My Article in Times Of India Paper

My Article in Namasthe Telangana Paper

BARIATRIC SURGERY CUTS COSTS FOR DIABETES, CARDIAC MEDICATIONS:

   After bariatric surgery patients use significantly fewer drugs for diabetes, hypertension, and heart disease.        Surgery also improves quality of life.

    For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com

YOU ARE IMMUNE TO DIABETES AFTER BARIATRIC SURGERY

   Bariatric surgery reduces the risk of developing type 2 diabetes by 80% among persons suffering from obesity.
    For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com.

SIT LESS - LIVE LONG:

Prolonged sitting increases risk of lifestyle diseases and shortens life span even if you exercise daily. So reduce sitting hours.
For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com

COFFEE BREAK: ARTIFICIAL SWEETENERS INCREASE RISK OF OBESITY AND TYPE 2 DIABETES

Non-caloric artificial sweeteners alter gut microbes leading to glucose intolerance. Rather than aiding in weight loss and treatment of type 2 diabetes, consumption of artificial sweeteners may have opposite effects. 
For information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com

LISTEN TO YOUR STOMACH - IT IS SCREAMING!

Respect your stomach. Eat slowly. Stop eating when you are satisfied, not when you are full. 

For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com

WEAK LOOK AFTER BARIATRIC SURGERY:

Weight loss is faster than skin tightening after bariatric surgery. So skin is lax and wrinkled during weight loss period. People may appear weak, even though they are actually not. By the time weight is stabilized skin becomes tight and look improves.

For information on 'Bariatric & Metabolic Surgery' please visit - www.drvamar.com

CHOTTA BHEEM IS AT RISK OF CHILDHOOD OBESITY

"Laddoo is the secret of my energy" - super hero of children "Chotta Bheem" says. He is at risk of childhood obesity if he continues to eat laddoos in this manner! It might have been relevant if he is taking milk or eggs for energy. Then children watching him also learn healthy diet habits.

FRUITS Vs SWEETS

People gift you "Sweets" and make you sick!
Then they gift "Fruits" to make you healthy again!

PREVENT CHILDHOOD OBESITY

Children follow more of what we do than what we say. 
Eat healthy and stay fit. 
Be a role model for your children.

To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

HEALTHY LIFE IS GIFT TO MY DAD ON THIS FATHERS DAY

I performed laparoscopic sleeve gastrectomy along with appendicectomy, meckel's diverticulectomy & umbilical hernia repair 6 months back on my father, Dr. V. Brahma Reddy. He is 62 years old. At the time of operation his weight was 106 kg with BMI 35.4 kg/m2, type 2 diabetes, hypertension, sleep apnea, heart disease and back pain. Now his weight is 79 kg and still reducing. His blood sugar and blood pressure are within normal limits even without medications. Sleep apnea and back pain disappeared. Now he is happy and healthy. Happy father's day to my dad. Happy father's day to all fathers.

METABOLIC SURGERY ON MY BROTHER-IN-LAW FOR TYPE 2 DIABETES:

One year back, I performed laparoscopic metabolic surgery (Sleeve gastrectomy with duodeno-ileal interposition) on my brother-in-law to treat type 2 diabetes. At that time he was 32 years. Before surgery his weight was 89 kg with BMI - 30 kg/m2, fasting blood sugar - 400 mg/dL, HbA1c - 10.5% & 40% block in a heart vessel. Within 3 weeks post surgery, his blood sugar was under control without medications. Now his weight is 62 kg with BMI 21 kg/m2, fasting blood sugar 96 mg/dL & HbA1C 5.3%. He is not on insulin or tablets anymore!

To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

GO GREEN:

Green tea is produced by steaming fresh tea leaves at very high temperature. It is rich in antioxidants. It helps in weight loss, prevents diabetes, reduces cholesterol, boosts immunity, protects against cancer and improves bone density.

To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

KNEE PAIN IN OBESE WOMEN:

Mal-alignment of the knees may precipitate osteoarthritis in middle aged, obese women, researchers suggest and such women should be screened for knee mal-alignment and treated preventively.

For information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com

DO WE NEED GRAINS LIKE WHEAT, RICE & OATS FOR SURVIVAL?

Are healthy whole grains in fact unhealthy? According to "Grain Brain" (By Dr. David Perlmutter) and "Wheat Belly" (By Dr. William Davis) wheat and other cereals damage brain, also lead to obesity and type 2 diabetes. What evidence do we have in support of these claims? There is enough evidence against these claims. What is your opinion?

To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

FOOD AVERSION

After gastric bypass majority of the patients develop food aversion, alterations in taste, smell and appetite. Those who develop these changes experience significantly more weight loss than others.

To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

HOW TO IMPROVE EXERCISE COMPLIANCE?

Watch popular English TV seasons during exercise. Example: Lost, Breaking Bad, Game of Thrones, Prison Break, 24 etc. This increases exercise duration & compliance. Tip: Don't watch them when you are not exercising.
To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

BARIATRIC SURGERY IS HEART FRIENDLY

Bariatric surgery reduces risk of having a heart attack and stroke by almost 50%. It is potentially life-saving and reduces life risk by more than 50% compared to obese people who did not have surgery - Meta-analysis, Int. J. Cardiol., March 2014.

To get regular updates on obesity & diabetes please like this page -www.facebook.com/drvamar (Obesity & Diabetes Surgery).

WEIGHT LOSS AFTER GASTRIC SLEEVE - ↑ CIRCULATING BILE ACIDS:

Weight loss after sleeve gastrectomy is due to increased circulating bile acids that bind to the nuclear receptor (Farsenoid-X receptor - FXR) and alteration in gut bacteria. It is not due to mechanical restriction. If FXR is absent then weight loss and diabetes remission will be less.

For more information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com

SUGAR IS NOT SWEET ANYMORE

WHO proposes new guidelines - Limit sugar intake to 5% of daily calorie requirement.

For information on Obesity, Type 2 Diabetes, Bariatric Surgery & Metabolic Surgery please visit - www.drvamar.com

GASTRIC BYPASS (RYGB) vs SLEEVE GASTRECTOMY (SG)

Weight loss is similar after 'Gastric Bypass' and 'Sleeve Gastrectomy'. But central abdominal fat reduction and type 2 diabetes resolution are greater after RYGB compared to SG - STAMPEDE Trial.

For more information on 'Bariatric & Metabolic Surgery' please visit -www.drvamar.com

SLEEVE vs BYPASS vs GHRELIN

After 'gastric bypass' fasting ghrelin (appetite stimulating hormone) is normal. But there is enhanced ghrelin suppression after food intake.
After 'sleeve gastrectomy' fasting ghrelin is four fold reduced. There is post-prandial ghrelin suppression but less than after gastric bypass.

Bariatric Surgery Rocks! -

Meta analysis of international bariatric surgery studies from 2003 to 2012 (Published in JAMA Surg, Dec 18, 2013) provides reassurance that bariatric surgery is an effective treatment method for permanent weight loss in obese individuals. It has very low mortality and acceptable risk of morbidity. This study also confirms that bariatric surgery improves many of the obesity related co-morbid conditions such as type 2 diabetes, hypertension, and sleep apnea.

Gastric bypass (RYGB) - More effective weight loss & More complications
Sleeve gastrectomy (SG) - Similar weight loss effects as gastric bypass
Gastric banding (LAGB) - Less effective weight loss & High reoperation rate
Leak rate - Most feared complication & is < 2%

Hiatal Hernia

It is essential to identify and repair hiatal hernias when performing laparoscopic sleeve gastrectomy to prevent Gastroesophageal Reflux Disease (GERD) - International Sleeve Gastrectomy Expert Panel