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Asked for Female | 30

Need to know the methods for weight loss either surgical or through medicines. Secondly what will it cost.

  • 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! 

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Samruddhi Bhartiya

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Asked for Female | 33

I am 33 year old female suffering from PCOD, I weight about 84kgs, have done thyroid test and it's normal. In hormonal test I have male hormone in excess. I want to go for stomach liposuction.. What's the possibility of me doing it and hiw much is tentative cost

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!

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Asked for Female | 31

I want loose weight 10 kgs. How is it possible

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!

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Samruddhi Bhartiya

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Asked for Female | 37

weight loss for fertility

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.

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Samruddhi Bhartiya

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Asked for Female | 39

tummy fat reduction treatment

  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.

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Asked for Female | 19

My daughter is obese weight 110 kg , age 19

  • 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! 

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Samruddhi Bhartiya

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Asked for Male | 14

Effective Ways to Lose Weight

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

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Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

Answered on 23rd May '24

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Asked for Female | 25

I am gaining weight constantly. I have started taking vitamin d supplement. kindly suggest any medicines to lose weight.

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. 

Answered By

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

Answered on 23rd May '24

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Asked for Female | 47

Side effects of bariartic surgery

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.

Answered By

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

Answered on 23rd May '24

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Asked for Female | 49

My mother is suffering from overweight. Can she have a liposuction therapy as she is in her early 50's.

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.

Answered By

Dr. Harsh Sheth

Dr. Harsh Sheth

Bariatric Surgeon

Answered on 23rd May '24

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