Rebound and bariatric honeymoon

Rebound, Reganance and Bariatric "Honeymoon"

What is weight gain or rebound? Rebound or weight gain is when the patient, after having lost more than 50% of their excess weight, has rapid and sustained weight gain. Regain is considered to exist when: There is an increase of more than 5 kg/m2 in the body mass index from the lowest weight achieved. There is an increase of more than 25% in weight from the lowest weight achieved. There is an increase of more than 10 kg weight from the lowest weight achieved. A person who meets any of these definitions will have had reluctance or rebound. This does not mean that if you undergo bariatric surgery (sleeve or bypass) you will necessarily have weight gain, in fact most patients do not. Who can have weight gain? Anyone with any treatment can have weight gain. The most important factor due to which a person has reluctance is "Bad eating habits." Not even exercise has as much weight as bad habits, if you don't exercise you can maintain your weight as long as you have good eating habits, but if you don't have good eating habits, even if you exercise a lot you will have low chances of maintaining it. Going to your in-person or online appointments with your nutritionist and psychologist is a studied factor that greatly reduces the possibility of weight gain.
Can bariatric surgery cause relapse or rebound? Currently there is NO known treatment for weight loss that does not have the possibility of rebound or weight gain, bariatric surgery is no exception. Bariatric surgery is the treatment that is least likely to cause rebound or weight gain when compared to other treatments. Among the most common procedures is the gastric sleeve, which has a probability of rebound or recurrence of 10 to 20% 2-3 years after surgery, while the bypass (in all its modalities) has a probability of rebound or recurrence. from 10-15% to 5-6 years. Example: Of 100 people who undergo gastric sleeve surgery, 2 to 3 years after surgery, 10 to 20 people will have had weight gain. For example, diet and exercise in people with grade 2 or 3 obesity have a possibility of weight regain above 90% in less than 5 months. What happens if I have weight gain? The good news is that if you have already had bariatric surgery and had relapse, you can always return to your normal weight. You should contact your multidisciplinary team, especially psychology and nutrition, it is possible to support yourself with authorized appetite suppressant medications and change your habits. In some cases a revision surgery can be done, this means another operation (another chance) to adjust the previous surgery so you can lose weight again.
What is the bariatric honeymoon? The bariatric honeymoon or "bariatric honey moon" is the colloquial name given to the time of greatest effectiveness of weight loss procedures. It is called this way because it is similar to the honeymoon that people have after getting married, that is, the "prettiest" or most effective part of the surgery. The bariatric honeymoon varies depending on each procedure and each person, but in general terms it can be said that in the gastric sleeve the bariatric honeymoon is from 6 months to 1 and a half years, while in the gastric bypass it can vary. between 1 year to 2 and a half years. This means that bariatric surgery will have a maximum period of effectiveness, where most people will reach an adequate weight, or a loss of around 60 to 80% of excess weight. It is important to mention that passing this period of time does not mean that weight loss will stop, simply that the maximum effectiveness of the surgery is passing and the habits that have been forged during this period will be of great relevance for weight loss. and its maintenance.
Explanation of the bariatric "Honeymoon" by Dr. Rey Romero.
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