Treatments for Obesity
Non-Surgical Treatments
There are two ways under non-surgical option to treat obesity:
1) Conservative Treatments
2) Non-Invasive Procedures
Conservative Treatments
Conservative obesity treatments focus on three key evidence-based approaches recommended by the NHS. These include personalised dietary changes supervised by registered dietitians, structured physical activity programmes, and behavioural therapy to address eating habits and lifestyle factors
Core Treatment Principles
The foundation of obesity treatment rests on lifestyle changes, regardless of whether surgery is later considered. These changes focus on:
• Dietary modifications
• Increased physical activity
• Improved sleep habits
• Stress management
Dietary Changes
A sustainable, balanced diet is essential for long-term success. Working with a dietitian helps:
• Set realistic calorie goals
• Plan balanced meals
• Develop healthy eating patterns
Note: Crash diets are discouraged as they typically lead to yo-yo weight cycling.
Exercise Programme
Physical activity should be:
• Regular and sustainable
• Tailored to individual capabilities
• Professionally guided if there are mobility issues or health concerns
Lifestyle Factors
Recent research highlights the importance of:
• Quality sleep
• Effective stress management
• Consistent daily routines
Important Considerations
• Treatment plans should be individualised
• Long-term success requires permanent lifestyle changes
• Professional support improves outcomes
• Quick-fix solutions rarely work
Based on NHS guidelines and current medical evidence, successful weight management requires a comprehensive approach addressing all these factors together.
Non-Invasive Procedures
Endoscopy Intra-Gastric Balloon
A medically-supported intragastric balloon programme offers a middle ground for those who find traditional diets insufficient but aren't candidates for surgical intervention. The balloon, placed in your stomach endoscopically or through a swallowable capsule, helps create a feeling of fullness and reduces food intake. These programmes run between 4-12 months depending on the type of balloon chosen (traditional saline-filled or newer swallowable versions), providing professional support while preserving your body's natural digestive processes. The treatment approach can be customised based on your preferences, medical requirements and financial considerations, offering a temporary and reversible solution to weight management.
Surgical Treatments
Two main surgical options for obesity treatment:
Roux-en-Y Gastric Bypass: Creates a small pouch from the stomach and connects it directly to the small intestine, reducing food intake and absorption. This leads to significant weight loss and often improves diabetes.
Sleeve Gastrectomy: Removes approximately 80% of the stomach, creating a banana-shaped sleeve that restricts food intake and reduces hunger hormones.
Both procedures can be performed using minimally invasive keyhole (laparoscopic) techniques or advanced robotic surgery, typically requiring 2-3 days in hospital with 4-6 weeks recovery time.
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