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Pregnancy after Weight loss Surgery: Everything you must know

Overweight and obesity is a common problems across the world. The fundamental causes of being overweight are leading a sedentary lifestyle, eating unhealthy foods, stress, and various medical conditions that may contribute to a high BMI.

People invest their time in physical exercise to become fit, but sometimes it doesn’t work. However, maintaining healthy body weight is a must for us. This is why the importance of weight loss surgery, known as bariatric surgery, came into play. Gastric bypass surgery or bariatric surgery is a highly effective surgical procedure that involves changing your digestive system to help you lose weight.

Weight loss surgery is recommended for patients with a Body Mass Index (BMI) greater than 35 or 40. You might be considering whether the bariatric surgical procedure will affect your fertility and future possibilities to conceive and have children. 

But, getting pregnant after weight loss surgery is not an issue.  In this article, Dr. Ram Mohan, the best Bariatric and metabolic surgeon in Kakinada, explains more about bariatric surgery and pregnancy.

 

Will you be able to conceive after weight loss surgery?

Yes!. Pregnancy after bariatric surgery is possible, safe, and successful compared to the pregnancy of obese women. However, experts recommend postponing pregnancy until your weight stabilizes – typically 12 to 18 months after surgery. Some other experts may suggest a waiting period for at least 2 years before getting pregnant.

Early pregnancy after bariatric surgery could lead to development issues in a baby. This is because weight loss surgery will help you lose weight quickly, so your growing baby might not get all the nutrients required.

 

What are the benefits of conceiving a baby after bariatric surgery?

Obesity is associated with reduced fertility so conceiving can be challenging due to oligoovulation or anovulation. Even if a woman gets pregnant while being obese, there is an increased risk of developing various conditions such as gestational diabetes, hypertension, or preeclampsia.

Therefore, weight loss is the best way to reduce the risks of obesity, and bariatric surgery is an effective, safe, and non-invasive procedure. Studies suggest that as the menstrual cycles become regular, ovulation improves after bariatric surgery, which leads to a greater possibility of conceiving.

 

What are the risks of getting pregnant after bariatric surgery?

After bariatric surgery, the primary risk of pregnancy is not getting enough nutrients for the mother and the growing baby. However, your doctor might recommend nutritional deficiency testing before conception to determine the need for vitamin and mineral supplements and monthly tests during pregnancy.

Other possible complications include anemia, weight gain, low birth weight for the child, and possibly an increased risk of C-section.

 

How is pregnancy after bariatric surgery different?

During the nine months of pregnancy, prenatal care is the same as for other women. However, there are a few differences in a pregnancy after a bariatric surgical procedure.

Consulting with the gastric bypass surgeon who performed the procedure before trying to conceive is recommended. You may also need to take additional vitamin and mineral supplements to ensure that your growing baby gets all the nutrients needed.

Gaining weight during pregnancy is completely normal. As long as you eat well and remain active during pregnancy, losing this extra weight could not be a problem.

Is there a difference in labor and delivery during pregnancy after weight loss surgery? No. Management of labor and delivery after bariatric surgery should be the same as with any pregnant woman.

While the C-section rate is higher among those who have had bariatric surgery in the past, the surgery is not an indication of C-section and safe; normal delivery is entirely possible.

 

What should you follow to have a healthy pregnancy after bariatric surgery?

Eating healthy and staying physically active are important to maintaining your baby’s health during pregnancy.  If you want to try to conceive after bariatric surgery, speak to a dietician and your bariatric surgeon for advice on nutrition and weight gain during pregnancy.

A doctor might recommend a fetal ultrasound to monitor your baby’s growth. This is particularly important if you have had poor weight gain during pregnancy or became pregnant within two years of having weight loss surgery.

If you would like to speak to our Bariatric surgery experts in Kakinada, please contact us at Inodaya Hospitals today.

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What to expect before and after weight loss surgery?

Struggling with obesity-related health conditions? Your doctor may have mentioned weight-loss surgery to improve your overall health and quality of life. But what exactly is it, and what can you expect before and after the procedure? Various weight loss surgeries are available, including the roux-en-Y gastric bypass, the vertical sleeve gastrectomy, and adjustable gastric banding.

The appropriate weight loss surgery or bariatric surgery, combined with changes in diet and exercise, can lead to better health outcomes – says Dr. Ram Mohan, one of the best bariatric surgeons at Inodaya Hospitals. 

 

Types of Procedures

Roux-en-Y gastric bypass is laparoscopic surgery to reduce the size of your upper stomach so you can only eat smaller quantities of food. The surgeon makes a small incision in the abdomen and then staples off the upper section of the stomach into a small pouch that is then attached to the Roux Limb section of the small intestine.

A vertical sleeve gastrectomy (VSG) is a minimally invasive weight-loss surgical technique during which your stomach size is reduced to three or four ounces. This allows limiting the amount of food you consume to help you lose weight. After a VSG, ghrelin levels, a hunger hormone, also drops so that your appetite is initially reduced and aids in the weight-loss process.

Gastric banding (LAP-Band) is a weight loss surgery that involves placing a silicone band around the upper part of the stomach to decrease stomach size and reduce your food intake. A small outlet slows the emptying process into the stomach, enabling you to feel fuller very quickly. 

 

Before weight loss surgery

Weight loss or bariatric surgery is a significant surgical procedure with extremely positive outcomes and comes with some side effects of any major weight loss procedure. Before going to weight loss surgery, it’s crucial to understand the health risks and benefits associated with the surgery and the lifestyle changes expected following the bariatric surgery.

When you are considering bariatric surgery, your doctor will evaluate whether weight loss surgery is right for you and which type of surgery for weight loss is appropriate for your condition. Before surgery, nutrition counseling and physical and psychological evaluation are often a part of this process.

The health care team will also provide you with instructions about preparing for the weight-loss surgical procedure. In the months or weeks before bariatric surgery, you will be given eating and drinking restrictions and exercise guidelines, and you may be asked to attend lifestyle counseling. 

Many weight loss treatment doctors will also require you to lose some initial weight before operating. This is usually done for optimal health and safety because weight-loss surgery requires permanent lifestyle changes.

 

After weight loss surgery

Depending on the surgeon’s considerations and the type of bariatric procedure, patients typically take about two to three weeks to recover and return to work after the surgery. The first few weeks of surgery require sticking to a  liquid diet and gradually reintroducing foods to your digestive system.

Nutritional supplements will be required, and you will feel full after consuming a little amount of food. Dieticians develop meal plans ahead of time for every patient, and the process is done under the supervision of your bariatric surgeon. Then, your esophagus and stomach typically adjust to consuming regular food again after one to three months of surgery.

Talk to your registered dietitian about preventing the “dumping syndrome,” which is gastric distress (cramping, diarrhea) that you experience when you indulge in certain foods. Yet, you must have follow-up appointments regularly to make sure you are losing weight consistently and healthily.

However, if you went through a gastric banding weight loss surgery, you will typically have band adjustments every two months during the first year, then twice a year, then annually. Other patients can visit every three months, then twice a year, then annually.

Possible complications from weight loss surgery include leakage, bowel obstruction, ulcers, blood clots, gallstones, vomiting, and abdominal pain.

The most important thing to remember is that weight loss or bariatric surgery is permanent and requires hard work and a lifelong commitment. Want to know more about obesity treatment? Visit Inodaya Hospitals, Kakinada. We provide safe and effective treatment options for those affected by severe obesity. 

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Weight Loss

7 Surprising Reasons Why You Are Not Losing Weight

Eating healthy, fasting, workouts, and whatnot, Tried everything but still can’t lose weight? After putting so many efforts, the weight on the scale doesn’t seem to move even a number down.

You might be thinking why the extra in my body doesn’t shed away and my waistline doesn’t seem to shrink. Don’t worry. Inodaya, one of the multispeciality Hospitals in Kakinada is here to help you.

Check out these most common reasons why people don’t end up losing weight. You will be surprised!

  1. You are stressed

    Stress affects people in many different ways, and so do is eating, exercising, and sleeping habits. Many people who try to lose weight by eating healthy and exercising also worry about the results. This stress creates hindrance in the journey of losing weight.

    Stress also affects your cortisol levels which in turn makes it difficult to lose weight. Therefore, if your diet and exercise routine is stressing you out, find an alternative way.

  2. Not drinking enough water

    Our body is filled with 50 to 65 percent of water, and all-important processes of the body need water to function properly. Apart from this drinking water helps boost your metabolism, cleanse your body waste, and acts as an appetite suppressant.

    Also, drinking more water helps your body stay hydrated and stop retaining water, leading you to drop those extra pounds of water weight.

  3. You are not getting enough sleep

    Poor sleeping habits are one of the biggest risk factors for obesity. Many people don’t get the necessary 7-8 hours of sleep each night. However, it is recommended that a healthy body and mind, adequate sleep is much needed.

    Lack of sleep makes you feel sluggish the next day and ultimately affects your workout routine and diet which can lead to cause obesity.

  4. Not eating enough calories

    If you are looking to lose weight, it’s likely you have cut back on calories, but dropping your intake too low can obstruct your weight loss. Not eating enough can turn the body to starvation mode and slow down your metabolism.

    Calorie deficits much higher than 400 calories per day can reduce the activity of your thyroid syndrome and raise the stress levels that result in obesity or overweight.

  5. Not Eating Whole Foods

    Whole foods are plant-based foods that are unprocessed and unrefined. Eating whole foods like fruits, vegetables, whole grains, and nuts can improve your well-being and help regulate your appetite. The vitamin, minerals, and fiber in whole foods also help you stay fuller longer.

    Keep in mind that many processed foods labeled as healthy foods are not really healthy. Try to consume whole, single-ingredient foods as much as possible.

  6. Not lifting weights

    One of the most important things you can do when trying to lose weight is some form of resistance exercise such as weight lifting. This can help you maintain muscle strength, which is often burned along the body fat if not exercising.

    The benefits of lifting weights include improved posture, better sleep, maintaining weight, gaining bone density, and boosting metabolism.

  7. You are Binge Eating (Even on Healthy foods)

    Binge eating (consumption of large quantities of food) is the most common side effect of dieting. It involves rapidly eating large amounts of food, often much more than your body actually needs. Many dieters binge on junk foods, while others on relatively healthy foods (nuts, cheese, etc).

    Even if something is a healthy food, its calories still count. Depending on the quantity, a single binge can often ruin an entire week’s worth of effort to lose weight.

For more suggestions and consultation, book an appointment with our weight loss experts.
Call +91 92932 74444.

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Home remedies to get rid of overweight

Does it feel like an endless struggle to reduce overweight?

Read on to get rid of excess fat and reduce your risk of serious illnesses including heart disease, type 2 diabetes, developing high blood pressure, and more.

What is overweight?

Overweight is a weight above what is considered healthy, often measured using body mass index (BMI). It means a BMI of 25 to 29.9 is considered overweight and a BMI of 30 and higher is considered obese.

Sometimes, you may unintentionally gain excess weight without increasing food intake or decreasing physical activities. The common causes of weight gain may include genetics, pregnancy, certain medications and diseases such as hypothyroidism and polycystic ovarian syndrome.

If your excess weight (BMI 25-29) is left untreated, it can lead to obesity that causes a number of life-threatening complications- says Dr Godavarthy Ram Mohan, one of the experts of weight loss treatment. Fortunately, there are several natural methods that have actually been proven to work to reduce overweight.

9 Best Home Remedies to Get Rid of Overweight

Worried about extra weight and wondering to lose weight with home remedies? Here is a list of ways to lose weight naturally.

  1. Drink lots of water

    Drinking lots of water will not only help with your digestion but it will also boost your metabolism, cleanse your body of waste, and reduce bloating. Also, drinking more water helps your body stop retaining water that leads you to drop extra pounds of water weight.

  2. Improve your protein intake

    Adding protein to your diet is one of the quickest ways to get rid of overweight without additional exercise. This is because protein can help maintain optimum levels of blood sugar by lowering the production of insulin, a hormone that contributes to store fat in the form of adipose tissue.

  3. Opt for Green tea

    Green tea is a rich source of catechins and caffeine that speed up your metabolism and aid in burning fat. Therefore, the regular intake of green tea helps you burn more calories and lose weight as well as maintain a healthy weight.

  4. Incorporate coconut oil in your diet

    Unlike vegetable oils, coconut oil contains medium-chain triglycerides (MCTs) which makes it an effective weight loss remedy. These MCTs are easy to digest and also stimulate your body’s metabolism which helps to lose belly fat naturally.

  5. Apple cider vinegar

    Drinking Apple cider vinegar every day can boost your health and also obtain weight loss. This is because apple cider vinegar consists of acetic acid that exhibits anti-inflammatory and anti-obesity activities that promote weight loss.

  6. Lemon and Honey

    The mixture of lemon juice and honey to a cup of warm water is a popular remedy for weight loss. The vitamin C present in lemon helps in fat oxidation and the honey exhibits lipid-lowering activities. Not only does lemon and honey helps in weight loss but also improves immunity.

  7. Garlic

    Garlic, a natural herb is responsible for boosting energy levels, burn calories and keep you fit. It is also known to improve metabolism, further helping you lose weight efficiently. Garlin is an appetite suppressant that stops you from overeating and prevents weight gain.

  8. Cinnamon

    Cinnamon has its own ways to help you combat obesity and reduce weight. It is a great remedy at controlling blood sugar levels in the body. Cinnamon also boosts your metabolism and helps your body use carbohydrates, which would otherwise turn into excess fat.

  9. Get enough sleep

    Research studies have shown that sleeping six to eight hours every night will keep your insulin and cortisol levels in check. Moreover, allowing yourself enough sleep at night will give you the energy to burn calories and lose weight during the day.

Sometimes you need better and professional guidance more than home remedies for weight loss.

Consult Dr Ram Mohan, the top bariatric surgeon at Inodaya Hospitals for better advice on weight loss surgery.

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7 Misconceptions of Bariatric Surgery

Around the globe, many people consider bariatric surgery because of obesity at epidemic levels. There are many factors that contribute to obesity but are often misunderstood. Bariatric surgery, also called weight loss surgery is a popular treatment method for overweight or obesity.

However, we cannot recommend weight loss surgery to all obese patients because the physiological conditions of everyone differ. Performing surgical inventions to overcome obesity, there are several misconceptions about bariatric surgery.

Dr Ram Mohan, a leading Bariatric surgeon in Kakinada discusses common myths that prevent obese patients from proceeding with bariatric surgery.

7 Misconceptions of Bariatric surgery

Here, the bariatric and metabolic surgeons at Inodaya Hospitals share the facts you should know about weight loss surgery.

1. Bariatric surgery is an extremely risky procedure

Every surgical procedure has some potential risks and complications associated with it. But, with recent technological and medical advancements, various complications of bariatric surgery have been minimized. However, it is very important to choose your bariatric surgeon wisely, because surgery done by an accredited surgeon reduces the risks.

Also, you should discuss with your surgeon about the risks and benefits of each procedure before going to surgery.

2. Weight loss is the only benefit of obesity surgery.

Even though obesity surgery (bariatric surgery) plays a significant role in weight loss, it also results in increasing the health complications faced by obese patients including sleep apnea, type 2 diabetes, etc. In fact, a number of surgeries are being done for the remission of diseases like diabetes.

However, bariatric surgery that is done primarily to treat health conditions associated with obesity is called Metabolic surgery-says. Dr Ram Mohan.

3. Obesity surgery is a waste of time because you just regain weight in the future.

Researchers have concluded that people who have undergone bariatric surgery lose more weight than those who choose traditional weight loss methods. However, obesity surgery is not a miracle procedure to lose weight. You must strictly follow the diet and exercise regime as instructed by the surgeon to maintain the weight loss in the long run.

Weight regain depends on the type of procedure you choose. Discuss with your surgeon about the procedure which suits you, as there is no single procedure that suits everyone.

4. You will need plastic surgery after bariatric surgery

Not all patients that undergo bariatric surgery, require plastic surgery- says Dr Ram Maohan, the best bariatric and metabolic surgeon. Losing a significant amount of weight over a short period of time can leave you behind loose or sagging skin. This varies from person to person based on how much weight was lost and age. Patients who indulge in regular exercise may rarely require plastic surgery.

Today, most of the bariatric surgeries are done through laparoscopy. So that there would be no big scar that will require plastic surgery.

5. Bariatric surgery will prevent pregnancy

Females who undergo weight loss surgery are advised to wait for an year after surgery to get pregnancy, because it could interfere with weight loss. But experts suggest that bariatric surgery or weight loss surgery will not affect the ability to conceive, carry a baby or give birth. In fact, weight loss is an important step when trying for a baby since obesity itself can lead to infertility in both men and women.

6. Weight loss surgery entails long recovery time

Most of the bariatric surgeries are laparoscopic, which means the surgeon makes small cuts for a short time recovery. Patients who undergo weight loss surgery need to stay in the hospital for 2 to 3 days. They can resume the solid diet after 4 weeks of surgery, and get back to their normal activities.

7. Isn’t matter which type of bariatric surgery you have?

False. Just as no two people are alike, every operation we do is very different -says Dr Ram Mohan. There are a variety of options available that work differently to help people lose weight.

  • Someone with diabetes needs gastric bypass surgery, which reduces the size of the stomach and bypasses some part of the small intestine.

  • For patients with BMI up to 50, sleeve gastrectomy is preferred. This is often the best procedure that removes a large portion of the stomach along the greater curvature.

  • Another popular procedure for higher BMI is gastric band surgery. This is a surgical procedure where a band decreases the size of the stomach and restricts the amount of food you intake.

Bariatric surgery doesn’t just help you live longer but it also helps you live better. Have you been considering bariatric surgery? Approach Dr Ram Mohan, the best bariatric surgeon at  Inodaya Hospitals Kakinada.

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Difference Between Overweight and Obese

Both overweight and obesity implies a condition of excess body weight. Globally, there are more people who are overweight today than before. It is estimated that more than 1 billion adults are overweight and of those, about one-third are considered obese. Unfortunately, overweight and being obese has become much more common in children, too.

Even the terms “overweight” and “obesity” are quite common around us, sometimes it may not be clear what they actually mean. With this view, Dr.Ram Mohan – the best bariatric and metabolic surgeon at Inodaya Hospitals, explains more about being overweight and obesity.

What is the difference between overweight and obese?

As already discussed, overweight and obesity are the conditions having excess body fat than what is considered healthy. The body mass index (BMI), which is calculated from height and weight is a simple way to identify people who are overweight and obese.

However, adults who has a BMI around 25-29 are considered as overweight and adults who has a BMI of 30 or more are considered obese. It is important to note that children and teens become overweight and obese for a various reasons.

Children over the age of 5 whose body mass index is between 5th percentile and less than 85th percentile are considered as heavily weighted. But, children who are in the 85th percentile or less than the 95th percentile are considered overweight. And the children who are equal or greater than the 95th percentile are considered obese -says Dr. Ram Mohan, the best bariatric surgeon.

What causes excess weight?

Overweight is also defined as weighing more than the actual weight based on age, height, and sex. But, some people being overweight does not mean excess body fat such as bodybuilders and athletes can be overweight but not obese.

There are many reasons for being overweight such as overeating, lack of physical exercise, unhealthy eating habits, thyroid problems, and genetic factors. At the same time, psychological conditions can contribute to being overweight.

Does it matter where the excess body fat is located?

Yes. People who have excessive abdominal fat are at greater risk of heart diseases and cancers than people with a similar BMI and carry their fat in other areas of the body. Researches also found that death and disease risk associated with excess body fat can vary among individuals with similar body mass indexes.

Can I control health problems related to overweight or obese by losing weight?

Yes. Dr. Ram Mohan, one of the best weight loss surgeons explained that a moderate weight loss can help to prevent or control numerous health problems including diabetes, high blood pressure and heart problems, etc. The closer you are at normal weight (BMI between 18.5 to 24.9) the greater the health benefits.

What can I do for my overweight or obesity?

Speak to your doctor about your weight loss program. The doctor may recommend the best tips to follow based on your age, height and weight.

Nutritional diet

To lose or maintain your current weight is to eat a well-balanced diet that includes eating a high-protein breakfast and avoiding sugary foods.

Regular exercise

At least 30 minutes of moderate exercise (brisk walking or running) a day is needed to maintain a healthy weight.

Behavioral change

Behavioral modifications such as keeping a food diary of everything that you eat and drink for a couple of weeks and then reviewing your diet. It would be a start to a healthy diet that leads to a healthy weight.

Still unable to lose excess weight? It could be severe obesity. Don’t worry. Bariatric surgery or weight-loss surgery can help people with severe obesity to lose excess body fat, and prevent health complications – says Dr. Ram Mohan, the top bariatric surgeon in Kakinada.

If you would like to know more information, Please contact Inodaya Hospitals