Considering bariatric surgery? It’s likely someone we know has healthy weight loss success with this surgery. The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band and biliopancreatic diversion with duodenal switch.
Weight loss surgery
Knowing health risks of obesity means offering patient choice. At Susannah Makram clinics we feel you should know about options available to you. Also, you should know what to expect by choosing your healthy weight loss route.
Still wondering about taking ownership of your health? Think you’re too young, healthy, don’t qualify?
We’ve made it easy for to break down the routes of obesity treatment.
-> Fast Fact: Did you know that it may be advisable to seek a two week low calorie and mostly liquid diet to prepare you for your surgery?
Q. 1) Which Bariatric surgery for weight loss is right for me?
- SAFE The safety of bariatric surgery varies considerably. It depends on your personal health and medical history. Safety varies based on the type of operation you have and the experience of both surgeon and hospital.
- CLINICAL Speak frankly to your specialist. Don’t rely on previous experience of others or information on the internet.
- PRACTICAL Measure your perceived success with that of your surgeon’s. Re-assess these when your are ready to take responsibility for your current lifestyle. Your nutritional habits and lifestyle need assessment first. This helps you make an informed decision, that is both realistic and optimistic. The right bariatric diet is crucial at every stage.
- EFFECTIVE Only you can answer this important question. After you consider the medical evidence for surgery and facts. Look at the facts regarding risks and benefits of each procedure.
Q. 3) Is bariatric surgery the solution to Type 2 Diabetes and Obesity?
Bariatric surgery is also known as Obesity surgery. These include: gastric banding, gastric bypass, sleeve gastrectomy and duodenal switch. It is usually undertaken laparoscopically. The most commonly used method in the UK is a gastric bypass.
NICE Guidelines offer an expedited assessment for bariatric surgery. This is to people with a BMI of 35 or over who have recent-onset type 2 diabetes. The GDG considered that recent-onset type 2 diabetes would include those people whose diagnosis has been made within a 10-year time frame.
Classification of Obesity. Note: if you are of Asian origin, you may be considered for weight loss surgery at a lower BMI. This is because the risks of being overweight kick in at a lower BMI in people of Asian origin.
Q. 4) Why are the first two years of bariatric diet after bariatric surgery important?
You will not absorb certain vitamins and minerals in the same way after your operation. You’ll need to take some supplements as advised by your specialist team.
The levels of these will be monitored for the rest of your life. This includes blood tests for your levels of iron, calcium, copper, zinc, vitamin D, and vitamin B12.
Q. 5) What the risks or complications of bariatric surgery for weight loss?
Weight loss surgery carries real risks. As many as 10% of people have complications afterward. Unpleasant side-effects include: Nausea, vomiting, diarrhoea. 3% of the time serious complications that are life-threatening occur: blood clot to the lungs -pulmonary embolism, heart attack, leaks in new surgical gut connections, bleeding ulcers. This is higher for people over 60. Even after successful weight loss surgery, other problems are common. These include gallstones often requiring gall bladder removal. Vitamin deficiencies from malnutrition or malabsorption – poor absorption of nutrients, sagging skin requiring body contouring surgery. WHAT’S A FUNCTIONAL BARIATRIC DIET EXACTLY? –> Read on to find out…
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Q. 6) What makes bariatric surgery successful for some not for others? Success depends on your ability to follow. Keep reading to find out about the functional bariatric diet.
Weight loss surgery is not a cure for obesity. Rather it can be a tool to help you lose weight. Losing weight for many is about living a healthier, longer and more fulfilling life.
Long-term effects of bariatric surgery are still being studied. Nutritional deficiencies can arise over time. Periodic blood tests are required to help ensure nutritional balance. It is recommended that you do a series of tests every three months for the first year. Annual tests should follow for the rest of your life.
In addition to a complete blood count (CBC), other tests will measure levels of: alanine aminotransferase (ALT). albumin. alkaline phosphatase. aspartate aminotransferase (AST). calcium, cholesterol panel. direct and total bilirubin. electrolytes. fasting glucose. ferritin. folate. hemoglobin A1c. iron saturation and transferring magnesium, phosphorus, total protein and vitamin B12. You may have tests to measure your levels of thiamine and vitamin D.
Q. 7) Does functional nutrition for weight loss work with bariatric surgery? What’s a bariatric diet?
Yes. Your Naturopathic Nutritional Portfolio For Weight Loss is in the four phases. Your portfolio is:
- SAFE. Depends on our health story.
- CLINICAL. For best possible short and long term outcome for: Biliopancreatic Diversion with Duodenal Switch, Adjustable Gastric Band, Roux-en-Y Gastric Bypass, Sleeve Gastrectomy
- PRACTICAL. We don’t live in a spa. So let’s be realistic. Local, minimal lifestyle changes for maximal health and comfort.
- EFFECTIVE. Eat. Drink. Take. Make. Personalised nutrition around your lifestyle.
- PHASE ONE – Preparation is key to lower the chances of complications that can arise with surgery & to improve rate of recovery
- PHASE TWO – Adapting to your new gut environment
- PHASE THREE – Making your microbiome and DNA markers for obesity work to improve metabolic function & energy levels
- PHASE FOUR – Performance, endurance, perceived capability of body & mind is enhanced for prevention of illness & so that your surgery is a continued success