Can I undergo bariatric surgery if my BMI is not above 35?
Yes. That is the short answer. You do not necessarily need to be morbidly obese to be considered eligible for bariatric surgery. The main benefit of bariatric surgery is not for cosmetic purposes, it is to help with the remission of comorbidities and metabolic syndrome. If you suffer from comorbidities or metabolic syndrome but are concerned your BMI may not be considered “heavy enough” for the procedure, do consult our doctors for an evaluation that will help determine if bariatric surgery is necessary for you.
Is it easy to regain the weight I’ve lost?
It is important to remember that it is not easy to regain weight lost through bariatric surgery unless you are living in an uncontrolled manner. With the reduced stomach size and effects like dumping syndrome occurring when food intake is uncontrolled, patients will have to experience a lot of discomfort to regain weight. This occurs if you are unable to control your impulses and desire to eat even when you are not hungry.
What happens if I regain the weight I’ve lost?
There are medications to assist with weight loss to try and help you to get back into a weight loss cycle. Revision surgeries can be done, but will cost more money and will not be effective in the long run if you are unable to control your lifestyle habits.
Can I use my EPF savings for bariatric surgery?
Yes, withdrawal from EPF account 2 is possible for bariatric surgery and treatment.
How long will I be away from work?
Most patients return to work after one or two weeks depending on the surgery. You will feel tired if you do more than you can handle, and your energy levels will be lower for a while. Most jobs will require you to be back right away, but the safety of your own self and the people around you are more important. You should consider taking half days or working on alternate days, the recommended work-rest balance can be discussed with your surgeon.
The risk of dying from surgery is greater than dying from obesity
If you have been reading up until this point, you will know that this is not accurate. The risk of death is lower for bariatric surgery compared to other surgical procedures. Remember that bariatric surgery is not just for cosmetic purposes, reduction of excess weight significantly improves your health and reduces mortality rate. Life-threatening diseases are also improved or resolved after surgery, meaning the benefits of bariatric surgery far outweigh the risks.
Obesity is a choice
Many often consider being obese as a choice, not a disease. Some believe that in order to stop being obese, one just needs to start exercising and eat less. It is a topic that continues to be brought up from time to time, and perhaps the people around you have said similar things too. Of course, prevention is often better than cure; hence why most people try to keep their weight under control by means of diet or exercise.
What about those who are already obese? While a healthy lifestyle is a choice, for some people, obesity is not a choice. The morbidly obese especially are resistant to weight loss by diet or exercise, or the ability to maintain said weight loss.
There are a number of factors that can affect weight gain and weight loss in people; some of which are beyond our control, some are different for each individual.
Dieting, exercise and weight loss
Cutting down on calories is easier than exercising without cutting down on calories, after all it is easier to eat less than to burn calories through exercise. While it is easier to lose weight by consuming less calories, it is also easier to regain weight that way. A person who diets slows down their metabolism, burning less calories at rest. Continuing to do so will result in slower weight loss, or downright zero weight loss.
The most efficient way is to combine both, using physical activity to counteract the slowed metabolism; while slowly increasing the amount of energy your body burns with continuous exercise. This includes energy expenditure during exercise and also energy expenditure at rest. Resting expenditure is important as it accounts for most of the calories we burn in a day (we don’t exercise non-stop without resting), hence why it is important to counteract the slowed resting expenditure from dieting with exercise.
Just go to the gym
Not everyone can carry out the same training in the gym and obtain similar results. A person’s body type responds to exercise in a different way from another, knowing yours can help you figure out exactly what kind of exercise you need to do in order to lose weight effectively.
There are 3 different body types that result in different builds and appearances for people. You may have that one friend who eats a lot but never seems to put on weight, another friend who seems to effortlessly gain muscle without doing intense exercise, or you could be one of those people where you find it difficult to lose weight even though you’re on a strict diet.
The ectomorph is the delicate, long and lean person. They find it difficult to build muscle, weight or fat, usually a result of their fast metabolism. For ectomorphs, their concern may be gaining weight instead of losing it.
Endomorphs or endomorphy is perhaps more common than ectomorphs. Endomorphs have wide builds, storing their muscle and fat in the lower half of their bodies. They have the potential to build more muscles, but at the same time also build more fat. Having a higher endomorphy means having a higher tendency of storing body fat, as most endomorphs have slow metabolism.
Mesomorphs are what the general public would consider to be ideal, as they are neither too lean nor too wide. They find it easier to build muscles compared to the previous two, and also find it easier to lose fat. Mesomorphs are often natural athletics with high metabolism.
Everybody is a mix of the three types, even the most extreme case of mesomorphy would have minor traits of endomorph and ectomorph mixed in. Consulting someone with the knowledge of these body types will help you figure out what kind of exercise is needed for you to lose weight and maintain weight loss, as you could be an endomorph with fast metabolism; or a mesomorph with ectomorph qualities.
Each of the three body types require different levels of intensity to lose weight during exercise, which is why not everyone can lose weight at the same rate even if they do the same thing. Finding out about your body type could help you plan out your exercises to lose weight in the most suitable and efficient way.