Dr. Madan and His Colleagues Comment on the Emotional Side of Weight Loss Surgery Based on a CDC Study Result Released In February 2013

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Many studies focus on the financial and health effects of remaining obese or losing weight, but what happens after bariatric surgery? Dr. Madan suggests the LAP-BAND® system can help patients achieve long-term weight loss, but warns that preparation must be made for emotional change along with counting the financial cost of weight loss.

Dr. Atul Madan MD is a world-renowned expert in laparoscopic and bariatric program.

There are many news reports and scientific studies on the visible signs of obesity and the ways to reduce it. From gastric bypass, to gastric sleeve, to lap band surgery, doctors and experts disagree about which is better and why. Thousands of products exist on shelves groaning with the weight of low-calorie, low-fat options, weight loss pills, and cure-all diet foods (and fads). Yet, since human beings are more than just a body with a pocketbook, what about the emotional toll of obesity? Bariatric surgeon Dr. Madan considers the lifestyle cost on both sides of the scale for those who are considering weight loss options such as LAP-BAND surgery.

Being overweight can have quite negative connotations. On January 11, 2013 in an article titled "Tackling the emotional side of obesity", The Herald Mail reported on the emotional side of obesity, including the importance of support groups such as those used in Stepping Stone Health for overcoming negative emotions surrounding weight. Lori Schellenberg, the former nurse and founder of Stepping Stone Health, has a clear understanding of the emotional issues that accompany obesity and weight gain. Stress eating, childhood memories of being told to 'clean your plate', and body image issues all play a part, she says. And she's not the only one to see these as contributing factors to weight.

Not only are adults more and more subject to obesity, but children as well. In February 2013 The Centers for Disease Control and Prevention (CDC) released the result on a study that says: "childhood obesity has more than doubled in children and tripled in adolescents in the past 30 years". The site equally quotes negative physical and psychological effects, such as heart disease and type 2 diabetes alongside a low self-image. The University of Texas School of Public Health says that the relationship of feelings to food may be just that - obesity following feelings of worth. After a study of 3,100 teens, investigators concluded that depression may be a key factor in whether or not pounds are added on.

This study may explain some troubling things about obesity and its true origins, says Dr. Madan. Having done more than 2,000 bariatric procedures, Dr. Madan has seen the need for patients to communicate with their doctor for motivation and adjustments, as well as deeper needs to be met.

On March 23, 2013, The New York Post just ran a story called "Stranger inside", about a woman named Jen Larson who had lost 100 pounds from weight loss surgery, and found out that her troubles had not magically disappeared. "There are side effects they warn you about", said Jen, "nausea, diarrhea, gas, extra skin — but when you weigh 300 pounds and are convinced that you’ll never be happy until you’re skinny, those warnings mean less than nothing." Her experience showed her that the depression and anxiety she struggled with came out even stronger after the weigh was lost - if only because she'd thought that weight was the real issue.

Dr. Madan Uprety applauds her success, not only in weight loss, but also because she is making progress in addressing those deeper needs. As a lap band surgeon, he can make recommendations for anything surrounding a healthy lifestyle change, but adds that patients themselves must make bigger changes than just having a lap band inserted and learning to eat smaller portions. Surgery, even non-invasive surgery such as lap band, costs. Sometimes the worthwhile cost of losing the weight is learning to live with the after-effects of being thinner.

Dr. Madan has written 175 articles, and was the first in Memphis to perform a laparoscopic gastric bypass. To date, he has performed over, and was first to offer an incision-less treatment for post-operative weight gain. As the former Chief of Laparoendoscopic and Bariatric Surgery Division at the University of Miami, Dr. Atul Madan may well be considered an expert in his field. Dr. Madan won the 2007 SAGES Young Investigator Award, was honored by the American Medical Association Physican's Recognition Award, among others. Dr. Madan's patient reviews are consistently high, and he received the 2011 and 2012 Patients' Choice Award.

For more information on Dr. Atul Madan or the LAP-BAND procedure, call (213) 973-2263 , or review more on Dr. Madan on http://dr-madan.com/.

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