Risks of Pregnancy in Obese Women and the Scientific Solution

Many women of child bearing age undergo Bariatric Surgery at Nobesity to be able to get pregnant and have motherhood free of complications.

Infertility and Obesity are very closely linked.

And secondly, pregnancy in obese women is much riskier than normal-weight conception.

A study by University of Edinburgh published in British Journal of Obstetrics and Gynecology found that

  • Chest Infections were almost 10 times more likely in obese pregnancy vs normal weight pregnancy
  • Headaches and Heartburn – More than 2 times more likely
  • Depression – Significantly more likely
  • Carpal Tunnel Syndrome (numbness, tingling or weakness in hands) – More than 3 times more likely
  • Symphysis-Pubis Dysfunction (condition that affects the pelvic joints) – More than 3 times higher risk


Studies also report increased risk of major complications due to Obese Pregnancy such as: Gestational diabetes, Emergency caesarian section, Postpartum hemorrhage, Genital tract infection, Urinary tract infection, Wound infection, Birth-weight above the 90th percentile, Intrauterine death etc.

In addition, babies with spinal cord defects (spina bifida), heart defects, anorectal atresia (misplaced or absent anal opening), hypospadias (urinary opening not at usual place), limb reduction defects, diaphragmatic hernia and omphalocele (intestines and other internal organs remain outside of abdomen in a sac) are significantly more likely to have obese moms.

As the children of an obese mother age, research suggests that the child may also have a higher chance of developing an attention deficit disorder.

However, there is a solution. The most scientifically proven one.

Bariatric Surgery can minimize or totally avoid these numerous risks and help women to have a healthy pregnancy, child and motherhood besides long-term excess weight-loss.

A review of 75 studies conducted by University of California in Los Angeles US clearly supports our clinical experience at Nobesity Center that Women who had Weight Loss Bariatric Surgery minimized pregnancy related complications. In fact many who had lost hope of bearing a child could do so.

But we advise patients to wait for 1-2 years of rapid weight-loss after Bariatric Surgery before getting pregnant. This would allow body to stabilize and offer the best support for baby being conceived.

If you wish to learn more about Bariatric Surgery for Women, Infertility resolution and our Life time free of charge support program after surgery or any other question that you may have with regards to obesity, pl feel free to call us on +91 89999 49999. We should be able to help.

BLiSS Masterclass by Nobesity Concludes Successfully

Our first BLiSS (Bariatric Leadership in Surgical Skills) training program for Surgeons interested in learning the nuances of Bariatric Surgery concluded successfully last weekend at Nobesity, Ahmedabad.

The 2 day workshop by Dr Manish Khaitan showcased 12 Bariatric Surgeries to candidates from across India with special emphasis on Gastric Bypass, its techniques and bio mechanics. The key message of the program was about conducting safe and sound surgeries every time.

Setting up Bariatric Units, Management of Complications and Nutritional Aspects post surgery were the other important aspects covered in this training workshop.

We thank our attendees for strong subscription and support extended for our first program. Based on encouragement received, we plan to repeat BLiSS Masterclass twice a year to spread Nobesity Techniques of Safe Surgery far and wide so that the patients operated by the BLiSS alumni receive similar standards of care as they would receive at Nobesity.

5 Late Night Snacks that Won’t Make you Gain Weight!

Everyone has been there. That craving late night. For something sweet, something fried.
Almost always the craving is for something that you are not supposed to eat!
Lets get real. Late night craving is common. It hits most of us.
However, what separates the smart from the rest is how we deal with it.
First of all lets understand why this mid night craving for food happens.

It may be due to many reasons. Some of them are:

  1. – Boredom
  2. – Lack of protein in your diet
  3. – You don’t drink enough water during the day. So dehydration presents itself as craving for food.
  4. – Low salt or sugar levels due to strict diet plan
  5. – Accelerated metabolism causing excessive hunger

What ever may be the reason, if you choose right snack in moderate amount, it may not add to your weight.

Its important to eat lower than 200 calories. Anything more will be a meal. Not a snack.

Secondly, don’t make this into a daily habit. You never know when you will cross lines and start
treating this opportunity as one more meal time!

There are many healthy options for Late night snacking. We at Nobesity are pleased to present these five healthy options to satiate your nocturnal cravings.

1. Hot Chocolate:

We bet this one’s everyone’s favorite late-night drink! And a healthy one too if you didn’t add much sugar to it. Instead of sugar you could add one or two tea-spoons of honey for taste. Hot milk and Cocoa will soothe your senses and usher in sound sleep. But have this drink an hour before sleep.

2. Popcorn:

Did we just hear you sit up and say Hmm? Yes, popcorn without butter is healthy. A small fat-free pack of popcorn can be less than 100 calroies. Read what is mentioned your pack and enjoy a guilt-free portion if craving is too much to handle.

3. Banana:

A medium sized banana can immediately fill you up without causing weight gain. Bananas contain magnesium and potassium that can relax your muscles and help sound sleep.
You can have your Banana just as it is or prepare a small portion of Banana milkshake by adding a cup of low fat milk and honey for taste with your Banana cut in small pieces and revving up all three in your mixie.

4. Whole Wheat Bread 

A slice of whole wheat bread can be filling as well as easy to digest without adding too many calories.
You could also make a sandwich with vegetables or one boiled egg stuffed in between the bread slice.
Egg or vegetables will supply you with proteins and minerals to add to your good health.
Just make sure that you don’t eat more than one sandwich or a slice of bread.

5. Dark Chocolate 

Did you just love this suggestion? We are sure you just did!

A few cubes (Not More) dark chocolates with 70% or more cocoa will deliver 3 benefits straight off the bat:

  1. 1. It will lower your blood pressure
  2. 2. It will satisfy your craving for chocolates or sweets
  3. 3. It will soothe you into a good night’s sleep

Along with these five suggestions, its also important to know what to avoid.
First of all, avoid big portions at any cost. Even the healthy food when consumed in large quantities will be poison to you.
Second, avoid greasy, sugary, aerated and spicy food. All of them stimulate your senses and make it difficult to sleep.
Third, avoid red meat even if its a small portion. Red meat makes your stomach bulge and may disrupt with digestive process.

Hope you found our suggestions useful. Want to learn more? Call us at +91 89999 49999 or set up a consultation with our Dietitian.

A kind feedback from one of our patients



For a detailed discussion on weight loss, preventing your self from a health hazard and potential financial hardships, call us on + 91 89999 49999 or Feel the Form here.

5 Simple Steps to Prevent Weight Regain After Bariatric Surgery

Most patients feel magical after Bariatric Surgery. Most or all of the excess weight gone. You fit into regular sized clothes. Daily activities are so much more fun. You start doing things you never thought you could; for example- running a marathon.

But is the picture rosy ever after? Without any maintenance work? Not really.

By falling back into old eating habits and large meal portions, you are likely to gain some weight back.

When you underwent a Bariatric Surgery, your Surgeon did one of these or both in combination.

Either he bypassed some length of your intestines to allow less absorption of what you eat.

Or he reduced the size of your stomach to restrict how much you eat.

If not, he combined both these techniques depending on underlying cause of your obesity.

All great so far and you lost most or all of excess weight in the following months or a couple of years.

But the trouble starts if you slowly start eating more and more every day or make high calorie diet as your new daily routine.

This is like you are working against your own long-term success after initial euphoria.

With this habit you start stretching your stomach which is nothing but an expandable muscle pouch and slowly create more space there once again for dumping more or rich food that gets converted to fat.

After 5 years from surgery, if you are not careful, 20-30% of lost weight may come back.

Here are the 5 simple steps you could take and avoid this situation by preventing the stretching of your stomach after a Bariatric procedure.

1. Do not Drink Fluids During Meals:

Two big benefits come by following this simple step.

a) Your stomach gets some time to digest solid foods without they quickly getting washed away by the fluid you gulped. When food stays longer in your stomach, you don’t feel hungry as quickly after the meal. Which means you may not crave for that piece of burfi after meal as much you used to.

b) Consider drinking your fluids an hour before meals. This will help curb hunger pangs that would otherwise tempt you into eating large portions during meal time.

And never drink carbonated (especially diet – new studies show diet drinks can increase hunger) drinks at all. They can mix with your food and create gas that can put pressure on your stomach causing it to bloat.

2. A small treat is better than a big meal:

Its important to change what you consider as a treat. A large meal on a special occasion is not OK. However, when friends are eating chips or ice cream or chaat, its OK to have a little bit as a treat from time to time. Limit your treats to once or twice a week and keep the portion size small.

3. Don’t miss breakfast or any scheduled meal:

When we skip a meal such as breakfast, its easy to get so hungry and overeat the following meal. This will expand your stomach which was made small by the surgery. So eat small and regular meals.

4. Small portion size is more important than large low calorie servings:

If you try to eliminate everything with fat or sugars, then you are bound to fail. Moderation is the key. Don’t eliminate every tasty or rich thing from your diet. If you do, you will probably end up cheating and then binging. Remember, food is not the enemy. The enemy is the excess. Enjoy your food in moderation.

5. Don’t overeat:

This is the obvious one but needs to be said. It takes more than one meal to stretch your stomach and cause issues. However, if you give yourself a big meal here or there, it will eventually get out of hand. That’s how most cases of obesity start. So, do not overeat. Even if its your Birthday or Diwali.

Nobesity has a cumulative experience of treating thousands of patients with Bariatric Surgery. We also facilitate India’s largest active support group for patients after surgery. A large percentage of our patients are successful in maintaining weight loss after years of surgery by following these simple steps to avoid weight regain.

Our free of cost life-time follow up program for all our patients and those operated by other surgeons is designed to help you stay fit for rest of your life.

For more details about post bariatric diet, please call +91-89999 49999 and set up an appointment with our dietitian

Bariatric Surgery Reduces Female Cancer Risk

Bariatric surgery reduces not only the incidence of overall cancer in obese women, as has been previously reported, but also the risk for female-specific cancers- as highlighted by a recent medscape news article by quoting a reputed Swedish study.

In particular, a significantly reduced risk for endometrial cancer is indicated by new results from the Swedish Obese Subjects (SOS) study. Findings were published in the May 2017 issue of Gynecologic Oncology.

The SOS study is an ongoing, nonrandomized, prospective controlled trial in which investigators aim to determine the long-term effects of bariatric surgery on multiple health endpoints.

After their surgery, SOS women lost a mean of 28.0 kg at 2 years, some of which was regained at 10 and 15 years’ follow-up, but the weight loss was still significant at approximately 21 kg at both 10 and 15 year follow up.

At a median follow-up of 18.1 years, investigators found that the risk of developing any cancer was 29% lower among women who had undergone bariatric surgery than those who hadn’t.

Besides cancer, Bariatric Surgery reverses/ prevents lifestyle diseases such as Diabetes (type2), heart disease, sleep apnea, arthritis etc.

Nobesity is one of the most experienced Bariatric Center of Excellence in India with more than 3000 successful Bariatric surgeries performed so far. Over 200 new parients every year choose to undergo treatment here for morbid obesity and metabolic disorders.

Nobesity also leads the one of the best patient support group program in India. More than 100 after-surgery patients attend each support group meeting held on last Sunday of every month.

Located in KD Hospital hospital Ahmedabad, Nobesity is well known for providing advanced patient care and pleasent hospital experience. Nobesity has state of the art operation theatre with latest equipments and highly qualified team led by Dr. Manish Khaitan, a prominent leader among bariatric and laparoscopic surgeons of India.

To learn more about how Bariatric Surgery can transform your life, contact us or call us for an appointment on +91 89999 49999

6 Tips to Avoid Overeating after Bariatric Surgery

Overeating is as addictive as smoking or alcoholism. A difficult psychological habit to break.

New-found weight loss success after Bariatric Surgery may tempt patients to slowly indulge in overeating, making them believe that a small extra portion of kulfi or kheer is not going to matter. But it matters in the long run.

Patients have an important role to play in improving their food habits after surgery and retain their initial success for life-time.

So these are the 6 golden tips when followed daily, will help you avoid weight regain even after decades of surgery.

1. Take small bites – when your stomach space has been surgically reduced to restrict overeating, a few bites of healthy portion will fill you up. So take small bites.

2. Eat slowly – take time to chew and enjoy food. This is something that every person on this planet must follow! Not just bariatric surgery patients.

3. Don’t drink while you are eating – it’s best not to drink anything with meals. Drink a glass of water before an hour of your meal and another glass after an hour.

4. Use a small plate – that holds less food. Its a great way to avoid subconscious overeating habit from taking over without your sensing it.

5. In restaurants, order small portions or from kids’ menu– the less food you order, the less food you’re likely to eat.

6. Stop when you feel full– even if you have only one bite left, don’t eat it because your body is not a waste bin. Its a temple that you need to take care of. So respect signals from the stomach and not succumb to the childhood lesson of “clean your plate” advise from elders.

At Nobesity we have treated thousands of patients with Bariatric Surgery and we facilitate India’s biggest active post-surgery support group. A large percentage of our patients successfully maintain weight-loss even after years of surgery following a healthy lifestyle. Also our free-of-cost life-time follow up program is open for all our patients and those operated by other surgeons.

For more details about post bariatric surgery diet, please call +91-89999 49999 and set up an appointment with our dietitian or attend one of our support group meeting.

BLiSS (Bariatric Leadership in Surgical Skills) Gastric Bypass MasterClass


(Bariatric Leadership in Surgical Skills)

Gastric Bypass MasterClass

30 June and 1 July 2017

Organized by

Dr Manish Khaitan

Director, NObesity Center for Bariatric and Metabolic Surgery

Coumbia Asia Hospital, Ahmedabad

Dear Colleagues:

With a great pleasure I invite you along with my team to the Bariatric Leadership in Surgical Skills (BLiSS) Program; a Masterclass in Gastric Bypass which is going to be held at our Nobesity Center, KD Hospital Hospital Ahmedabad on 30th June and 1st July 2017.

Our vision for BLiSS is that it becomes a premiere educational platform in the field of bariatric surgery where practitioners like you come to learn and share new skills.

We are unifying our efforts for this course to provide an excellent small group learning experience. Hence the batch-size is limited to six surgeons who are performing sleeve gastrectomies on their own and are looking forward to acquire intricacies of RYGB to offer this procedure safely and confidently to their patients.

We hope that the carefully designed agenda with an optimum mix of didactic and live surgery sessions will broaden the knowledge and improve the skill sets of attendees.

Additionally, I encourage you to take this opportunity to explore the beautiful city of Ahmedabad!

Look forward to having you with us for BLiSS @ NObesity

With warmest regards

Dr Manish Khaitan

Program Agenda


30th June 2017

Time Particulars
8:30 – 9:00 AM Vascular Anatomy of GI tract and how to use it for our advantage in Gastric Bypass
9:00 – 9:30 AM Patient Selection in initial period of RYGB
9:30 – 10:00 AM Biomechanics of RYGB
10:00 – 2:00 PM Live Surgery 1 & 2
2:00 – 3:00 PM Working Lunch
3:00-5:00 PM Live Surgery
5:00 – 6:00 PM Case discussions
6:00 – 6:30 PM How to set up a bariatric unit
1st July 2017 Time Particulars
8:30 – 10:00 AM Mishaps videos and how to manage it
10:00 – 10:30 AM Different types of Staples and when to use them
10:30 – 11:00 AM Pre and Post nutritional aspect in RYGB
11:00 – 1:00 PM Live Surgery
1:00 – 2:00 PM Working Lunch
2:00 – 3:00 PM Live surgery
3:00 – 5:00 PM Live surgery
5:00 – 6:00 PM Handling of Leaks in case of RYGB
6:00 – 6:30 PM Certificate distribution


Contact us to check out our next upcoming program.

Fruit Fun


100 gms Apple (Sabe), 75 gms Guavas (Amrood), 70 gms Grapes

(Angoor) 1 Sweet lime (Mosambi) / Orange, 50 gms Cottage

Cheese (Paneer) (made from skimmed milk), 1 small bunch Mint

Leaves (Pudina Leaves), 1 tblsp Lime or Lemon Juice (Nimbu)

Salt and Pepper To Taste


Clean and wash all the fruits and mint leaves.Cut fruits in small cubes.

Grind the mint leaves with lemon juice, salt and pepper.

Cut paneer into small pieces and apply mint paste on it. Keep aside.

Mix the fruits and paneer together.

Serve chilled.

Nutritive value (per serving):

Protein3.7gm, Fat 3.4gm, Cho  17gm, Energy 110 Kcal


Find more healthy diet recipes that suit your weight-loss goals, right here.


Immunity: Your Silent Warrior

Is Obesity Compromising Your Defences?

A mosquito bites eight-year old Ria in the middle of the night. Her body immediately shifts gears into red alert mode and rushes to fight the allergen that her sensitive system has detected as a threat. The next morning Ria awakes bright and chirpy, rested to begin the new day. Her body’s defences have worked very hard through the night, even as she peacefully slept.

The same mosquito has also bitten Amar, her father sleeping beside her. But Amar wakes up shivering. His body is burning with high fever and he feels drained of energy and extremely unwell.

The same bite triggered vastly different reactions in two seemingly healthy individuals. One may wonder why.

The answer lies in what is called Immunity.

The Immune System is our body’s defence mechanism made of many biological structures within us. This complex structure immediately detects our own healthy tissue and only attacks the external organisms invdading our bodies and destroys them to safeguard our health.

It is when the immune system collapses or does not function at optimum levels that one succumbs to diseases of various kinds ranging from Common Cold to Cancer.

This state where the immune system is not working at optimal levels is known as Immunodeficiency or Immunosuppression.

Obesity and Alcoholism are two major causes of Immunodeficiency. At the other end of the spectrum, Malnutrition is equally responsible for a compromised immune system.

In a patient with Immunosuppression, the primary immune response gets blocked. In other words, the body is unable to fight the external allergen or pathogen and defend and protect itself.

As a result, such people may suffer frequent viral infections, bacterial infections or fungal infections, as the body everytime succumbs without giving a fight.

If one is constantly falling sick, it is likely that the Immune system is not functioning properly.

Just like a fort with the highest ramparts are the most difficult for an enemy to breach, a body with an efficient immune system is most difficult for a virus/fungus/bacterium to disable. To strengthen this Silent Warrior that defends and protects you from everything unpleasant from flu to cancer, it is important to have the Immunity in ship shape.

That is how winning over Obesity helps in improving the body’s Immune System.

Obesity is determined by calculating the BMI or Body Mass Index of the person.


Eg :  if one’s height is 175 cm and weight is 70 kg, the BMI would be calculated as follows :-

BMI = 70 / (1.75 * 1.75) = 22.86

When one’s BMI is 30 or more, one is said to be Obese.

Bariatric Surgery is a scientifically proven, tried and tested alternate method for weight loss and obesity. Known also as Weight Loss or Obesity Surgery, it is a procedure to induce weight loss amongst people who suffer from Obesity. Particularly amongst those for whom other weight loss measures have not worked.

Bariatric surgery involves reducing the size of the patient’s stomach with the help of a gastric band also known as a lap-band. Alternatively, a part of the stomach is removed. This results in reduction of food intake and long term weight loss.

Post the bariatric procedure, one is required to have small frequent meals. As the stomach size is reduced, one tends to feel full with smaller quantities. The food intake will thereby reduce on its own.

The impact of bariatric surgery becomes apparent within the first few weeks of surgery.

The procedure is performed through laparoscopy i.e. through the key-hole method. This involves a single incision. As a result, there will be no major scars of surgery.

Bariatric Surgery involves risk just like any other surgery. But it is important to understand that as with any other surgery, the surgeon’s skill and expertise reduce the risk involved.

The success of a surgery and the patient’s experience depends mostly on the experience, skill and expertise of the surgeon. It is therefore necessary that one approaches a top bariatric centre with vast experience in routinely performing laparoscopic Bariatric surgery.

Apart from adversely affecting the Immune System, Obesity is associated with increased risk of several physical health disorders including diabetes, high blood pressure, stroke, cancer, arthritis, infertility, sleep apnea and thyroid amongst others.

It is also a major cause of mental and psychological problems like Depression, Anxiety, etc. caused due to social seclusion and isolation.

Bariatric Surgery may be the answer to end your battle with Obesity and a compromised Immune System. Fight Obesity to Enjoy a Healthy and Fulfilling Life.