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Suggest Ways To Lose Weight

Posted on Tue, 4 Oct 2016

Question: Hi I was wondering if I'm a good candidate for weight loss surgery.

Your probly wondering why?
My Bmi is classed as obeise I'm in the army and do pt everyday but still can't keep the weight off (bmi 33)
I have put on to much weight in the last year around (30 kgs)
Can't keep it off
Tried multiple weight loss options
Do some sort of pt every day

Have heart problems
Am at risk of cancer as it runs in the family
Liver / lung

Am unhappy with my body image
Trouble sleeping (snoring is getting worse)
Feel depressed about myself due to my image
Am always hungry
Feel that my immune system isn't like it used to be
Catching the flu regularly
Joints are starting to feel under pressure
Legs start to swell up sometimes
Joints hurt when I'm even in bed
Not enough energy for sex with partner and feel fat and ugly so that doesn't help either

Please help me

Can I see a gastro doc ?

Would like children later on
Would like to be as healthy as I can

I feel if I undergo this surgery
I will be very committed
Well more committed
To my weight loss program
As nothing else has worked for me
I was thinking a sleeve
I would like to be 70 kgs again
I was very healthy back then

Answered by Dr. Shafi Ullah Khan (41 minutes later)

Brief Answer:
Slow and steady natural ways, no surgery

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. At age of 22 any weight loss surgery is really not a good option. Being in army with difficulty in weight loss, get some baseline metabolic profile to rule out any metabolic causes of weight loss like hormonal imbalances etc. After that caloric consumption should be increased and intake be reduced to only 2 thousand calories a day and not more. Sign up to an FDA approved weight loss program and lose 30 pounds in 12 weeks slowly and then maintain it for a year. Then repeat the cycle. Losing weight is not one day thing . Persistent natural measures and diet control are the only way out. Avoid weight loss supplements and use ATKIN and other diets for weight loss.

Its too early for any bariatric surgery and i would like that option to be not even considered at age of 22. Sign up with an FDA approved weight loss clinic and hope for the best.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (12 minutes later)

I have seen dieticians and followed a very similar plan to what you said for the last year

I seen to just be putting more and more weight on

We have adjusted my diet plan
Still more weight

I had a blood test done afew days ago
Doc said my liver test came back and he said it looks like alcohol or drug abuse
But i dont drink or take drugs
He knows my history
He wasnt sure what it was

Could it be fatty liver ?

Shoulf i go and see a gastro soeciakist anyways to discuss my issue i have states

Answered by Dr. Shafi Ullah Khan (1 hour later)

Brief Answer:
Needs work up and management

Detailed Answer:
Thank you for getting back to me

What ever is the diet, reducing calories is the key, keeping it to 2 thousand and less is the key and consuming more than 4 thousand with exercises, running jogging is necessary. Fatty liver with no alcohol abuse should be considered for any lipid profile disorder which can still explain the weight gain. It needs further work up. Yes seek a gastroenterologist. Give conservative measures a try and if they fail then go for bariatric surgery but make sure you have exhausted all your options first.

I hope it helps.
Regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar