Several options are available for losing weight:
- Diet and calorie restriction,
- Meal replacement shakes and soups (VLCD),
- Appetite suppressants and malabsorptive medications, and
- Bariatric surgery.
VLCD’s can be effective in starting weight loss, but most (80 – 90%) of people cant keep it off for the long term. This is mostly because our body has programmed compensatory processed trying to stop us losing weight. It’s kind of like a thermostat for fat stores leading to higher levels of hunger and less feelings of satisfaction. Often people become obsessed with high energy and sweet foods.
Bariatric surgery is the only approach proven to allow sustainable meaningful weight loss and resolution of obesity related diseases.
- Improves obesity-related diseases and reduces risk of death (both from heart disease and all causes),
- Gastric bypass works by reducing hunger, increasing satisfaction, changing food preferences and the amount of energy used in absorbing diet,
- Gastric banding works through the reduction in hunger, possibly through stimulation of the vagal nerve, and
- Sleeve gastrectomy shares some mechanisms from banding and some from bypass.
No procedure is a quick fix nor miracule cure. Weight is still difficult to lose and effort is needed in remaining active and controlling portion size. One must remain disciplined and sensible in food choices with the operation seen as a tool only (Not THE SOLUTION). A period of time is granted for more satisfaction and less hunger allowing people to regain control of their weight and health.
Meaningful and sustainable weight loss needs change in behaviours and habits. This is not easy and no-one can do it alone! Our weight management package includes sessions with a group of experts all bringing their own knowledge and experience together for your benefit, at all stages:
- Initial assessment,
- Post operative care,
- Long term follow up including,
- Back on track in the case of weight regain.
Weight regain is unfortunately quite common at around 3 to 5 years following surgery. Because of this we keep you linked in with our experts. More surgery is not the answer but we do have answers!