Non surgical options for BMI <35 Kg/m2
Medical management of obesity is suggested for those patients whose BMI is <35 kg/m2.
It includes diet and life style management and also the addition of certain medicines to aid in weight loss.
Obesity management is always multi dimensional.
Diet and Lifestyle modifications are the mainstay for for patients who are overweight but not obese (BMI > 25 kg/m2 to < 30 Kg/m2).
For Class 1 Obesity ( BMI > 30 kg/m2 – 35 kg/m2) diet and exercise alone may not suffice.
These patients may need certain medicines to achieve weight loss.
These medicines are not to be taken without the advise of a trained weight loss doctor as they can have many side effects.
Metabolic Remodulation
This is plan which is an individualised, highly effective plan. This entails a thorough metabolic evaluation of patient with blood and urine tests, anthopometric measurements, ultrasounds and other tests. This plan has multiple phases which are curated as per every individual.
A) Intensive phase
This is a 2 week program which helps the patient start losing weight healthily. The weight loss is significant and the inch loss is even more profound.
All patients are re evaluated at the end of the Intensive phase with Weight and Anthopometrics
B) Accelerated phase
This is a 3 month program where a diet plan is designed which is patient centric and takes into consideration food habits, diet preferences and other eating habits.
Patients receive regular support from our Specialist Dr. Sushant Wadhera who takes great personal care in developing the plan for every single patient.
Patients are re-evaluated after 3 months again with certain blood tests, weight loss assessment and Anthopometric evaluation.
C) Cruising Phase
This highly individualised phase helps the patients maintain the weight loss they would have achieved and also provides them knowledge about various food groups and food choices they can make.
With our plan, the patient can easily control the urges for processed and junk foods.
Apart from that the person has a tremendous sense of well being and a greater sense of clarity.
They are able to get over their food fixation and can focus on other things in life rather than food.
Medical treatment and bariatric surgery should not be treated as competing approaches.
Some patients may achieve appropriate results with lifestyle and medical treatment, while others with clinically significant obesity or obesity-related disease may benefit from metabolic or bariatric surgery.
Eligibility depends on BMI, metabolic disease, previous treatment response, surgical risk and individual circumstances.
Dr. Sushant Wadhera provides evaluation and treatment planning for patients seeking medical and surgical options for obesity management in Delhi.
The treatment approach considers BMI, metabolic health, obesity-related conditions, previous weight-loss attempts and individual treatment goals before recommending medical management or evaluating the need for bariatric surgery.
MBBS, MS (General Surgery), FNB (Minimal Access Surgery)
Bariatric, Laparoscopic & General Surgeon
1. What is medical management of obesity?
Medical obesity management is a structured approach that may include nutrition planning, physical activity, behavioural changes, medical evaluation and, in selected patients, prescription weight-management medicines.
2. Who may benefit from medical weight-loss treatment?
Medical weight management may be suitable for people who are overweight or living with obesity, have obesity-related health conditions, have struggled with repeated weight regain, or want to explore non-surgical treatment options.
3. Is BMI the only factor used to plan obesity treatment?
No. BMI is an important screening tool, but doctors also consider waist circumference, metabolic health, diabetes, blood pressure, sleep apnea, fatty liver disease, previous weight-loss attempts, medications and overall health.
4. Can obesity be treated without surgery?
Yes. Many patients can be managed with lifestyle changes, structured nutritional support, behavioural treatment and, when appropriate, prescription medicines. Bariatric surgery may be considered when non-surgical treatment is insufficient or when obesity-related disease is significant.
5. When are weight-loss medicines considered?
Prescription weight-management medicines may be considered for selected patients based on BMI, obesity-related health conditions, previous treatment response and overall medical assessment. They should be used only under medical supervision.
6. What are GLP-1 medicines for weight loss?
GLP-1-based medicines act on appetite and metabolic pathways and can help some patients reduce food intake and lose weight. They are not suitable for everyone and require medical assessment, dose monitoring and follow-up.
7. Are weight-loss injections safe?
They can be appropriate for selected patients when prescribed and monitored properly, but they may cause side effects and are not suitable for everyone. Patients should not use weight-loss injections without professional medical supervision.
8. Can weight come back after stopping obesity medicines?
Yes. Some patients may regain weight after stopping medication, especially if long-term dietary, activity and behavioural changes are not maintained. Obesity often requires ongoing management.
9. What tests may be required before starting a weight-management programme?
Evaluation may include blood sugar, HbA1c, lipid profile, liver function, kidney function and other tests based on the patient’s medical history. Thyroid testing or additional investigations may be advised when clinically indicated.
10. Can medical weight loss help with diabetes and high blood pressure?
Weight reduction can improve several obesity-related conditions, including type 2 diabetes, high blood pressure, fatty liver disease and sleep apnea. The degree of improvement varies between patients.
11. How much weight can I lose with medical obesity treatment?
Weight-loss results vary widely depending on the treatment plan, medication used, starting weight, metabolic health, lifestyle adherence and duration of treatment. No fixed result can be guaranteed.
12. Do I still need diet and exercise if I take weight-loss medicine?
Yes. Medicines work best as part of a comprehensive programme that also includes nutrition, physical activity, sleep and behavioural support.
13. When should bariatric surgery be considered?
Bariatric or metabolic surgery may be considered when obesity is severe, obesity-related conditions are significant, or when appropriate non-surgical treatments have not produced sufficient or durable improvement.
14. Is bariatric surgery better than medical treatment?
Neither approach is automatically better for every patient. Some patients are appropriate for medical management, while others may benefit more from bariatric surgery. The decision depends on BMI, metabolic disease, previous treatment response and overall health.
15. Who should I consult for obesity management in Delhi?
Patients seeking structured medical or surgical obesity treatment can consult a specialist experienced in weight management and bariatric care. Dr. Sushant Wadhera provides assessment and treatment planning for obesity management in Delhi based on the patient’s BMI, metabolic health and treatment goals.
Know more Metabolic Remodulation