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weight loss surgery Washington dc.

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BEFORE AND AFTER PHOTO

UNWANTED FAT REMOVED PERMANENTLY. GUARANTEED!

Medical liposuction is an alternative to bypass surgery starting at $900 with guaranteed results and with minimal side effects as compared to bypass surgery. The mortality rate for bariatric Weight loss surgery (3 out of 1000). The mortality rate for medical liposuction is close to zero. Medical liposuction    Surgery is performed all under local anesthesia with the ability to return to work within a few days.

Weight loss surgery for Severe Obesity: Why the Need for Surgical Intervention
Severe obesity is one of the most serious stages of obesity. You may often find yourself struggling with your weight and essentially feeling as if you’re trapped in a weight gain cycle. In addition, you most likely have attempted numerous diets – only in the end, to see your weight continue to increase.
More than a decade ago, The National Institutes of Health, better known as NIH, reported that individuals affected by severe obesity are resistant to maintaining weight loss achieved by conventional therapies, such as consuming fewer calories, increasing exercise, commercial weight-loss programs, etc.). The NIH recognized bariatric weight-loss surgery as the only effective treatment to combat severe obesity and maintain weight loss in the long term.

How Can Bariatric Weight loss Surgery Help Me?

When combined with a comprehensive treatment plan, bariatric Weight loss surgery may often act as an effective tool to provide you with long term weight-loss and help you increase your quality of health. Bariatric Weight loss surgery has been shown to help improve or resolve many obesity-related conditions, such as type 2 diabetes, high blood pressure, heart disease, and more. Frequently, individuals who improve their weight find themselves taking less and less medications to treat their obesity-related conditions. Weight loss surgery can be financed in our Washington dc surgical office , e.g. payment plans can be done with down payments.

Significant weight loss through bariatric Weight loss surgery may also pave the way for many other exciting opportunities for you, your family, and most importantly – your health.

How Does Weight loss Surgery Work?

Bariatric Weight loss surgery, such as gastric bypass, gastric sleeve, and laparoscopic adjustable gastric banding, work by changing the anatomy of your gastrointestinal tract (stomach and digestive system) or by causing different physiologic changes in your body that change your energy balance and fat metabolism. Regardless of which bariatric Weight loss surgery procedure you and your surgeon decide is best for you, it is important to remember that bariatric Weight loss surgery is a “tool.” Weight loss surgery success also depends on many other important factors, such as nutrition, exercise, behavior modification, and more.

By changing your gastrointestinal anatomy, certain bariatric Weight loss procedures affect the production of intestinal hormones in a way that reduces hunger and appetite and increases feelings of fullness (satiety). The end result is reduction in the desire to eat and in the frequency of eating. Interestingly, these surgically-induced changes in hormones are opposite to those produced by dietary weight loss. Let’s take a closer look at the differences in hormonal changes between Weight loss  surgery and dietary weight loss:

Weight loss Surgery and Hormonal Changes
Hormonal changes following bariatric Weight loss surgery improve weight loss by maintaining or enhancing energy expenditure (calories burned). In fact, some surgeries even increase energy expenditure relative to changes in body size. Thus, unlike dietary weight loss, surgical weight loss surgery  has a higher chance of lasting because an appropriate energy balance is created.
Dieting and Hormonal Changes
In dietary weight loss, energy expenditure is reduced to levels lower than would be predicted by weight loss and changes in body composition. This unbalanced change in energy can often lead to weight regain.
Significant weight loss is also associated with a number of other changes in your body that help to reduce defects in fat metabolism. With increased weight loss, you will find yourself engaging in more physical activity. Individuals who find themselves on a weight-loss trend often engage in physical activity, such as walking, biking, swimming, and more. Additionally, increased physical activity combined with weight loss may often improve your body’s ability to burn fat, lead to a positive personal attitude, and decrease stress levels. Massive weight loss, as a result of bariatric Weight loss surgery, also reduces hormones such as insulin (used to regulate sugar levels) and cortisol (stress hormone) and improves the production of a number of other factors that reduce the uptake and storage of fat into fat storage depots. Physical activity is also a very important component of combating obesity.

Weight loss  surgery may improve a number of conditions and biological actions (hormonal changes) to reverse the progression of obesity. Studies find that more than 90 percent of bariatric Weight loss patients are able to maintain a long-term weight loss of 50 percent excess body weight or more.

Bariatric Weight loss surgery can be a useful tool to help you break the vicious weight gain cycle and help you achieve long term weight loss and improve your overall quality of health and life.

Long Term Weight Loss surgery Success

Bariatric Weight loss surgeries result in long-term weight-loss success. Most studies demonstrate that more than 90 percent of individuals previously affected by severe obesity are successful in maintaining 50 percent or more of their excess weight loss following bariatric Weight loss surgery. Among those affected by super severe obesity, more than 80 percent are able to maintain more than 50 percent excess body weight loss.

Improved Longevity after Weight loss surgery

Several large population studies find that individuals affected by severe obesity who have had bariatric Weight loss surgery have a lower risk of death than individuals affected by obesity who do not have surgery. One of these studies found up to an 89 percent greater reduction in mortality throughout a 5-year observation period for individuals who had bariatric Weight loss surgery when compared to those who did not. Another large population study comparing mortality rates of bariatric and non-bariatric Weight loss patients found a greater than 90 percent reduction in death associated with diabetes and a greater than 50 percent reduction in death from heart disease.

The mortality rate for bariatric Weight loss surgery (3 out of 1000) is similar to that of a gallbladder removal and considerably less than that of a hip replacement. The exceptionally low mortality rate with bariatric Weight loss surgery is quite remarkable considering that most patients affected by severe obesity are in poor health and have one or more life-threatening diseases at the time of their surgery. Therefore, as regards mortality, the benefits of surgery far exceed the risks.  Medical liposuction has the lowest mortality rate.

Improvement/Resolution of Coexisting Diseases

The exceptionally high reduction in mortality rates with bariatric surgery are due to the highly significant improvement in those diseases that are caused or worsened by obesity.

Bariatric weight loss surgery is associated with massive weight-loss and improves, or even resolves (cures), obesity-related co-morbidities for the majority of patients. These co-morbidities include high blood pressure, sleep apnea, asthma and other obesity-related breathing disorders, arthritis, lipid (cholesterol) abnormalities, gastroesophageal reflux disease, fatty liver disease, venous stasis, urinary stress incontinence, pseudotumor cerebri, and more. Similar results may be achieved through medical liposuction in our Washington, dc office.

Bariatric weight loss surgeries also lead to improvement and remission of Type II diabetes mellitus (T2DM). In the past, diabetes was considered to be a progressive and incurable disease. Treatments include weight loss and lifestyle changes for those who are overweight or obese and antidiabetic medication, including insulin. These treatments help to control T2DM but rarely cause remission of the disease. However, there is now a large body of scientific evidence showing remission of T2DM following bariatric surgery. A large review of 621 studies involving 135,247 patients found that bariatric surgery causes improvement of diabetes in more than 85 percent of the diabetic population and remission of the disease in 78 percent. Remission of T2DM was highest for the bilio-pancreatic diversion with duodenal switch (BPD/DS) with a remission rate of 95 percent, followed by the Roux-en-Y gastric bypass (RYGB) with remission in 80 percent of patients, and the adjustable gastric band (AGB) with a remission rate of 60 percent. Other studies comparing remission of diabetes between surgeries found comparable rates between the laparoscopic sleeve gastrectomy (LSG) and RYGB, i.e. 80 percent.

Causes of improvement or remission of diabetes have not been completely identified. Improvement of T2DM with AGB is related to weight loss surgery. However, with other weight loss surgeries, such as the LSG or RYGB, diabetes remission or improvement occurs early after surgery – well before there is significant weight reduction. In fact, some bariatric weight loss patients with T2DM leave the hospital with normal blood sugar and without the need for antidiabetic medication.

Changes in Quality of Life and Psychological Status with weight loss Surgery

In addition to improvements in health and longevity, surgical weight-loss improves overall quality of life. We have performed more surgeries in medical liposuction that most doctors  in Washington, dc. Measures of quality of life that are positively affected by bariatric weight loss surgery include physical functions such as mobility, self-esteem, work, social interactions, and sexual function. Singlehood is significantly reduced, as is unemployment and disability. Furthermore, depression and anxiety are significantly reduced following bariatric weight loss surgery.

Bariatric weight loss surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric weight loss procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery).

Bariatric weight loss Surgery for Adults
Currently, bariatric weight loss surgery may be an option for adults with severe obesity. Body mass index (BMI), a measure of height in relation to weight, is used to define levels of obesity. Clinically severe obesity is a BMI > 40 or a BMI > 35 with a serious health problem linked to obesity. Such health problems could be type 2 diabetes, heart disease, or severe sleep apnea (when breathing stops for short periods during sleep).

Recent Development weight loss surgery
The Food and Drug Administration (FDA) has approved use of an adjustable gastric band (or AGB) for patients with BMI > 30 who also have at least one condition linked to obesity, such as heart disease or diabetes.

Who is a good adult candidate for weight loss surgery?
Having weight loss surgery to produce weight loss is a serious decision. Anyone thinking about having this weight loss surgery should know what it involves. Answers to the following questions may help patients decide whether weight-loss surgery is right for them.

Is the patient:
Unlikely to lose weight or keep it off over the long term using other methods?
Well informed about the weight loss surgery and treatment effects?
Aware of the risks and benefits of weight loss surgery? Ready to lose weight and improve his or her health?
Aware of how life may change after the weight loss surgery? (For example, patients need to adjust to side effects, such as the need to chew food well and the loss of ability to eat large meals.)

Aware of the limits on food choices, and occasional failures? Committed to lifelong healthy eating and physical activity, medical follow-up, and the need to take extra vitamins and minerals? 
There is no sure method, including weight loss surgery, to produce and maintain weight loss. Some patients who have bariatric weight loss surgery may have weight loss that does not meet their goals. Research also suggests that many patients regain some of the lost weight over time. The amount of weight regain may vary by extent of obesity and type of weight loss surgery. Habits such as snacking often on foods high in calories or not exercising can affect the amount of weight loss and weight regain. Problems that may occur with the weight loss surgery, like a stretched pouch or separated stitches, may also affect the amount of weight loss.

Success is possible. weight loss surgery patients must commit to changing habits and having medical follow-up for the rest of their lives.

Bariatric weight loss Surgery for Youth
Rates of obesity among youth are high. Bariatric weight loss surgery is sometimes used to treat youth with extreme obesity. Although it is becoming clear that teens can lose weight after bariatric weight loss surgery, many questions still exist about the long-term effects on teens' developing bodies and minds.

Who is a good youth candidate for weight loss surgery?
Experts in childhood obesity and bariatric weight loss surgery suggest that families consider surgery only after youth have tried for at least 6 months to lose weight and have not had success.

1 Candidates should meet the following criteria:
Have extreme obesity (BMI > 40 )
Be their adult height (usually at age 13 or older for girls and 15 or older for boys)
Have serious health problems linked to weight, such as type 2 diabetes or sleep apnea, that may improve with bariatric surgery
In addition, health care providers should assess potential patients and their parents to see how emotionally prepared they are for the weight loss surgery and the lifestyle changes they will need to make. Health care providers should also refer young patients to special youth bariatric weight loss surgery centers that focus on meeting the unique needs of youth.

Mounting evidence suggests that bariatric weight loss surgery can favorably change both the weight and health of youth with extreme obesity. Over the years' gastric bypass weight loss surgery has been the main operation used to treat extreme obesity in youth. An estimated 2,700 youth bariatric weight loss surgeries were performed between 1996 and 2003.2 A review of short-term data from the largest inpatient database in the United States suggests that these weight loss surgeries are at least as safe for youth as adults. As yet, AGB has not been approved for use in the United States for people younger than age 18. However, favorable weight-loss outcomes after AGB for youth have been reported abroad.

The Normal Digestive Process weight loss
Normally, as food moves along the digestive tract, digestive juices and enzymes digest and absorb calories and nutrients. After we chew and swallow our food, it moves down the esophagus to the stomach, where a strong acid continues the digestive process. The stomach can hold about 3 pints of food at one time. When the stomach contents move to the duodenum (the first part of the small intestine), bile and pancreatic juice speed up digestion. Most of the iron and calcium in the food we eat is absorbed there. The other two parts of the nearly 20 feet of small intestine absorb nearly all of the remaining calories and nutrients. The food particles that cannot be digested in the small intestine reside in the large intestine until eliminated.

How does weight loss surgery promote weight loss?
Bariatric weight loss surgery restricts food intake, which leads to weight loss. Patients who have bariatric surgery must commit to a lifetime of healthy eating and regular exercise. These healthy habits may help patients maintain weight loss after surgery.

Types of Bariatric weight loss Surgery
The type of weight loss surgery that may help an adult or youth depends on a number of factors. Patients should discuss with their health care providers what kind of surgery is suitable for them.

What is the difference between open and laparoscopic weight loss surgery?
Bariatric weight loss surgery may be performed through "open" approaches, which involve cutting the stomach in the standard manner, or by laparoscopy. With the latter approach, surgeons insert complex instruments through 1/2-inch cuts and guide a small camera that sends images to a monitor. Most bariatric weight loss surgery today is laparoscopic because it requires a smaller cut, creates less tissue damage, leads to earlier hospital discharges, and has fewer problems, especially hernias occurring after surgery.

However, not all patients are suitable for laparoscopy weight loss surgery. Patients who are considered extremely obese, who have had previous stomach surgery, or who have complex medical problems may require the open approach. Complex medical problems may include having severe heart and lung disease or weighing more than 350 pounds.

What are the weight loss surgical options?
There are four types of weight loss surgery operations that are commonly offered in the United States: AGB, Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with a duodenal switch (BPD-DS), and vertical sleeve gastrectomy (VSG). (See Figure 1.) Each weight loss surgery has its own benefits and risks. The patient and provider should work together to select the best option by considering the benefits and risks of each type of weight loss surgery. Other factors to consider include the patient's BMI, eating habits, health conditions related to obesity, and previous stomach surgeries. 

Adjustable Gastric Band weight loss surgery
AGB works mainly by decreasing food intake. Food intake is reduced by placing a small bracelet-like band around the top of the stomach to restrict the size of the opening from the throat to the stomach. The surgeon can then control the size of the opening with a circular balloon inside the band. This balloon can be inflated or deflated with saline solution to meet the needs of thepatient.

Roux-en-Y Gastric Bypass weight loss surgery
RYGB restricts food intake. RYGB also decreases how food is absorbed. Food intake is limited by a small pouch that is similar in size to the pouch created with AGB. Also, sending food directly from the pouch into the small intestine affects how the digestive tract absorbs food. The food is absorbed differently because the stomach, duodenum, and upper intestine no longer have contact with food.

Biliopancreatic Diversion with a Duodenal Switch weight loss surgery
BPD-DS, usually referred to as a "duodenal switch," is a complex bariatric surgery that includes three features. One feature is to remove a large part of the stomach. This step makes patients feel full sooner when eating than they did before surgery. Feeling full sooner encourages patients to eat less. Another feature is re-routing food away from much of the small intestine to limit how the body absorbs food. The third feature changes how bile and other digestive juices affect the body's ability to digest food and absorb calories. This step also helps lead to weight loss.

 

Vertical Sleeve Gastrectomy weight loss surgery
VSG weight loss surgery restricts food intake and decreases the amount of food used. Most of the stomach is removed during this surgery, which may decrease ghrelin, a hormone that prompts appetite. Lower amounts of ghrelin may reduce hunger more than other purely restrictive surgeries, such as AGB.

VSG weight loss surgery has been performed in the past mainly as the first stage of BPD-DS (discussed earlier) in patients who may be at high risk for problems from more extensive types of surgery. These patients' high risk levels are due to body weight or medical issues. However, more recent research indicates that some patients who have VSG can lose a lot of weight with VSG alone and avoid a second procedure. Researchers do not yet know how many patients who have VSG alone will need a second stage procedure.

What are the side effects of these weight loss surgeries?
Some side effects may include bleeding, infection, leaks from the site where the intestines are sewn together, diarrhea, and blood clots in the legs that can move to the lungs and heart.

Examples of side effects that may occur later include nutrients being poorly absorbed, especially in patients who do not take their prescribed vitamins and minerals. In some cases, if patients do not address this problem promptly, diseases may occur along with permanent damage to the nervous system. These diseases include pellagra (caused by lack of vitamin B3—niacin), beri beri (caused by lack of vitamin B1—thiamine) and kwashiorkor (caused by lack of protein).

Other late problems include strictures (narrowing of the sites where the intestine is joined) and hernias (part of an organ bulging through a weak area of muscle).

Two kinds of hernias may occur after a patient has bariatric weight loss surgery. An incisional hernia is a weakness that sticks out from the abdominal wall's connective tissue and may cause a blockage in the bowel. An internal hernia occurs when the small bowel is displaced into pockets in the lining of the abdomen. These pockets occur when the intestines are sewn together. Internal hernias are thought to be more dangerous than incisional ones and need prompt attention to avoid serious problems.

Some patients may also require emotional support to help them through the changes in body image and personal relationships that occur after the surgery.

Medical Costs weight loss surgery
Bariatric weight loss procedures, on average, cost from $20,000 to $25,000. Medical liposuction starts at around $900-$4800. Medical insurance coverage varies by state and insurance provider. In 2004, the U.S. Department of Health and Human Services reduced barriers to obtaining Medicare coverage for obesity treatments. Bariatric surgery may be covered under these conditions:
If the patient has at least one health problem linked to obesity
If the procedure is suitable for the patient's medical condition
If approved surgeons and facilities are involved
Patients can contact staff at their regional Medicare, Medicaid, or health insurance office to find out if the procedure is covered and to obtain facts about options.

s complications from protein and certain vitamin deficiencies

 

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