Latest news with #AshishGautam
Indian Express
19-07-2025
- Health
- Indian Express
UP woman dies after weight loss surgery: A bariatric surgeon explains who qualifies, who doesn't
As a 55-year-old woman died after undergoing bariatric surgery at a private hospital in Meerut, Uttar Pradesh, questions have arisen as to the safety of this procedure and who actually qualifies for it. As the tussle goes on between family members alleging negligence and the doctor claiming that he had informed them about the possibility of complications given her history of severe comorbidities, weight loss surgeries need to be case-specific and entirely guided by qualified surgeons. The woman and her daughter, weighing 123 kg and 120 kg, had opted for the procedure. But while the daughter's surgery was successful, the mother developed an infection. 'The real problem is that people look at bariatric surgery as a magic pill to lose all that fat overnight without understanding whether their bodies are in a state to withstand this procedure in the first place. Surgery is safe provided you follow a protocol of dos and don'ts that people need to know about,' says Dr Ashish Gautam, bariatric and robotic surgeon at Max Super Speciality Hospital, Patparganj, Delhi. Bariatric surgery is recommended for people who have already made serious attempts to lose weight through diet, exercise and lifestyle changes but have not seen lasting results. It is a last resort when extreme obesity poses a life risk and interrupts a person's day-to-day activity. If someone's Body Mass Index (BMI) is above 32 and they also have health issues like diabetes, osteoarthritis, obstructive sleep apnea or osteoarthrosis, they become eligible for the procedure. In cases where the BMI crosses 35 and obesity becomes excessive despite all other weight-loss efforts, bariatric surgery becomes a strong option. It is not recommended for people who are struggling with substance abuse, be it alcohol or drugs. Also, people who suffer from unmanaged psychological disorders, such as untreated psychosis or extreme depression, might find it difficult to cope with post-surgery lifestyle adjustments. Given the possible risks to the mother and foetus, pregnancy is another absolute contraindication. Complications are more likely to occur in people with severe cardiovascular disease, such as advanced heart failure or unstable coronary artery disease. It may be difficult for people with end-stage lung disease to endure the procedure and recuperation. It is generally not advised for patients on active cancer treatment, because of potential interactions and increased health risks. These include a complete hemogram (blood count), liver function test, kidney function test and other standard blood tests. These are OPD-based, meaning you do not need to be admitted for them. In addition, we also do upper gastrointestinal endoscopy. This helps us check for ulcers or any other conditions inside the stomach that might need attention before the surgery. There is a pre-anaesthetic check-up, which is essential to confirm whether the patient is fit enough to go under anaesthesia safely. If the patient has a bleeding disorder (coagulopathy), that needs to be corrected before surgery. Similarly, if the person has uncontrolled hypothyroidism along with morbid obesity, that needs to be treated in advance to avoid complications. Another important point is that patients are advised to be on a fat-free diet leading up to the surgery. For those with breathing issues due to obesity, using CPAP (Continuous Positive Airway Pressure) support at home helps improve lung function before surgery. These small but important steps go a long way in improving outcomes. Overall, bariatric surgery gives one a good head start and the steps after that are quite manageable. Patients will just need to come back for a follow-up in about four months to see how things are going and get some updated diet tips.
NDTV
07-07-2025
- Health
- NDTV
Weight Loss Ad Sparks Controversy: "Don't Promote Obesity, It's A lifestyle Disease," Say Experts
Obesity has long been a topic of discussion. While it is often portrayed as a result of poor lifestyle choices, in recent years, it has increasingly been marketed as a medical condition that warrants pharmaceutical intervention. Recently, a front-page ad in a leading newspaper has raised several questions about obesity management and treatment. The advertorial promotes obesity as a disease and encourages individuals to resort to medical interventions. Several doctors and experts have expressed their concerns about this advertisement and highlighted how the weight loss market has changed the whole narrative surrounding obesity. Rise of the weight loss market With the launch of Mounjaro and Wegovy (weight loss drugs) in India, the biological and genetic components of obesity have gained evident recognition. The portrayal of obesity as solely a medical condition further overshadows the importance of preventive measures and lifestyle modifications. This marketing shift also raises questions about the commercialisation of health issues and the profit-driven motives of pharmaceutical giants. Lifestyle modifications over weight loss drugs: The choice matters The reliance on weight loss medications can fuel a misconception that obesity can be resolved without addressing the underlying lifestyle issues. Obesity management is more than just shedding kilos. Obesity is a common risk factor for several serious health conditions like diabetes, heart disease, hypertension, fatty liver and others. Obesity management must focus on a diverse approach that improves overall health, reducing the risk of related conditions rather than depending on temporary fixes. "Dependence on weight loss drugs is not the healthiest way to lose weight. Also, using weight loss drugs is not an easy approach as these medications are strictly available on prescription. There is a classical criterion, whether you have diabetes, arthritis or if your BMI is more than 30. " "These weight loss drugs are not a replacement for lifestyle choices. One should primarily focus on preventing obesity by restricting fat and sugar content and exercising regularly," said Dr. Ashish Gautam, Senior Robotic, Bariatric, and Gastrointestinal Surgeon at Max Hospital. On the other hand, Dr. Vaibhav Singhal, Consultant - Endocrinology at Max Hospital suggests that a combination of both might help. "Obesity can be genetic or a result of some health condition. A combination of both, weight loss medication nd healthy lifestyle choices might help achieve effective results, especially when diet and exercise become ineffective or when the BMI is severely high." "These drugs do have side effects like nausea, vomiting, and digestive issues but can be easily managed. Also, weight loss drugs should be coupled with diet and lifestyle modifications to shed weight and reduce the overall risk of diseases associated with obesity," he added. What are the healthiest ways to reverse obesity? The classification of obesity can impact an individual's approach to treatment. While using injectables for weight loss can seem appealing due to their convenience, they often come with risks and side effects. The foundation of effective weight management lies in adopting a balanced diet and healthy lifestyle choices. 1. Eat a well-balanced diet A well-rounded diet rich in whole grains, lean proteins, healthy fats, fruits, and vegetables can not only promote weight loss but also nourish the body. Portion control, understanding serving sizes and mindful eating can help individuals become more aware of their eating habits. 2. Stay physically active Engaging in regular exercise, whether through structured workouts or simply finding ways to be active throughout the day, can significantly aid weight loss efforts. Regular physical activity also improves mood and energy levels. 3. Behavioural changes Small behavioural changes such as setting realistic goals, tracking progress, and seeking social support can maximise the effect of your weight loss efforts. Stress management also plays a key role in weight management. 4. Stay consistent Weight loss does not happen overnight. Continuous efforts can make it easier to sustain habits that support weight loss over the long term. Additionally, surgical options, such as bariatric surgery, can be effective for certain individuals, however, they do not replace the need for lifestyle changes that support overall well-being. "Obesity reversal is possible with diet and lifestyle modifications. However, it is a very demanding task involving eating right and exercising regularly without fail. Also, it is important to achieve these results sustainably," Dr. Gautam added. Obesity is a complex condition which can be effectively addressed by focusing on nutritious eating, regular physical activity, and staying consistent. A holistic approach centred on healthy lifestyle choices can help individuals achieve sustainable results. Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.
India Today
07-07-2025
- Health
- India Today
Is chocolate really good for women? Let's talk
We get it. You're eyeing that piece of dark chocolate and thinking: 'Hmm, should I really eat this?' Good news, if you're a woman, you might just have more reasons to indulge (in moderation, of course). Let's dive into all those questions you've probably asked yourself about this bittersweet spoke with Dr Ashish Gautam, Senior Director, Robotic and Laparoscopic Surgery, Max Super Speciality Hospital, Patparganj, New DARK CHOCOLATE GOOD FOR WOMEN'S HEALTH? Absolutely! Dark chocolate is packed with antioxidants, especially flavonoids, which are known to reduce inflammation, improve heart health, and even help balance hormones. It's more than a treat; it can actually treat your body DARK CHOCOLATE HELP WITH PMS SYMPTOMS?Yes, and it's not just a myth. Dark chocolate contains magnesium and iron, two nutrients your body craves during your period. Magnesium helps ease cramps and mood swings, while iron can help with fatigue caused by blood IT HELP WITH STRESS AND MOOD?You bet! Ever wonder why chocolate makes you feel better? Dark chocolate increases the production of endorphins (your brain's feel-good chemicals) and contains serotonin, a natural antidepressant. Basically, it's like a tiny edible IT GOOD FOR BRAIN FUNCTION?It is! The flavonoids in dark chocolate have been shown to improve blood flow to the brain, boosting memory, focus, and cognitive performance. Next time you're studying or working late, reach for a ABOUT SKIN AND ANTI-AGING?Dark chocolate is rich in antioxidants that fight free radicals, aka the culprits behind aging. It can even protect your skin from UV damage. So yes, that glow-up could start with IT REALLY HELP YOUR HEART?Yes, in moderation. Studies suggest that small amounts of dark chocolate (70% cocoa or higher) can reduce blood pressure, improve circulation, and lower the risk of heart IT MAKE ME GAIN WEIGHT?Only if you overdo it. A few small squares a day can fit into a balanced diet. Plus, dark chocolate is more satisfying than milk chocolate, so you're less likely to THERE A DIFFERENCE BETWEEN REGULAR AND DARK CHOCOLATE?Oh, definitely. Dark chocolate has a higher cocoa content, meaning more antioxidants and less sugar. The higher the percentage (think 70% and above), the more health benefits you'll DARK CHOCOLATE ESPECIALLY BENEFICIAL FOR WOMAN?Yes. From hormone regulation to improved iron levels and mood stabilisation, dark chocolate addresses a number of health needs specific to women. Think of it as self-care in a ALSO ASKED:advertisementWHAT DOES CHOCOLATE DO FOR THE FEMALE BODY?Chocolate, especially dark chocolate offers several benefits for the female body. It's rich in antioxidants, magnesium, and iron, which help:Reduce PMS symptoms (cramps, mood swings)Improve heart healthBoost mood and reduce stressSupport brain functionImprove skin and slow signs of ageingIS CHOCOLATE GOOD FOR FEMALE HORMONES?Yes! Dark chocolate can positively influence female hormones. Here's how:Magnesium helps balance estrogen and reduce PMS may help increase serotonin, which is a natural mood flavonoids in cocoa can reduce stress, indirectly benefiting hormonal yes, a square or two of dark chocolate can be your hormone-friendly companion!IS CHOCOLATE GOOD FOR FEMALE FERTILITY?Yes, in moderation. Dark chocolate can support fertility thanks to:Antioxidants, which reduce oxidative stress (a known factor in infertility)Iron and magnesium, which support ovulation and reproductive healthMood-boosting properties, helping reduce stress, which is linked to hormonal imbalancesWhile it's not a magic fertility food, it can be part of a balanced, fertility-supportive IT GOOD TO GIVE CHOCOLATE TO A GIRL?Absolutely, as long as it's healthy and thoughtful:advertisementIt can brighten her mood and relieve stressDark chocolate has actual health benefitsIt's a sweet gesture of care, friendship, or loveJust make sure it's appropriate for her age, health, and dietary preferences. And go for quality over quantity!FAQS ABOUT DARK CHOCOLATE FOR WOMANHOW MUCH DARK CHOCOLATE SHOULD A WOMAN EAT PER DAY?Around 1–2 small squares (20–30 grams) of 70% or higher cocoa dark chocolate is considered IS THE BEST TIME TO EAT DARK CHOCOLATE?Mid-morning or afternoon is ideal. Avoid late-night indulgences if you're sensitive to DARK CHOCOLATE SAFE DURING PREGNANCY?Yes, in moderation. It can improve blood flow and mood. But always check with your doctor DARK CHOCOLATE HELP WITH MENOPAUSE?Yes! The magnesium and antioxidants may ease symptoms like mood swings, fatigue, and hot I CHOOSE ORGANIC OR FAIR TRADE DARK CHOCOLATE?If possible, yes. Organic options are free from chemicals and fair trade ensures ethical sourcing, so your body and conscience both feel good.- EndsTrending Reel
&w=3840&q=100)
Business Standard
26-06-2025
- Health
- Business Standard
India approves Eli Lilly's Mounjaro pen for diabetes, weight control
US pharma major Eli Lilly has now received approval from India's top drug regulator, the Central Drugs Standard Control Organisation (CDSCO), for its Mounjaro (tirzepatide) KwikPen format. Earlier in March, the company had launched Mounjaro in injectable vial form in 2.5 mg and 5 mg strengths. What is Mounjaro KwikPen and how does it work? According to Eli Lilly, the Mounjaro KwikPen is a multi-dose, single-patient-use, prefilled pen designed for once-weekly injections. It offers a more convenient way for people with type 2 diabetes and obesity to take their medication. Mounjaro is the first and only drug that activates both GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1) receptors—two hormones that help regulate blood sugar and appetite. In simple terms, Mounjaro helps: Improve insulin production Lower blood sugar levels Reduce body weight Control appetite All six dosage options of Mounjaro (2.5 mg to 15 mg) will soon be available in India. How does Mounjaro support weight management? The drug acts on hunger-regulating centres in the brain and slows stomach emptying, helping users feel full for longer. Clinical data show it improves fat metabolism and reduces body fat, contributing to weight loss. Who is eligible to use the Mounjaro KwikPen? The KwikPen is approved as an adjunct treatment with diet and exercise for: Adults with type 2 diabetes Adults with obesity (BMI ≥ 30) Overweight adults (BMI ≥ 27) with at least one weight-related condition such as high blood pressure or cholesterol When will Mounjaro KwikPen be available in India? While CDSCO has granted marketing authorisation, Lilly has not disclosed a launch date or pricing. The company has said this information will be announced soon. Mounjaro in vial form is priced at ₹3,500 (2.5 mg) and ₹4,375 (5 mg). Expert voices caution on long-term efficacy Speaking to Business Standard, Dr Ashish Gautam, Senior Director, Robotic and Laparoscopic Surgery at Max Super Speciality Hospital, said: 'The response towards anti-obesity medication in India has been positive, but the long-term benefits are yet to be established. While the medicines show good results during usage, weight tends to come back once medication is stopped.' He added that while drugs like Mounjaro are effective during use, bariatric surgery remains a more reliable long-term option for obesity. Sales surge and new competition from Wegovy According to PharmaTrac, Mounjaro has sold over 81,570 units in India as of May, with a 60 per cent rise in sales between April and May. On Tuesday, Danish drugmaker Novo Nordisk launched its blockbuster weight-loss drug Wegovy in India. It is expected to hit pharmacies by the end of the month, according to Novo Nordisk India MD Vikrant Shrotriya. India's obesity and diabetes burden continues to grow The National Family Health Survey (NFHS)-5 (2019–21) found that 24 per cent of women and 23 per cent of men aged 15–49 were overweight or obese, a sharp rise from 2015–16. The International Diabetes Federation projects that the number of adults with diabetes in India will grow from 74.2 million in 2021 to over 124 million by 2045.
Hindustan Times
04-06-2025
- Health
- Hindustan Times
Man who dropped 82 kg, 'felt breathless' and weighed over 170 kg opens up about life changing weight loss journey
Yogesh Tyagi from Ghaziabad underwent weight loss surgery to address sleep apnea and other health problems related to obesity. In an interview with HT Lifestyle, robotic, bariatric and laparoscopic surgeon, Dr Ashish Gautam discussed Yogesh's 82 kg weight loss following robotic bariatric surgery, which helped him combat multiple obesity-related health issues, including diabetes and hypertension. Also read | Ronit Roy shares how he lost 8 kgs in 2 months at 59 to play Prithviraj Chauhan's father: Martial arts to intense cardio Dr Gautam said, 'Once confined by severe obesity-related complications and limited mobility, Yogesh now leads an active and independent life. Yogesh weighed 170 kg before surgery and has successfully lost 82 kg. Along with the weight loss, he has also overcome multiple obesity-related health issues including diabetes, hypertension, and obstructive sleep apnea. All these conditions have now been resolved.' Before surgery, Yogesh's weight had crossed 170 kg, leaving him breathless even after a few steps and entirely dependent on others for basic daily activities. Recalling those difficult days, Yogesh said, 'I used to feel tired all the time. Even walking a few steps would leave me breathless. I could not climb stairs or take a bath on my own. I needed help with everything.' Since losing weight, Yogesh 'walks up to 2 km a day, climbs 4-5 floors without assistance, and handles his daily routine independently'. 'My wife was very worried. I was so weak that I could not even move my legs. But now, I can walk, dress up, and live independently. Dr Ashish Gautam gave me a second life,' he said. Robotic bariatric surgery uses a robotic system to assist surgeons during weight loss procedures like gastric bypass and sleeve gastrectomy. The system provides high-definition 3D visualisation, precise instrumentation, and enhanced dexterity, allowing for more accurate dissection and suturing. In an August 2024 interview with HT Lifestyle, Dr Vikas Singhal, associate director, GI surgery, GI oncology and bariatric surgery at Medanta in Gurugram, said, 'Weight loss surgery, bariatric, or metabolic surgery are several terms used interchangeably for treating patients suffering from obesity and its health complications. The surgery has become very common and can be truly life-changing for patients.' He added, 'This surgery is a weight-loss procedure that alters the digestive system to aid weight loss. It is often performed when diet and exercise have not been effective or when serious health issues arise due to weight. Some procedures limit dietary intake, while others reduce fat and calorie absorption.' Individuals considering bariatric surgery must thoroughly understand the potential benefits and risks, as well as the necessary lifestyle changes. Consulting with a qualified healthcare professional can help individuals make an informed decision about whether bariatric surgery is right for them. According to gastric bypass and other types of weight-loss surgery — also called bariatric or metabolic surgery — involve making changes to your digestive system to help you lose weight. Bariatric surgery is considered when diet and exercise haven't worked, or when there are serious health problems due to weight. Different procedures can limit food intake, reduce nutrient absorption, or both. Weight loss can improve overall health and reduce the risk of weight-related health problems, but as with any major surgery, says that there are potential risks and side effects, such as bleeding, infection, and nutritional deficiencies. Therefore, permanent healthy changes to diet and regular exercise are crucial for long-term success. Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
