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For many kiwis, gastric bypass surgery is just the beginning of their weight loss journey.

New Aland ելland’s leading weight loss clinic says that people undergoing this type of surgery should carefully follow the postoperative diet ժ exercise if they want the procedure to be successful.

Mark Grant of the Southern Weight Loss (SWL) Clinic in Dunedin says that while most surgeries give people a number of results, the key is to stay true to the programs developed by surgeons and nutritionists after surgery.

“The great thing about a great deal is its cost,” he says. “If you buy a Ferrari, it’s a great car, but it comes with a lot of maintenance costs to maintain performance. Somehow the weight loss surgery is the same. It is necessary to be committed to the program to maintain its benefits. “

As the number of obese kiwis continues to rise, Grant says weight loss surgery allows people to live healthier lifestyles and prevent the complications of being overweight.

His views come at a time when obesity levels in New Aland’s are gloomy reading. Ministry of Health 2017 The study showed that 34% of adults 15 15 և overweight are overweight, and 34%, or 1.2 million people, are obese, which in 2012.

The latest data show that in 2014, New Zealand underwent about 900 weight loss surgeries. About 228,000 in the US in 2017 According to the American Society for Metabolic Surgery (ASMBS), the number is around 580,000 a year worldwide.

Grant says most of his surgeries are privately funded, but in some cases health insurance will cover up to one-third of the cost, which ranges from $ 20,000 to $ 24,000 (fees that include hospital stays). treatment lasting two years) on the selected option.

But she says procedures do not necessarily mean everyone is overweight. “To be eligible, you must be over 18, have a body mass index (BMI) of 35 to 39 if you have obesity-related health problems, or a BMI of 40 or more without obesity-related problems.

In general, Grant says that weight loss surgery is suitable for those who are obese, who have failed to maintain weight through other methods, such as diet and exercise.

“They should also be referred by their doctor, who is aware of the current medical condition or previous surgeries,” he said. “This is possible because there may be conditions that prevent someone from undergoing weight loss surgery.

“I want all patients to be well informed about the risks and benefits,” he said. “They need to understand these things before having surgery, because they are the ones who will have to live with it.”

He says the procedures are covered in detail on the SWL website և it contains informative videos և booklets, so they are well informed even before consulting with the patient.

At this appointment, Grant guides the patient through a 20-page questionnaire to determine if there are any underlying medical conditions. Surgical options are discussed, as well as the risks and benefits.

“Then we ask them to visit our nutritionist (և, if necessary, a clinic-based psychologist) who can find out the reasons for someone’s overeating և provide a pre-surgery breakfast plan. They will also present a meal plan. For six weeks after surgery եք Give them a daily protein target to eat after surgery.

“Our goal is to make them successful,” he said. “It’s a bit like running a marathon, where a lot of effort is put in before the event. But that said, if the patient does not follow the advice of a dietitian or does not exercise, he can still not lose weight. long-term. “

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Grant says there are three options for surgery. Bypassing the stomach, which not only reduces the amount of food someone eats, bypassing the beginning of the intestine (which interferes with appetite control hormones), gastric bypass surgery, which reduces the volume of the stomach – minus bypassing the stomach. The upper abdomen is divided into a tube and connected to an intestinal node.

The results vary, but after the surgery Grant says SWL continues to follow patients regularly for two years.

Grant says obesity can cause many other problems, such as heart disease, high blood pressure և type 2 diabetes, conditions that many doctors try to treat individually.

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