Non Surgical/ Medical Weight Loss Program
Our Non-Surgical/ Medical weight loss program is not a temporary solution. It’s designed as a lifelong tool to obtain and maintain good health.
At our Centre, we use a multi-disciplinary approach to guide you to safe and healthy weight loss. Our physician-supervised programs are personalized to your specific medical conditions and weight loss needs. You work with a team of bariatric specialists, including nutritionists, certified fitness instructors to reach your goals.
Our medical weight loss program include
- Caloric Restriction
- Behaviour Modification (lifestyle modifications)
- Drug therapy
Our medically supervised, non surgical weight loss program is for you if
- You are not willing to undergo bariatric surgery
- You do not qualify for weight loss surgery either because you are surgically unfit or dont fulfil the criteria for undergoing surgery.
- You need to check the results of other modalties before taking the decision to undergo surgery
Our Medical Weight loss Services include:
We don’t believe in the philosophy” one size fits all”. Our Weight Management specialists will help you design a personalized program to reach and maintain long-term improvements in your fitness level and weight.
- Monthly medical appointments with Obesity Medicine physicians or nurse practitioners. They will develop an individualized weight loss program based on your preferences and lifestyle.
- Evaluation and treatment of medical conditions leading to obesity
- Weekly or biweekly meeting with bariatric nutritionists for
- Nutrition counseling and designing best dietary plan after assessing your preferences, eating habits.
- Activity plans with emphasis to increase physical activities as required and tolerated by your body to ensure optimal weight loss.
- Behavior modification
- Medication, in addition to lifestyle efforts, to lose weight, maintain weight loss and improve medical conditions.
What are the various types of diet plan?
Various types of diet plan are available and depending upon your eating habits, life style and nature of job, we try to tailor out a plan. Some of the diet plans available are:
Balanced Diet Plans( DASH, LEARN, TLC, Mediterranean):
These include plans like DASH (Dietary Approaches to Stop hypertension), LEARN (Lifestyle, Exercise, Attitude, Relationships, Nutrition), Mediterranean, TLC (Therapeutic Lifestyle changes). These plans are quite flexible and although calories are controlled but we ensure that one can take every kind of food. These plans are nutritionally balanced and includes physical activities and permanent life style changes.
High Protein and Low Carbohydrate Diet (Atkins, Dukan diet)
In these plans, carbohydrates are limited and fats or proteins or both are emphasized. In such types of diet, physical activity is optional but if done ensures better results. Although weight loss is fast but long term adherence poor.
Low Fat (Ornish, Pritkin)
All types of food containing even little amount of fat may be restricted or stopped. In such diets physical activities is a must for successful weight loss but long term adherence is again poor. Patients are shifted to another diet plan after a few months.
What is the key to long term non-surgical weight-loss success?
Unfortunately, most weight-loss diets are hard to stick for a long time and moreover majority of them not healthy for your body.
These diets meant for faster weight loss results leave your body hungry and deprived of nutrition. This may create irresistible cravings and worse yet, may leave you feeling like giving up. And because most weight-loss diets don’t encourage permanent healthy lifestyle changes, the kilos you lose often quickly come back once you stop dieting.
Successful weight loss requires permanent changes to your eating habits and physical activity. This means you need to find a weight-loss approach that you can embrace for life.
Even then, you’ll likely always have to remain vigilant about your weight. But combining a healthier diet with more activity is the best way to lose weight and keep it off for the long term.
Why does dieting and exercise don’t work for high BMI and have its own limitation?
We believe proper patient selection, proper counselling and expected results should be very clearly discussed with patients. It is well documented that with dieting and exercise one cannot maintain a weight loss of more than 10% of original weight or to put in simple words 10-12 kg.
The problem with dieting is that once a certain amount of weight is lost the body goes into a starvation type mode, and hormones are produced that cause a voracious appetite to occur and for the person to start craving foods high in sugar and fat. For this reason, it is very common for patients to be able to lose a certain amount of weight but to regain it quite fast. Patients with higher BMI require to lose much more weight to reach close to ideal body weight.
What do we do in Lifestyle Modification Program?
This program provides multidisciplinary support for lifelong weight management. In this program we encourage our patients to learn appropriate eating, exercise and lifestyle changes to support a healthy weight. A primary focus will be on exploring food relationships and addressing the role of food. Under the guidance of bariatric physician, nutritionists and psychologists, the patients are made to follow and learn
- Slow and Mindful eating
- Healthy food choices
- Healthy exercise under physiotherapist supervision
- Identifying eating triggers and making appropriate changes
- Achieving and maintaining a healthy weight.
Most diets work in the short term and people regain weight after a diet restriction program as they return to old habits that contributed to weight gain in the first place. Our program is designed to prevent such a relapse.
What is the role of medicines in weight loss?
Medicines or certain tablets do play a role in weight loss but has its limitations. They do act by suppressing your appetite or decrease the absorption of fat but they effect vanishes as soon as you stop taking these medications meaning thereby weight regain. They do not cause enough weight loss so practically ineffective in severely obese patients (BMI more than 32.5). these medicines should be taken under the supervision of trained obesity physician who after thorough evaluation and ruling out other causes of obesity will prescribe these medications.
What is a Very Low Calorie Diet (VLCD) program?
Very Low Calorie Diet (VLCD) is a medically-managed weight loss program that involves consuming specialized shakes and bars for up to 20 weeks under the complete supervision of physician or bariatric nutritionist. Daily calorie intake ranges from 700-1,000 calories meaning negative energy balance is created for effective and faster weight loss.
Most participants in this program will lose between 2kg approximately weekly.
Three Phases of VLCD
- Ketosis/weight loss phase with weekly medical monitoring and classes
- Transition back to food with classes and individual meetings with registered dietitian
- Maintenance/lifestyle (classes) for long-term management of obesity