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2. CONSUMING TOO MANY CALORIES. LEADING A SEDENTARY LIFESTYLE. NOT SLEEPING ENOUGH. ENDOCRINE DISRUPTORS, SUCH AS SOME FOODS THAT INTERFERE WITH LIPID METABOLISM. LOWER RATES OF SMOKING (SMOKING SUPPRESSES APPETITE). MEDICATIONS THAT MAKE PATIENTS PUT ON WEIGHT. IS OBESITY SELF-PERPETUATING? OBESITY GENE www.dossindia.com

3. OBESITY TREATMENTS HAVE TWO OBJECTIVES: TO ACHIEVE A HEALTHY WEIGHT. TO MAINTAIN THAT HEALTHY WEIGHT. PEOPLE WHO ARE OBESE ARE OFTEN DISCOURAGED BECAUSE THEY THINK THEY HAVE TO LOSE A LOT OF WEIGHT BEFORE ANY BENEFITS ARE EXPERIENCED. THIS IS NOT TRUE. ANY OBESE PERSON WHO LOSES JUST FIVE TO TEN PER CENT OF THEIR BODY WEIGHT WILL HAVE SIGNIFICANT IMPROVEMENT IN HEALTH - THIS WOULD MEAN BETWEEN 12- 25 POUNDS FOR AN OBESE PERSON WHO WEIGHS 250 POUNDS. IT IS IMPORTANT FOR PATIENTS TO REALIZE THAT A SMALL DROP IN WEIGHT IS A GOOD START AND A GREAT ACHIEVEMENT. EXPERTS HAVE FOUND THAT OBESE PEOPLE WHO LOSE WEIGHT SLOWLY AND CONSTANTLY, SAY ONE OR TWO POUNDS EACH WEEK, ARE MORE SUCCESSFUL IN KEEPING THEIR WEIGHT DOWN WHEN THEY HAVE REACHED THEIR TARGET WEIGHT. www.dossindia.com

4. THE MAYO CLINIC ADVISES OBESE PEOPLE TO REDUCE THEIR TOTAL DAILY CALORIE INTAKE AND TO CONSUME MORE FRUITS, VEGETABLES AND WHOLE GRAINS. IT IS IMPORTANT THAT YOUR DIET IS VARIED - YOU STILL NEED TO FEED YOURSELF, AND SHOULD CONTINUE TO ENJOY THE TASTES OF DIFFERENT FOODS. THE CONSUMPTION OF SUGAR, CERTAIN REFINED CARBOHYDRATES AND SOME FATS SHOULD BE REDUCED SIGNIFICANTLY. PEOPLE WHO ARE SERIOUSLY OBESE MAY BE PRESCRIBED A VERY LOW CALORIE LIQUID DIET. THESE MUST BE DONE WITH A HEALTH CARE PROFESSIONAL. TRYING TO LOSE WEIGHT QUICKLY BY CRASH-DIETING CARRIES THE FOLLOWING RISKS: -- YOU MAY DEVELOP HEALTH PROBLEMS -- YOU WILL PROBABLY EXPERIENCE VITAMIN DEFICIENCIES -- YOU CHANCES OF FAILURE ARE SIGNIFICANTLY HIGHER www.dossindia.com

5. THE MORE YOU MOVE YOUR BODY THE MORE CALORIES YOU BURN. TO LOSE A KILOGRAM OF FAT YOU NEED TO BURN 8,000 CALORIES (1 POUND OF FAT = 3,500 CALORIES). WALKING BRISKLY IS A GOOD WAY TO START INCREASING YOUR PHYSICAL ACTIVITY IF YOU ARE OBESE. COMBINING INCREASED PHYSICAL ACTIVITY WITH A GOOD DIET WILL SIGNIFICANTLY INCREASE YOUR CHANCES OF LOSING WEIGHT SUCCESSFULLY AND PERMANENTLY! TRY TO FIND ACTIVITIES WHICH YOU CAN FIT INTO YOUR DAILY ROUTINE. ANYTHING THAT BECOMES PART OF YOUR DAILY LIFE, WEAVED INTO YOUR EXISTING LIFESTYLE, IS MORE LIKELY TO BECOME A LONG-TERM HABIT. IF YOU USE AN ELEVATOR, TRY GETTING OFF ONE OR TWO FLOORS BEFORE YOUR DESTINATION AND WALKING THE REST. IF ANY OF YOUR REGULAR SHOPS ARE WITHIN WALKING DISTANCE, TRY LEAVING YOUR CAR AT HOME. SEVERAL SURVEYS INDICATED THAT THE MAJORITY OF URBAN CAR TRIPS OUTSIDE THE RUSH HOURS ARE LESS THAN A MILE LONG - WE CAN ALL WALK A MILE, AND SHOULD! www.dossindia.com

6. BONE AND CARTILAGE DEGENERATION (OSTEOARTHRITIS) CORONARY HEART DISEASE GALLBLADDER DISEASE HIGH BLOOD PRESSURE (HYPERTENSION) HIGH TOTAL CHOLESTEROL, HIGH LEVELS OF TRIGLYCERIDES (DYSLIPIDEMIA) RESPIRATORY PROBLEMS SEVERAL CANCERS SLEEP APNEA STROKE TYPE 2 DIABETES www.dossindia.com

7. Dr. Satish Pattanshetti M.S ( Gen. Surg ), F M A S Fellowship in Bariatric and Metabolic Surgery (Taiwan) Consulting Laparoscopic & General Surgeon Bariatric & Metabolic Surgeon Specialist in Single port Laparoscopic Surgery Dr. Neeraj V Rayate Director and Principal Surgeon Dr Neeraj Rayate is a GI and General surgeon with expertise is laparoscopic and robotic surgery for gastro-intestinal diseases and bariatric surgery. After completing his medical education in India. He has also completed a fellowship in Gynecological Endoscopy from the Giessen School of Endoscopic Surgery in Germany. Dr. Rayate has special interest in Hepatopancreatobiliary surgery and gynecolological oncology.