Can we gain weight after Bariatric Surgery? Patient's discussion 9 years after MGB-OAGB !

 Doctor: Mr. Chetan, when did you get Weight loss surgery done?

How long has it been to your Mini Gastric Bypass Surgery? Patient: My surgery was done in 2013. Doctor:In July 2013? Patient:Yes! Doctor:Means it has been 9 years to your surgery. Patient:Yes! Doctor:How much weight have you lost? Patient:I lost 68 Kg. Doctor:How much is your weight now? Patient:68 Kg. Ok. Doctor:You lost 68 Kg. Patient:Yes! Doctor:Your current weight is 68 kg and You lost 68 Kg. Patient:Yes! Doctor: and 68 Kg is left behind. Have you felt any difficulty in eating food in these 9.5 years? or have you ever felt that life is difficult after this surgery? Patient:No issue at all. For 1 year after surgery, I used to eat 1-1.5 chapati. Doctor:You used to feel full after having 1 chapati. Patient:Yes! Slowly I started eating more. Doctor:Now, you can eat like a normal person. How do you manage your weight? Is it increasing with time? Patient:No, I am not gaining weight. My weight is stable at 68 Kg from last 5-6 years. Ok. Doctor:How long has it been to your surgery? Patient:It has been 1.5 year to my surgery. Ok. Doctor:How much weight have you lost? Patient:I have lost approximately 43-45 Kg. Ok. Doctor:Bariatric surgery is quite controversial because people think that a person is obese because its his/her fault. Even family members and relatives think the same that a person has gained weight because of their fault. They should correct their mistakes to lose weight. But we call it morbid obesity because it is not easy to lose weight after a certain limit. Have you ever regretted your decision of getting surgery done? Patient:No, I am happy with my decision. Doctor:What benefits you got after this surgery? Patient:I am very active now, before surgery I was lazy. Doctor:Ok. Patient:I go to gym daily and do 30 Km cycling daily. Doctor: 30 Kilometers? Ok. Now, we will talk about weight management, how to manage weight in the long run? My responsibility was to give you a perfect surgery design. Do you ever feel like vomiting? Patient:No, never. Doctor:What about you? If you eat with a group of people, can someone guess whether your surgery is done or not? In old restrictive procedures like sleeve or gastric band, there was a high incidence of vomiting. You must have seen other patients too. Because Bariatric surgery is very common these days. To maintain weight in the long run, you should limit the sugar intake. Don't eat too much chapatis. Eat more fruit and salad. You have to take care of your diet. Don't drink sweet tea with rusk or biscuits for 5-6 times a day. Don't do this. If you are at your workplace then focus on your work. Drink more water. Don't offer tea to anyone at your workplace. Patient:Ok. Doctor:At home, instead of tea drink buttermilk. Because we don't want you to be weak. Do you feel weakness? Patient:Sometimes I feel low. Doctor:What is the difference between before and after surgery life? What is better now? Patient:I am very active now. Ok. Doctor:How do you feel about him? Patient’s wife:I am very happy. Doctor:Or you are saying this just because of me? Patient’s wife:No. I am actually happy. I run 4-5 kilometers on the treadmill daily. Patient’s wife:Earlier he was too lazy. Before surgery, he used to lie down after coming from the office. Yes! and he used to get up in the morning only. Doctor:What about now? Patient’s wife:He is very active now. Patient:I go to gym in the evening. Doctor:Ok. Patient:Every day from 5:00pm to 7:00pm. Doctor: Has he started fighting with you after surgery? Patient’s wife:No, no. He is better now. Doctor:Ok. Patient’s wife:Before surgery, he was irritated with his own problems, as he wasn't well. Doctor:There are many questions related to this, many people ask me will depression gets better after this surgery? When we see our self in the mirror daily, then your perception of yourself will change. Share your experience about your energy levels after surgery. What is the difference between energy levels now and before surgery (when you were overweight)? How long can you walk now? Patient:I am doing a standing job and I stand the whole day. Doctor:Ok. This is what we want. But get your blood tests done every 6 months. Ok. Doctor:Take multivitamins regularly. There are many patients who don't take supplements. To avoid supplements, take a healthy diet. If you take 1-1.5 liter milk or milk products daily, then you can skip calcium tablets. But the problem is that not everyone can take 1-1.5 liter milk or milk products daily. That's why we recommend you to take 2 tablets of calcium daily. Patient:Ok. Doctor:He is taking supplements regularly. Take multivitamins and iron tablets along with calcium tablets. Tell me honestly how long you have taken multivitamins in these 9 years? For 2-3 years. Patient:Ok. Doctor: People think that they are alright now. No matter how much we try to make them aware of it, almost all patients do the same. So you should take care of this in the long run.