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All about B-Lite Clinic Centre for Weight Loss
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 Introduction
to B-Lite Clinic Centre for Weight Loss |
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Opting
For the B-Lite Clinic Centre for Weight Loss |
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Where to begin |
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Qualifying
for the surgery |
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Preparing
for the surgery |
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Contact
our surgeon |
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Understanding
the process |
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Before surgery |
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The surgery |
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After the
surgery |
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Benefits,
drawbacks and complication |
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Life
after surgery |
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| Introduction
to B-Lite Clinic |
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 As
we have already seen in the previous sections, the health
consequences of severe obesity. It is evident that almost
every part of our body gets affected. In fact we can say
that it affects all the three planes of human existence,
i.e. physical, mental and spiritual.
The remarkable and wonderful fact is that most of these
problems can be greatly improved, while some can be entirely
resolved, with successful weight loss. Many have struggled
with weight loss for years trying various diets, medications
and professional weight loss services without long-term
success. People have been adopting various dieting methods
all over the world to loose weight. While some starve
themselves to death while others go overboard with exercises
to loose weight. And above all, those who do loose weight
find the result very short lasting. Eventually they become
even more disappointed and rejected. For these people,
weight management is much more than carrying a few extra
pounds. It can be a matter of life and death.
This weight loss surgery (B-Lite Clinic Centre for Weight Loss) has given
many individuals a new lease on life. This surgery enables
a person to loose weight in short time. The amount of
weight one will lose will depend on the type of surgical
procedure he has undergone and how committed they are
to the required lifestyle changes, including exercise
and eating habits. Results vary, but the average patient
can expect to lose 50-90% of their excess weight 12-18
months after surgery. Even if the ideal weight is not
reached, co-morbid medical problems are improved in most
cases. Many patients find they no longer need medications
for diabetes, hypertension, sleep apnoea, arthritis and
back pain. Most patients report an increase in self-esteem
and self-confidence and an improvement in their overall
quality of life. |
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Treatment
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Average Weight Loss (% Total)
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% Weight Loss
Maintained (@ 5 years)
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Placebo |
4%-6% |
0 |
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Overweight |
8%-12% |
0 |
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Drug
Therapy |
10% |
10% |
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B-Lite Clinic Centre for Weight Loss |
25%-70% |
Up to
100% |
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| So Bariatrics is the branch of medicine
that deals with the causes, prevention, and treatment
of obesity. It is a highly specialized field of surgery,
which requires exceptional surgical skills. Just like,
a pilot cannot fly every aircraft. He has to be trained
to fly different machines. Similarly not every laparoscopic
surgeon can perform this gastric bypass surgery. So it
is very important to consult a skilled surgeon. B-Lite Clinic Centre for Weight Loss is a term derived from the Greek words: ''weight''
and ''treatment.'' They are surgical procedures which
are major gastrointestinal operations that: |
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(a) Seal off most of the stomach to
reduce the amount of food one can eat, and
(b) Rearrange the small intestine to reduce the calories
the bodies can absorb. |
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| Growing importance of B-Lite Clinic Centre for Weight Loss |
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| Weight loss surgery is a major surgery.
There are three factors for its increasing popularity
and use. They are described below: |
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More and more awareness is spreading about obesity
and people worldwide are realizing that obesity is
not just a problem, it is a disease.
Other approaches to obtain weight loss do not yield
long term results.
The latest breakthrough in medical field-'B-Lite Clinic Centre for Weight Loss' has relatively low complications and has
excellent results. |
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| Opting
For the B-Lite Clinic Centre for Weight Loss |
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| B-Lite Clinic Centre for Weight Loss is not a cosmetic
surgery. And just like any other surgery, there are immediate
and long-term complications and risks. So it is very essential
to obtain a complete and comprehensive knowledge before
you set your mind. Some people merely understand that
this surgery involves removing of 'fat' from the body.
But it is not so. It is a major surgery. And the patient
has to be prepared for long-term commitment, lifestyle
changes including diet and exercise. Bariatic is a major
surgery. Although most patients enjoy an improvement in
obesity-related health conditions (such as mobility, self-image,
and self-esteem) after the successful results of weight
loss surgery, these results should not be the overriding
motivation for having the procedure. The goal is to live
better, healthier, and longer. |
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Where
to begin |
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The best way to start is by having
an in-depth conversation with your surgeon. Only a qualified
surgeon will be able to give you a complete picture. As
a rule, B-Lite Clinic Centre for Weight Loss is not considered until you
and your surgeon have looked at all other options. It
is very important for you to be open with him and understand
the exact details of procedure, the complications and
risks involved, extent of recovery time, the commitment
required from your side and the follow-up care. One must
also have good knowledge about the B-Lite Clinic Centre for Weight Loss before
meeting the surgeon. We have devoted this section of ours
to give you some understanding about this weight loss
procedure.
Ultimately, the decision to have the procedure is entirely
up to you. After having heard all the information, you
must decide if the benefits outweigh the side effects
and potential complications. Weight loss surgery is only
a tool. Your ultimate success depends on strict adherence
to the recommended dietary, exercise and lifestyle changes. |
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Qualifying
for the surgery |
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 Only
a surgeon can evaluate if you are the right candidate
for this surgery or not. When you decide to see a Bariatric
surgeon, he will definitely try to probe as to what efforts
were made to achieve weight control by non-surgical methods.
From this history, he will sketch a picture of current
health status, and the adverse effects of obesity. After
this, he would take a thorough Medical History to identify
the course of development of obesity. After the cause
is outlined, a detailed family and past history will be
taken. Current weight and height will be measured to calculate
the Body Mass Index.
To decide whether a patient is a candidate for B-Lite Clinic Centre for Weight Loss or not, the surgeon will conduct a comprehensive
medical evaluation that may include blood tests, EKG,
chest x-ray, pulmonary function test, upper gastrointestinal
x-ray, gall bladder ultrasound and/or a psychiatric evaluation.
One may not qualify for surgery if he has pre-existing
conditions such as hepatic cirrhosis with impaired liver
functions, serious psychiatric disability and/or correctable
hormonal causes of obesity. An ideal candidate for the
surgery is the one who fulfils the following criterion: |
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The patient who has BMI of 40 or greater with significant
co-morbidity.
He has already tried dietary modification and exercises
but all attempts have been ineffective.
There is no endocrine cause of obesity
Absence of drug or alcohol problem
No uncontrolled psychological conditions
The patient should be willing and determined to have
a change in life-style
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Preparing
for the surgery |
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| At Aastha, we stress a lot on educating
our patients well. Some of the challenges facing a person
after weight loss surgery can be unexpected. Lifestyle
changes can strain relationships within families and between
married couples. So most of the bariatric surgeons offer
follow-up care that includes support groups, dieticians
and other forms of continuing education. But at Aastha,
we emphasize on 'pre-surgery care'. We have a panel of
experts comprising of psychologists and Bariatric surgeons
who will start preparing you and your family right from
the beginning. They will help you to: |
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Understand the surgical process and what to expect
afterward.
Understand what are realistic goals and what changes
will be needed to achieve them.
Get connected to other patients who have had B-Lite Clinic Centre for Weight Loss
Mentally prepare for the surgery. They will also
talk to your family and explain them how they could
offer their support in this process.
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| B-Lite Clinic Centre for Weight Loss is like other major
surgeries. You can best prepare by knowing the benefits
and risks of surgery and by closely following your surgeon's
instructions. |
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Contact
our surgeon |
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| Our Bariatric program has four components:
medical, nutritional, psychological, and surgical. We
have a dedicated team who will take care of our patients
during the whole process, right from preparing the patient
for the surgery to providing treatments and care after
the surgery. To contact our surgeon,
click here. |
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| Understanding
the process |
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| People from all around the world have
had wonderful results from B-Lite Clinic Centre for Weight Loss. In this
section, we will be describing as to what patient should
be expecting before and after the surgery. Also, we have
provided an insight into the process to help our patients
become well-informed about the surgery. |
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Before
surgery |
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 Before
the surgery, you will be required to undergo the pre-surgery
medical, nutritional, and psychological evaluations.
Once the surgeon announces that the patient is fit for
surgery, he will explain the treatment process in details
and together you will choose the most appropriate surgery
suited for you. Most surgeons will perform B-Lite Clinic Centre for Weight Loss using the laparoscopic method. However, this
is a decision that the doctor and patient must make
together. Read the topic-'The Surgery' to learn more
about both procedures.
On the day of the surgery, you will be required to sign
a consent form. Before you sign a consent form, you
should have a solid understanding of what is about to
take place. At Aastha, we have a panel of experts like
psychologist, dieticians too who will take care of all
the concerns of the patient. Your surgeon will have
specific instructions for you to follow. A few of the
more frequently given instructions include:
Do not drink or eat anything prior to surgery, beginning
the evening before the day of surgery.
Most medicines can be taken the day of surgery,
just with small sips of water (however, your doctor
will have instructions regarding specific medications).
Bring all of your medications with you.
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| Before surgery, the patient will be
given an IV line to administer antibiotics and other medications.
After anaesthesia, the patient is intubated and then the
surgeons are all set to work their magic! |
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The surgery |
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 B-Lite Clinic Centre for Weight Loss has been performed for many decades. For many
of those years, the surgery was performed as an open procedure.
An open procedure means a surgeon creates a long incision,
or cut, opening up the patient. As medical technology
evolved, laparoscopic or minimally invasive surgery became
a possibility. With laparoscopic surgery, the surgeon
creates small incisions. Both approaches have similar
success rates in reducing excess weight and improving
or resolving co-morbidities.
So as discussed above, this surgery can be done either
as an open surgery or laparoscopically. The surgeon
is the best person to decide what is ideal for the patient.
Ofcourse in the open method, the surgeon operates through
an abdominal incision, so the recovery takes time. Laparoscopic
surgery is a minimally invasive approach that involves
a surgeon to operate through four tiny incisions, most
of which are less than a half-centimetre in size! The
surgeon inserts the laparoscope through very tiny incisions
and gets a magnified view of the patient's organs on
a television monitor. The surgeons are especially trained
to develop skills in operating by this new method, without
being able to feel tissue directly. The use of laparoscopy
for more complex operations, in which the stomach or
bowel is cut and re-connected, is called "Advanced
Laparoscopy". Though the operating time is slightly
longer than the open operation but the recovery time
is much shorter. Complication rate has been similar
to that with the open operation, except that no Incisional
hernias (hernias occurring through the scar of the incision)
have been a rare occurrence, with the laparoscopic technique.
But not everyone qualifies for less-invasive surgery.
In some patients, the laparoscopic or minimally invasive
approach to surgery cannot be used. It depends on medical
history, surgical difficulty, and body shape. Here are
reasons why you may have an open procedure, or that
may lead your surgeon to switch during the procedure
from laparoscopic to open:
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Presence of any dense scar or fibrosis from any
previous abdominal surgery
When the surgeon is unable to view the organs clearly
due to any reasons.
Bleeding problems during the operation
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| The decision to perform the open procedure
is a judgment call made by your surgeon either before
or during the actual operation and is based on patient
safety. There are three types of B-Lite Clinic Centre for Weight Loss (described
below). The surgeon is the best person to tell you which
one is best for you. The three types are: |
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Malabsorptive
procedures: This surgery does focus
at reducing the stomach size but they mainly aim on
creating malabsorption. i.e. Biliopancreatic Diversion
(Scopinaro procedure - rare)
Restrictive
procedures: This kind of surgery primarily
reduces the stomach size.
Vertical Banded Gastroplasty (Mason procedure,
stomach stapling)
Adjustable gastric band (or "Lap Band")
Sleeve gastrectomy
Hybrid
procedures: In this type, both the
techniques of restriction and malabsorption are applied
simultaneously. i.e. Gastric bypass surgery, like
Roux-en-Y gastric bypass
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After
the surgery |
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 After
surgery, the healthcare team will make sure that your
vital signs are correct and arrange for you to be taken
to a recovery room. The patient will be closely monitored
for the first 24 hours after surgery. To help manage
pain, analgesia medication will be given.
In the laparoscopic surgery, since the incisions are
small, the healing rate is faster. After surgery, the
patient is put on a liquid diet and then is slowly encouraged
to have a pureed, soft and regular diet. Depending upon
the condition of the patient, leg exercises may be recommended
and/or a compression device may be attached to the legs
to help prevent the formation of blood clots and to
improve circulation. The doctor generally encourages
the patients to be up and walking as soon as possible
to help the circulation. This surgery usually involves
a 4- to 6-day hospital stay (2 to 3 days for a laparoscopic
approach).
Gastric bypass surgeries may cause dumping syndrome.
This occurs when food moves too quickly through the
stomach and intestines. It causes nausea, weakness,
sweating, faintness, and possibly diarrhoea soon after
eating. These symptoms are made worse by eating highly
refined, high-calorie foods (like sweets). But these
problems can be easily overcome with the help of a nutritionist.
In a gastric bypass, the part of the intestine where
many minerals and vitamins are most easily absorbed
is bypassed. Because of this, there may be deficiency
of iron, calcium, magnesium, or vitamins. This can lead
to long-term problems, such as osteoporosis. To prevent
vitamin and mineral deficiencies, one need to work with
a dietician to plan meals, and it may be required to
take nutrient supplements and injections of vitamin
B12. So immediately after B-Lite Clinic Centre for Weight Loss, the surgeon
will review the dietary instructions. Many Bariatric
surgeons begin patients with liquid diets, and after
a period of time, move them on to semisolid foods. Later,
when the surgeon deems it appropriate, patients can
begin eating solid foods.
Before discharge, the surgeons will discuss post-operative
plan with patients, which is essential to the long-term
maintenance of weight. This may include referrals to
nutritionists, exercise programs, psychotherapists and/or
support groups.
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| Benefits,
drawbacks and complication |
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Benefits |
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 Although
diet, exercise, behaviour therapy and anti-obesity drugs
are first-line treatment, but sometimes all these treatments
are totally in-effective. Therefore, obesity surgery (or
B-Lite Clinic Centre for Weight Loss) has become a popular treatment in the
war against obesity. Weight loss surgery generally results
in greater weight loss than conventional treatment, and
leads to improvements in quality of life and obesity related
diseases such as hypertension and diabetes. Given below
are the benefits of this surgery: |
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- Studies show that weight loss ranges from 28% to
87%. Initially, dramatic weight loss is experienced.
Weight loss tapers off 18 months post-operative.
- No alteration of natural anatomy, food consumed
passes through the digestive tract naturally allowing
for normal absorption
- In case of Restrictive Procedure, the band can be
adjusted to increase or decrease restriction
- Disappearance of co-morbid conditions (patients
are able to stop taking many of the medications for
co-morbid conditions, sleep is improved, patient can
be more active, and can re-enter the workforce)
- Feeling of confidence and the patient can lead an
active life.
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| Besides this, if the surgery is done
laparoscopically, it has few additional benefits. Laparoscopy
has truly marked the beginning of new era. The benefits
of have been listed below: |
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Tiny Incisions, tiny scars, so faster healing
Less Discomfort
Reduced Risk of Incisional Hernias
Less Stress on Body's Defences
Shorter Hospital Time
Quick Recovery |
| So let us compare the benefits of
B-Lite Clinic Centre for Weight Loss when done laparoscopically with traditional
way. |
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Traditional
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Laparoscopic
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Shorter surgery
More predictable
Lower risk of leak
Higher risk of pulmonary problems
More post-op pain
2 - 4 weeks off work |
Relatively longer surgery
Higher risk of leak
Quicker recovery and return to work
Less post-op pain
Fewer wound complications
Less risk of hernia formation |
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Drawbacks |
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| Just like every coin has two sides,
similarly side-effects occur with any operation. Although
they are less serious than complications, they may be
permanent, and may require a change in lifestyle, to avoid
continuing discomfort. E.g Most patients experience some
difficulty tolerating red meat, chicken and sweets after
surgery. During the first 3-7 months of reduced food intake,
some patients experience nausea, vomiting, food intolerance,
changes in bowel movements, constipation, transient hair
loss and loss of muscle mass. But nearly all patients
see a significant improvement after 7-8 months of surgery. |
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| In gastric bypass surgery, the duodenum
and other sections of the small intestine are bypassed.
So there may be poor absorption of iron and calcium. This
can lead to deficiency in the body. But By taking a multivitamin
and calcium supplements, patients can maintain a healthy
level of minerals and vitamins. |
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Complications |
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| As with any abdominal surgery, there
are potential risks. However, with B-Lite Clinic Centre for Weight Loss,
these risks are further complicated because of the patient's
extra weight. Possible risks during and after surgery
include: |
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Respiratory problems including pneumonia.
Infection, bleeding, inflammation of the intestines.
Abdominal blockage.
Leakage around surgical connection sites/stretched
stomach outlets.
Blood clots, which can result in heart attack or
stroke.
Stomach ulcer.
Breakdown of staple line in stomach.
Nutritional deficiencies including anaemia, osteoporosis
or metabolic bone disease.
Gall bladder disease.
Nausea, vomiting, bloating and gas
Diarrhoea or constipation. |
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Life
after surgery |
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 After
surgery, it is like a re-birth. You body has to re-adjust
to the new changes. It will take some time to heal.
And so recovery will also take efforts. Some patients
begin to lose pounds within few weeks of their surgery.
For others, a couple of months go by before they see
noticeable weight loss. With courage and a circle of
support, you will make it through recovery and start
to do things like never before.
Always remember, the weight loss surgery is not a one-time
visit to the operating room. As discussed above, it
calls for a long commitment, change in lifestyle habits
which include diet, exercise etc. The consequences of
neglecting nutritional health postoperatively can be
devastating. Vitamin and mineral deficiencies can occur.
Moreover if the instructions of the surgeons are not
followed well, patients may not deliver good results.
So one must remember that this surgery requires a careful
follow up and an extensive lifelong program of nutritional
health. Let us see some of the changes that need to
be made:
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Change in lifestyle
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Patients have to re-learn how to eat.
After weight loss surgery, the amount one can eat before
feeling full is significantly reduced. The doctor may
recommend eating several (8-10) small meals throughout
the day to ensure proper nutrition. When you start eating
solid food, it is important to chew your food thoroughly
and eat very slowly. One must avoid drinking fluids while
eating. Fluids consumed with meals can cause vomiting
and dumping syndrome, and can lead to feeling hungry sooner
after a meal.
There is nothing like sudden weight loss after the surgery.
So the person must be mentally prepared to change the
lifestyle and accept that changes takes time. |
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Avoiding Nausea
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| After gastric restriction, if one
gets a full feeling, and continues to eat, chances are
an episode of vomiting will result. Most patients have
this happen several times, and most quickly learn to follow
instructions to eat slowly, chew food well, and avoid
that last bite when fullness occurs. Typically, with the
gastric Bypass, a profound feeling of satisfaction follows
the fullness within a few minutes, and makes further eating
a matter of indifference. The Gastric Banding does not
produce this sense of satisfaction as quickly, or as intensely.
During the first few days to weeks, another kind of nausea
may follow the gastric bypass. This results from delayed
function of the Y-limb, and spontaneously resolves with
time. |
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Overcoming 'Food Intolerance'
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 The
changes made to your gastrointestinal tract will require
permanent changes in your eating habits that must be followed
for successful weight loss. After either the gastric bypass,
or the gastric banding, red meats are not well tolerated,
and may cause vomiting. Even Sugar may cause it because
refined sugars and candy consist of many small molecules,
which tend to draw fluid into the intestine. After the
gastric bypass (not after the gastric banding), a condition
called "dumping syndrome" may occur, when sugar
is taken on an empty stomach, passes rapidly through the
stomach into the intestine, and draws a large amount of
fluid into the bowel. The physiology is complicated, but
the result is a condition like shock: one turns ghostly
pale, breaks out in a profuse sweat, feels butterflies
in the stomach, a rapid pulse, and a feeling of prostration.
The problem of dumping is avoided by avoiding sweets,
candies, and fruit juices on an empty stomach. To help
avoid dumping syndrome, you may want to cook foods without
using fat and season food to taste. It's a good idea to
avoid sauces, gravies, butter, margarine, mayonnaise,
and foods high in fat and/or sugar. To digest milk sugar
(lactose), our bodies need and enzyme called lactase,
which is often in short supply in the lower small intestine.
After gastric bypass (not after gastric banding), milk
and milk products may not be fully digested. So they are
avoided but the supplements are taken to ensure that any
deficiency does not occur. |
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Change in Bowel Habits.
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| After restrictive surgery, the amount
of food consumed is greatly reduced, and the quantity
of roughage consumed may be much smaller. Correspondingly,
the amount of bowel movements will be diminished, causing
less frequent bowel activity, and constipation. If this
becomes a problem, a stool softener supplement may be
needed, to avoid rectal difficulties. It is very important
to keep oneself hydrated all the time. |
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Physical activity
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 Many
patients are hesitant about exercising after surgery,
but exercise is an essential component of success after
surgery. When you have a weight loss surgery procedure,
you lose weight because the amount of food energy (calories)
you are able to eat is much less than your body needs
to operate. It has to make up the difference by burning
reserves or unused tissues. Your body will tend to burn
any unused muscle before it begins to burn the fat it
has saved up. If you do not exercise daily, your body
will consume your unused muscle, and you will lose muscle
mass and strength. Daily aerobic exercise for 20 minutes
will communicate to your body that you want to use your
muscles and force it to burn the fat instead. |
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Return to normal activities
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| Soon after surgery, doctors will require
you to get up and move around. Patients are asked to walk
or stand at the bedside the very next day of surgery and
take several walks soon after. Your ability to resume
pre-surgery levels of activity depends on your physical
condition, the nature of the activity, and the type of
B-Lite Clinic Centre for Weight Loss you had. Many patients return to normal
levels of activity within five weeks of surgery. |
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B-Lite Clinic Centre for Weight Loss is not a
quick fix. It's an ongoing journey toward weight loss
through lifestyle changes. Our team will always be there
to support your efforts. Positive changes in your body,
your weight, and your health will occur, but you will
need to be patient through the recovery process. |
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