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.

Obesity, the new Plague

Papa! Come and play!’ little Aarav calls out to Nilesh.

Not wanting to disappoint his son, Nilesh chases the ball for a few paces, but is unable to keep up. Completely out of breath in less than a few seconds, he gives up.

Six-year old Aarav wants his Papa to play football with him and Nilesh knows his son is not asking for much. To be stumbling so near the starting line, in a long race of parenting, is deeply disappointing.

Being severely Obese, Nilesh finds it difficult to enjoy life’s simple pleasures. Also, his Doctor announced last month that Nilesh has developed Diabetes and high blood pressure due to obesity and will have to be on medications for life. Nilesh is worried about what future holds in store for him.

But Nilesh is not alone. Millions like him are making compromises – small and large daily, owing to Obesity and its co-morbidities.

In 2016, about 10 million Indian men and 20 million Indian women were estimated to suffer from Obesity.1

WHO estimates that 2.1 Billion, i.e. one third of world population, is now obese. Chronic complications of weight kill about 3.4 million adults annually as it is a major risk factor for heart disease and stroke, diabetes, arthritis and certain cancers.

These numbers are of pandemic proportions like a plague sweeping through the globe and India.

Obesity is not a cosmetic issue. It is a cause of major health problems like diabetes, infertility, heart ailments, blood pressure, arthritis and a host of other conditions including cancer. These conditions can be severely debilitating and sometimes life-threatening. Even moderate weight reduction can greatly reduce the risk of such ailments.

Although moderate weight reduction is possible with diet, exercise and lifestyle changes, most patients are unable to sustain weight loss over long periods of time. Lost weight somehow bounces back with vengance.

This is where Bariatric surgery plays an important role.

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

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.

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 performing Bariatric and Laparoscopic surgery.

For more details, call us or contact us today for a consultation appointment and we will be happy to assist you in taking an informed decision.

How to celebrate a Healthier Holi this year?

Holi is round the corner, and the best way to avoid weight gain during festivals is to eat healthy. Here, we share with you some recipes that will help you do just that, after all Holi is the time to unwind, de-stress and bond over celebrations!



  • Barley – 1/2 Cup
  • Lentils – 1 Cup
  • Chopped Carrots, Celery – 1 Cup
  • Onions – 1 Cup
  • Tomato Paste – 1 tbsp
  • Vegetable Stock – 6 Cups
  • Bay Leaf – 1
  • Finely Chopped Parsley – 1 tbsp
  • Black Pepper – 1/2 tsp
  • Salt to taste


Sprinkle some olive oil in a frying pan and fry the onions and garlic for 4 minutes. Add the vegetables stirring occasionally. Then add the vegetable broth, lentils, barley, tomato paste and bay leaf. Boil the soup for 60 minutes at reduces heat or till the lentils are tender. Blend it well, add the salt, pepper and parsley and remove from flame. Serve hot.


  • 1 onion, chopped
  • 2 stalks celery, chopped
  • 1 carrot, chopped
  • 1/2 small potatoes, chopped into small chunks
  • 3-4 cloves garlic (you can smash them or leave them whole)
  • 3 bay leaves
  • 8 cups water
  • salt and pepper


  1. First, place all the ingredients in a large pot and bring to a boil.
  2. Reduce heat and let your vegetable stock simmer for at least an hour, covered with a lid. You may decide that you want to add a little bit more water during the cooking process as some will evaporate. Keep your stock covered to reduce this.
  3. Once your stock is done cooking, strain out the vegetables and garlic and remove the bay leaves.

NOTES : The importance of eating barley (Dhani) in Holi is to recover damaged skin and hair.  Apart from this it also helps in weight loss, aids digestion, beneficial for anemia as it contains important nutrients like Proteins, Fibers, Vitamins & Minerals like Thiamine, Niacin, Zinc, Iron etc. & Phytonutrients like Lignan which helps to prevent Breast Cancer & Coronary Diseases.



4 large dates pitted

½ cup mixed nuts (Almonds, Walnuts, Pista, Sesame seeds, Pumpkin seeds)


Dry roast nuts for few minutes & put them aside to cool.  In the same pan add dates & heat them till soft.  Knead & blend dates in a blender.  Mix coarsely chopped nuts with dates & roll them into balls.

NOTES :  Dates are good source of Fibers, iron, potassium, calcium, magnesium and some antioxidants which gives protection from Colon, Lung, Pancreatic Cancers & also give protection against age-related muscular degeneration (Older adults).  Nuts are also a good source of Proteins, and are high in potassium which can help regulate blood pressure; Almonds & Walnuts are good source of Omega -3 Fats which is heart friendly.

Photo Credits:

You can check here more delicious diet recipes which will help you to lose your weight.

Essentials for a Healthy diet for Women

With busy lives trying to balance the demands of family & work – it is difficult for any woman or girl to maintain a healthy diet.  But eating a balanced & healthy diet is most important to support mood, boost energy level, ease symptoms of menopause, to reduce symptoms of PMS and to keep bones strong.

Apart from Carbs, Protein & Fats women require higher amounts of Vitamins & minerals as they are at higher risk of Anaemia, Weakened bones & Osteoporosis, hormonal changes due to menstruation, menopause etc.

The important Vitamins & Minerals are Calcium, Magnesium, Vitamin – D, & Folate.


Take calcium to build healthy bones throughout the life, to regulate heart’s rhythm & to ensure proper function of nervous system.  Calcium deficiency can lead to mood problems such as irritability, anxiety, depression, & sleep difficulties & can lead to osteoporosis if not taking enough calcium through diet.  Calcium is better absorbed when it is taken with the combination of Magnesium & Vitamin – D.



CALCIUMMilk & Milk Products, Green Leafy Vegetables,Oatmeal, Tofu, Cabbage, Garlic, Green Beans etc.

MAGNESIUMGreen Leafy Vegetables, Cucumber, Broccoli, Celery, Green Beans etc.

Vitamin – DDirect Sunlight, Eggs, Vitamin – D, Fortified products, Salmon, Cod etc.


Iron helps to create Haemoglobin & also important for maintaining healthy skin, hair & nails.  Low Iron level in the body can lead to Anaemia.  Anaemia can deplete energy, makes feel weak, exhausted etc.


SOURCESLentils, Raisins, Apricots, Green Peas, Spinach, Tomatoes, Lentils, Kidney Beans, Fortified Cereals, Pastas etc.


It is important to lower a risk of Heart disease and few types of Cancer & also important during Menopause.  A deficiency can lead to Depression, Headache, Fatigue, Anaemia etc.

DAILY REQUIREMENTS :    400 micrograms/d


Green Leafy Vegetables, Fruits, Nuts, Orange Juice, Broccoli, Spinach, Peas, Beans, Fortified Cereals, Pastas etc.



Ragi flour – 1/2 cup
Onion finely chopped – 1/4 cup
Green chilli – 1 finely chopped
Coriander leaves -finely chopped -1 tbsp
Curry leaves – few tender ones
Oil for making dosas


Mix ragi flour with needed hot water until there are no lumps. Then add onions, green chillies, coriander leaves, curry leaves and salt needed.

The batter should be thin like rava dosa batter.


Heat dosa tawa, pour the batter from the outer corners of the tawa and fill the inside of the tawa . Do not spread this batter like normal dosa.
Drizzle a tsp of oil around the dosa. It will take time to get cooked.
Once cooked flip it over to the other side and let the other side get cooked.
Remove from tawa and serve hot with chutney.
You can also add a little rice flour if needed.


It is high in Protein.

It is a great source of Calcium & has good amount of Iron.

It is also low in Fat & rich in Fiber so helpful in weight loss.

It is rich in Antioxidants.

Image Credits: Indobase.com

Check here more delicious diet recipes which will help you to lose your weight.

Survival of the Fittest: A kid who fought and defeated obesity

Kids, who grow up in cities, travel in cars and eat on their own sitting in front of a screen, actually live the life like a king. Today’s kids have smartphones, bigger pocket money and freedom to spend it. Childhood is a tumultuous time, the mind and body grows faster and curiosity is at its all-time peak. Any child, with access to internet can understand and comprehend Obesity and its dangers. The question… ‘Is it too late?’

It never is too late to act and care for yourself. A boy living in one of the metro cities learned it the hard way. Living in a nuclear family, with working parents and heaps of smart gadgets, he had almost raised himself. Brands kept on advertising junk food to him. He picked a burger on the way back from school and relished it while surfing the internet. He had friends but he seldom went outdoors to play, rather he preferred his PlayStation. And he was not the only one; he was connected on social media with other kids that lived almost similar lifestyle.

This lack of attention in the childhood was like a time bomb. Because all the attention was bound to come back and haunt him when he steps out of the house. All these time, he was indulging in a very common phenomenon our times. Obesity – the vicious never ending circle of ignorance and embarrassment. Non nutritious food had diminished his immune system, agility, self-esteem and he was staring at the risk of cardiovascular diseases, breathing difficulties, osteoarthritis, diabetes and stroke when he thought, ‘it’s not too late!’

He only had a word to start with, Obesity. But he still had that child inside him, so curious and agitated. He harnessed the will power to reduce consumption first and starve himself, failed. Then he tried to run for miles and exhaust himself, again failed. The websites and videos were informative, but sadly not helpful. And he was no closer to imagine himself as a fit and healthy individual. All he needed here was to realize his condition medically, check the parameters and devise a strategy for the coming years.

Being overweight was an issue not the eating
Lack of physical activity was the problem not the calories
Junk food was the culprit not the child himself
Health hazards were the biggest risk not the inconvenience
Death was the worst fear not the social stigma while living

It was not too late for him after all. Only silver lining to this story is that lifestyle interventions early in childhood may be fruitful. Reducing BMI of adults is much less effective. We can’t tag Obesity as a lifestyle-driven problem because impaired hypothalamic signaling, complex interaction of genetics and the environment could also be a contributing factor. But it is clear that lifestyle could amplify the onset of symptoms.

Childhood obesity treatment should be focused on primary prevention rather than the treatment of symptoms of obesity, because treatment may turn futile as obese children physically and psychologically grow up and mature. That’s why it is important for parents, communities and schools to aware the kids about it and include physical activity in their everyday life.

One may spot obese kids in the society everyday but rather seeing them as fat one, rather we should see them as one in the dire need of guidance and support. Because the kids conceive ours and their own future, they shape the direction where the country progresses. India ranks just next to US and China in the incidence of Obesity. And riding on growth and progress in metro economy, Indian youth is facing the highest risk.

It requires a thorough scientific research to get rid of myths and presumptions about Obesity. Citizens, media, government agencies and even academic institutions must form an alliance to tackle the situation for a healthier future of the nation.

For more details, call us or contact us today for a consultation appointment and we will be happy to assist you in taking an informed decision.

Your Body is a Temple, what do you think?

Take care of your self!
There are some things only you can do
You are a world within the world

We live in the world where we wake up to a new combination of technology, politics and environment every day. Everything is changed, for good or bad. People like us change it, constantly. As a society, we need to strike a perfect balance of so many factors. But as an individual, living with your own set of resources and troubles, you have to try hard to find some time for taking care of your own body.

Your body is not just a bunch of organs tied together, it’s a fine tuned system, and it has its own dos and don’ts. Beauty of a body is not the face but the amazing capability it carries. Your body has solution for every situation, that’s the reason you don’t feel sick every day. Your body adjusts the system accordingly and keeps you active all the time, and you don’t even notice it.

Imagine there are 700 Cr. people in this world, and 210 Cr. Of them are overweight, at the risk of suffering from cardiovascular diseases, diabetes and depression. This is nearly one-third of the world’s population. Simply put, people don’t know how to take good care of their body or worse, people are too lazy. And their troubles are going to grow even more with lack of awareness. As an individual, your choice is simple, either be healthy or be a bundle of trouble for yourself and people around you.

Sounds like Grandma’s Health Tips but these are the small things in life which matters the most when it comes to the health.
– Check your height and weight regularly, keep a track record of your BMI & medications
Sleep well, let your body recover and rejuvenate itself away from daily stress
– Stay happy and motivated, emotional wellness reflects in your health in the long term
– Eat healthy and responsibly, relish but respect food and don’t overeat
– Get rid of bad smoking and drinking habits, accept the challenge and prove yourself
– Go out, be adventurous, it’s the attitude which would constantly inspire to be healthy
– Endorse nature, incorporate nature in everyday life as much as possible
– And if you feel there is a problem, don’t ignore it, get it checked and cured

Only you can inspire yourself because you know yourself and you love yourself more than anybody else in this world.

Taking care of your body is one of the most fulfilling experiences, enjoy it. Soon the society would start to notice your resolutions and healthy habits, you can inspire many others around you. It is not a matter of proving anything to others, it is about proving to yourself. Only you can do that.

Fight Obesity – A battle between You and Obesity

It’s pandemic, 13% world is obese. No longer being bulky is the sign of a happy & healthy lifestyle. Today a teenage student, a midlife manager, and an old housewife, all are at equal risk of getting overweight and then regretting it. Almost 600 million adults and 40 million children around the world suffer from Obesity and severe complications related to it.

Technically, obesity is having a BMI – Body Mass Index of more than 30. But it can only be considered as a rough estimate because its implication on health and fitness varies from individual to individual. Based on income, food intake, physical activity, genes, endocrine disorders, medications, or mental illness; the onslaught of obesity varies. But a higher BMI definitely attracts a series of non-communicable diseases, especially in children.

Childhood obesity is spreading across the world with the rise of bigger cities. Kids over-eat and abstain from exercise, not realizing the outcome. The future only reveals cardiovascular diseases, breathing difficulties, osteoarthritis, diabetes, and stroke, not to mention bearing the mental stress throughout the life.

Urban populace typically dwells in Obesogenic Environment with all the fast-food joints that only promote gaining weight. Today, people spend more time indoors and sitting around screens. Children play games on smartphone and eat greasy food. We live with technology where we do shopping on phone, it’s no longer necessary to go to market; we don’t even have to walk a few steps to switch on the appliances. People earn money, only to spend them later to cure the disease which they unknowingly catch while getting money.

It’s always better to prevent rather than starting to look for a treatment when the disease has already crossed critical limits. Management of obesity requires a 360-degree approach for comprehensive changes in lifestyle including diet, exercise, self-monitoring & awareness, and stimulus control while treatment of obesity includes long-term medications, weight loss regimen, bariatric surgery and treatments for comorbidities.

Preventing the weight from increasing further is rather simple in an initial stage. Dietary restrictions and physical activity render effective results but if the situation has already reached the dangerous stage, it is always advisable to consult an expert and plan a holistic approach for weight loss. It takes immense passion and commitment from the patient. It also requires a change in the surroundings and support from the society.

Being overweight is your first sign; your preventive measures should start today, to keep the increasing weight in check. Approaching experts for insights on your physical condition is a must because it’s not just obesity, it is an assembled bundle of diseases you already have and the risk of diseases you might get. Your personal physician, a psychologist or psychiatrist, physical and exercise therapists, dietitians, and surgery specialists together can chalk out a customized strategy to fight obesity. And your willingness, passion, and courage only can transform you into an energetic, optimistic and happy individual. It’s only fighting and there’s no flight from obesity.

For more details, call us or contact us today for a consultation appointment and we will be happy to assist you in taking an informed decision.