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Bariatric Surgery

The Real Impact of Weight Judgments—and How to Break Free From It

31/10/2024 14 Comments

Whether we talk about it openly or not, people are judged because of their weight. And this isn’t just about rude comments or looks; it’s deeper than that. It affects their mental health, confidence, and overall well-being.

Think about someone who has been trying to lose weight for years—trying every new diet, putting in hours at the gym, yet they feel judged wherever they go. 

This feeling doesn’t just end with the day; it’s something they carry with them. Let’s dive into how these judgments affect people on the inside.

Living with Constant Stress and Worry

Imagine walking into a coffee shop or gym and feeling like every eye is on you. You might think, “They’re judging me… they probably think I don’t care about my health.” 

This pressure doesn’t just go away. It builds up over time, creating a cycle of stress and worry, making it harder to feel comfortable in your own skin.

Studies show that people who face constant weight-related stress are over 30% more likely to struggle with anxiety and depression. 

That’s more than just a number; it’s real people feeling stuck in a loop of worry, guilt, and self-doubt.

Self-Esteem Takes a Big Hit

When people keep hearing negative comments, they start to believe them. They might think, “Maybe I am lazy… maybe I don’t have enough self-control.” 

This kind of thinking plays over and over in their heads, shaping how they see themselves.

This self-doubt chips away at self-worth. When people start to believe they aren’t “good enough,” it affects everything—from how they care for themselves to how they show up in life.

Pulling Away from Friends, Family, and the World

We’ve all heard the advice, “Don’t worry about what others think,” but that’s easier said than done. To avoid feeling judged, many people start turning down social invites. 

They might choose to stay home rather than risk hearing certain comments or seeing certain looks.

Friends invite them out, but they decline because they don’t want to feel out of place. Even family gatherings can feel uncomfortable with comments like, “Are you sure you need that second helping?”

 This social withdrawal means missing out on life’s moments and losing connections with people who care. And when connection is missing, mental health can really suffer.

Turning to Food for Comfort

With all the stress and judgment piling up, food can become a comfort. Junk food, in particular, can offer temporary relief, helping people feel a sense of peace—even if just for a few minutes.

For some, eating becomes the only time they feel okay, leading to emotional eating. And when life feels out of control, food becomes a reliable comfort, even though it can lead to weight gain. This, in turn, leads to more judgment, and the cycle goes on.

Avoiding Exercise Due to Fear of Judgment

For people who feel judged because of their weight, going to the gym can be a huge challenge. They worry about others staring or hearing awkward comments. 

So, they end up skipping exercise altogether. Regular movement is great for stress, mood, and health, but the fear of judgment keeps many away.

And without regular exercise, the body starts to feel sluggish, which can lead to more weight gain and more mental fog. So, the cycle continues.

Putting Off Doctor Visits and Missing Out on Care

Weight-related health issues like back pain, knee pain, or even sleep problems can creep in over time. But when people finally go to the doctor, the first advice is often, “You should lose weight.”

It’s not that simple, though, and this advice can feel dismissive, especially if they’re seeking help for something specific. Many people skip doctor visits to avoid feeling judged, which means they miss out on care that could genuinely help them.

How Constant Stress Affects the Body

Negative emotions like worry, guilt, and stress don’t just impact the mind; they affect the body, too. Research shows that stress can increase cortisol, a hormone linked to weight gain, especially around the belly. 

Over time, high cortisol levels can also lead to issues like high blood pressure and heart problems. So, it’s not just mental; it’s physical, making weight management even harder.

Breaking the Cycle: Changing How We Talk About Weight

Judgment about weight isn’t just about “hurt feelings.” It can seriously affect both mental and physical health. We need to understand that weight issues are complex. They’re influenced by things like genetics, hormones, and environment—not just “self-control.”

By changing how we talk about weight, we can help people feel supported instead of shamed. The focus should be on health, not appearance. 

This isn’t about ignoring health goals; it’s about creating a world where people feel encouraged, not judged, to pursue them. When we focus on well-being rather than looks, we make space for real, positive change.

Let’s move from judgment to acceptance, from blame to support. Because everyone deserves to feel good in their own skin.

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Written by: obesityasia
Bariatric Surgery

Benefits of Bariatric Surgery for Hypertension

16/09/2024 10 Comments

Benefits of Bariatric Surgery for Hypertension 

You have hypertension, or high blood pressure when the pressure in your arteries is too high for a long time. Your heart is like a pump pushing blood through hoses (your arteries). Imagine your heart has to consistently push too hard. It can cause problems. 

The blood pressure is measured with two numbers: systolic (when your heart beats) and diastolic (when your heart rests). 

If your blood pressure is 130/80 mm Hg or higher, you might have hypertension.

How Obesity Affects Blood Pressure

Research shows that being very overweight, or obese, is a major cause of high blood pressure, or hypertension. 

In fact, up to 75% of people with high blood pressure are also obese. 

Obesity and blood pressure affect each other: being obese can lead to high blood pressure, and having high blood pressure can make people gain weight. This creates a cycle that makes it harder to treat and manage both conditions.

Let’s understand how obesity, or being very overweight, can lead to hypertension

Here are 5 factors that affect the blood pressure.

  1. Renin-Angiotensin-Aldosterone System (RAAS): This system helps control blood pressure and fluid balance. Extra fat can make this system work too much. When it’s overactive, it raises blood pressure by holding onto sodium and making blood vessels tighter.
  2. Sympathetic Nervous System: Extra belly fat can make this part of your body work harder, speeding up your heart and raising blood pressure.
  3. Hormones: Obesity messes with hormones, causing insulin problems and inflammation, which can damage blood vessels and increase blood pressure.
  4. Kidney Pressure: Extra weight puts pressure on your kidneys, making them less effective at controlling blood pressure.
  5. Endothelial Dysfunction: Obesity can inflame your blood vessels, making them less flexible, which raises blood pressure.

 

Blood pressure is one of the most common issues in India and people live with it and accept it as part of their normal life.

However, when someone is obese and has a BMI of 35 kg/m² or more, the situation may get worse.

Complications of High Blood Pressure

Let’s understand why it is critical to manage hypertension if you are also obese.

Heart Disease: Over time, high blood pressure can damage your arteries, leading to reduced blood flow. This can lead to serious heart problems, like heart attacks and heart failure. 

Stroke: There is a risk of stroke because of blocking or bursting blood vessels in the brain, which can cause brain damage.

Kidney Damage: High blood pressure can harm the small blood vessels in your kidneys, leading to kidney disease or failure.

Vision Problems: It can damage the blood vessels in your eyes, which might lead to vision problems or even loss of sight.

Cognitive Decline: When the brain receives less blood flow than needed, it can cause memory problems and increase the risk of dementia.

Peripheral Artery Disease (PAD): Arteries in your legs may become narrow, making walking painful.

Hypertensive Crisis: Extremely high blood pressure (180/120 mm Hg or more) can cause an emergency that needs immediate treatment.

 

At the Laparo-Obeso Centre in Pune, India, Dr Shahsank Shah has operated on thousands of patients who were obese and had hypertension.

 

When Bariatric Surgery Might Help

Dr Shashank Shah recommends bariatric surgery as a great option for people with severe obesity and high blood pressure. 

Here are the situations in which you may consider bariatric surgery:

Uncontrolled Hypertension: You are taking several medications, but your blood pressure is still high 

Resistant Hypertension: If you consistently need three or more medicines to control your blood pressure.

Obesity Levels: If you have a BMI between 30 and 39.9 kg/m² and high blood pressure, and exercise and diet aren’t working for you.

This means if you are obese and fighting with high blood pressure and even multiple medications are not getting things in control, you should consider bariatric surgery.

What Are the Benefits of Bariatric Surgery for Hypertension 

Possible Remission: Many people see their high blood pressure go away after surgery. About 60-70% of patients have their blood pressure controlled within the first year.

Less Medication: About 83.7% of patients who had gastric bypass surgery reduced their blood pressure medications, compared to only 12.8% who used just medicine.

Long-Term Results: The rates of getting rid of high blood pressure can be as high as 50% within a year, and 31.9% after around 6.5 years.

 

How Surgery Helps Lower Blood Pressure

Weight Loss: Losing a lot of weight can lower blood pressure.

Better Insulin Sensitivity: Improved insulin use can help manage blood pressure.

Less Inflammation: Surgery can reduce inflammation in the body, which is linked to high blood pressure.

Hormonal Changes: Surgery increases hormones that help get rid of sodium, which can lower blood pressure.

Kidney Function: Less fat around the kidneys means less pressure on them, improving blood pressure control.

What Are The Changes You Feel After Treating Hypertension

Here’s what we have observed about our patients once they manage or cure high blood pressure.

Physical Changes:

More Energy: Your organs and tissues get better oxygen and nutrition with better blood flow.  You feel more energetic and less tired.

Better Sleep: Your sleep may improve, as high blood pressure often disrupts sleep.

Fewer Symptoms: Headaches, dizziness, or nosebleeds might go away, making you feel better overall.

Weight Loss: Imagine 60 to 80% of extra weight is shredded from your body – you feel lighter, more energetic and 

Easier Physical Activity: With better blood pressure, physical activities may become easier and more enjoyable.

And it doesn’t stop at the physical changes.

Emotional and Psychological Changes Of Managing or Curing Hypertension:

Increased Confidence: You feel more in control of your health.

Less Anxiety: You feel more relaxed rather than being anxious most of the time.

Improved Mood: Since you feel better physically it often leads to a better mood and outlook on life.

Sense of Accomplishment: Successfully managing or curing hypertension can make you feel proud and motivated to keep up with healthy habits.

Understanding how hypertension works, and how obesity affects it, can help in managing and preventing serious health issues. 

Whether through lifestyle changes or medical interventions, taking steps to control blood pressure can lead to a healthier and happier life.

If you are struggling with obesity and hypertension, consulting with Dr. Shashank Shah could be the first step towards better health.

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Written by: obesityasia

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About me

Dr Shashank Shah is an expert laparoscopic bariatric i.e. obesity surgeon in India. He is a director of Laparo Obeso Centre which is a centre for treatment for weight loss and weight-related metabolic diseases.

Recent Posts

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  • How Obesity and Acid Reflux Are Connected—and What You Can Do About It
  • How Obesity Leads To Urinary Incontinence
  • The Real Impact of Weight Judgments—and How to Break Free From It
  • Stop Blaming Your Kids for Gaining Weight: Learn About Childhood Obesity Beyond Diet and Exercise

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