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Healios provides: Obesity counseling Obesity associated with Diabetes Post Pregnancy Obesity Childhood Obesity Teenage Obesity Adult Obesity Pre surgery Counseling Post- Surgery Counseling Life Style Management
Counselling Diabetes, obesity, and their treatments can take a lot out of a person. These are particularly challenging phases of your life and need to be treated as such. If you’re suffering from obesity or diabetes, and if especially you need medical treatment and surgery to help your health, then it will take a huge toll on your overall well-being. Having a surgery can be particularly stressful and counselling can lend a helping hand to pull you out of it. Diabetes counselling is recommended for those who are struggling with high blood sugar. Even if you don’t have to undergo any form of surgery, living with diabetes everyday is not easy, and you need all the professional help that you can get to help you through this. With the proper counselling, you can make the right changes in your diet, in your lifestyle, and in even in your outlook. Obesity is a disease that is almost always associated with diabetes. Obese people are more likely to get diabetes. Even if you haven’t yet contracted diabetes, you will need proper guidance to help you deal with and fight with other complications that are brought about due to obesity. Be it diabetes or obesity, or even post-surgical treatment, the benefits of counselling cannot be undermined. People who are about to undergo weight loss surgeries need to go through counselling sessions at Healios. Professionals may conduct one-on-one counselling sessions as well as group sessions, with either the patient’s family or with other patients, to ensure an improvement in their mental and emotional state prior to the surgery. Weight loss surgery will unquestionably bring about some changes in all aspects of your life. Be it your career, your personal relationships with your friends, family and spouses, and even your own individual well-being, a thorough counselling session will help you come to terms to the changes happening in your life. People who have undergone drastic weight loss through bariatric surgery require rigorous counselling sessions after surgery, to make them feel comfortable and confident in their new bodies. The post surgical counselling sessions will help them with re-building an identity and their self-esteem, align self image with their body image, defining goals in the post-surgical healing process, maintain the new body and new lifestyle, and deal with any emotional and psychological changes. With Healios’ Obesity counselling, you can gain back lost confidence and make psychological progress to be at par with the physical progress that you make through the obesity treatment packages. Healios also provides pre- and post-surgical counselling sessions to help you through all the stages of weight-loss surgery. Other than these counselling sessions, Helios also provides its patients with Lifestyle Management sessions, to assist them in improving their overall quality of life.
FAULTY “BRAIN SWITCH” DETERMINES OBESITY Obesity is considered as a disease in this New World. It has become a pandemic affecting every Nation. According to data collected in 2014 from the World Health Organization, more than 600 million adults around the world are obese and 41 million children younger than 5 years old are overweight. This in turn results in diabetes, high blood pressure, coronary artery disease, obstructive sleep apnea, joint pains and infertility. A team of researchers from the Biomedicine Discovery Institute at Monash University in Melbourne, Australia, has recently conducted a study striving to gain a better understanding of the brain mechanisms that contribute to weight gain and loss. They have identified the mechanism through which brain controls the amount of fat that is burned after a meal. They concluded that “Faulty signals” from the brain can promote obesity. Researchers revealed the existence of a "switch" that tells the body what to do with the fat gained after food intake. If the switch is faulty, then the body is likely to store more fat, thus becoming predisposed to obesity. They have found a link between food intake and the process whereby white fat turns into brown fat. In the body, fat is stored in adipocytes or fat cells that make up the adipose tissue. These fat cells can convert from "white" (storing energy) into "brown" (releasing energy). The study found that the brain normally "instructs" the white fat cells to turn into brown fat cells after eating. This happens in response to insulin released from pancreas into the blood in larger quantities as blood sugar levels increase. On the other hand, brown fat cells are turned back into white energy storing fat cells after a period of gap during which no food is consumed. When this mechanism functions normally, it allows the body to stabilize its weight. This mechanism is akin to a switch, "reading" the insulin signals and flipping on and off as appropriate. In the case of people predisposed to excess weight gain, this switch malfunctions, becoming stuck in the "on" position. As a result of this browning is turned off all the time and energy expenditure is decreased all the time, so when you eat, you do not see a increase in energy expenditure - and that promotes weight gain. Bariatric surgery will result in increased levels of GLP 1 and PYY hormones and decreased levels of hormone called ghrelin. This in turn results in stimulation of satiety center in the brain and inhibition of hunger center. Post bariatric surgery, patients feel less hungry and so they eat less. They do not feel tired also. This results in weight loss and resolution of obesity associated comorbid conditions like diabetes, high blood pressure etc.
Young Adulthood: “A Neglected Period That Requires Attention” The worldwide prevalence of obesity is rising dramatically.It was 5% for men and 8% for women in 1980 and has increased to 11% for men and 15% for women in 2014. There is also an increase in obesity in young adults. This increases the risk of diabetes, hypertension, joint pains, infertility, hypercholesterolemia and also some cancers at a later age. A study was conducted on US women from the Nurses Health Study and US men from the Health Professionals Follow-Up Study to evaluate the association of weight gain from early to middle adulthood with health outcomes later in life. The cohorts analyzed in this study included 92, 837 US women in the Nurses' Health Study (1976-June 30, 2012) and 25, 303 US men in the Health Professionals Follow-Up Study (1986-January 31, 2012). Participants recalled their weight at age 18 years (women) or age 21 years (men) and reported their current weight at age of 55 years. Mean weight gain was 12.6±12.3 kg over the course of 37 years in women and 9.7±9.7 kg over the course of 34 years in men. Participants were also followed from age 55 years for mortality and for development of type 2 diabetes, hypertension, cardiovascular disease, cancer, cholelithiasis, severe osteoarthritis, and cataracts.It was found that the strongest direct association of weight gain was with type 2 diabetes, followed by cholelithiasis and hypertension. Colorectal cancer was significantly associated with early adulthood obesity, with the greatest risk in men who were overweight during early adulthood and subsequently gained the most weight. Among women, but not in men, moderate weight gain was associated with cholelithiasis and severe osteoarthritis. Higher BMI in early adulthood and subsequent weight gain were independently associated with increased mortality later in life. The above study and its results make us realize that efforts are to be taken to prevent and control obesity in young adults and should be accorded a high priority.
Post Bariatric Surgery TIP 8 Post Bariatric Surgery or Obesity Surgery, it is imperative that you do not drink any kind of fluids 30 minutes before and 30 minutes after you eat your recommended food. The reason behind it is that, after obesity surgery, drinking fluids like juices, or water while eating, will make you reach satiety even before the necessary protein required by the body is ingested. It can also cause vomiting, and Dumping Syndrome. It will also make you feel hungry much quicker after a meal.
Post Bariatric Surgery TIP 9 Post Bariatric Surgery or Obesity surgery, alcohol is absorbed by the body more quickly. Especially for patients who have undergone Gastric bypass Surgery or Gastric Sleeve Surgery. Alcohol contains calories, but minimum nutrition and in the process work against weight loss. It has been observed that absorption of alcohol is more potent for Obesity surgery patients, and they reach a higher alcohol level and maintain that level for longer periods of time. This can also lead to addiction of alcohol.
Importance of Counseling Counseling is a specialty that maintains a focus on facilitating personal and interpersonal functioning across the life span. This specialty pays particular attention to emotional, social, vocational, educational, health-related, developmental and organizational concerns. The weight loss process is not about being perfect but about loving and accepting yourself as an individual. With our coaching and/or counseling, we assist you with developing a sense of empowerment, defining your boundaries and developing and maintaining optimism with the greater appreciation for the ‘self’. In case of weight loss surgeries, counseling is a support process in which a counselor holds talks with patients on one to one, with families, with groups to help him/her to solve issues related to obesity. Counselor basically helps the patient and their family in the journey of weight loss till the goal is achieved successfully. Presently, prior to the weight loss surgery date being scheduled, the bariatric surgery patients are required to undergo pre-operative counseling. A weight loss surgery can cause ripple effects and change many areas of your life. A person will often experience changes in their emotional state in terms of their depression going away. The patients could also experience reduced levels of physical pain and fewer obstacles. There will be some changes in the following areas of your life: Career Relationships Marriage Friendships Spirituality
Bariatric and Metabolic surgery TIP 10 No weight loss results if you don't QUIT SMOKING Risk factor of Bariatric surgery almost doubles in a smoker as compared to a non smoker. That is, surgical complications become twice likely to happen in a smoker, which can lead to death. They are susceptible to experience more non fatal surgical risks too. This is one of the reasons why you must stop smoking prior to and after Bariatric /Obesity Surgery or Metabolic / Diabetes Surgery. The surgical complications associated with smoking include surgical wound infection, pneumonia, blood clots & marginal ulcers. Smokers have almost a 30 percent of higher complication rate after weight loss surgery, which is immensely higher than that of a non-smoker. After weight loss surgery, continuing to smoke could reduce your ability to lose weight and will influence your health in a negative way. If you have a history of smoking, quitting before surgery is a mandatory rule. It is best if you can maintain and quit smoking completely.
Post Bariatric surgery TIP 11 Why am I not enjoying Spices in my Food After weight loss surgery, there are some important lifestyle changes that you are recommended to do for the surgery to be a success. Diet is one of the major changes that you do. Questions about how much and what to eat are on top of your mind then. Spices are an integral part of Indian cooking. Be it pepper or garam masala, you would like to know if you can eat them. Although spices are not heavy in fat or sugar, it is observed that many people are not able to enjoy their spicy food the same way as before the obesity surgery/ bariatric surgery. Spices are considered an irritant, and after weight loss surgery, your stomach becomes a lot more sensitive than before the surgery. After surgery, during the time of healing, exposure to spices like pepper, chilli powder, paparika can cause a lot of indigestion and pressure on the stomach. This can cause a lot of discomfort during the healing process. So when your surgeon advices you the avoid spices, it is advantageous to follow. Although the reaction to spices varies from person to person, the conclusion observed is, that in the long run, love for spicy food is not worth the suffering it gives you. Still if your craving for spicy food persists consult your nutritionist to find out ways to use stomach friendly ingredients that enhances flavor without the spiciness.
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