Myth and Facts of Bariatric Surgery

Myth:  Diet and exercise can treat any obesity.

Fact:  Obesity with BMI less than 32.5 kg/mt2 can be managed by diet , exercise and drugs. Obesity surgery will be consider for morbid obesity with BMI greater than 32.5kg/mt2 with medical problems like diabetes,hypertension and Hyperlipidemia or BMI greater than 37.5kg/mt2 with orwithout medical issues.Commonly peoples have no idea about factors those are responsible for obesity and even medical people believe that obesity run in family but this is not true and even though practitioners emphasis on exercise for weight loss in obesity,could result in fatigue and muscle injury besides frustration or depression,as expected results are not achieved by most. Losing weight and managing obesity are two different entities and its will requirs multidisciplinary expert team including obesity surgeon, physician, dietician and physiotherapist. Exercise is a good habit to aquire irrespective of weight.The management of obesity and and its complications need multimodal approach (including medical management, surgical management, dietetics, exercise, sleep management and lifestyle management).

 Myth:  Surgeries are dangerous when one is obese.

Facts:  Longevity of life decreases 3years as by increase in 10kg body weight excess than ideal body weight.Laproscopic or key hole surgeries revolutionized bariatric surgery by decrease postoperative pain,faster recovery for day today work and more weight loss. When it comes to morbidly obese patients(BMI more than 37.5kg/mt2), only bariatric surgeries can help by reduces weight and maintained long-term weight loss by principle of restriction of the amount of the food and calories and induces less appetite by change in the level of harmones .
 

Myth:  There is weight regain after any obesity surgery.

Fact:  Obesity surgery helps reduce excess body weight which is otherwise very difficult to lose by diets and exercises.It must to follow a strict lifestyle pattern after bariatric surgery with adequate diet,exercise to avoid regaining weight and to maintain weight loss.

Myth:  Heredity and food habits are the only causes for obesity.

Facts: Endocrine Harmonal changes are the cause of obesity other than Lifestyle and hereditary. But it gives more of the water retention rather than fat storage.

Myth:  Eating less is the answer for weight loss.

Facts:  The truth is that even reduced food intake by 10-20% may continue to result in weight gain. Everyone knows that weight loss only happens if person is consuming less than the daily expense. It is essential to assess the calorie expenditure to calculate the calorie requirement. In many high-calorie eaters this may result in calorie reduction of 2000-30000 calories per day to achieve a deficit diet.

Myth:  Obesity is merely a lifestyle disorder.

Fact: Obesity has now been classified as disease with multi-factorial etiology.Being a disease,obesity needs to be managed medically under supervision.
 

Myth:  Obesity always mean low thyroid. Taking thyroid medicines will treat it.

Fact:  Not all the obesity is due to hypothyroidism.Also only hypothyroidism can not be lebelled as the sole cause of obesity in any indivisual.Taking unsupervised and inadvertent thyroid supplementation may lead to detrimental health effects. Obesity indeed has underlying endocrine(Harmonal)essues as the cause and complications effect.The assessment should not restrict to thyroid only.

Myth:  OTP slimming alternatives and fat burners can help.

Fact:  The fancy over-the-counter(OTP) alternative(herbal) medicines ,ayurvedic massages ,well-marketed equipment cannot treat obesity. Obesity is multi-factorial disease,,a modern epidemic and it needs a multimodal and serious approach to management. There is nothing like fat burners.These products by increasing sympathetic over-activity can lead to serious cardiac side effects(including death).
 

 

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