#eligibility for weight loss surgery

[fatliberation]

I totally understand and can empathize with fat activists when it comes to medical fatphobia. But I do think its important to provide nuance to this topic.

A lot of doctors mention weight loss, particularly for elective surgeries, because it makes the recovery process easier (Particularly with keeping sutures in place) and anesthetic safer.

I feel like its still important to mention those things when advocating for fat folks. Safety is important.

What you're talking about is actually a different topic altogether - the previous ask was not about preparing for surgery, it was about dieting being the only treatment option for anon's chronic pain, which was exacerbating their ed symptoms. Diets have been proven over and over again to be unsustainable (and are the leading predictor of eating disorders). So yeah, I felt that it was an inappropriate prescription informed more by bias than actual data.

(And side note: This study on chronic pain and obesity concluded that weight change was not associated with changes of pain intensity.)

If you want to discuss the risk factor for surgery, sure, I think that's an important thing to know - however, most fat people already know this and are informed by their doctors and surgeons of what the risks are beforehand, so I'm not really concerned about people being uninformed about it.

I'm a fat liberation activist, and what I'm concerned about is bias. I'm concerned that there are so many BMI cutoffs in essential surgeries for fat patients, when weight loss is hardly feasible, that creates a barrier to care that disproportionately affects marginalized people with intersecting identities.

It's also important to know that we have very little data around the outcomes of surgery for fat folks that isn't bariatric weight loss surgery.

A new systematic review by researchers in Sydney, Australia, published in the journal Clinical Obesity, suggests that weight loss diets before elective surgery are ineffective in reducing postoperative complications.

CADTH Health Technology Review Body Mass Index as a Measure of Obesity and Cut-Off for Surgical Eligibility made a similar conclusion:

Most studies either found discrepancies between BMI and other measurements or concluded that there was insufficient evidence to support BMI cut-offs for surgical eligibility. The sources explicitly reporting ethical issues related to the use of BMI as a measure of obesity or cut-off for surgical eligibility described concerns around stigma, bias (particularly for racialized peoples), and the potential to create or exacerbate disparities in health care access.

Nicholas Giori MD, PhD Professor of Orthopedic Surgery at Stanford University, a respected leader in TKA and THA shared his thoughts in Elective Surgery in Adult Patients with Excess Weight: Can Preoperative Dietary Interventions Improve Surgical Outcomes? A Systematic Review:

“Obesity is not reversible for most patients. Outpatient weight reduction programs average only 8% body weight loss [1, 10, 29]. Eight percent of patients denied surgery for high BMI eventually reach the BMI cutoff and have total joint arthroplasty [28]. Without a reliable pathway for weight loss, we shouldn’t categorically withhold an operation that improves pain and function for patients in all BMI classes [3, 14, 16] to avoid a risk that is comparable to other risks we routinely accept.

It is not clear that weight reduction prior to surgery reduces risk. Most studies on this topic involve dramatic weight loss from bariatric surgery and have had mixed results [13, 19, 21, 22, 24, 27]. Moderate non-surgical weight loss has thus-far not been shown to affect risk [12]. Though hard BMI cutoffs are well-intended, currently-used BMI cutoffs nearly have the effect of arbitrarily rationing care without medical justification. This is because BMI does not strongly predict complications. It is troubling that the effects are actually not arbitrary, but disproportionately affect minorities, women and patients in low socioeconomic classes. I believe that the decision to proceed with surgery should be based on traditional shared-decision making between the patient and surgeon. Different patients and different surgeons have different tolerances to risk and reward. Giving patients and surgeons freedom to determine the balance that is right for them is, in my opinion, the right way to proceed.”

I agree with Dr. Giori on this. And I absolutely do not judge anyone who chooses to lose weight prior to a surgery. It's upsetting that it is the only option right now for things like safe anesthesia. Unfortunately, patients with a history of disordered eating (which is a significant percentage of fat people!) are left out of the conversation. There is certainly risk involved in either option and it sucks. I am always open to nuanced discussion, and the one thing I remain firm in is that weight loss is not the answer long-term. We should be looking for other solutions in treating fat patients and studying how to make surgery safer. A lot of this could be solved with more comprehensive training and new medical developments instead of continuously trying to make fat people less fat.

[stinetoftdk]

A better world

I am born intersex, which in my case mean that I was born with both male-typical and female typical sex traits. I was assigned the male sex at birth and because I reserve the right to be in disagreement, with that designation, I am also what is called transgender.

I see myself as a woman, but neither as male nor female.

I have a need to rearrange my sex traits, in a manner where my body will become sexually unambiguous, to the extent that is possible, to alleviate my severe discomfort associated with having male sex traits, as a woman.

I am on early retirement (welfare system, for physically/mentally ill/handicapped people), because of traumatic experiences forced upon me in the Danish healthcare system, on the basis of my status as both intersex and transgender and I have co-founded a human rights organization that aim to spread awareness of the existence of intersex people and what that means, while also working towards recognition of intersex persons human rights, especially on the right to self determination of what happen with our own bodies, that no medically unnecessary procedures are performed against our wishes or without our personal, free and informed consent (Physical integrity) and the right to highest attainable standard of health.

Just as is the case with male and female bodies, there are illnesses and problems related to being male or female, the same is true for different intersex variation, and there are many ways in which someone can be intersex.

As is the case with my variation, issues with expressing ourselves in social situations is often observed, there’s an increased tendency towards anxity, autistic traits are observed in 30-50% of all people with my variation, symptoms of the non-hyperactive form of ADHD, as well as difficulties in regulating our own emotions.

I drew the shortest straw and unfortunately I have traits of all these issues, which I think also had significance in my early retirement. That said, I of course do my very best to find solutions so that I can one day contribute to society, the same as most others, but with a differently wired brain that doesn’t at all match up with how the Danish labour market function, finding a solution has proven very difficult and I have been psychiatrically evaluated to never be able to improve my chances of ever being able to keep a job.

I hope and keep my fingers crossed that in time I can find something that suits my neuro-atypical brain.

One of the ways that helps me regulate my emotions, perform better socially and regulate my negative autistic traits has been to participate in sports. I have a particular interest in martial arts and moving my body has a calming effect on me which also helps me not feel less anxious.

For me, martial arts is a form of very physical therapy, where I can burn a lot of energy, but at the same time, it’s a way for me to achieve the weight loss that is required in most places around the world, to become eligible for gender affirming surgery.

I believe it’s important that we as transgender and intersex persons, share our experiences and lives with society, if we are able to, to participate in fostering a better understanding of who we are and thus create a better society where, we can live our lives as equals, with the same opportunities and rights, as the rest of the population.

I believe that this instead of polarizing, if we have the courage to be vulnerable and have our voices heard, can help create a shared understandings and recognition of the diversity of all people.

It would mean a lot to me, if you would share this post, because the only way I can participate in making a better world, is by reaching a bigger audience.

As intersex and transgender people, we need your help and support to create a better Denmark (and world).

(The photo is from a conference I attended a long time ago, but the message is still relevant)

[monstersinthecosmos]

can i vent about the healthcare system lol

This year I have health insurance for the first time since I was a child and when I tell you it sucks, I hate this, I hate participating in this system, I miss when I was just in pain all the time and didn't even bother going to the doctor bc I didn't have insurance anyway, I don't love this system where I read my insurance policy and think something is covered and then it isn't except maybe it is and maybe it got processed by a bot and I have to call the insurance to dispute but then I have to call my doctor to dispute and then I have to call the insurance back to dispute like, guys I have phone anxiety I'm gonna just pay you all this money instead of making phone calls I guess.

i have nerve damage and my treatment options so far are a $1,300 shot that might not actually help and I'll have to get another one in a few months anyway or I can go to physical therapy where they want to see me 2x a week for $250 per session. My insurance only covers a certain number of sessions and even if I did go to all of them, I still wouldn't hit my deductible. The PT place has a financial assistance program but it's only for people who have hit their deductible. (What's the point lol).

I'm also at a dead end trying to get diagnosed & treated for hypothyroidism because "weight gain" is listed as a symptom and BCBS says they don't cover "weight loss" treatment even though that wasn't what the fuck I asked and I was more concerned that my hair is falling out and I'm freezing all the time. Like where does it end, every time a symptom of something includes weight gain. What if a skinny person has it. Is this discriminatory? Is it a coding error? Will I pay the $215 I got charged for having my thyroid tested and simply not continue treating it now, because I don't have the constitution to make 100 phone calls and argue with people? lol.

the spine specialist orders an MRI and says I'm too young to have surgery so I should just do pain management. the pain management doctor tells me to lose weight. (it's hard, because, I think my thyroid doesn't work.) he says lyrica might help with my nerve pain but it causes weight gain so he advises against it. i wonder at what point does BCBS decide that spine & nerve pain is because I'm fat and won't help me anymore because it's weight loss related.

And let's not talk about how I was like, you know what, I would rather just build up some medical debt and pay it off slowly because I'm terrified that I'm going to have permanent nerve damage, and I applied for financial assistance with the hospital, and they approved me, but they don't help for any bills which are under $2000. So my $900 MRI or my $400 nerve test or my $1300 shot are not eligible for financial assistance, even though my hospital balance would be over $2000. I go to set up a payment plan and it won't let me set the number I can afford. I manually enter a bit at a time and they won't stop emailing me that I owe them money because I didn't use the official interface for a payment plan. I call their financial assistance to ask why they didn't adjust my MRI bill, they tell me because it's under $2000, I get so overwhelmed and start crying on the phone like an asshole so I hang up before I remember to ask about adjusting the payment plan.

like is better that I'm now $1300 in the hole for tests that told me I have nerve damage and arthritis and disc degeneration when I can't afford any of the treatments? Is it better to at least know? But what's the point if I can't do anything about it anyway except YouTube yoga and Aleve for breakfast, which I was doing anyway when I was uninsured. Thanks, now I know! I cannot feel my leg! Pray for me that I don't wind up paralyzed from ignoring it!

(I think part of me committed to these tests because I was like, well, if there's NO damage I will know and I can stop worrying, but there is damage, so now idk how to feel.)

anyway it's just. I've always known this system was garbage from the outside when like, I've spent years having to treat things by myself at home, I've had so many times where I didn't go to the ER when I probably should've, I've passed on really fun outings with my friends like snowboarding or roller derby because I'm too scared I'll get injured, my mental health is at all times hanging on by a thread because I can't get medicated (put a pin in this one bc I finally got an appointment for an evaluation but my insurance doesn't cover most of the meds LOL). It already sucked on the outside and was already a huge embarrassment to me as an American but like. I finally have insurance and it wasn't' even worth it.

and like. there's stuff I can afford. I'm making better money than I did in my 20s. Like, okay, it sucks but I can pay $215 for my thyroid test at the end of the day. But I don't want to. It sucks and it's not fair. I shouldn't have to. And like it's $215 now and then how much later. It's not sustainable at all. And if there's a way for them to cover it and not discriminate against me for being fat, it's behind so many barriers of me trying not to cry my eyes out on the phone and tbh I don't see it happening LOL.

but elon is on track to become the first trillionaire and our taxes are bombing children in tents, cool cool cool

I just don't understand who the fuck this is even for. WHO is out there with $2,000 to drop every month on physical therapy. Who is this for!!! WHO IS IT FOR!!!!

[juuls]

Alright!

I’m looking for people to every so often inquire how I’m holding up/hold me accountable to the following:

After years of a calorie dense (and boring) diet due to long covid severe nausea for the last 3.5 years, mixed in with admittedly heavy alcohol (they say trauma can hit out of the blue even years later, sad to say it’s true) use in the last year… I am ashamed to say I gained all the weight I’d originally lost and then some from my last time.

It embarrasses me to say I started at 245 yesterday.

I walk my dogs twice a day but they don’t make it much of an exercise, though I get on my indoor cycle for 30mins at least 4x a week.

Tried Ozempic, made my nausea explode.

I don’t really have the energy to throw in a higher pace walk for myself on top of my dog walks. Fibromyalgia and long covid are exhausting.

But I’m starting Nutrisystem again (jerks won’t ship frozen foods to Canada!!! so, just the plain, preserved ones) and hoping the structure will help me physically and mentally. I lost a routine and really need one back, and one of my own, not revolving around someone else’s.

So far, first night, 2lbs lost, though that will slow down after the first 7-10 days.

Besides decreasing my pain levels, losing weight would make me eligible for breast reduction surgery (another thing keeping me from, say, jogging, or just… existing without pain in general).

I’ll include a few photos of my starting weight/as I gained weight, and a few of my goal size as inspiration.

But what I wouldn’t mind if someone checks in once in a while and asks how the weight loss is doing. If any of you do that (along with @cuthian my dear one) I’d be supremely grateful. A support network is key, especially with the alcoholism which I am entirely ashamed of.

Find pics below the cut!

Current/recent (I don’t have many full body shots but you can really tell with ny double chin):

Previous/lost weight last time:

My biggest indicators are my face (rounder, plumper, double chin)(and my beer belly from drinking, now) and so comparing face to face seems a good starting goal to grab onto. I mean… I have a cute chin! I want that back.

Sadly, one of my medications adds about 15lbs total… but I got down to 180lbs last time I tried this even with my medication. So it’s doable. And my parents are paying for the Nutrisystem again, on the oath of no more alcohol and I try my best.

Though I will fight anyway who doesn’t include me in special family dinner with shawarma wraps, but I got the calories sorted, yay! Just some extra exercise.

Thanks for listening to my very personal ramble. Again, if you’d like to help, please reach out whenever. Even just cheerleading/a like here and there, is great encouragement. ❤️💜💙

Love y’all muchly. 😘😁

[paradife-loft]

"When dieting and "lifestyle changes" fail, as they so frequently do, some parents opt for weight-loss surgery for their kids. Centers like Children's National Hospital provide gastric sleeves and gastric bypass to children and adolescents. That hospital doesn't list age limits on its pediatric weight-loss surgeries. Eligible kids and teens, they say, have had BMIs in the "obese" category for at least three years and "understand the lifelong dietary commitment required after the surgery." A 2013 case study discussed weight-loss surgery on the youngest patient to date: a two-and-a-half-year-old. England's NHS began considering providing weight-loss surgery to adolescents, issuing an internal memo on the topic in 2017."

- Aubrey Gordon, "You Just Need To Lose Weight" and 19 Other Myths About Fat People

So....... what was it people were saying about how kids and teenagers SURELY can't be allowed to go through life-long irreversible medical procedures, and parents who facilitate that treatment should be criminalized? Did people want to follow through on that stance here too, or nah?

[system-of-a-feather]

Compiled this for myself to print and annotate tomorrow if I get the chance. I would write this up properly, but I don't have that much time at the moment. Below is a list of citation on papers discussing how BMI is not a good measure for assessing eligibility for top surgery in transmasculine population

Perez-Alvarez IM, Zolper EG, Schwitzer J, Fan KL, Del Corral GA. Incidence of Complications in Chest Wall Masculinization for the Obese Female-to-Male Transgender Population: A Case Series. World J Plast Surg. 2021 May;10(2):14-24. doi: 10.29252/wjps.10.2.14. PMID: 34307093; PMCID: PMC8290439. Stein MJ, Grigor E, Hardy J, Jarmuske M. Surgical and patient-reported outcomes following double incision and free nipple grafting for female to male gender affirmation: does obesity make a difference? J Plast Reconstr Aesthet Surg. 2021 Aug;74(8):1743-1751. doi: 10.1016/j.bjps.2020.12.004. Epub 2020 Dec 10. PMID: 33341390. Rothenberg KA, Gologorsky RC, Hojilla JC, Tang A, Cohan CM, Beattie G, Yokoo KM. Gender-Affirming Mastectomy in Transmasculine Patients: Does Obesity Increase Complications or Revisions? Ann Plast Surg. 2021 Jul 1;87(1):24-30. doi: 10.1097/SAP.0000000000002712. PMID: 33559996; PMCID: PMC8936918. Brownstone LM, DeRieux J, Kelly DA, Sumlin LJ, Gaudiani JL. Body Mass Index Requirements for Gender-Affirming Surgeries Are Not Empirically Based. Transgend Health. 2021 Jun 2;6(3):121-124. doi: 10.1089/trgh.2020.0068. PMID: 34414267; PMCID: PMC8363993. Linsenmeyer WR, Garwood S. Patient-Centered Approaches to Using BMI to Evaluate Gender-Affirming Surgery Eligibility. AMA J Ethics. 2023 Jun 1;25(6):E398-406. doi: 10.1001/amajethics.2023.398. PMID: 37285293. Hassan B, Schuster CR, Ascha M, Del Corral G, Fischer B, Liang F. Association of High Body Mass Index With Postoperative Complications After Chest Masculinization Surgery. Ann Plast Surg. 2023 Nov 1. doi: 10.1097/SAP.0000000000003737. Epub ahead of print. PMID: 37917575.

Additionally a number of places suggest you have a sustainable weight as rapid gaining or loss of weight can affect results; I could not find any peer reviewed article off of a quick search but two places I saw with it there, I do know the UCLA Gender Health supports this claim as I have specifically talked with them two years ago:

https://www.stanfordchildrens.org/en/service/gender/faq-top-surgery

https://www.larsonplasticsurgery.com/breast/tg-top-surgery/tg-top-surgery-faq/

I would tag this with fatphobia and all, but posting in that tag got me unwanted attention so I'll just throw this out there.

[ckosmic-hospital]

How to Choose the Best Bariatric Surgeon for Your Surgery

When considering bariatric surgery, selecting the right surgeon is one of the most crucial steps for a successful outcome. A skilled surgeon not only ensures safe and effective procedures but also provides the guidance and support you need throughout your weight loss journey. For patients in Chandigarh, finding the best bariatric surgeon in Chandigarh can make all the difference. Here’s a comprehensive guide on how to choose the right professional for your needs.

Why Choosing the Right Bariatric Surgeon Matters

Bariatric surgery is a life-altering procedure that demands precision, expertise, and care. An experienced surgeon ensures:

Reduced risk of complications.

Higher chances of long-term success.

Comprehensive pre- and post-operative support.

The best bariatric surgeon in Chandigarh will provide personalized care and a tailored treatment plan to help you achieve your weight loss goals safely.

Qualities to Look for in a Bariatric Surgeon

Choosing the right surgeon requires careful evaluation. Here are the key qualities to consider:

Extensive Training and Certification

Ensure the surgeon is certified by reputable medical boards.

Look for specialization in bariatric and minimally invasive surgeries.

Proven Track Record

Review the surgeon’s experience in performing bariatric procedures.

Ask about success rates and complication rates for surgeries performed.

Compassion and Communication Skills

A good surgeon listens to your concerns and answers your questions.

They should make you feel comfortable and confident about your decision.

Researching Bariatric Surgeons

Conducting thorough research will help you identify the best bariatric surgeon in Chandigarh.

Seek Recommendations

Ask your primary care physician or dietitian for referrals.

Speak with friends or family members who have undergone bariatric surgery.

Read Online Reviews

Check patient reviews and testimonials to learn about others’ experiences.

Explore hospital websites and forums for detailed information.

Evaluating the Bariatric Surgery Facility

The quality of the medical facility is as important as the surgeon’s expertise.

Accredited Bariatric Centers

Choose a hospital accredited by a recognized bariatric surgery program.

Accreditation ensures adherence to the highest standards of care.

State-of-the-Art Technology

Look for facilities equipped with the latest surgical tools and technology.

Advanced equipment minimizes risks and speeds up recovery.

Questions to Ask During Your Consultation

Meeting with a surgeon is your opportunity to evaluate their suitability for your needs.

Key Questions to Consider

What types of bariatric surgery do you perform?

How many surgeries have you conducted, and what are the outcomes?

What are the potential risks and complications of the procedure?

What kind of support will I receive before and after surgery?

The best bariatric surgeon in Chandigarh will provide clear and honest answers, helping you make an informed decision.

The Role of Multidisciplinary Teams

Bariatric surgery is not a one-person job. The involvement of a multidisciplinary team is essential for success.

Support Services to Look For

Dietitians and nutritionists for meal planning.

Psychologists to address emotional challenges.

Physical therapists to guide post-operative activity.

A dedicated team, led by the best bariatric surgeon in Chandigarh, ensures a holistic approach to your weight loss journey.

Importance of Pre- and Post-Operative Care

The right surgeon prioritizes your overall well-being by offering comprehensive care before and after surgery.

Pre-Operative Preparations

Conducts a thorough medical evaluation to determine your eligibility.

Provides guidance on lifestyle changes, such as diet and exercise.

Post-Operative Support

Monitors your progress through regular follow-ups.

Offers advice on managing side effects and maintaining weight loss.

Warning Signs to Avoid

Not all surgeons provide the same level of care. Watch out for these red flags:

Lack of transparency about success and complication rates.

Rushed consultations that don’t address your questions.

Facilities without proper accreditation or outdated technology.

Why Dr. Amit Sood is the Best Choice

For patients seeking the best bariatric surgeon in Chandigarh, Dr. Amit Sood stands out as a trusted and highly experienced professional.

Expertise and Experience

Specializes in various bariatric procedures, including gastric bypass and sleeve gastrectomy.

Extensive experience with a proven track record of successful surgeries.

Patient-Centric Care

Takes the time to understand each patient’s unique needs.

Provides continuous support throughout the weight loss journey.

State-of-the-Art Facility

Operates at a world-class bariatric center equipped with the latest technology.

Collaborates with a multidisciplinary team to ensure comprehensive care.

Conclusion

Choosing the right surgeon is a pivotal decision that determines the success of your bariatric surgery. By considering factors such as qualifications, experience, and patient reviews, you can find the best bariatric surgeon in Chandigarh who aligns with your needs. With Dr. Amit Sood’s expertise and compassionate care, you can embark on a safe and successful weight loss journey. Take the first step today and transform your life with confidence!

[harshamitra]

Pancreatic cancer is a challenging disease often diagnosed in advanced stages due to vague early symptoms like abdominal pain, weight loss, and jaundice. It constitutes a small percentage of cancer cases in India but has a high mortality rate. Key risk factors include age, smoking, chronic pancreatitis, and genetic predisposition. Treatment options, mainly surgery, chemotherapy, and radiation, are limited due to late detection, with only about 20% of cases eligible for surgery. In recent years, research on immunotherapy and targeted therapies has shown promise. For those seeking cancer treatment in Trichy, advancements in diagnostics and palliative care are helping to improve patient quality of life, while Trichy’s cancer centers continue to contribute to early detection efforts in the region.

Visit our website to know more by clicking here

[vaspider]

I haven't talked about this in a long time, but when Emet was diagnosed with diabetes in September 2008, she was put on a diet by a dietician which had not been adjusted for her body size.

She's 6'8" and built like a hundred-year oak tree.

She was given a "standard diabetes diet." She stuck to it rigorously.

In 3 months, she lost 20% of her body weight.

On New Year's Day, 2009, she collapsed on the couch in our living room, holding her stomach, because the rapid weight loss had completely destroyed her gall bladder with stones.

She was in so much pain that her heart wouldn't stay in sinus rhythm, making surgery impossible until they stabilized her, so she couldn't stay home and wait for surgery in a few days - they had to admit her and keep her doped up until she stabilized.

That was one of the most terrifying and exhausting weeks of my life, in part bc my district manager started threatening me over taking time off to take care of her until my actual manager said, "I'm not going to write Spider up, and if you don't stop, you're going to make it possible for him to sue us because he's eligible for FMLA & what you're doing is a violation of federal law," but that's another story.

Emet's doctors thought that extremely rapid weight loss was great! Wow! You were fat before and you're less fat now! Never mind that with her height and her muscular linebacker build, if she got to the weight they wanted her to get to, she would have looked like a fucking inflatable skeleton.

It just fucking sucked so bad.

fatphobia and ableism is so insidious. You can look up like, food, and it'll say "eating a lot of food causes diabetes" and you're like oh dang what? I thought we didn't know the cause of diabetes. So you look up what causes diabetes and it says "we still don't know what causes diabetes" bruh they're just making shit up to give people eating disorders

[ourhealthcare7]

Bariatric Surgery Best Doctors in India | Dr. Tarun Mittal

Bariatric surgery has emerged as a leading solution for individuals struggling with severe obesity and related health issues. Among the Best doctors in India for this life-changing surgery, Dr. Tarun Mittal stands out for his expertise, experience, and patient-centric approach.

Who is Dr. Tarun Mittal?

Dr. Tarun Mittal is a highly acclaimed bariatric and laparoscopic surgeon based in Delhi, India. With over a decade of experience in performing complex weight loss surgeries, he has helped countless patients achieve significant and sustainable weight loss, improving their overall health and quality of life.

Why Choose Dr. Tarun Mittal for Bariatric Surgery?

Extensive Experience: Dr. Mittal has performed numerous successful bariatric surgeries, including gastric bypass, gastric sleeve, and gastric banding. His extensive experience ensures that patients receive the highest standard of care.

Advanced Techniques: Dr. Mittal employs the latest minimally invasive surgical techniques, which result in smaller incisions, less post-operative pain, and faster recovery times.

Comprehensive Care: Dr. Mittal’s patient-centric approach ensures that each individual receives personalized care, from pre-surgery assessments to post-surgery follow-ups, providing continuous support throughout their weight loss journey.

High Success Rates: Dr. Mittal’s expertise and use of advanced technology contribute to high success rates and positive outcomes for his patients.

Benefits of Bariatric Surgery

Significant Weight Loss: Bariatric surgery can lead to substantial and sustained weight loss, reducing the risk of obesity-related health issues.

Improved Health Conditions: Many patients experience improvement or resolution of conditions such as type 2 diabetes, hypertension, sleep apnea, and joint pain.

Enhanced Quality of Life: Weight loss can lead to increased mobility, higher self-esteem, and better overall well-being.

Long-Term Results: With proper lifestyle changes and medical follow-up, bariatric surgery can provide long-term health benefits and weight maintenance.

What to Expect During the Process

Initial Consultation: Patients will undergo a thorough assessment to determine their eligibility for bariatric surgery and to discuss the best surgical options for their needs.

Surgery Preparation: Pre-surgery preparations may include dietary changes, psychological evaluations, and medical tests to ensure the patient's readiness for surgery.

Surgical Procedure: The chosen bariatric surgery is performed using minimally invasive techniques, ensuring a safer and more comfortable experience for the patient.

Post-Surgery Care: After surgery, patients receive comprehensive follow-up care, including dietary guidelines, physical activity recommendations, and regular check-ups to monitor their progress and address any concerns.

Conclusion

Bariatric surgery with Dr. Tarun Mittal can be a transformative experience for individuals struggling with obesity. His extensive experience, advanced techniques, and compassionate care make him one of the best bariatric surgeons in Delhi NCR. If you’re considering bariatric surgery, Dr. Mittal is a trusted expert who can guide you through the process and help you achieve your weight loss goals.

[mosleybeth01]

Wondering about gastric bypass vs. tummy tuck and which option aligns with your health goals? Learn the key differences between these procedures, from weight loss benefits to body contouring. Explore which choice is right for you at Gastric Bypass vs. Tummy Tuck.

[colonoscopycostsingapore]

Transforming Health Through Metabolic Surgery in Singapore: Everything You Need to Know

Metabolic surgery, also commonly referred to as bariatric surgery, is a medical procedure aimed at addressing obesity and the various health complications that arise from it, such as Type 2 diabetes, heart disease, and sleep apnea. Singapore, with its advanced healthcare infrastructure and world-class surgeons, has become a leading destination for this life-changing procedure. In this blog, we’ll explore what metabolic surgery involves, the benefits, risks, and what patients in Singapore can expect throughout the process.

What is Metabolic Surgery?

Metabolic surgery is not just about weight loss. It targets obesity-related metabolic disorders, offering a medical intervention for conditions like Type 2 diabetes, hypertension, and other cardiovascular issues. The most common types of metabolic surgeries include:

Gastric Bypass: Reduces the stomach size and bypasses a portion of the small intestine to reduce calorie absorption.

Sleeve Gastrectomy: Involves removing part of the stomach, limiting the amount of food that can be eaten.

Adjustable Gastric Banding: A band is placed around the upper portion of the stomach to create a smaller stomach pouch.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This is a more complex procedure that changes the normal process of digestion.

Each of these surgeries is designed to help with long-term weight management and improve the overall health of individuals suffering from metabolic diseases.

Why Consider Metabolic Surgery?

Many people consider metabolic surgery after trying various non-surgical methods for weight loss, such as diets and exercise, which may not be effective for everyone. Metabolic surgery can:

Provide Long-Term Weight Loss: Unlike traditional diets, metabolic surgery offers sustainable results over the long term, reducing the risk of regaining the weight.

Improve Health Conditions: Studies have shown that metabolic surgery can resolve or significantly improve Type 2 diabetes, hypertension, high cholesterol, and sleep apnea.

Enhance Quality of Life: Post-surgery, patients often experience increased energy, better mobility, and a reduced risk of severe obesity-related diseases.

Boost Mental Well-being: Weight loss can lead to improved self-esteem and mental health, giving patients the motivation to maintain a healthier lifestyle.

What to Expect from Metabolic Surgery in Singapore

Initial Consultation and Eligibility Not everyone is a candidate for metabolic surgery. In Singapore, doctors conduct a thorough screening process to ensure patients meet the necessary criteria, such as a high body mass index (BMI) or significant obesity-related health issues.

Pre-Surgical Preparations Before undergoing surgery, patients need to follow a comprehensive pre-operative plan. This usually includes dietary adjustments, psychological evaluations, and consultations with various specialists to ensure the patient is mentally and physically prepared for surgery.

Post-Surgery Recovery After the surgery, patients need to adhere to strict guidelines regarding diet, physical activity, and follow-up appointments. Singaporean hospitals provide detailed recovery plans and monitor patients closely to ensure optimal recovery. Long-term success also depends on the patient’s commitment to lifestyle changes, including diet and exercise.

Financial Considerations The cost of Metabolic Surgery in Singapore varies depending on the type of surgery and the healthcare facility. Fortunately, many hospitals in Singapore offer financial counseling to help patients explore options such as insurance coverage and subsidies for eligible residents.

Why Choose Singapore for Metabolic Surgery?

Singapore stands out as one of the best places for medical procedures due to its world-class healthcare system and highly skilled surgeons. Here are some key reasons why people choose Singapore for metabolic surgery:

Advanced Technology and Minimally Invasive Techniques: Singapore offers some of the most advanced minimally invasive surgical techniques, resulting in quicker recovery times and reduced risks.

Internationally Accredited Hospitals: Many hospitals in Singapore are JCI-accredited, ensuring that they meet international standards for patient safety and care.

Experienced Surgeons: Singaporean surgeons have extensive training and experience in performing complex metabolic surgeries. Many specialists here are internationally recognized for their expertise.

Comprehensive Post-Operative Care: Patients receive extensive support post-surgery, including follow-up appointments, nutrition counseling, and psychological support.

Risks and Considerations

As with any surgery, there are risks associated with metabolic surgery. These may include:

Surgical Complications: While rare, some complications can arise, such as infections, bleeding, or adverse reactions to anesthesia.

Nutritional Deficiencies: Post-surgery, patients may have difficulty absorbing certain nutrients, which is why vitamin and mineral supplements are often recommended.

Lifestyle Adjustments: Patients must adhere to a strict post-operative diet and exercise regimen to ensure long-term success.

Psychological Effects: The rapid change in body weight can have both positive and negative psychological effects. Mental health support is crucial to adapting to these changes.

Understanding these risks and having a comprehensive support system in place is key to ensuring a successful outcome.a

Success Stories: Metabolic Surgery Transformations in Singapore

Many patients who have undergone metabolic surgery in Singapore have experienced significant health improvements and life transformations. Testimonials from individuals show that not only did they lose weight, but their overall quality of life greatly improved. For example:

Case Study 1: A 45-year-old patient with Type 2 diabetes underwent gastric bypass surgery in Singapore. Within a year, their diabetes was in remission, and they lost over 30% of their body weight.

Case Study 2: A 60-year-old patient suffering from severe obesity and high blood pressure had a sleeve gastrectomy. Their weight loss led to the discontinuation of blood pressure medication and overall better cardiovascular health.

Conclusion

Metabolic surgery is a powerful tool in managing obesity and improving related metabolic conditions. For those struggling with weight loss and associated health issues, Singapore offers world-class healthcare solutions, state-of-the-art facilities, and experienced professionals dedicated to patient care. If you’re considering metabolic surgery, consulting a specialist in Singapore could be the first step toward transforming your health and achieving long-term well-being.

[undead-moth]

This is the exact same logic they use when diets fail. Obviously, they didn’t treat it like a “lifestyle change” and once they lost the weight, they stopped eating the right things and so of course they gained the weight back.

They suddenly lost all the willpower and determination and focus they needed to lose the weight to begin with and “let themselves go” as if you could want something that badly, and fight for it that long, and just throw it away.

It’s even harder to grasp this logic with gastric bypass - because this person is right about one thing. They are required to demonstrate their commitment beforehand. They have to lose a significant amount of weight even before they’re eligible. They’re counseled thoroughly the whole time. Then, once the surgery is over, it’s so painful and so unpleasant and so difficult to eat the way they used to even slightly, it’s borderline impossible, and they’re still being heavily monitored.

But nope. Someone who likely spent thousands of dollars, took off work, went through the grueling process of becoming eligible, and went through the extremely painful surgery and recovery process, and accepted even beforehand all the risks including death, making weight loss something they were literally willing to die for - they just decided, “Nah,” and threw it all away for nothing, like you do.

Fatphobes think so low of fat people that this makes sense to them. Even when 95% of people who lost weight gain it back, even when gastric bypass has its own incredibly low success rate and incredibly high regret rate - somehow none of this is a sign that maybe it’s not user error. Somehow every fat person who gains the weight back or faces severe side effects of a surgery really is that careless despite everything they’ve done and had to do very recently to suggest otherwise.

And somehow, whatever side effects they experience are better for them than being 500 pounds.

Which is another way of saying that the ones who died due to complications were better off dead than alive and fat.

Theres something really insidious about how gastric bypass advocates deny that essential organ mutilation is unhealthy.

"I've lost so much weight I'm so healthy" your stomach is mutilated.

"My doctor is praising my progress" your stomach is mutilated.

"I fit in so many more clothes now"

Because an essential, life sustaining organ in your body was cut up and your digestive system rerouted.

Health isn't the end all be all of value, humanity or importance but I feel like there is a huge lie here when this is "healthy" and it's just ignored.

Sorry to just bring this up out of no where but I was reminded of how little this is really talked about in bypass circles. Like, no matter what, you are now unhealthy. The spector of health continues. The Ouroboros is unbroken. Only this time it's doctor approved.

-mod squirrel

[walbsc]

Understanding NO GAP Bariatric Surgery: Your Path to Weight Loss Success

The WA Laparoscopic and Bariatric Surgical Centre in Australia offers NO GAP bariatric surgery, ensuring patients receive high-quality care without additional out-of-pocket expenses. Specializing in advanced laparoscopic techniques, the center provides a range of bariatric procedures, including gastric sleeve and bypass, designed to aid long-term weight loss and improve health. With a focus on patient safety and personalized care, their experienced surgeons and dedicated team support patients throughout their weight loss journey, from consultation to recovery. The NO GAP option makes life-changing surgery more accessible, easing the financial burden for eligible patients.

WEBSITE: https://www.walbsc.com/understanding-no-gap-bariatric-surgery-your-path-to-weight-loss.php

[satyamprimarycare]

Weight Loss Doctor

A weight loss doctor, also known as a bariatrician or obesity medicine specialist, focuses on the comprehensive treatment of obesity and weight-related health issues. These experts utilize a multidisciplinary approach to help patients achieve and maintain a healthy weight. Treatment plans are personalized and may include:

Diet and Nutrition Counselling: Customized meal plans to meet individual health needs and preferences.

Exercise and Physical Activity Guidance: Tailored fitness programs to enhance weight loss and improve overall health.

Behavioural Therapy: Techniques to address emotional and psychological factors contributing to weight gain.

Medications: Prescribing FDA-approved weight loss drugs when appropriate.

Surgical Options: Referrals for bariatric surgery, such as gastric bypass or sleeve gastrectomy, for eligible patients.

Weight loss doctors monitor progress through regular follow-ups, adjusting treatment plans as needed to ensure effective and sustainable results. By addressing the root causes of obesity, they help patients reduce the risk of related conditions like diabetes, heart disease, and hypertension, leading to a healthier and more fulfilling life.

Address: 8851 Ellstree Ln, Suite 201 Raleigh, NC, 27617 Phone: (919) 981-9898 Email: contactus@satyamprimarycare.com

Website: https://satyamprimarycare.com/

[obesitysurgerybrisbane]

Understanding Weight Loss Surgery in Brisbane: A Comprehensive Guide

Weight loss surgery, also known as bariatric surgery, is a significant medical intervention for individuals struggling with obesity. In Brisbane, the demand for this life-changing procedure has increased as more people seek effective solutions to achieve a healthier weight. This comprehensive guide will explore various aspects of weight loss surgery in Brisbane, including common topics, challenges, a step-by-step guide, a case study, and a conclusion. We aim to provide a clear, engaging, and informative overview of weight loss surgery to help you make an informed decision.

Common Topics Everyone Should Know

1. Types of Weight Loss Surgery

Gastric Bypass Surgery: This involves creating a small pouch from the stomach and connecting it directly to the small intestine. This bypasses a portion of the digestive tract, leading to significant weight loss.

Sleeve Gastrectomy: This procedure removes a large portion of the stomach, leaving a smaller, tube-like stomach. This limits food intake and reduces hunger by decreasing the production of the hunger hormone ghrelin.

Adjustable Gastric Banding: An adjustable band is placed around the upper part of the stomach to create a small pouch. The band can be adjusted to control the amount of food intake.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS): This is a more complex procedure that involves both a sleeve gastrectomy and a significant rerouting of the intestines, leading to substantial weight loss.

2. Benefits of Weight Loss Surgery

Weight loss surgery can lead to significant health improvements, including:

Reduction in obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea.

Improved mobility and quality of life.

Increased energy levels and better mental health.

Enhanced self-esteem and body image.

3. Risks and Complications

Like any surgery, weight loss surgery carries risks and potential complications, including:

Infection and bleeding.

Nutritional deficiencies due to reduced food intake and absorption.

Gastrointestinal issues such as nausea, vomiting, and diarrhea.

Psychological effects, including depression and anxiety.

Challenges in Undergoing Weight Loss Surgery

1. Psychological Preparedness

Undergoing weight loss surgery requires significant mental and emotional preparation. Patients must be ready to commit to lifestyle changes and cope with the psychological impact of rapid weight loss.

2. Financial Considerations

Weight loss surgery can be expensive, and not all insurance plans cover the procedure. Patients must consider the financial burden, including surgery costs, post-operative care, and potential complications.

3. Post-Surgery Lifestyle Changes

Successful weight loss surgery requires lifelong changes in diet, exercise, and lifestyle habits. Patients must adhere to strict dietary guidelines, maintain regular physical activity, and attend follow-up appointments.

4. Social and Emotional Support

Patients need robust support systems from family, friends, and healthcare providers to navigate the challenges of weight loss surgery. Emotional support is crucial for long-term success.

Step-by-Step Guide to Weight Loss Surgery

Step 1: Initial Consultation

The journey begins with an initial consultation with a bariatric surgeon in Brisbane. During this appointment, the surgeon will assess your medical history, discuss your weight loss goals, and determine your eligibility for surgery.

Step 2: Pre-Surgery Evaluation

If deemed eligible, you will undergo a comprehensive pre-surgery evaluation, including:

Medical exams and laboratory tests.

Nutritional and psychological assessments.

Consultations with specialists such as dietitians and psychologists.

Step 3: Preparing for Surgery

Preparation for surgery involves several steps:

Adhering to a pre-surgery diet to reduce liver size and facilitate the procedure.

Quitting smoking and avoiding alcohol.

Arranging for post-operative care and support.

Step 4: The Surgery

On the day of surgery, you will be admitted to the hospital. The procedure typically lasts a few hours, and you will be under general anesthesia. The type of surgery performed will depend on your specific needs and the surgeon's recommendation.

Step 5: Post-Surgery Recovery

Recovery from weight loss surgery involves:

Hospital stay for a few days to monitor for complications.

Gradual reintroduction of liquids and soft foods.

Pain management and wound care.

Regular follow-up appointments with your surgeon.

Step 6: Long-Term Management

Long-term management includes:

Adhering to a balanced, nutrient-rich diet.

Regular physical activity to maintain weight loss.

Ongoing psychological support.

Regular medical check-ups to monitor your health.

Case Study: Sarah's Weight Loss Journey

Background: Sarah, a 35-year-old Brisbane resident, struggled with obesity for most of her life. Despite numerous diet and exercise attempts, she was unable to achieve sustainable weight loss. Her BMI was 40, and she suffered from type 2 diabetes and hypertension.

Decision: After thorough research and consultations with her healthcare providers, Sarah decided to undergo sleeve gastrectomy. She chose a reputable bariatric surgeon in Brisbane and began her journey.

Pre-Surgery Preparation: Sarah underwent comprehensive medical evaluations and participated in nutritional and psychological counseling. She adhered to a strict pre-surgery diet and prepared for the lifestyle changes ahead.

The Surgery: The sleeve gastrectomy was performed successfully. Sarah spent three days in the hospital for monitoring and recovery. The surgical team provided her with detailed post-operative care instructions.

Post-Surgery Journey: Sarah followed her surgeon's guidelines meticulously. She transitioned from liquids to solid foods and maintained a balanced diet. Regular physical activity became part of her daily routine. With the support of her family and healthcare team, Sarah lost 45 kilograms over the next year.

Outcome: Sarah's weight loss surgery was a success. Her BMI decreased to 27, and her type 2 diabetes went into remission. She experienced significant improvements in her quality of life, including increased energy levels and enhanced self-esteem.

Conclusion

Weight loss surgery in Brisbane offers a promising solution for individuals struggling with obesity and related health issues. While the journey involves significant challenges, the potential benefits, including improved health and quality of life, make it a worthwhile consideration. By understanding the types of surgery, preparing for the procedure, and committing to long-term lifestyle changes, patients can achieve lasting weight loss and a healthier future.

Weight loss surgery Brisbane provides a pathway to a healthier life, but it requires careful consideration, preparation, and commitment. If you are contemplating weight loss surgery, consult with a qualified bariatric surgeon to explore your options and embark on a journey towards a healthier, happier you.