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Do you know that worldwide, since 1990, adult obesity is more than doubled and teenage obesity is quadruple? These World Health Organization (WHO) figures tell a serious story of a disturbed health pattern. Excess weight can be a long -term problem that you are more likely to increase the risk of type 2 diabetes, high blood pressure, heart disease, sleep apnea and even some types of cancer. Your normal lifestyle is affected: fatigue, joint pain, and low mobility becomes a method of life. For people dealing with excessive obesity, doctors suggest that more people need to help lose weight to help more treatment. Bariatric surgeon Dr. Ashish Gautam, Senior Director, Robotic and Laparoscopic Surgery, Max Super Specialty Hospital, New Delhi say it also needs to be dealt with with biological and metabolic factors that cause this problem.
“Bariatric surgery and GLP -1 -based drugs (weight loss drugs) have become two of the most important options for the treatment of obesity in recent years, each with their own benefits, shortcomings and long -term effects,” Dr. Gautam told health shots.
How GLP-1 medicines work and what you can expect
GLP -1 receptor agonists such as ozepic injected and oral drugs that act like glucagon such as peptide -1, a hormone that helps control hunger and blood sugar levels. They empty the abdomen more slowly, make people feel less hunger, and help them feel full with less food. Many people begin to lose weight within weeks, and their blood sugar levels often get better at the same time.
But these medicines do not work all the time. Doctors explain: “They do not change the way the body is replaced or how it changes over time in terms of metabolism. If the drug stops, hunger and weight often come back, especially if there are no changes in diet or activity levels. In practice, you need to use them to get benefits, which makes them more than a long -term treatment than a time.
GLP-1 side effects of drugs
Many people who take this medicine, allegedly complain as side effects as a complaint of nausea, swelling, constipation and abdominal pain. “While most people can handle them, some can stop taking them because they have stomach problems. Pancreatitis and gallbladder problems are also rare, but there are serious complications that need to be seen closely. People who have such problems can be asked not to use these drugs in the past,” Dr Gautama.
Cost – almost 10,000–20,000-every month for injectables may be another factor to consider a plan for long-term use of weight loss drugs. “People who do not have type 2 diabetes may not always be insured. Cost can be difficult to live with it in a long period. Also, quickly losing weight from medicine without a structured resistance-training program can cause patients to lose lean muscles, causing them to feel weak instead of being strong,” says experts.
Is bariatric surgery better for severe obesity?
In cases of some severe obesity, doctors suggest a bariatric surgery for long -term benefits. Bariatric surgery consists of two types: sleeve gastrectomy and gastric bypass. These not only make your stomach small, but also changes hormones in your stomach, signs that tell you that you are hungry, and how your body breaks food.
“Many patients say that they feel less hungry without taking medicines. Surgery changes the anatomy and hormonal environment of the gastrointestinal tract, which is why there are many more benefits than simply losing weight. Surgery can help people with type 2 diabetes, especially to reduce or improve sleeping, breast cancer Huh, “Dr. Ashish Gautam explains that about the benefits of bariatric surgery.
For thick patients dealing with type 2 diabetes, blood sugar levels go down within the days of surgery. The requirement of insulin is very low, and some patients go into exemption for years. This is because surgery changes how sensitive insulin is and how hormones are released in the intestine, they say.
Citing an ARMMS-T2D study of over 12 years in four major US research centers, he explains how patients with biatric surgery kept an average of their weight on an average of 20%, while people who received medical and lifestyle intervention only lost 8% of their weight. More than half of the surgical patients achieved the level of HBA1C under 7%, and diabetes exemption was quite normal and frequent. Even people with BMI of 27 to 34 saw the benefits.
What are the side effects of bariatric surgery?
One of the side effects of bariatric surgery is that it can give rise to nutritional deficiencies such as low iron surgery. This can usually be avoided by taking supplements and monitoring health parameters.
“Most biatric surgery is done today with the help of small incisions or robots, so patients often leave hospitals in two to three days. Recovery is faster, and there are less complications than old open surgery. After procedure with proper nutrition and strength-focused exercise, help to protect the muscles, helps maintain strength and energy levels while losing weight.”
Bariatric Surgery vs GLP -1 drugs
According to the surgeon, bariatric surgery always leads to excess weight loss which lasts longer than GLP-1 drugs. Drugs may have major effects in short -term, but stopping them often means gaining weight.
- Metabolic effects: Surgery replaces hormones immediately and long, which helps to regulate appetite and glucose metabolism. GLP-1 drugs have similar effects, but they need to be taken all the time and stop working when you stop taking them.
- Risk and side effects: Risk with surgery involves, but modern methods have reduced the possibility of complications. Drugs do not have the same risk of surgery, but they can disturb the abdomen and in rare cases, cause more severe problems.
- Cost: The cost of front surgery may be high, but if certain medical conditions are met, insurance will often pay for it. You have to pay for GLP-1 drugs, which can add more than the cost of surgery over the years.
- Lifestyle commitment: Both methods require changes in your lifestyle. Surgery patients need to change how they eat and keep taking their vitamins, while drug users take the most advantage of their medicines when they follow a diet and exercise program.
“For those who like to avoid surgery, want to lose weight in advance, or do not surgery for medical reasons, GLP -1 drugs can be an option. They can also suit those who are overweight before considering surgery or want to try to suppress hunger before considering surgery.
He says that surgery remains the most effective option for people with severe obesity, especially when other health conditions are also present.
“Some patients can improve with a combination of treatment. For example, they can start to lose weight with GLP -1 drug and reduce the risk of surgery, and then do surgery to keep weight loss for good. When pharmacological therapy stops working, some people may switch to surgery.”
alert
Before you choose between bariatric surgery and GLP -1 therapy, you need to do a complete medical evaluation, talk about your goals, and be honest about how long you plan to live with it. Both can be useful, but how well they work, depending on each person’s health, the ability to change lifestyle, and the ability to follow with care.
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