Obesity Or Bariatric Surgery
51 questions answered by doctors & treatment decisions assisted by team clinicspots.
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Female | 21
I am a 21-year-old female in Pune. I have hypothyroidism, PCOD, and high blood insulin. I have been trying to lose weight for about 6 to 7 years now. I have tried cycling, working out, dieting, power yoga, walking, and badminton but nothing seems to help or work on my body. I am considering liposuction, what should I do?
Samruddhi Bhartiya
Member of team ClinicSpots.
Answered on 23rd May '24
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!
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
Samruddhi Bhartiya
Member of team ClinicSpots.
Answered on 23rd May '24
- 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.
- So with the lack of relevant details, we will answer your query keeping both possibilities in mind.
- 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.
- 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:
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Female | 19
My daughter is obese weight 110 kg , age 19
Samruddhi Bhartiya
Member of team ClinicSpots.
Answered on 23rd May '24
- 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!
Male | 19
Heyyy I am 19 year old guy with a height of 5'4" and weight is 100 kg and especially the lower part of my body is very fatty like thighs and hips , could you please tell me the estimate of the surgery if i want to have to remove fat
Samruddhi Bhartiya
Member of team ClinicSpots.
Answered on 23rd May '24
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:
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Female | 49
My mother is suffering from overweight. Can she have a liposuction therapy as she is in her early 50's.
Dr. Harsh Sheth
Bariatric Surgeon
Answered on 23rd May '24
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 | 25
I am gaining weight constantly. I have started taking vitamin d supplement. kindly suggest any medicines to lose weight.
Dr. Harsh Sheth
Bariatric Surgeon
Answered on 23rd May '24
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.
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