38 year old man, Hotelier by profession (desk job) whose BMI is 87. He has no comorbid factors. He has had the same BMI for over 8 years and wants to reduce his weight, in particular in the hanging abdominal apron.
Dear Mr.Reddy, it is a very interesting question, I have been working with obese patients but I have worked with a maximum BMI of 65kg/m2. However, I think we cannot have a definite answer to you question but from my practice I can say that meal replacement diet could be tried until his BMI reaches around 60, followed by a gastric bypass surgery would be a solution to it. there are very good meal replacements available in the market as pre bariatric weight loss options. may be it will help.
Regards
Dr.Sadiya
Thanks Amena,interesting problem is with a BMI of 87,it will take very long to bring down the BMI.In Indian scenario young people want a quick fix,which is a major problem.Gastric baloon is not tolerated by most and ICMR in India has not yet accepted Intestinal liner yet.
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