & fat. Decrease fast food intake, eat more FRUITS & veggies. Exercise daily. 

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

14 years of experience

Answered on 1st Aug '23

Consult with a dietician or a medical professional like a bariatric surgeon before starting any weight loss medications or supplements. Focus on a balanced diet, portion control, regular exercise, hydration, sleep, and stress management for sustainable weight loss. 

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

14 years of experience

Answered on 26th June '23

Bariatric surgery can have both positive effects on health and potential side effects. The specific side effects can vary depending on the type of bariatric surgery performed, but here are some common ones:


Surgical risks: It includes infection, bleeding, blood clots, and adverse reactions to anesthesia.

Nutritional deficiencies:It impacts nutrient absorption and lead to deficiencies of iron, vitamin B12, calcium, and vitamin D. These deficiencies may require lifelong supplementation and close monitoring.

Dumping syndrome: Can occur after gastric bypass surgery, where food moves too quickly from the stomach to the small intestine. You may experience nausea, vomiting, diarrhea, dizziness, and rapid heart rate after meals.

Gallstones: Rapid weight loss after bariatric surgery can increase the risk of developing gallstones. 

Changes in bowel habits: Some individuals may experience changes in bowel movements like diarrhea or constipation, after bariatric surgery.

Hair loss: Temporary hair loss or thinning may occur due to nutritional deficiencies or rapid weight loss. This is usually temporary and can be managed with proper nutrition.

Psychological and emotional changes: Bariatric surgery can have a significant impact on body image, self-esteem, and emotional well-being. Some may experience depression, anxiety, or body image issues post-surgery.

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

14 years of experience

Answered on 23rd Feb '23

Focus on eating a balanced diet that is low in fat and sugar, and high in fiber. Do physical activity regularly like walking, jogging, biking, swimming or any other form of exercise. But make sure you don't have any joint issues. Aim for at least 30 minutes of exercise a day. It is also important to reduce stress and make sure to visit your doctor regularly to discuss any further health concerns.

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

14 years of experience

Answered on 4th Mar '22

Liposuction or literally ‘sucking out fat’ is a suboptimal therapy for OBESE patients who desire weight loss. Liposuction can be considered as a treatment option for body sculpting, or slightly overweight patients who need to shape their abdomen in a particular manner. However, if one is obese, liposuction will cause a disproportionate loss of fat over the tummy, and leave space for fat re-accumulation in the future.

 

There are many weight loss options for a proportionate weight loss, eg. diet, exercise, or medications.

 

The healthier or ‘more natural’ way to lose weight in obese patients (with a BMI of more than 30 kg/m2) is bariatric or metabolic surgery, wherein the stomach is re-sized or bypassed using keyhole surgery. This surgery causes proportionate loss of fat all over the body up to 80% of the excess body weight, over a period of 1-1.5 years. This surgery is a safe and effective option if done by a certified surgeon at a high-volume center.

Female | 39

tummy fat reduction treatment

Good morning mam My name is jothi from Tirupur Belly fat reduce treatment details I need mam contact number 8489555525

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 31st Dec '21

  1. When you say that you want to "reduce belly fat", it isn't clear to us whether you are fit overall and this is merely a case of localized fat, or if you are obese and your belly happens to stand out somehow, on our platform we have often seen people confusing the two.
    • So with the lack of relevant details, we will answer your query keeping both possibilities in mind.
       
  2. Assuming that you are obese overall and your belly stands out, then:
    • You should approach a nutritionist/dietician to enquire about dieting & lifestyle modifications.
    • Once it's concluded that they aren't delivering desired results, then you move on to endoscopic procedures or other weight-loss surgeries, but they will only limit food intake, and won't remove fat -- they are mentioned below:
      • Gastric bypass, gastric binding, gastric sleeve, Biliopancreatic diversion with duodenal switch -- the doctor will determine your eligibility, depending on your health background and pace of weight loss.
    • The doctor shall guide on everything, just make them aware of your expectations, limitations and pre-existing health conditions as they could create complications and the dietician would have an easier way of providing realistic goals.
    • You may refer our page to contact experts and learn more - Dietitian/Nutritionists.
       
  3. Assuming that you are fit overall and your belly fat is a localized deposit that refuses to burn out no matter how much you exercise, then:
    • In this case, you can think of plastic surgeries such as liposuction, liposculpture, and various body contouring techniques.
    • For plastic surgeries mentioned above, following things are common:
      • Common side effects include: Pain, bruising, and swelling.
      • Possible risks include:
        • Loose, uneven or bumpy skin.
        • Permanent spotted skin.
        • Temporary pockets of accumulated fluid.
        • Temporary/permanent numbness caused by nerve irritation.
        • Skin infections, damage of internal organ, kidney and heart problems.
        • Fat embolism where fats get trapped in blood vessel, same qualifies as a medical emergency.
        • Bad reaction to anesthesia.
      • An ideal candidate is someone who has:
        • good skin elasticity,
        • no smoking history,
        • skin free of sun damage,
        • ideal weight and BMI under 30,
        • strong muscles and no sagging skin
      • Word of caution - Avoid or discuss these medications with your doctor:
        • Aspirin, anti-inflammatory prescriptions and herbal complements.
        • Please visit this page to find specialists who can consult you and provide affordable services - Plastic Surgeons.

 

Let us know if your locality is different and drop us a message if you have any more questions!

 

Note - Always discuss with specialists:

  • The procedure, side effects and risks that can follow each treatment, liability/compensation/rectifying treatments available for risks/unwanted outcomes, pre-operation measures, post-operation care, any possible complications that your health background can create and correction treatments for them, also the eligibility criteria for a patient to undergo those treatments.
S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 30th Dec '21

  • You should approach a nutritionist/dietician regarding her first and put her on dieting & lifestyle modifications.
  • Once it's ruled out that they aren't yielding desirable results, then she can move on to endoscopic procedures or other weight-loss surgeries, they are only concerned with limiting food intake, and are as mentioned below:
    • Gastric bypass, gastric binding, gastric sleeve, Biliopancreatic diversion with duodenal switch -- but the doctor will determine whether she's eligible or not, depending on her health background and pace of weight loss.
  • The doctor shall guide on everything, just make them aware of her expectations, limitations and pre-existing health conditions as they could limit certain options and the dietician would have an easier way of providing realistic goals.
     

You may refer our page to contact experts and learn more - Dietitian/Nutritionists.

 

Let us know if your locality is different and leave us a message if you have any further questions! 

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 30th Dec '21

Your weight loss treatment will begin with dieting, exercise and lifestyle modifications, and in the event that they don't yield desired results, only then will you be considered for some medication or surgical treatment, but they would be parallel to your dieting, exercising, and lifestyle efforts.
 

  • To put you on medication, your doctor will first expect you to meet one of the following criterions, in case clinical prescriptions aren't sufficient:
    • Your body mass index (BMI) is equal to or greater than 30.
    • Your BMI is greater than 27.
    • But if you have medical complications related to obesity as well, such as diabetes, high blood pressure or sleep apnea, or anything else, then discuss with the doctor.
    • Note: There could be side effects & risks for each, so keep your doctor updated on regular basis.


IMPORTANT:
There are surgeries meant to remove fats, but those specific surgeries are reserved only for those individuals who are not obese/fat overall, if you are obese then you will qualify for the surgeries below that are only concerned with limiting your food intake.
 

  • Endoscopic surgeries: they are less invasive and are concerned with surgical procedures which limit your capacity to consume food, such as the methods mentioned below:
    • Putting stitches in your stomach to reduce its size and its capacity to consume food.
    • Or inserting a small balloon into your stomach, which is then filled with water to reduce the amount of space available. This helps you feel fuller faster.
       
  • Bariatric surgeries: These surgical procedures have the same role as endoscopic surgeries, but with more invasive technologies.
    • You will qualify for them if earlier treatments failed, but your BMI will have to be between 35 to 40, and especially so, if the same is coupled with some serious weight-related problem, such as diabetes or high blood pressure.
    • The procedures are as follows: gastric by-pass, adjustable gastric banding, biliopancreatic diversion with duodenal switch, and gastric sleeve.
       
  • Vagal nerve blockade:
    • It involves planting a device under the skin of your abdomen, which will send intermittent electrical signals to the abdominal vagus nerve, it is concerned with informing the brain when the stomach is empty or full.
    • Can be used for adults who have not been able to lose weight, or who have a BMI of 35 to 45, either/both with at least one obesity-related condition.
       
  • Rough cost estimate:
    • The surgical procedures will cost anywhere between Rs. 2,25,000 to Rs. 7,00,000.
    • Whereas for dieting-related consultation it can vary from rs. 1,200 to rs. 20,000.
       

For more information regarding obesity treatment, you can visit experts - Dietitian/Nutritionists, let us know if your city is different, and drop us a message if you have any other concern!

 

To pick a suitable specialist, discuss/look-out for these aspects:

  • Past experiences & success rates.
  • Common side effects & risks of such procedures.
  • Pre-treatment preparations & post-treatment care.
  • Candidate eligibility to undergo these treatments.
  • Revision course in case you run into risks &/or achieve undesirable outcomes -- or correction course in case you are ineligible to undergo this operation in future.
  • Detailed information about how they will perform these treatments & what outcomes they intend to achieve (permanent cure/reducing the degree of problem/preventing further progress).
  • Pay utmost attention to hygiene and sterilized tools - as unsterilized equipment can cause infection.

 

Female | 34

how can i lose weight with pcos

Jay Guru Dr. This is Shilpi, my weight is 95kg, height 5.1", before my delivery I was 65kg, and before getting pregnant I was 54kg, I have pcos, I want to reduce my weight.

Dr. Harikiran Chekuri

Dr. Harikiran Chekuri

Plastic, Reconstructive, Aesthetic Surgeon

21 years of experience

Answered on 9th Dec '21

The weight gain is definately a post pregnancy weight gain and pcos definately adds to the problem.you might meet your gynecologist they might advise you metformin based tablets or litagluride injections which will help you to loose weight.their main target will be controlling serum insulin which is fundamental problem in pcos.i think nutrition and some physical activity along with these metaformin based treatment will definitely bring your weight down.For this consult your gynecologist or nutritionist

Female | 37

weight loss for fertility

Hi this enquiry related from my wife she has gain 100 kg weight and she was covid positive but I want to know how can you reduce the fat from whole body and what about the side effect, precautions and after this treat she can conceive or not please suggest me. Regards Prasann Kumar

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 18th Sept '21

Your wife's weight loss course will commence with dieting, exercise, and lifestyle modifications.
And in the event that they don't return desired results, only then she will be granted some medical or surgical treatment, but that would be parallel to her ongoing efforts pertaining to her diet, exercise, and lifestyle changes.

 

  • To move on to prescription based remedies, she would be required to meet one of the following criteria:
    1. Her body mass index (BMI) is equivalent of or greater than 30
    2. Her BMI is greater than 27, and additionally, she has medical complications linked with obesity, such as diabetes, high blood pressure, or sleep apnea
       
  • Before prescribing any medical remedy, the doctor will assess her on the basis of her health history, as well as possible side effects which could likely occur based on whatever symptoms she's showing.
    Weight loss medicine licensed by the Food and Drug Administration (FDA) include the following, but she will have to be monitored & permitted by her doctor as well:
    1. Orlistat (Alli, Xenical)
    2. Phentermine and topiramate (Qsymia)
    3. Bupropion and naltrexone (Contrave)
    4. Liraglutide (Saxenda, Victoza)

When she will stop taking her prescription medication, she might observe that she has regained more or all of her weight. And there could be side effects & risks as well, so keep the doctor updated on a routine basis.
 

  • Endoscopic surgeries: less invasive surgical procedures concerned with limiting her overall intake of food, we have given some gist below, just for your reference:
    1. Planting stitches inside her stomach so as to reduce its size and the amount of food which she can consume.
    2. Or inserting a small balloon within her stomach, which is then filled with water to limit the space available. This helps you feel fuller quicker.
       
  • Bariatric surgeries: These are surgical methods that have the same function as our endoscopic surgeries, but with more invasive procedures.
    1. She will qualify for them if earlier methods failed, but for this she would also have to be extremely obese (BMI of 40 or greater), and if her BMI happens to be between 35 to 39.9, then her serious weight-related problems will be taken into consideration as well.
    2. Following are the procedures which she can be counted for: gastric by-pass, adjustable gastric banding, biliopancreatic diversion with duodenal switch, and gastric sleeve.
       
  • Vagal nerve blockade:
    1. It involves implanting a device under the skin of the abdomen, which transmits intermittent electrical pulses to the abdominal vagus nerve, same helps in communicating to the brain when the stomach is empty or full.
    2. Adult individuals who have not been able to lose weight and who have a BMI of 35 to 45, coupled with some obesity-related disease, are also eligible.
       
  • Proceeding to weight loss treatment cost, the surgical procedures will cost anywhere between Rs. 2,25,000 to Rs. 7,00,000. Whereas dieting-related consultation can vary from rs. 1,200 to rs. 20,000.
     

For more information regarding obesity, you can visit experts and use our page to find them: Dietitian/Nutritionists in Bangalore, she will start out with these specialists but as she advances to further stages owing to her complications, she will be referred to other doctors as well. Let us know if you reside in a different city, to recieve better recommendations.

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 14th Sept '21

To lose weight you should eat a protein-rich diet and try to cut on refined cards and sugar, and a nutritionist would be your best guide for the same, refer to our page to find doctors who provide affordable services and have a good track record - Dietitian/Nutritionists in Gurgaon. Let us know if you help pertaining to any other issue!

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 10th Aug '21

PCOS should not cause any complication as far as liposuction is concerned, but know that it is not a weight loss surgery or procedure, it can be helpful only if you have localized deposits of fats stored within certain parts of your body and which refuses to burn out no matter how much weight you lose or how fit your body is overall.

Additionally, you should look out for health conditions such as suppressed immune system, heart disease, diabetes, and problems with blood flow, as they make you ineligible.

Also, don't go for this surgery if your weight isn't 30% within your ideal weight, if you don't have a firm or elastic skin, or if you smoke.
Liposuction surgery cost can go up to Rs. 1,54,000 or more.

If you are looking to lose weight, then contact these experts - Obesity Specialists in Delhi. But if you feel that you can proceed with this surgery going by eligibility criteria which was mentioned, then approach relevant experts - Liposuction doctors in Delhi. Let us know if you reside in a different city, and come to us if you have any other doubt which is still not addressed!

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 4th Aug '21

  • Your weight loss journey will start with dieting, exercise and lifestyle changes, and in the event that they don't yield desired results, only then will you be considered for some medication or surgical treatment, but that would be side-by-side your dieting, exercising, and lifestyle fixes.
     
  • To move on to medication, you would have to meet one of the following criteria:
  1. Your body mass index (BMI) is equal to or greater than 30
  2. Your BMI is greater than 27, and additionally you have medical complications related to obesity as well, such as diabetes, high blood pressure or sleep apnea
     
  • Before prescribing any medication, your doctor will consider your health background, as well as possible side effects. Weight loss medicine approved by the Food and Drug Administration (FDA), include the following, but you would need to be monitored:
  1. Orlistat (Alli, Xenical)
  2. Phentermine and topiramate (Qsymia)
  3. Bupropion and naltrexone (Contrave)
  4. Liraglutide (Saxenda, Victoza)
    When you stop taking a weight-loss medication, you may regain more or all of the weight that you had lost. There could be side effects & risks too, so keep your doctor updated on regular basis.
     
  • Endoscopic surgeries: they are less invasive and are concerned with surgical procedures which limit your capacity to consume food, such as the methods mentioned below:
  1. Placing stitches in your stomach to reduce its size and the amount of food you can consume.
  2. Or inserting a small balloon into your stomach, which is then filled with water to reduce the amount of space available. This helps you feel fuller faster.
     
  • Bariatric surgeries: These are surgical procedures which can have the same function as endoscopic surgeries, but with more invasive methodologies.
  1. You will qualify for them if earlier methods failed, but either if you are extremely obese (BMI of 40 or greater), or if your BMI is between 35 to 39.9 and same is coupled with a serious weight-related problem, such as diabetes or high blood pressure.
  2. Following are the procedures you can be considered for: gastric by-pass, adjustable gastric banding, biliopancreatic diversion with duodenal switch, and gastric sleeve.
     
  • Vagal nerve blockade:
  1. It involves implantation of device under the skin of the abdomen which sends intermittent electrical pulses to the abdominal vagus nerve, same signals the brain when the stomach feels empty or full.
  2. Can be used for adults who have not been able to lose weight and who have a BMI of 35 to 45 with at least one obesity-related condition.
     
  • Coming to weight loss treatment cost, the surgical procedures will cost anywhere between Rs. 2,25,000 to Rs. 7,00,000. Whereas for dieting related consultation it can vary from rs. 1,200 to rs. 20,000.


For more information regarding obesity treatment, you can visit experts - Obesity Specialists in Mumbai, let us know if your city is different! 

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 28th July '21

You should approach a nutritionist/dietician first and start with dieting & drugs, you can move on to endoscopic procedure or weight loss surgeries such as gastric bypass, gastric binding, gastric sleeve, Biliopancreatic diversion with duodenal switch, if former doesn't help. The doctor will guide you on everything, just make them aware of your expectations, limitations and pre-existing health conditions as they could limit certain options and the dietician would have an easier way of providing realistic goals, you may refer our page to contact experts and learn more - Dietitian/Nutritionists in Bangalore, let us know if your locality is different and leave us a message if you have any further questions!

S

Samruddhi Bhartiya

Member of team ClinicSpots.

Answered on 27th July '21

Liposuction is not a weight loss surgery or procedure, it can be helpful only if you have deposits of fats stored within certain locations of your body and if it refuses to burn out no matter how much weight you lose or how fit your body is overall. Additionally, you are either not an ideal candidate, or straight up ineligible if you have suppressed immune system, heart disease, diabetes, problems with blood flow, are not 30% within your ideal weight, don't have a firm or elastic skin, or if you smoke. With the description you gave regarding your health issues, you should avoid this.
Diets and drugs means to lose weight seems to be the most possible options for you, but you may consult a specialist by referring our page to get more information - Obesity Specialists in Mumbai. Let us know if you reside in a different city, and come to us if you have any other doubt which is still not addressed!