1. Who would be called obese?
Determining whether someone is overweight or obese is often determined by assessing a person’s body mass index (BMI), which is a ratio between weight and height. If your BMI falls between 25 and 29.9, you are overweight. If your BMI is 30 or higher, you are considered obese.
However, you may have an excess fat percentage in your body even though the total weight looks less. If this excess fat is causing diseases like diabetes, hypertension, psychological discomfort and is resistant to medical treatment, you may be a candidate for more aggressive treatment.
2. What are the health risks of obesity?
Being obese puts you at risk for a number of preventable diseases and conditions, including heart disease, type 2 diabetes, high blood pressure, stroke, gallbladder disease, breathing problems, certain types of cancer, chronic back pain, and osteoarthritis, infertility, PCOS, psycho-social challenges. Obesity may also take a toll on self-esteem and contribute to depression.
3. Am I a candidate for surgery to lose weight?
You may be advised by your doctor to consider weight loss surgery if your body mass index (BMI) is 25 or higher and you have other risk factors, or is 30 or higher with no risk factors. Also taken into consideration is your medical history and your attempts to lose weight.
4. Is weight loss surgery and liposuction same? If no, then what is weight loss surgery exactly?
No, the Liposuction is a cosmetic procedure for the re-sculpting small amount of unwanted body fat. Liposuction is not a weight loss operation. Whereas bariatric surgery is an operation which reduces caloric intake and the way fat is deposited. Bariatric surgery can achieve a sustained and lasting weight loss for the treatment of morbid obesity.
Bariatric and metabolic surgery treats the root cause of formation of fat and its deposition. Whereas liposuction only removes fat under the skin temporarily, subsequently fat can get deposited in the same or other areas. The fat deposition is also exits inside the organs like mainly abdomen, fatty liver, fatty pancreas etc. Fat inside the organ is main cause of various diseases.
5. How does weight loss surgery help to reduce excess weight?
Weight loss surgeries are known as metabolic surgery since it changes the disease metabolism of obesity. These surgeries induce various hormonal changes which reduce excessive cravings and improve satisfaction of eating; thereby reducing the overall intake of food. Certain malabsorptive procedures like gastric bypass prevent absorption of fat consumed. The hormonal changes increases the BMR of the patient and all the fat deposited slowly gets converted into energy and melts and disappears.
It is actually a myth that patients cannot eat after bariatric surgery.
6. How effective is weight loss surgery? How much weight can one lose immediate post surgery?
No spot weight loss happens when a person stands after the surgery. The person loses 8-20kgs in the 1st month and 4-10 kgs/month thereafter depending on initial weight. Weight loss continues for 1 1/2 to 2 years till one reaches near ideal weight but slows down gradually. The results of each individual are different and may not be compared.
All the 5000 plus patients treated over 14 years seem to be happy with the overall results. The main goal of the treatment is to resolve the diseases and improve quality of life.
7. How many days one needs to stay in hospital after surgery?
With the present advances in therapy, the bariatric procedures can almost be day care procedures. However, 1-2 days of stay is most comfortable for most of the patients. Being a keyhole no scar and painless surgery, patients start moving about in about 2 hrs after surgery and start drinking fluids 4 hrs post operatively.
Special arrangements have been done for those who are oversea as to stay in the hospital for 3-5 days wherein they save the hotel costs and use the last few days for sight seeing and enjoyment.
8. What are effects in life post surgery?
There are no major side effects of surgery, just your whole lifestyle changes. It enhances your health & makes you more active and energetic in your daily routine. You will find yourself see health improvement post surgery.
9. What will be diet immediately after surgery?
You will have to follow liquid diet only for a week to 10 days after surgery. And then you can start with soft and pureed food and slowly switch to a normal routine by the end of a month. Just you need to eat how much your stomach demands. Our team will guide you through this journey and the guidance could be over the phone, email, Whats app, Skype or a video call etc.
10. When can I plan childbirth after weight loss surgery?
The female patients are advised to wait at least for a year after surgery to avoid the stress of a pregnancy during the period of rapid weight loss and allow her weight to stabilize. Usually, the possibility of getting pregnant increases after weight loss. You are advised to use contraceptive methods for first 12 months. Thereafter pregnancy is safer as blood pressure, blood sugar levels become normal & the baby’s weight also is normal.
11. Will this surgery result in losing my appetite or will I be not able to eat if I am hungry?
Bariatric surgery works on the principle of satiety. Though your hunger will be normal, you will feel satisfied/satiated with a small amount of food. Even today you eat till you are full. After surgery, you will be able to eat till you are full ( with a smaller amount of food).
12. Why don’t diets, exercise, and medications work?
Proper diet and exercise do work, especially when started at a young age and continued faithfully throughout your life. Unfortunately, for people who are already struggling with obesity, the cards are stacked against them. Diet and exercise work more for prevention or during early treatment of obesity.
However, if the body”s physiology is trying to get your weight back, your attempts to lose weight succeed only temporarily. Once3 a persons BMI crosses a certain limit, say above 30 kg/m2, the metabolism changes to that of weight regain. Hence, it is not easy to lose weight with diet and exercise if you have severed obesity.