Obesity Scarless Treatment
Obesity :
Comprehensive Guide to Safe Weight Loss & Metabolic Health at CIDS, Lucknow
At CIDS, Lucknow, we provide advanced non-surgical weight-loss solutions to help patients lose weight safely, improve metabolic health, and enhance quality of life. Our approach is guided by Dr. Abhinav Kumar, an expert in Interventional Gastroenterology and Endoscopic Bariatric Procedures, with training and experience from Bangalore, Chennai, Mumbai, and international centers.
Important: These interventions are not treatments for obesity alone. They help reduce weight and improve blood sugar, cholesterol, liver function, blood pressure, and overall metabolic health.
Understanding Obesity:
Obesity is excess body fat that increases the risk of multiple health problems:
- Diabetes and insulin resistance
- High blood pressure and heart disease
- Fatty liver disease (MASLD / NAFLD)
- Sleep apnea
- Joint problems and reduced mobility
- Certain cancers
- PCOS and menstrual problems in women
Why Treat Obesity?
- Improve metabolic health: Blood sugar, cholesterol, liver, and heart health
- Reduce disease risk: Diabetes, heart attack, stroke, liver disease
- Enhance mobility & energy
- Improve mental health & quality of life
- Even modest weight loss (5–10%) can produce significant health benefits.
Who Should Consider Weight-Loss Interventions?
Indications:
- BMI ≥27–30 with metabolic risk factors (diabetes, high cholesterol, fatty liver)
- BMI ≥30–35 even without risk factors
- Patients who have tried diet and exercise without success
- Willingness to follow structured lifestyle plans
- Preference for non-surgical or minimally invasive options
Gender Considerations:
Men: Abdominal fat increases risk of diabetes, heart disease, fatty liver
Women: Fat around hips/thighs; risk of PCOS, infertility, diabetes, heart disease
Non-Surgical Weight-Loss Options at CIDS
- Intragastric Balloons
Balloon Type | Placement | Duration | Weight Loss | Removal | Pros |
Orbera 6-Month | Endoscopic | 6 months | ~10% TBW | Endoscopy | Widely studied, structured support |
Orbera 12-Month | Endoscopic | 12 months | ~12–15% TBW | Endoscopy | Longer support for lifestyle changes |
Allurion | Swallowable capsule | ~16 weeks | 10–15% TBW | Passes naturally | No endoscopy, fewer side effects |
Benefits:
- Reduce appetite, slow digestion
- Encourage portion control and healthy habits
- Improve blood sugar, cholesterol, liver fat
- Temporary and reversible
Side Effects:
Mild nausea, vomiting, abdominal discomfort (common first few days).
Rare complications: balloon migration, perforation.
- Endoscopic Sleeve Gastroplasty (ESG):
- Procedure: Endoscopic sutures reduce stomach size, no surgery required
- Weight Loss: ~17–18% TBW at 12 months
- Indications: BMI 30–40 or lower with metabolic risk factors
- Benefits: Sustained weight loss, improved diabetes, blood pressure, fatty liver
- Side Effects: Mild discomfort, nausea; short recovery period
- Pharmacological Therapy
- GLP-1 Agonists (e.g., Semaglutide)
- Weekly injection (2.4 mg)
- Weight loss: ~11–15% TBW
- Improves blood sugar, insulin resistance, cholesterol, liver fat
Side effects: nausea, vomiting, diarrhea
GLP-1/GIP Dual Agonists (e.g., Tirzepatide / Mounjaro)
Dual hormone therapy: stronger weight-loss effect (~15–20% TBW)
Benefits: metabolic improvements, reduced diabetes risk
Side effects: mainly mild gastrointestinal
Key Note: These medications treat metabolic health, not obesity alone. They are most effective combined with diet, exercise, and behavioral changes.
Pros and Cons of Non-Surgical Weight-Loss Options:
Pros:
- Non-surgical, low-risk options
- Effective initial weight loss for motivation
- Improve metabolic profile: diabetes, blood pressure, cholesterol, fatty liver
- Reversible or temporary
- Personalized support & monitoring
Cons:
- Weight regain possible without lifestyle change
- Side effects: nausea, vomiting, mild discomfort
- Regular follow-up required
- Not suitable for everyone
What to Expect: Pre, During, and Post Procedure
Pre-Procedure:
- Health evaluation, blood tests, imaging if needed
- Diet preparation: liquid diet for a few days
- Counseling on expectations, side effects, and follow-up
During Procedure:
- Orbera/ESG: Endoscopy with sedation
- Allurion: Swallowable capsule; no endoscopy
Post-Procedure:
Mild nausea or discomfort for first days.
Structured diet plan, gradual progression from liquids → soft → regular foods.
Regular follow-up with doctor and nutritionist.
Orbera: balloon removed after 6 or 12 months
Allurion: passes naturally after ~16 weeks
Why Choose CIDS & Dr. Abhinav Kumar
- Expert Evaluation: Personalized assessment to choose the safest, most effective option
- Comprehensive Care: Balloons, ESG, medications combined with lifestyle counseling
- Metabolic Focus: Not just weight loss; improved diabetes, fatty liver, cholesterol, and blood pressure
- Experience & Expertise: Trained across Bangalore, Mumbai, Chennai, and internationally
- Patient-Centered: Guidance, empathy, and long-term follow-up