Freedom at Midnight!

The Birds dispersed after the secret meeting at midnight. Their plan to escape the zoo was taking shape. Owl had planned every detail. Freedom was a month away.

‘Party-time!’ quaked Duck, digging into some chips and chocolate.

‘What is this?’ asked Kingfisher, peering into the packet of chips.  ‘I haven’t seen anything like this before!’

‘Chips!’ smiled Duck, slurping some Cola. ‘You don’t know what you’re missing!’

‘That doesn’t look like food to me!’ shrieked Parrot. ‘Why not celebrate with nuts?’ she asked, offering some she had stashed away.

‘I have some delicious fish!’ Kingfisher announced.

‘Trr Trr’ Babbler flew in. ‘Here…some chana from the little boy who visits daily.’

‘Yuck!’ shrieked Duck. ‘You can eat your boring chana!  And nuts and fish!  I have more exciting things to eat!’ she said, pushing away their offerings.

The Birds enjoyed their midnight feast, dreaming of their flight into freedom.

A month passed and the day of escape arrived. The sun set and the last visitors exited the zoo. The zookeepers locked up the enclosures and made their way out. Signalling to them all, Owl led the forward march toward the southern wall where Owl and Kite, had worked very hard over several months, to tear a small hole into the wire-mesh wall.

One by one, the Birds emerged from the caged enclosure. Kingfisher Babbler Parrot and all. They flew out into freedom. Entering a whole new world where no cages bound them.

‘We’re free!’ they all danced, thanking Kite and Owl.

‘Wait! Duck isn’t out yet!’ hooted Owl, as he encouraged Duck to press himself through the little opening.

‘I’m too large for this!’ Duck rued, as he struggled to squeeze through.

‘I told you not to drink those colas and eat those chips!’ muttered Parrot. ‘Now look how huge you have become!’

Duck nodded. ‘I’m stuck now!’ he cried. ‘Please help me! I promise I will never have chips and colas again!’

The Birds felt sorry for Duck. ‘Wait! I have an idea!’ chirped Babbler. ‘Maybe that boy who feeds me chana everyday can help!’

The Birds flew to the home of the little boy across the street and created a din to wake him up. They led the boy to the wall of the enclosure and he understood the problem immediately. Tugging at the wire-mesh, the boy made more space for Duck to hop out.

A cheer went across as the Birds danced around Duck, as he hobbled out of the zoo, in relief.

Deeply grateful, Duck made a vow to eat nothing other than his food again. The sight of chips and cola reminded him only of the dreadful life he had left behind. A life trapped in a cage.

Eat Healthy. Not Junk.

Chips and Cola can trap you in a cage you cannot escape!


 


About Dr Abhay Agrawal:

Dr Abhay Agrawal is a world-class expert in all types of Bariatric and Diabetes surgeries: Mini Gastric Bypass, Roux-en- y Gastric Bypass, Sleeve Gastrectomy and Ileal Transposition (Diabetes Surgery). He is highly skilled with vast experience in advanced laparoscopic surgery. One of the few in India to offer 3D laparoscopic Surgery.

Dr Agrawal is among World’s first and few to be certified as International Surgeon of Excellence from the non-profit accreditation organisation from USA, Surgical Review Corporation (SRC).

He has treated more than 4000 patients with Bariatric and Diabetes Surgeries. His Bariatric and Diabetes Surgery program is well known for consistent and high quality results in long term weight loss and permanent cure for Type 2 Diabetes.  He personally treats every patient with out delegating it to juniors.

Dr Agrawal is available for consultations and surgeries at his own Center for Obesity and Diabetes Control (CODC) Malad East; SevenHills Hospital Andheri East; Apollo Spectra Hospital Tardeo, at Mumbai; and once a month at Kalda Hospital Raipur, India.

For appointments: Call or What’s app on +91 98210 32169 or Email at drabhay@gmail.com

Positives of Multi-Location Practice

Sometime people ask why do I practice from many locations. Am I hedging my risk?

No. Actual reasons might sound counter-intuitive.

First, our patients can choose a location they want for their consultation, surgery and post-operative care.

Second, it preserves our autonomy to take the best clinical decision every time. As surgeons we are outcome driven whereas hospitals are process driven. Being attached to many hospitals provides us with the flexibility to match a patient condition with the center that is best suited to achieve the outcome.

Whereas if we are tied full-time to one hospital, all our decisions will have to be within the boundaries and rules and regulations of that hospital.

There is a constraint too. Bariatric and other advanced Laparoscopic surgeries that we perform need advanced equipments, state-of-the art operating theaters and well trained staff. Hence we need to be selective about Hospitals that we operate at.

All these efforts are worthwhile because there is nothing more satisfying than to cure a patient by pooling the best of the facilities, people with our skills. Its the least we could do in return of the trust and faith our patients place in us.

——————————————————–

Dr Abhay Agrawal is a world-class expert in all types of Bariatric surgeries: Mini Gastric Bypass, Roux-en- y Gastric Bypass, Sleeve Gastrectomy and Ileal Transposition (Diabetes Surgery) with vast experience in advanced laparoscopic surgery.

Dr Agrawal is one of the few in world to be certified as International Surgeon of Excellence from the non-profit accreditation organisation Surgical Review Corporation (SRC) USA.

He has treated more than 4000 patients with Bariatric surgery and his Bariatric program is well known for consistent and high quality results in long term weight loss as he personally treats every patient.

Dr Agrawal is available for consultations and surgeries at his own Center for Obesity and Diabetes Control (CODC) Malad East; SevenHills Hospital Andheri East; and Apollo Spectra Hospital Tardeo, at Mumbai.

For appointments, call on +91 22 2888 6666

Weight Gain After Bariatric Surgery: Everything You Wanted to Know

Average weight regain after 5 years from Bariatric Surgery ranges from 0 to 10%, depending on on two key factors: 1) The procedure chosen and 2) Patient behavior.

However, several non-surgical measures exist to prevent or reverse weight regain.

First lets see which procedures cause how much long-term weight loss and average weight regain from our Center’s experience and various studies published in medical journals:

Highest long-term weight loss with little to no weight regain:

Duodenal switch: 70%+ excess weight loss (EWL) after 3 years with little or no weight-gain

Duodenal switch is a procedure where the first part of our small intestine called Duodenum is partially removed and replaced with a graft of the last part of our small intestine called Ileum.

We are the most experienced Center in India in Duodenal Switch Surgery which can also be used in non-obese type 2 diabetes patients for permanently resolving Diabetes. In fact we were the first in India to offer Duodenal Switch Surgery since 2010.

High long-term weight loss, with 8 to 10% weight regain:

Gastric sleeve: 60% EWL after 3 years

Gastric bypass:  60% EWL after 3 years

Lap-Band: 55% EWL after 3 years, but highly variable from patient to patient

Moderate short-term weight loss, with 100% weight regain possibility if a secondary procedure is not done:

Gastric balloon: 30% EWL in 6 months, then must be removed. If the patient does not receive another gastric balloon after their first one is removed or does not undergo one of the more interventional procedures listed above, 100% weight regain is likely.

The key to preventing weight regain after Bariatric surgery depends on these 4 actions:

  1. Lose as much weight as possible before Surgery:

Studies show that your BMI before surgery directly correlates to how much weight you will lose and keep off after surgery. Hence we put patients on a liquid diet two weeks before surgery so that much weight is gone as you get operated, and the procedure would accelerate loss of remaining excess weight.

  1. Follow Bariatric Diet:

The right bariatric diet addresses “What” to eat. It includes:

  • High-protein, low-carb diet, and no cheating before surgery
  • Slow transition from clear liquids to solid foods after surgery
  • Healthy foods, proteins first
  • Lots of sugar-free liquids, but never around meals
  • Minimal snacking
  • Small portion sizes, chew thoroughly
  • Adhering to prescribed vitamin regimen
  • Avoiding “trigger” foods and alcohol

 

Our Center has well experienced Dietician to help you with this part.

  1. Bariatric Eating:

The right bariatric eating is about “How” to eat what you have chosen to eat.

These techniques help prevent complications, weight regain, and malnutrition. They include:

  • Preparing your food properly
  • Controlling portion sizes
  • Eating slowly and chewing thoroughly
  • No drinking before, during, or after meals
  • Being mindful of warning signs

 

We guide all our patients through this process in detail.

  1. Moderate Exercise

 A reputed study by UCLA (University of California, Los Angeles) in the US reveals that those who moderately exercised after Bariatric Surgery had 4.2% lower BMI than those who didn’t exercise.

Another study from University of Virginia found that patients who maintained 2 ½ hours per week exercise routine showed significantly greater long-term weight loss vs patients who didn’t exercise.

2 ½  hours as you realise is just 30 minutes exercise for 5 days a week.

I am sure you can find this much time and motivation however busy or uncharacteristic of physical activities you are.

Why does moderate exercise matter so much for long term weight-loss success?

The reason is counter-intuitive.

Moderate exercise by itself may burn as little as 200 calories per session. These many calories can be gained back in 5 minutes by eating two gulab jamuns or a small piece of black forest cake.

The more important reason a 30 minute moderate exercise works is by boosting your metabolism, which is especially important considering your body’s natural tendency to slow down your metabolism as you lose weight.

A higher basal metabolic rate means that your body will automatically burn calories at a faster rate even while you are resting, thus leading to additional weight loss.

Key is to start slowly and build endurance at your pace.

The best exercise for bariatric surgery patients achieves a balance of Flexibility, Strength and Endurance.

For more details on exercise plans, please do connect with us for a detailed discussions. If you have any chronic pain, our highly experienced physiotherapists will be able to help.

If you wish to learn more about any of the points shared above, please feel free to call us at +91 22 2888 6666 for an appointment with Dr Abhay Agrawal or his Dietician or Physiotherapist.

Dr Abhay Agrawal is also available at Apollo Spectra Hospital Tardeo, Seven Hills Hospital Andheri East and Thunga Hospital Malad West on prior appointment so that you can meet him at a convenient location to you.

How Bariatric Surgery combats premature aging and adds eight years of life to patients

Weight loss through bariatric surgery can help you effectively combat premature aging and add about eight years of extra life, as per a recent study conducted in Vienna.

The researchers collected blood samples before surgery and one and two years afterwards.

They compared the levels of premature aging markers called Telomeres in the blood before and after surgery.

Telomeres are the internal clock of each cell. Telomeres get shorter when a cell divides or when oxidative stress causes them to break.

When the telomeres get very short the cell can no longer divide and is replenished or stays in the body as an aged cell.

Previous studies have shown that obese women had shorter telomeres compared to women with a healthy weight, which amounted to an added eight years of life.

Vienna study found that two years after surgery, patients had 80% longer telomeres than they had before the procedure and could reverse the premature aging in obese patients.

The study included 76 patients who were 40 years old on average; and the average BMI was 44.5 kg/m2. All patients had been unable to lose weight through lifestyle changes and were referred for bariatric surgery.

One year after surgery BMI had significantly dropped to an average of 27.5 kg/m2, which amounts to a 38% reduction.

Something Stealing your Sleep?

A character from a French folk tale lends her name to a sleep disorder that many suffer from without even knowing it.

It is called Ondine’s Curse or in medical terms Central Hypo-ventilation Syndrome.

Ondine was a celestial nymph who fell in love with Palemon, a mortal, who promised to love her with every waking breath he takes. Ondine is overwhelmed and comes down to the earth to join her lover, giving up her Celestial home and Immortality forever. But the love story is soon to take a dramatic twist.

One day, Ondine finds her lover asleep in the bedchamber in the arms of another woman.

Seething in anger, Ondine barges into the room and curses Palemon. ‘So long as you are awake, you shall breathe. But should you ever fall into sleep, your breath will desert you!’

With that curse, Palemon is doomed to stay awake forever. For he knows that the moment he goes to sleep, he will be dead.

Interesting story?

Borrowing its name from this tale, Ondine’s curse is a disorder where a person stops breathing during sleep.

More than 10 million people in India are said to be suffering from it.

The condition is also called Sleep Apnea. It is a potentially serious condition in which breathing stops and starts repeatedly during sleep.

Due to the stoppage in breathing, the brain and other parts of the body are not supplied with adequate oxygen.

One of the most common forms of Sleep Apnea is called Obstructive Sleep Apnea and it is caused by the blockage of the airway when the soft tissue at the back of the throat collapses during sleep.

This happens involuntarily. So often, those suffering from Sleep Apnea do not know it.

They wonder why they feel groggy, sleepy and unrested in the mornings. Or often, they doze off to sleep during the day. The reason in many cases, is not having enough restful sleep at night.

One of the most common causes of Sleep Apnea is Obesity.

Excess fat accumulation around the throat, air passages and lungs can cause the condition.

Males above 40 who are over-weight are in the highest risk category.

Obesity is not just the weight on your body. It is also the weight on your lungs and air passages. Increased fat around the throat can cause breathing difficulties and disorders like Sleep Apnea.

Obesity is determined by calculating the BMI or Body Mass Index of the person.

Eg :  if one’s height is 175 cm and weight is 70 kg, the BMI would be calculated as follows :-

BMI = 70 / (1.75 * 1.75) = 22.86

 

When one’s BMI is 30 or more, one is said to be Obese.

People use many ways to tackle obesity including diet and exercise. However, often such attempts end up being futile because root cause of obesity such as over-eating and excess absorption of food by the intestines is not easy to win over with just diet and exercise.

Bariatric Surgery is a scientifically proven, tried and tested alternate method for weight loss and obesity with much higher success rate compared to conventional methods.

Known also as Weight Loss or Obesity Surgery, it is a procedure to induce weight loss amongst people who suffer from Obesity. Particularly amongst those for whom other weight loss measures have not worked.

Bariatric surgery involves reducing the active size of the patient’s stomach with the help of a gastric band also known as a lap-band. Alternatively, a part of the stomach is surgically removed. In one more type of surgery, food pathway is rerouted.

All these three options in Bariatric surgery result in reduction of food intake or less absorption of fat and sugars or both, to help long term weight loss. Your Doctor will advise which of these three options are best for you.

Post the bariatric procedure, one is required to have small frequent meals. As the stomach size is reduced, one tends to feel full with smaller quantities. The food intake will thereby reduce on its own.

The impact of bariatric surgery becomes apparent within the first few weeks of surgery.

The procedure is performed through laparoscopy i.e. through the key-hole method. This involves miniature incisions. As a result, there will be no major scars of surgery and recovery is painless and quick compared to open surgery.

Bariatric Surgery involves risk just like any other surgery. But it is important to understand that as with any other surgery, the surgeon’s skill and expertise reduce the risk involved.

The success of a surgery and the patient’s experience depends mostly on the experience, skill and expertise of the surgeon. It is therefore necessary that one approaches a top bariatric centre with vast experience in performing bariatric and laparoscopic surgeries.

Apart from Sleep Apnea, Obesity is associated with increased risk of several physical health disorders including diabetes, high blood pressure, stroke, cancer, arthritis, infertility, heart disease and thyroid amongst others.

It is also a major cause of mental and psychological problems like Depression, Anxiety, etc. caused due to social seclusion and isolation.

Bariatric Surgery may be the answer to end your battle with Obesity and the multifarious problems that come along with it.

 

Want to learn more? Call us for a consultation on: +91 98210 32169.

5 Ways to Prevent Childhood Obesity

Childhood obesity has more serious future health implications than most parents think.

Studies from University of Surrey, UK found increased arterial damage in obese children. The arterial damage aggravates the chances of that child suffering from cardiovascular disease in its adult life.

Researchers have established that obese children are more likely to develop type 2 diabetes in adulthood. Childhood BMI is also a predictor of adult hypertension, asthma, hepatic steatosis, sleep apnea and arthritis.

Whereas the popular perception in Indian families is that plump child is a healthy child. Which is incorrect. Childhood obesity is something that we need to address an protect the child from unhealthy adult life with life threatening consequences.

How can we do it?

These tips may help you prevent weight gain while your child enjoys its food and eating time.

  1. Respect your child’s appetite. Human bodies right from infancy are tuned to recognise when they are full. So children do not have to finish everything on their plate, or finish the entire bottle.
  2. Do not reward completion of meals with sweet desserts. This will subconsciously script a child’s mind into believing that eating is hard work but you are rewarded for finishing it, in the end.
  3. Make his or her favourite food healthier. You don’t have to ask your child to avoid his or her favorite food. That will induce craving. Instead, the recipes that your family enjoys, with just a few changes, can be healthier and just as satisfying.

For instance, if your child loves Biryani, no point in asking him or her not to eat it because Rice makes you put on weight if eaten in large quantities. Just replace the rice with dalia or broken wheat. This tastes good and is much healthier.

  1. Enjoy physical activities as a family, such as walking, swimming and playing outdoor games. Pre-school to primary school children should do three hours exercise a day once they can walk. Five to 18 year olds are encouraged to do an hour to several hours a day of moderate to vigorous intensity physical activity. Three days a week this should include vigorous intensity activities to strengthen muscle and bone.
  2. Reduce Sedentary Time: The American Academy of Pediatrics (AAP) does not recommend television viewing for children age 2 or younger. In fact TV is bad for all ages.

Although quiet time for reading and homework is fine, limit the time your children watch television, play video games, or surf the web to no more than 1 hour per day.

If you want to learn more about healthy diet for your child and family, you may please ask for an appointment with our Dietitian. Call us at  +91 22 2888 6666.

4 Most Frequently Asked Questions About Bariatric Surgery

4 Most Frequently Asked Questions About Bariatric Surgery

Dr Abhay Agrawal from Mumbai India is one of the foremost leaders of Laparoscopic and Bariatric Surgery . He took up Bariatric Surgery in its nascent days and has played a significant role in growing this specialty it to the level it is at today. In 2002, Dr. Agrawal was one of the first in Mumbai to perform Sleeve Gastrectomy, which is one of the popular type of Bariatric Surgeries today.

With 4000 Laparoscopic Bariatric procedures under his belt, as of 2017, Dr. Agrawal ranks amongst the top 5 individual surgeons in India terms of total number of Bariatric Surgeries performed. Dr Agrawal is a  world-class expert in all types of Bariatric surgeries: Mini Gastric Bypass, Roux- en- y Gastric Bypass, Sleeve Gastrectomy and Ileal Transposition (Diabetes Surgery).

Dr Agrawal is one of the first and amongst the few surgeons in the world to be conferred with the distinguished status of International Surgeon of Excellence from the US-based non-profit accreditation organization, Surgical Review Corporation (SRC) . This accreditation certificate was awarded to him after a stringent audit of his center that included checking the patient data of the previous 5 years for safety, efficacy, of complication incidences, re-operation etc..

The following are the 4 most common questions Dr Agrawal gets from his international patients and below each question are his answers for you to make an informed decision about Bariatric Surgery. Hope you find them useful:

Why should I choose Bariatric Surgery when I have options like Liposuction, Diet, Exercise etc.?

Liposuction neither reduces significant body-weight nor resolves a co-morbidity like Diabetes. It sucks some fat from target areas to improve cosmetic shape.

With diet and exercise plans many don’t lose weight in-spite of diligence; or you succeed first and quickly regain all lost weight and more. Your willpower may not be at fault. There could be an underlying medical condition. Unless we treat it, excess weight doesn’t go or stay away.

This is where Bariatric Surgery scores high as the most successful and scientifically proven method for long-term excess weight loss and resolution of about 60 co-morbidities including diabetes and hypertension.

Who can undergo Bariatric Surgery?

According to American Society of Metabolic and Bariatric Surgeons:

Patients with BMI ≥ 40.

BMI ≥35 and at least one or more obesity-related co-morbidities such as type II diabetes

Those unable to achieve healthy and sustained weight loss with non-surgical efforts.

You can easily calculate your BMI at our website obesitysurgeryindia.net

Is Bariatric Surgery Safe?

In experienced hands, risk of dying from Bariatric surgery is about 0% (99.9% survival rates). Morbid obesity sufferers are 85% more likely to die over any 5 year period than Bariatric surgery patients.

Why Choose Center for Obesity and Diabetes Control (CODC)?

Founded in 2002, we are among the most respected Bariatric Centers of Asia with 4000+ procedures’ cumulative experience. Our expertise in Diabetes Surgery for low BMI patients is unparalleled. We are one of the few accredited centers of excellence by Surgical Review Corporation USA based on our patient safety, minimal complications, high patient satisfaction and reduced costs.

Located in Mumbai that has the best non-stop connections from all UAE destinations, Dr Agrawal is also attached to four other leading hospitals- widening your venue choice for treatment.

You will also enjoy significant cost savings compared to UAE and many Indian centers with no compromise in treatment and care with us.

For more details and discussions, write to Dr Abhay Agrawal at drabhay@gmail.com

The Heart of the Matter: Obesity Can Kill

Ask a child what the most vital organ of the human body is. Child will tell you it is the Heart.

Ask a mother when she first felt the gush of life within her womb. She will tell you it is when she first sensed her baby’s heartbeat.

Ask a spurned lover what the most painful experience of all is. He will tell you it is the pangs of a heart ache.

Anatomically, Physiogically, Emotionally – the Heart is the core of our being.

It is not that we don’t know it. But often we ignore it.

So, while we do well to feed our stomachs with delicious food and feed our senses with interesting stimulants, we forget to give our heart what it needs to remain healthy.

Did you know that India is set to soon become the Global Capital of Heart Disease?

Nearly two million people are dying each year in India due to heart problems and a large number of them are youngsters.

Obesity and lifestyle choices are proven to be the underlying cause of a large number of those cases of heart disease.

Obesity is not just the weight on your body. It is also the weight on your Heart. Increased fat around the waist increases the risk of Cardiovascular ailments.

Obesity is determined by calculating the BMI or Body Mass Index of the person.

Eg :  if one’s height is 175 cm and weight is 70 kg, the BMI would be calculated as follows :-

BMI = 70 / (1.75 * 1.75) = 22.86

 

When one’s BMI is 30 or more, one is said to be Obese.

And when BMI is more than 37.5, patients qualify for Bariatric surgery subject to certain conditions.

There are many ways to lose weight but there is only one sceintifically validated way to sustain weight loss over long term. It is Bariatric Surgery.

Bariatric Surgery is a scientifically proven, tried and tested treatment for obesity. Known also as Weight Loss or Obesity Surgery, it is a procedure to induce long term weight loss particularly amongst those for whom other weight loss measures have not worked.

Bariatric surgery involves reducing the actve size of the patient’s stomach with the help of a gastric band also known as a lap-band. Alternatively, a part of the stomach is surgically removed. In one more type of surgery, food pathway is rerouted.

All these three options in Bariatric surgery result in reduction of food intake or less absortpition of fat and sugars or both, to help long term weight loss. Your Doctor will advise which of these three options are best for you.

Post the bariatric procedure, one is required to have small frequent meals. As the stomach size is reduced, one tends to feel full with smaller quantities. The food intake will thereby reduce on its own.

The impact of bariatric surgery becomes apparent within the first few weeks of surgery.

The procedure is performed through laparoscopy i.e. through the key-hole method. This involves minitature incisions. As a result, there will be no major scars of surgery and recovery is painless and quick compared to open surgery.

Bariatric Surgery involves risk just like any other surgery. But it is important to understand that as with any other surgery, the surgeon’s skill and expertise reduce the risk involved.

The success of a surgery and the patient’s experience depends mostly on the experience, skill and expertise of the surgeon. It is therefore necessary that one approaches a top bariatric centre with vast experience in performing batiatric and laparoscopic surgeries.

Apart from Heart Disease, Obesity is associated with increased risk of several physical health disorders including diabetes, high blood pressure, stroke, cancer, arthritis, infertility, sleep apnea and thyroid amongst others.

It is also a major cause of mental and psychological problems like Depression, Anxiety, etc. caused due to social seclusion and isolation.

Bariatric Surgery may be the answer to end your battle with Obesity and the multifarious problems that come along with it.

My Inspiration: Dr Kelvin Higa

The man who inspired me to start Gastric Bypass Surgery for morbidly obese patients is Dr Kelvin Higa from California US who is one of the most prominent Bariatric Surgeons of the world.

Our center was one of the first in India in 2004 to offer Gastric Bypass to deserving patients and has a successful series of more than 1000 happy patients today.

Gastric Bypass is an excellent surgical option for those who gain weight in spite of eating less. Normally its a good option for very high BMI (40 and above) patients. Certain lifestyle changes such as taking supplements lifelong is needed after surgery. But taking supplements life long is much better than taking diabetes and blood pressure medications everyday for instance. Isn’t it?

Gastric Bypass

Dr Kelvin Higa, the current president of American Society of Metabolic and Bariatric Surgeons has a large role in getting me started with gastric by pass where we bypass a large portion of stomach and intestine and make food mix with digestive juices a little late down the digestive tract. The delay helps in reducing calorie absorption and solves the excess digestion of food that takes place in some patients which is the root cause for stubborn excess weight.

It was a great pleasure to connect back with him recently in Goa at Asia Pacific IFSO convention.

Obesity may cause Infertility. Bariatric Surgery may solve both.

Each time you see a baby, does your heart ache instead of rejoicing? The internal turmoil of the one who is unable to conceive is deeply personal and painful.

But we are fortunate to live in the modern era when medical science can assist couples facing infertility issues to conceive and experience the joy of raising a child.

There are a number of causes for the problem of Infertility. One among them is Obesity.  World Health Organisation defines Obesity as having a BMI (Body Mass Index) of 30 or more.

Obesity and Infertility are directly and closely related.

Obese women are three times more likely to suffer infertility than women with a normal body mass index as documented in a research study published in 1994 in American Journal of Obstetrics and Gynecology.

In order to tackle the problem of Infertility, it is necessary to first tackle the problem of Obesity.

An obese woman is more likely to experience irregular menstrual cycles.

Obesity has also been found to be associated with PCOS or Polycystic Ovary Syndrome which involves the presence of cysts on the ovaries.

Even in cases of assisted reproduction methods like IVF, IUI etc., the prognosis is poorer in case of obese patients and pregnancy rates are only about half for women with a BMI of more than 35.

Moreover, obese women need to take higher doses of gonadotropins injections for stimulating follicle growth during the process.

Further, those with obesity face an increased risk of miscarriage, complications during labour, foetal loss and still birth.

Obesity is also associated with a substantial increase in medical complications during pregnancy like hyper tension, gestational diabetes and eclampsia.Eclampsia  is a rare but serious condition that causes seizures during pregnancy risking the health of both mother and baby.

Male infertility too is linked with Obesity. Obese men are more likely to have a lower sperm count, sperm of lower quality and lower levels of testosterone. ­

While a lifestyle and diet change are absolutely imperative for weight loss, Bariatric Surgery has been found to be the most effective long term solution for dealing with Obesity.

Bariatric surgery involves reducing the size of the patient’s stomach with the help of a gastric band also known as a lap-band. Alternatively, a part of the stomach can be removed with a procedure called Sleeve Gastrectomy. A third option is to create a new digestion path bypassing the stomach with help from a procedure called Gastric bypass.

Your Surgeon will suggest which of these options is best suited for you.

All these procedures cause safe reduction of food intake and long term weight loss.

­­­

The procedures are performed through laparoscopy i.e. through the key-hole method. This involves a few miniature incisions or a single incision. As a result, compared to an open surgery, there will be no pain from incisions, shorter stay in hospital, less chances of infection and much quicker recovery. Also there will be no major scars of surgery.

The impact of Bariatric surgery becomes apparent within the first few weeks of surgery with patient losing considerable weight.

Studies show that with every unit BMI drop, your chances of conception dramatically increase.

Bariatric Surgery involves risk just like any other surgery. It is important to understand that as with any other surgery, the surgeon’s skill and expertise reduce the risk involved.

The success of a surgery and the patient’s experience depends mostly on the vast experience and skill of the surgeon along with his team. It is therefore necessary that one approaches a top Bariatric Centre with vast experience in performing laparoscopic surgery.

In summary, Bariatric Surgery could be the One Solution to your Many Problems.

Cheers