Obesity and sport

Pathological overweight? Obesity? Is sport still possible here? What is it like after obesity surgery?

Ariane and Tanja tell us about their journey from being overweight to surgery, the advantages and disadvantages, the importance of aftercare, and what they do now in terms of sport.

World Obesity Day 2022 – All must act

Under the motto “Everybody needs to act”, World Obesity Day on 04 March 2022 will mark the start of a new year in the fight against the global spread of obesity as one of the most threatening diseases of all. In the meantime, more people worldwide suffer from obesity than from hunger. There is more personal and societal suffering and damage associated with the widespread disease of obesity than is assumed. To learn more about World Obesity Day on March 04, 2022, and what we can all do, read Swiss1Chirurgie’s in-depth article.

March 04 is World Obesity Day– Let’s all get active!

The tireless campaign against obesity is a global, but also a personal task

Yes, with “tireless effort” we have probably made a somewhat unusual choice of words, but with all good reasons. Obesity is an exorbitantly increasing disease of civilization everywhere in the world. In the meantime, more people worldwide are affected by overweight and obesity than, on the other hand, people suffer from hunger. And that with all the consequences for individual health, for societies and for the development of humanity in general.

Understanding obesity as the affliction of our time

For World Obesity Day on March 4, 2022, we want to specifically and deliberately draw attention to the global disease of obesity. The effects that obesity has on personal life and virtually all areas of life and society are now fatal, but are communicated publicly far too rarely and with far too little energy.

Obesity literally makes life difficult, imposes extensive restrictions on personal life, inflicts economic damage, and burdens both health care systems and very personal lives. In particular, the frequency and intensity of concomitant and secondary diseases associated with overweight and obesity are becoming increasingly apparent. From cardiovascular disease to psychological problems to premature death, there is a breadth of manifestations inextricably linked to obesity.

Only then, when we understand obesity as the suffering of our time, will we also be able to understand the worldwide fight against obesity as a task for humanity. Well-intentioned advice, declarations of intent and the often reluctant renunciation of too much are not enough. It’s time to take action.

All must act

“Jeder muss handeln” – Das ist das Motto des World Obesity Day 2022. Everyone must act, however, also means that everyone must finally take action now. It is not only people suffering from obesity who are addressed. Also addressed are those who are indirectly or directly involved in the further spread of the widespread disease of obesity. Here we address the food industry, retailers, advertisers and consumers as well as politicians, interest groups and society as a whole.

Only when we understand that obesity is a key health and societal problem will we be able to achieve appropriate diversity of action and activity. The time for explanations and goodwill is over. If obesity is not ultimately to become the scourge of humanity, we must all take action now, and all together.

What to do

In a whole series of articles, Swiss1Chirurgie and the Center for Bariatric Surgery, together with its partners, have so far devoted themselves to the topic of obesity, the risks and the treatment options. In doing so, we have always focused on prevention. What we do know is that words alone are not enough.

Now, finally, it comes down to everyone’s actions. Those affected, doctors, scientists, food producers, politicians, families, friends and the whole of society are called upon if the fight against obesity with all its consequences is to succeed.

This requires above all real activity, not only good words and not only on March 04. But let’s all make March 04, 2022 the start of a global movement against obesity. All of you, mark this day down as the start day to a better and healthier life.

Let us support those affected by listening carefully to them, perceiving and understanding them in their problem situation. Let’s stop stigmatizing fat people and portraying them as lazy and to blame. Let’s start by providing these people in particular with active and useful aids for everyday life. In case of emergency, this also includes medical and psychological accompaniment, but above all a lift to an active and healthier life.

Living better doesn’t have to mean simply doing without. With numerous opportunities and activities, individuals, associations, companies and friends can help to create new perspectives for the overweight people. In doing so, we are not only showing that we understand obesity as a disease, but that we are all willing to join forces in the fight against obesity.

We as Swiss1Chirurgie together with the Center for Bariatric Surgery see ourselves as partners of the overweight and at the same time as supporters of all those who support us in the fight against global obesity. To this end, we inform and act not only in our clinics, but also in a series of lectures, in our publications and, above all, in our direct work with people.

World Obesity Day on March 04, 2022 can be the start of a new understanding of obesity and action against it. But only if we actually all act. Because every life is a life worth living.

Thun is another Swiss1Surgery site

With the clinic of Dr. Markus Naef in Thun, Swiss1Chirurgie puts its range of services on an even broader footing and ensures professional care for patients in this region as well. With Dr. Naef, we were able to gain an integral partner who has been working successfully in bariatric surgery in the Thun region since 1998 and is extremely familiar with all modern techniques in obesity surgery. Read the article to find out what this means for patients in Thun and the surrounding area and how we are thus further implementing our 360° claim.

New partner practice in Thun cooperates with Swiss1Chirurgie

As is well known, the squaring of the circle consists of exactly four quarters. And a circle has an angular measure of 360°. With the integration of the clinic Dr. Naef in Thun, we are integrating a fourth partner into Swiss1Chirurgie and at the same time underlining our 360° approach in the interest of our patients.

We are successfully expanding patient care

In addition to our previous Swiss1Chirurgie practices in Solothurn, Bern and Naters in the Valais, we have now been able to gain Dr. Markus Naef with his clinic for general surgery/visceral surgery as an integral part of Swiss1Chirurgie. With its focus on bariatric surgery, Dr. Naef’s clinic completes our service portfolio at another location. The beneficiaries of this cooperation, which is very gratifying for us, are above all the patients, who can now enjoy even better care, especially in the field of obesity surgery. This is a step that can help to meet the constantly growing demand for obesity surgery, including detailed consultation, pre-surgery care and aftercare, especially in such complex and consultation-intensive fields as obesity surgery.

Who is Dr. Markus Naef

Dr. Markus Naef is a true Thun native. His connection to his home region provides him with an excellent network in the Oberland and has long made him a sought-after specialist in visceral surgery and obesity surgery. Dr. Naef opened his clinic in Thun in 1998. Since then, he has enjoyed a high level of acceptance among patients from Thun and the surrounding area. As past president of the SMOB (Swiss Society for the Study of Morbid Obesity and Metabolic Disorders), Dr. Naef has not only established an exceptionally good reputation among his peers, but has also played a decisive role in shaping treatment guidelines.

His wide range of experience includes techniques commonly used in bariatric surgery such as gastric bypass, tubular stomach, gastric banding, vertical gastroplasty, revision surgery and others. Thus, the clinic of Dr. Naef in Thun fits perfectly into the range of services of Swiss1Chirurgie and can be an excellent extension of the services of Swiss1Chirurgie in Thun at its location.

With the integration of a fourth site into Swiss1Chirurgie, we are rounding out our circle. With the now broad and specialized range of services in Thun, we continue to pursue our 360° claim,with which we want to reach, advise, treat and care for our patients preferably where they live. For patients in the Thun region, this means that they can now also take advantage of the excellent services of Swiss1Chirurgie in association with other specialist centers in Thun with the clinic of Dr. Naef.

The clinic is located in the Denner building opposite Thun train station (less than 5 minutes walk) at Frutigenstrasse 16, 3600 Thun, on the 2nd floor (elevator, wheelchair accessible).

Fatty liver and diabetes – the connections

In a lecture by the gastroenterological group practice GGP Bern AG (a company of Helvetius Holding AG), the gastroenterologist Dr. med. Michaela Neagu illustrates the connections between fatty liver and diabetes. Following the lecture, it becomes clear that fatty liver and diabetes form a vicious circle in which both diseases trigger and drive each other. In addition to diagnostics and the effects on overall health, the lecture also opens up a clear picture of how the course of the disease can be successfully influenced and, in the best case, reversed. We have made the lecture by Dr Michaela Neagu available in text form, but also as a video lecture and as a PowerPoint presentation. You can find out more here.

The experts at Helvetius Holding AG clarify

In a lecture by GGP Bern AG, Dr. med. Michaela Neagu presented the connections between fatty liver disease and diabetes mellitus. This is less about medical jargon and more about educating people about what a fatty liver is, what it means for people’s lives and whether there is a connection to diabetes mellitus.

Dr Michaela Neagu is a specialist in gastroenterology (gastrointestinal diseases) and general internal medicine in the Gastroenterology Group Practice Bern, a partner of Helvetius Holding AG, and has extensive experience and expertise in her specialist field.

In her lecture, Michaela Neagu, MD, highlights the clear connections between fatty liver and diabetes mellitus.

The fatty liver disease

Basically, a distinction is made between alcoholic fatty liver disease and non-alcoholic (metabolic) fatty liver disease. As the different names suggest, one form of fatty liver disease is related to excessive alcohol consumption, the other has nothing to do with alcohol consumption. In addition, there are manifestations such as viral liver diseases, autoimmune diseases, iron storage disorders and other conditions that promote fatty liver disease or make it possible in the first place.

Worldwide, about 25 percent of the population is affected by fatty liver disease. This makes fatty liver the most common liver disease of all. Among diabetics themselves, about 30 to 40 percent have a fatty liver. Also, about half of patients with severe dyslipidemia suffer from fatty liver disease.

How does a fatty liver develop?

A fatty liver occurs when the capacity of the liver cells to absorb fat is exceeded. This causes fat to be deposited in the liver itself, which can no longer be broken down by the liver. The accumulation of fat in the liver cells causes these cells to become inflamed and then send out messenger substances that inhibit the supply of insulin to the liver. Eventually, a kind of insulin resistance develops, so that insulin cannot work in the body as nature intended.

As a result, hyperglycaemia occurs in the body. This sends out a stimulus that causes even more insulin to be produced. The increased insulin level then further leads to increased fat absorption, fat synthesis and fat storage as well. This creates a cycle of action that deposits more and more fat in the liver, but also generally increases fat storage in the body far beyond normal levels.

What do people affected by fatty liver notice?

It is sobering to note that about half of all those affected live practically asymptomatic and accordingly do not worry at all about their liver health, for example. On the one hand, this may have a calming effect, but on the other hand, it is an alarm signal that effective therapeutic interventions only start late, usually very late.

Some patients experience general but rather non-specific fatigue. A certain faintness and perhaps once undifferentiated slight pain in the upper abdomen indicate that a serious condition could be present here. Mostly, however, this is not taken seriously by the patients themselves.

As a result, in most cases the fatty liver remains an incidental finding that only comes to light during the treatment of other diseases. This could be, for example, elevated liver values during a health check or visible changes in the liver during a standard ultrasound examination.

In general, there is a risk that untreated fatty liver can progress to cirrhosis. At the latest then, those affected realise that their liver is sick. Typical signs are then the well-known large water belly, certain bypass circuits in the organism and other signs come very late, however. In practice, everything is possible with the clinical picture of fatty liver, from no symptoms to severe and dangerous courses of the disease.

Between 50 and 90 percent of people with fatty liver are obese, i.e. clearly overweight. Signs of a metabolic syndrome are recognisable.

How can a fatty liver be diagnosed with certainty?

A few years ago, biopsy was the method of choice when the condition of the liver cells needed to be determined more precisely. To do this, a needle is inserted directly into the organ and a small tissue sample is taken. This tissue sample can then be further examined for fatty liver cells.

Thanks to advances in medical technology, we can now diagnose fatty liver without a biopsy in 90 percent of cases. With different imaging methods such as ultrasound or computer tomography, absolutely painless examinations can be carried out today without interfering with the body. Thanks to the excellent presentation, the fat content in the liver can be determined comparatively well with reliable values.

The basis for the evaluation of the ultrasound examinations is, for example, a comparison of liver and kidney tissue. If both organs are healthy, they have approximately the same structure and colour in the image. If the kidney tissue appears darker than that of the liver, then the lighter parts in the liver indicate fat deposits. In this way, a fatty liver can already be recognised with a fairly high degree of certainty.

If the specialists then decide to take a tissue sample, usually to exclude or detect additional liver diseases, the differences become even clearer. A healthy liver consists of neatly arranged and clearly differentiated cells. In fatty liver, the disturbance of the cell architecture due to the fatty deposits is clearly visible. This becomes even more obvious in the case of a pronounced fatty liver with infected cells.

What is the path to fatty liver

From a healthy liver to a fatty liver always takes time and certain circumstances. Various unfavourable factors cause fat storage in the liver cells, which can then further lead to infection in the liver itself. It doesn’t have to be, but it can be. However, when such an infection takes place, a certain remodelling in the connective tissue is driven forward, which can lead to complete scarring of the liver if left untreated. Then the stage of liver cirrhosis has already been reached. Liver cirrhosis, in turn, is a favourable factor for the development of liver cancer. This applies to about two percent of those affected. But even when liver cirrhosis has not yet been diagnosed, more and more cases of liver cancer in fatty liver are becoming known. And in the USA, fatty liver is now considered the most common reason for liver transplantation.

A look at diabetes mellitus

Usually we are talking about diabetes here. This is diagnosed when chronically elevated sugar levels are found in the blood. The body is over-sugared, so to speak. The factors that cause high blood glucose levels are a reduction in the effect of insulin and, in the course of time, often an insulin deficiency.

Currently, about six percent of the world’s population, including children, are affected by diabetes. In children, type 1 diabetes is mostly observed. With the increase in morbid obesity, also in children, type 2 is also becoming more common. Diabetes can be diagnosed in a very reliable and uncomplicated way in various test procedures.

What does diabetes mellitus mean for people’s lives?

The presence of diabetes mellitus is actually associated with serious risks and consequences for the health and life of those affected. One problem is the damage to the small veins. This mainly affects the kidneys, the retina of the eye and the nervous system. The range extends from relatively mild kidney problems to complete kidney failure requiring dialysis. In the case of retinal diseases, such disorders can lead to blindness due to diabetes mellitus. In terms of damage to the nervous system, there is a loss of certain sensory impressions, which can manifest itself, for example, in patients no longer being able to feel the ground beneath their feet. Problems with coordination and spatial position change are also observed. Gastrointestinal disorders with diarrhoea and other symptoms are also reported. Cardiac arrhythmias can complete the picture.

In addition to damage to the small veins, damage to the large veins is also a consequence of diabetes mellitus. Particularly worth mentioning here are coronary heart diseases. At least here, the risk of diabetes patients is significantly higher compared to the normal population. For diabetics, this risk can be assessed as about twice as high. A full 75 percent of diabetics die from a cardiovascular event.

The risk of suffering a stroke is also about 2.5 times higher than in the comparison group of people without diabetes. A circulatory disorder, especially in the legs, has a risk of 4.5 times more than in the comparison group. The diabetic foot is well known, which is caused by precisely these circulatory disorders and can even lead to the necessary amputation.

Diabetes mellitus also generally increases the risk of infection in relation to practically all infectious diseases.

The relationship of fatty liver and diabetes mellitus

What is special about the relationship between fatty liver disease and diabetes mellitus is the fact that both diseases can be mutual and reciprocal triggers as well as consequences of the other disease. This means: fatty liver patients are or often become diabetics and diabetics often suffer from fatty liver. So there is a causal relationship between fatty liver and diabetes.

Let us imagine a possible course of events: An initially physically completely healthy and normal person begins to gain weight for various reasons. Fat tissue increases and at some point the ability to store fat is exhausted. This then leads to a veritable flooding of the entire organism with free fatty acids. At some point, the organism becomes resistant to the effect of insulin and hyperglycaemia occurs. Now the question arises: Where to put the sugar?

Some of the free fatty acids are deposited in the liver cells, where they lead to the fatty liver already described. This significantly limits the liver’s ability to metabolise healthy fats. In addition, there is an increasingly pronounced insulin residual tendency, which in turn affects blood sugar in the interaction and ultimately leads to type 2 diabetes. Other effects are always included here, such as high blood pressure, disorders of the function of the pancreas, etc.

The mutual condition of fatty liver and diabetes creates a vicious circle that is difficult to break, and then only with radical methodology.

What can be done?

At least up to a body mass index BMI of 30, maximum 35, it is still possible to take countermeasures and something should be done actively. It is worth noting that the fatty liver is reversible, i.e. it can also be regressed. Even if liver infection has already occurred, the process can still be reversed. Timely action is crucial. If cirrhosis of the liver has already occurred, it can hardly be stopped. Nevertheless, even then, consistent lifestyle adjustments and regular check-ups should be aimed at preventing further liver damage.

The way back to a healthy liver is always through a reduction in body weight and a corresponding reduction in the over-fatness of the organism. Even a five percent reduction in body weight leads to a relevant defatting of the liver.

With seven to ten percent weight loss, infections in the liver or incipient scarring of the liver tissue can also be reversed. These are encouraging facts that have been sufficiently tested and researched.

Several factors are crucial for weight loss. This starts with a significant reduction in calorie intake and continues with healthy and regular exercise. A period of at least eight weeks, but usually considerably more, is to be set. The closest possible consultation and care by specialists is highly advisable, as other risk factors must also be observed and ruled out. This applies especially to cardiovascular risks.

Toxic foods such as alcohol, drinks with a high fructose content and nicotine should be avoided at all costs.

You can watch the entire lecture by Dr. med. Michaela Neagu with a lot of additional interesting information and further questions and answers here in the video lecture.

A PowerPoint presentation on the topic illustrates and complements the lecture.

Beer belly – men and the trivialisation of overweight

Ob am Fussballplatz oder in der Bar, Männer verstecken ihren Bierbauch nicht, sondern die 10-15kg Übergewicht werden stolz vor sich hergetragen. Niemand sollte sich darüber lustig machen, aber das Thema muss mit Sensibilität angesprochen und besprochen werden. Über den vermeintlichen Bierbauch wird gern geschwiegen, auch beim Arzt, auch bei der Physiotherapie oder beim Sport.

„Übergewicht bei Männern“.  Dies kann nicht einfach als „Fresssucht“ oder „Selbstvergessenheit“ eingeordnet werden. Das Übergewicht bei Männern hat ebenso viele Ursachen wie Erscheinungsformen. In erster Linie betrifft es Männer ab dem mittleren Alter, die sich (ähnlich wie Frauen) in einer besonderen Art der Stoffwechselveränderung befinden.

Aufzeichnung vom 3.9.2021 ” Saaserhof” in Saas-Fee Übergewicht: Bierbauch & Liebeshanteln als Gefahr? ​von Dr. med. J. Zehetner

Kapitelauswahl : Video starten Menüleiste unten rechts oder Punkte anwählen!

Mehr zu den kommenden Events & Aufzeichnungen: https://www.helvetiusholding.ch/helvetius-life-streaming-2021/

Gerade im zunehmenden Alter strebt der Körper aus entwicklungsphysiologischen Gründen danach, Nahrungsreserven gewissermassen als Fettreserven zu speichern, um für eventuelle Engpässe vorzusorgen. Besonders bei Männern, die aufgrund ihrer Berufstätigkeit oder eingeschränkter Bewegung weniger Kalorien verbrauchen als sie aufnehmen, führt das schnell zu unerwünschtem Übergewicht. Dabei spielen vor allem organische Prozesse eine wichtige Rolle, die sich nicht so einfach „ausschalten“ lassen.

Während oft von Diät sowie kleineren Portionen gesprochen wird, ist vor allem unter Männern das Thema Alkohol und Alkoholkonsum kleingeredet, belächelt und negiert. Doch verstecken sich gerade in der flüssigen Kost wie Bier und Wein viele versteckte Kalorien, welche nicht gerne mitgezählt werden. Auch die in Mode gekommenen Energie-Drinks, diverse Shakes und auch Protein-Shakes (wenn auch gesund) sind Energielieferanten und meist kalorienreich. Vor allem Fruchtsäfte und Smoothies werden hier leicht nebenbei konsumiert ohne daran zu denken, wieviel Zucker hier mitkonsumiert wird.

Übergewicht ist mittlerweile weltweit häufiger zu verzeichnen als Unterernährung. Das eigentliche Problem ist überwiegend in den westlichen Industrieländern zu beobachten, da es gerade hier ein immer grösser werdendes Überangebot von Nahrungsmitteln zu jeder Zeit gibt. Die Übergewichtsrate liegt beispielsweise in den USA bei um die 35-40 Prozent der Bevölkerung, was eine nicht zu unterschätzende Tatsache ist. Das bedeutet ein Übergewicht von mindestens 20 Kilogramm, oder ein BMI von 30 oder mehr. Das ist auch trotz der chirurgischen Eingriffsmöglichkeiten so, wobei gerade diese Methoden mittlerweile als sehr sicher und erfolgreich einzuordnen sind. Dennoch ist die Rate der operativen notwendigen Eingriffe in diesem speziellen Bereich viel zu niedrig.

Beim Thema Bierbauch – als Anreisser der Diskussion- geht es nicht nur darum die Bevölkerung und die Fachkollegen entsprechend zu informieren. Vielmehr sehe ich es als wichtig, über die modernen Behandlungsmöglichkeiten der bariatrischen Behandlungsmethoden bis zur Chirurgie aufzuklären. Dabei geht es in erster Linie immer darum, den Patienten entsprechend ihrer individuellen Ausgangslage zu helfen.

Information zum Thema Adipositas

Verstehen muss man, dass Übergewicht immer auch mit Begleiterkrankungen verbunden ist. Diabetes, Bluthochdruck, Schlafapnoe, zu hohe Cholesterinwerte – all das manifestiert sich im Umfeld des Übergewichts. Aber es gibt auch noch einen anderen Aspekt, der sich besonders in den letzten Jahren herauskristallisiert hat. Dabei geht es darum, dass Menschen mit Übergewicht einfach stigmatisiert werden. In der Schule, im Berufsleben und bis in das ganz private Dasein hinein werden übergewichtige Menschen als faul, fett, verfressen, unachtsam und bewegungsfaul beschrieben. Das setzt den Betroffenen zusätzlich zu und hilft nicht, die Problematik gezielt und bewusst anzugehen. Dabei ist deutliches Übergewicht seit spätestens 2013 als Krankheit definiert. Damit reiht sich krankhaftes Übergewicht ein mit solchen Erkrankungen wie Diabetes, Bluthochdruck oder vielen andere chronische Krankheiten.

Die Stigmatisierung von Übergewicht ist für die Patienten äusserst gefährlich, da diese sich dann zurückziehen und ihre eigentliche Problematik nicht gezielt und aktiv angehen können. Dabei ist eine professionelle Behandlung, Beratung und Begleitung der sicherste Weg aus dem Übergewicht.

Jeder ist gefordert, sich in seinem Kontakt mit krankhaft übergewichtigen Menschen sowohl in der Wortwahl als auch im Verhalten etwas zurückzunehmen. Auch dann, wenn es „nur“ um den vermeintlichen Bierbauch geht.

Warum speziell „Männer mit Übergewicht“?

Ja, auch Frauen leiden unter dem krankhaften Übergewicht. Männer tun das aber auf eine besondere Weise. Bei Frauen gibt es mittlerweile die „Curvy Models“, bei Männern nicht. Und Männer neigen von Natur aus schon dazu, die etwas grösseren Portionen zu essen, auch wenn das allmählich rückläufig zu sein scheint. Das Weltbild war und ist eben auch so gestrickt, dass ein Bauch immer auch unterbewusst mit Wohlstand verbunden wird. Auch in den modernen Industriegesellschaften. Die Gefahren sind zwar meist bewusst, werden aber erst dann realisiert, wenn sie tatsächlich da, sichtbar und manchmal schon spürbar sind.

Dazu kommt, dass Männer spätestens ab einer gewissen Lebensphase nicht diesen besonderen Blick auf ihr Äusseres haben, wie dieser vielen Frauen eigen ist. Das eigentliche Problem wird nicht oder erst sehr spät erkannt und dann gern auch als naturgegeben hingenommen. So bleibt der Weg zum Arzt aus und der Übergewichtschirurg ist für viele Betroffene eine fremde Grösse. Deshalb müssen gerade Männer sensibilisiert werden, sich dieser Problematik aktiv zu stellen.

Was mit dem nicht ernst genommenen Bierbauch beginnt, endet nicht selten in der Übergewichts-Katastrophe, sofern nicht rechtzeitig die richtigen Schritte, beispielsweise in eine Praxis der Swiss1Chirurgie, gegangen werden.

Nächster Event:

Stigmatisation Obesity. What does that mean?

Dr. med. Jörg Zehetner on the problem of obesity and what it means for those affected.

As part of the lecture series of Helvetius Holding AG, Dr. med. Jörg Zehetner, Professor USC, took a stand on the stigmatisation of overweight people and the resulting consequences for those affected. In his lecture in the Saaser-Stube Saas-Fee, the experienced physician, who also deals intensively with obesity problems, described the circumstances that obesity patients have to live with practically every day.

They are among us

At the beginning of the lecture, Dr Zehetner made it clear that practically everyone knows the overweight. In one’s own family, in one’s circle of friends or in the circle of colleagues, they exist everywhere and the number of those affected is constantly increasing. And the lives of patients with obesity are not easy.

Where stigmatisation begins

Look at the fat guy! Oh, she’s fat. The fat man should exercise more. Look what he’s got in his shopping basket, and he’s already fat enough.

This is how the stigmatisation of overweight people begins. Without asking why or wherefore, without taking into account how people are personally affected, they are consciously or unconsciously pigeonholed into a category in which they neither belong nor can free themselves from it. Besides the flippant remarks, there are also those that really hurt and don’t help the people concerned at all.

Reduce prejudices

Anyone who has studied the problems of obesity and adiposity in depth knows that those affected suffer greatly from their current life situation. A first step towards at least reducing this unfortunate situation would be to dismantle popular prejudices. It’s always the best moment for that.

The fight against obesity requires a professional network

Hardly any overweight person with a serious problem will be able to successfully face the disease alone in the long term. Even though overweight surgery is now a proven and successful means of fighting the extra pounds, it requires targeted networking before, during and after the medical intervention. For this purpose, a professional network has been established under the umbrella of Helvetius Holding AG, which provides advice, support and assistance to patients in all phases.

Large social alliance against stigmatisation necessary

The topic of obesity is present everywhere. Not only in everyday life, but also in the media, people are encountering this topic more and more frequently and intensively, in addition to the commonly known jokes and remarks about being overweight. From stigmatisation, the path to discrimination is usually a very short one. Obese people are associated with a conceptual world that is anything but pleasant or appreciative. Especially when you don’t know these people personally. This stigmatisation extends far into the personal and social lives of those affected. Even professional life is not excluded. To change this, a large social consensus is needed.

Steps out of stigmatisation

If the spiral of stigmatisation and discrimination against overweight people is to be broken, a clear line is needed. And this begins precisely where obesity is understood as a disease and thus also as treatable and curable. Only then can an active approach be made to these people, who can then actively face their problems themselves without having to continue to hide.

A further step would be to significantly rethink the approach to these patients. And in every area of life and in every encounter with overweight people. Only when the stigma is taken away from these people will they themselves be able to actively enter into the process of their recovery. Dignity, respect and tolerance are exactly the right keywords here.

It is important to also perceive overweight people as valuable members of our society and to recognise that they are not lazy, sedentary, unpleasant and low performers, but sick. And something can be done about diseases, including morbid obesity.

Define obesity as a disease

Anyone who takes a closer look at overweight and obesity will quickly be able to understand them as actual diseases. As with any organic disease, there are clear definitions and developments, but also therapeutic interventions that clearly speak for a clinical picture. A first indication of this is the division into different classifications of overweight, starting from the Body Mass Index, BMI.

Although obesity surgery is a helpful intervention, it does not by itself solve the problem. Being morbidly overweight is and remains a chronic disease that requires lifelong attention, but not disparaging stigmatisation.

More in-depth information on the topic is available in the video recording of the lecture (LINK) and directly on the Swiss1Chirurgie website.

Successfully lose weight with a high-protein diet?

Contribution by: Jörg Zehetner, MD, Professor (USC)
MMM, FACS, FEBS (hon.)

Anyone who has ever taken a closer look at the topic of “losing weight” will sooner or later have come across the recommendation of a high-protein diet. Supermarkets are full of modern and mostly expensive high-protein products aimed at both athletes and people who want to lose weight. But can these products really help, is a high-protein diet good for weight loss at all and isn’t there something better? This medical article by Helvetius Holding AG, which is also available as a podcast in several languages on Deezer and Spotify, explains this.

Why a high protein diet?

From a scientific point of view, a higher protein diet can indeed be useful for losing body weight. If the diet contains more protein, however, the proportion of carbohydrates and possibly fats must decrease at the same time. Otherwise, the calorie content would be too high and the body would gain even more weight. A high-protein diet is suitable for weight loss, as proteins are very filling. Secondly, it leads to weight loss really coming from a lower body fat percentage. If the calorie intake is only reduced by eating less of all nutrients, the body will mainly lose muscle mass. The body also needs protein to build muscle, which is also part of a comprehensive weight loss strategy.

Are high-protein products from the supermarket a good idea?

Many of the high-protein products contain little or no more protein than simple dairy products such as low-fat curd cheese, cream cheese or natural yoghurt. For some of the products, the main difference is only the higher price for the high-protein marketing. Other products are loaded with other ingredients such as sweeteners or flavourings that are solely for taste and are often unhealthy. High-protein products are therefore not always worthwhile as a high-quality source of protein; the price-performance ratio in particular is often not right here.

Which foods provide enough protein?

Ideal sources of protein in a healthy diet are dairy products, fish, eggs and pulses. Nutrition experts advise that 1.2 grams of protein per kilogram of body weight should be consumed daily through food. Overweight people should base the amount of protein on their target normal weight and not on their current weight. Otherwise the calorie content is too high and losing weight does not work, because proteins also provide energy. It is also important to eat three meals a day and not all the time. Then the body has time in between to break down fat. Without these breaks, the insulin level in the blood does not drop and a high insulin level suppresses fat burning.

Protein-rich nutrition with taste

A sensible change of diet does not mean going hungry. Quite the opposite. Those who want to eat healthily can certainly do so with taste. For example, a gourmet cheese (such as Le Gruyère) is excellent as a tasty source of protein. Add a colourful salad with tuna or a vegetable mix with some lean meat and you have a healthy and delicious meal on the table.

If protein shakes, then the right ones!

In contrast to the high-protein products from the supermarket, some protein shakes can support weight loss as a so-called formula diet over a set period of time. In order for the weight reduction to be successful in the long term, a doctor should accompany the project. A nutritionist can make sure that a formulary diet really makes sense in the individual case and that suitable formulary products are used. Not every protein shake has an appropriate composition of the macronutrients protein, fat, carbohydrates and micronutrients such as vitamins and minerals. If other illnesses are already present or if medication is being taken, a doctor will also take this into account when planning the weight loss programme. He can also measure blood values and body fat percentage during the diet and optimise the formula diet plan if necessary. For example, in some cases, switching to a meal replacement strategy, where one protein shake replaces only up to two main meals per day, could help. In addition, a doctor makes sure that a formula diet does not last too long or too short and that the amount of energy taken in is suitable. If the dosage is too high, weight loss will fail, while if it is too low, hunger will not be satisfied sufficiently and the diet will not be followed through or the body will instead lose muscle mass.

Formula diet only with medical supervision

If the BMI is over 30 kg/m2, then no independent attempts at weight loss should be made: An appointment with a doctor is necessary. For a BMI over 35 kg/m2, the best option, after a detailed assessment, is bariatric surgery (obesity surgery).
For patients in between, there is the possibility of conservative methods:Unfortunately, it is not easy to do all this on your own. Equally important is the long-term change in diet after the formula diet and more exercise. If both are missing, the yo-yo effect is already pre-programmed. Therefore, a doctor should also accompany the phase afterwards. So don’t just stock up on the next best protein shakes when you go shopping, but rather make an appointment with a doctor who specialises in obesity treatments. However, if you only want to lose a few kilos, you should focus on a healthier, somewhat calorie-reduced diet and more exercise. Formula diets are aimed more at people who are more overweight or have a fatty liver.

The protein shakes from Bodymed with weight loss programme

A good example of a weight loss programme with a formula diet is the Bodymed nutrition concept developed by doctors. It offers a medically guided course programme and matching protein shakes that have been put together according to scientific findings. The professional associations German Obesity Society (DAG), German Diabetes Society (DDG), German Nutrition Society (DGE) and the German Society for Nutritional Medicine (DGE). (DGE) and the German Society for Nutritional Medicine e. V. (DGEM) recognise Bodymed as an appropriate weight loss programme in their guidelines. (DGEM) recognise Bodymed as an appropriate weight reduction programme in their guidelines.

Nutrition is part of the aftercare for obesity surgery

Under certain conditions, it is hardly possible to bring the body mass index (BMI) into the normal range under one’s own efforts. Especially with a BMI over 35, an overweight operation such as a gastric bypass or the formation of a tube stomach may be advisable. However, this also means that patients have to be actively involved for the rest of their lives. So a healthier lifestyle and dietary changes are also crucial after obesity surgery. On the one hand, this is the only way to achieve sustainable weight loss. Secondly, there must not be any nutrient deficiencies, which can occur after obesity surgery due to the reduced food intake and the changes in digestion. Depending on the type of surgery, a deficiency of protein, calcium, zinc or vitamin B12, for example, is relatively common. Therefore, after such an operation, patients should compensate for a deficiency with appropriate dietary supplements and consume at least 60 grams of protein per day or 1.5 grams per kilogram of normal weight.

Professional support after obesity surgery

However, patients should not be left alone with this, because the changes in lifestyle and diet are very individual and have to be adjusted every now and then in the course of life. That is why professional aftercare is a high priority at the Centre for Bariatric Surgery ZfbC in Bern. In addition, complications can arise at any time and further interventions or other medical measures may be necessary. With good follow-up care, this is noticed early on and the treating doctors can react quickly.

The following also applies to a fatty liver: less carbohydrates and more protein

Many people associate fatty liver with excessive alcohol consumption. However, there is also the clinical picture of a non-alcoholic fatty liver, for which a wrong eating pattern and too little exercise are usually responsible. The body stores excess energy in the form of fat not visibly under the skin layers, but in the internal organs such as the liver. Therefore, although non-alcoholic fatty liver often occurs together with obesity, it does not always occur. In addition, a fatty liver can be the reason why weight loss attempts fail. A fatty liver leads to insulin resistance, which on the one hand promotes the storage of fat and thus weight gain. On the other hand, it can block the burning of fat. In order to successfully treat a fatty liver, first and foremost, those affected must do something themselves. Since, in addition to a lack of exercise, a diet too rich in carbohydrates and sugar in particular causes non-alcoholic fatty liver, the diet should contain fewer carbohydrates, more proteins and fewer calories overall. The principle is similar to losing weight. Here, too, those affected should seek professional help.

Liver fasting with advice from the ZfbC

Liver fasting according to Dr. Worm with the Hepafast products from Bodymed is a good companion on the way to a defatted liver and, like the Bodymed programme mentioned above, is based on scientifically sound findings. The Hepafast products are specially formulated for liver fasting, which is why weight loss can certainly be a welcome side effect, but is not the primary goal. Individual medical advice on liver fasting according to Dr. Worm is very happily provided by every clinic within Helvetius Holding AG, of which ZfbC is one.

Where can I find more information about dietary changes and losing weight?

If you would like to find out more about a suitable diet for losing weight, after obesity surgery or for fatty liver, listen to our podcast and read the Helvetius.life newspaper. There, leading experts share their knowledge and explain, among other things, how you can successfully fight obesity and why this is so important in the first place. New scientific findings on the topics also have a firm place in it.

Conclusion: Cover your protein needs with pleasure and be accompanied by experts

When losing weight, it is helpful to pay attention to the protein content of the diet. High-protein products from the supermarket are not recommended, however. Instead, people who want to lose weight should get the amount of protein they need from simple dairy products, fish and pulses. For example, the daily consumption of a La Gruyère in combination with vegetables or salad can already make a good contribution to a protein-rich and healthy diet. In certain cases, protein shakes can also be useful. But then they should be products that are approved by doctors. These include the protein shakes from Bodymed. Regardless of whether the Bodymed programme is to lead to a BMI in the normal range, an overweight operation is necessary or the liver needs to be defatted, the doctors at the ZfbC provide individual advice and accompany you on your way to a permanent normal weight.

Information www.helvetius.events

Information events with live streams
Medical expertise at first hand

Zermatt
Zermatt: Backstage Hotel
18 June 2021 Colon infection: Prevent with diet(?)! J. Zehetner, MD
18 June 2021 Bowel cancer screening: who, when, how, where? MD I. Linas
18 June 2021 Follow-up after obesity surgery: Yes, but at the centre Dr med R. Steffen
18 June 2021 Integrative Medicine: Burn-out Treatment in the Mountain World Dr med. Th. Russmann

03 December 2021

Saas-Fee
Saas-Fee: Saaserhof
16 July 2021
03 September 2021
10 December 2021

Arosa
Arosa: Kulm Hotel & Alpin Spa
27. August. 2021 .

Kreuzlingen
KREUZLINGEN: Talent-Campus Bodensee
22 October 2021

Helvetius Holding AG offers interesting specialist lectures on various topics at selected locations in Switzerland for referring physicians, medical laypersons and those affected. Conducted by Prof. Dr. Jörg Zehetner, these lectures not only offer in-depth knowledge from different focus areas, but also opportunities for further information. Disease patterns, diagnostic procedures and surgical techniques are presented as well as the forms of professional aftercare following surgical interventions. For those affected, such specialist lectures offer an increased degree of security before the planned intervention, and for those interested in medicine and doctors, the information events hold a plus in knowledge and experience.

Sources
1. https://www.aerztezeitung.de/Medizin/Daenische-Forscher-finden-die-optimale-Diaet-fuer-Uebergewichtige-216004.html (accessed 01.06.2021)
2. https://www.youtube.com/watch?v=5VRxhlfylTk (accessed 01.06.2021)
3. https://www.bodymed.com/gesundheitsprogramme/ernaehrung/ (accessed 01.06.2021)
4. https://www.ndr.de/ratgeber/gesundheit/Eiweiss-Shake-zum-Abnehmen-Worauf-kommt-es-an,formula100.html (accessed 01.06.2021)
5. https://www.nachsorge.ch/patientenzeitung-2021-helfetius-life/ (accessed 01.06.2021)
6. S3-Leitlinie “Prävention und Therapie der Adipositas”. German Obesity Society (DAG), German Diabetes Society (DDG), German Nutrition Society (DGE). (DGE), German Society for Nutritional Medicine e. V. (DGEM). Version 2.0 April 2014.
7. S3-Leitlinie “Chirurgie der Adipositas und metabolischer Erkrankungen”. German Obesity Society e.V. (DAG), German Diabetes Society e.V. (DDG), German Society for Nutritional Medicine e.V. (DGEM), German Society for Endoscopy and Imaging Procedures e.V. (DGE-BV), German Society for Psychosomatic Medicine and Medical Psychotherapy e.V. (DGPM), German Society of Plastic, Reconstructive and Aesthetic Surgeons e.V. (DGPRÄC), German College of Psychosomatic Medicine (DKPM), Association of Diabetes Counselling and Training Professions In Germany e.V. (VDBD), BerufsVerband Oecotrophologie e.V. (VDOE), Adipositaschirurgie-Selbsthilfe-Deutschland e.V.
8. https://www.aerztezeitung.de/Medizin/Eiweiss-laesst-das-Leberfett-schmelzen-301389.html (accessed 01.06.2021)

Knowing what’s what – The Swiss1Chirurgie podcasts enlighten you

The need for information on medical issues is growing. Especially those affected who face medical questions and problems also look for answers to their individual questions on the internet. Unfortunately, the online information from the search engine results of Google and Co. is not always accurate and in many cases not sufficiently well-founded. As a result, many people move in a grey area between self-diagnosis with not always reliable information and the need for a profound and, above all, factually correct diagnosis by the respective medical specialists.

The experts at Swiss1Chirurgie have long recognised the need for comprehensive and, above all, professional information and offer comprehensive information options on specialist medical questions in the respective service areas on the websites of Swiss1Chirurgie, the Centre for Bariatric Surgery ZFBC, the Gastroenterology Group Practice GGP Bern and the Bern Clinic PZBE.

Latest post:

[podigee-player url=”https://nachsorge-swiss1chirurgie.podigee.io/5-neue-episode”]

Swiss1Chirurgie Podcasts – Listening instead of reading

The podcasts, which are offered on the initiative and under the content supervision of Dr. Jörg Zehetner, are a relatively new information service for the medical layperson but also for specialist colleagues.

This means that there is also a professional information service for those affected, who can get an initial overview of diagnoses, medical interventions, surgical techniques and aftercare as well as accompanying services.

Podcasts on the following topics are currently available:

• Medical knowledge – Obesity (Complex bariatric surgery)
• Medical expertise and expert advice on Radio Bern1
• Swiss1Chirurgie informs patients and endocrinologists (overweight surgery possible from BMI 30 with diabetes)
• Gastric balloon only a “crutch” for overweight patients
• Inguinal hernias and modern 3-D net care
• Abdominal wall hernias, closure with net insertion

Further podcasts are in the works and are constantly expanding the range of information for patients but also for referring doctors.

With the podcasts, Swiss1Chirurgie, as an obesity expert centre and hernia centre, has created an extended information option that makes knowledge available and at the same time provides the appropriate recommendations.

It is important to note that those affected by a surgical problem can also contact the Swiss1Chirurgie clinics in Bern, Brig and Solothurn directly at any time. In this way, well-founded diagnoses can be made for individual “suspicious cases”, which enable professional further treatment.

You can find the Swiss1Chirurgie podcasts directly at https://www.swiss1chirurgie.ch/podcast-uebersicht but also at

• Spotify
• Deezer
• Apple Podcasts
• Google Podcasts
• amazon music and
• Podimo

or click on the link:

• adipositas-podcast.ch
• hernien-podcast.ch

Those in need of information about the services offered by Swiss1Chirurgie are invited to make use of the free Swiss1Chirurgie podcast offer. Knowing what is is always better than guessing what could be.

Adipositas-Podcast.ch – Know what’s what

With the obesity podcast, you can find the latest and essential information on obesity, its origins, development, consequences and treatment options at adipositas-podcast.ch. Here, real experts talk about the causes and development of morbid obesity, which, with its manifestations such as overweight, cardiovascular diseases, shortness of breath, organ diseases, diabetes, limited mobility and performance as well as social stigmatisation, severely restricts the lives of those affected. On adipositas-podcast.ch we always want to inform you professionally and comprehensively and at the same time show you ways to break the vicious circle of obesity.

One can accept obesity as a seemingly inevitable fate and surrender defencelessly to the dire consequences. But in the same way, obesity can also be understood in its development and ways can be found to return to a self-determined, happy and desirable life. What is your path?

Listen to experts from Swiss1Chirurgie, the Centre for Bariatric Surgery or the Gastroenterological Group Practice Bern and learn what obesity is, what it means for an individual’s life and which paths lead out of the disease. In this way, you will gain valuable knowledge that can significantly accompany your own path out of obesity. Testimonials from patients and sufferers and the knowledge of obesity experts will help you find your own way out of the fatal obesity career and lead a healthier and happier life.

Adipositas-Podcast.ch – Know what’s what

Listen to the audio contributions and the podcast on
Spotify, Apple Podcasts, Google Podcasts, Dezzer, Amazon Music/Audible, YouTube und Podimo!

Spotify: https://open.spotify.com/show/3LpS7JncVxun2unsgi9bSK

Google Podcasts: https://www.google.com/podcasts?feed=aHR0cHM6Ly9uYWNoc29yZ2Utc3dpc3MxY2hpcnVyZ2llLnBvZGlnZWUuaW8vZmVlZC9tcDM%3D

Apple Podcasts: https://podcasts.apple.com/ch/podcast/adipositas-podcast-ch-wissen-was-ist/id1547108125

Deezer: https://www.deezer.com/de/show/2131532

AmazonMusic: https://www.amazon.com/

Podimo: https://share.podimo.com/podcast/b1d9c817-f907-4c72-82b3-ffdaaacb203a?creatorId=306aead4-de22-4833-886d-584d57a88fb7&key=JzoucmFVRFln&source=ln&from=studio

Gastric balloon only a “crutch” for overweight patients

Those who suffer from morbid obesity look for quick solutions. The use of a gastric balloon promises such a quick solution. However, such a gastric balloon is nothing more than a “crutch” in the treatment of obesity. The obesity experts at Swiss1Chirurgie, the Centre for Bariatric Surgery ZfbC and the Gastroenterology Group Practice Bern know this. In the detailed article, the benefits of bariatric surgery are contrasted with the rapid effects of a gastric balloon. Here is the full report.

The gastric balloon – the best way to cheat yourself?

Why a gastric balloon is the worse alternative to bariatric surgery?

Those who suffer permanently from severe overweight and feel stigmatised by their social environment often look for quick solutions to reduce their body weight. People affected by obesity and the associated concomitant and secondary diseases want effective measures and treatments to change their life situation. The so-called gastric balloon promises such a quick remedy. Without any surgical intervention, without restrictive diets, in the wrong perception and even without a change in exercise behaviour, a quick weight reduction could be achieved with a gastric balloon. But the first impression is just as deceptive as the first successes.

How the gastric balloon works

The gastric balloon is usually inserted into the stomach by means of gastroscopy and filled with a saline solution in the same procedure. Recently, some centres have also been promoting a “swallowable” version – the balloon is swallowed and filled via a tube – without the need for a gastroscopy. This installs a foreign body in the stomach that significantly reduces the stomach volume available for food intake.

As a result, a feeling of satiety is produced even after eating comparatively small amounts of food, but this can be very deceptive. Because of this early onset of satiety, many patients think they can lose weight quickly, easily and permanently with the intragastric balloon without surgery. However, this is often accompanied by complaints such as nausea and frequent vomiting, which indirectly help to lose weight in a rather unpleasant way.

In fact, there are reports that the gastric balloon can be used to lose ten to 25 kilograms over a reasonable period of time. It should be remembered, however, that efficient weight loss attempts are less about quantity and more about the quality of the food. Anyone who consumes very high-calorie drinks, fatty foods or a lot of sugar-heavy food to satisfy their needs after the insertion of a gastric balloon will not automatically achieve success even with the reduced mass. Without a consistent change in diet and exercise, attempts to lose weight are hardly successful in the long term, even with the gastric balloon. Especially since a gastric balloon can only ever be used temporarily.

Self-deception with a system

Experts in the treatment of obesity speak of self-deception with a system when favouring a gastric balloon for weight reduction. After all, such a gastric balloon is a foreign body in the stomach and at best something like a crutch in the treatment of obesity. And a crutch is not a leg on which you can stand safely.

It is also worth considering that the gastric balloon is not a permanent solution. Depending on the quality, such a gastric balloon can remain in the stomach for a maximum of 3, 6 or, more recently, 12 months and must then be removed. Although a new intragastric balloon can be placed immediately, this only continues the actual self-deception.

From the reports of those affected, it can also be learned that in addition to some good successes, a large number of negative experiences can also be registered. This ranges from persistent nausea to spontaneous vomiting to an unpleasant feeling of fullness, which does not contribute to the patients’ well-being. If the intragastric balloon is worn for the recommended maximum period of six months, there is a risk that the balloon will lose the saline solution, which in itself is not tragic. Much more dangerous is that the then flaccid envelope of the balloon can migrate into the intestine and lead to a dangerous intestinal obstruction.

Bariatric surgery is the better methodology

Given the problems associated with the use of a gastric balloon, bariatric surgery is the better option in the vast majority of cases in patients with BMI over 30 kg/m² with diabetes, or in patients with BMI over 35 kg/m² without diabetes. The preferred methods are stomach reduction by forming a tube stomach or gastric bypass. Such interventions aim to consistently and permanently reduce the volume of the stomach or to virtually bypass the stomach. Both methods involve surgical procedures, but these are now performed as minimally invasive laporoscopic operations. In addition to the bariatric operations, further therapeutic offers are provided with the aim of achieving and securing long-term success in weight reduction. This means that in the vast majority of cases, surgical intervention is the better, more reliable and permanently more successful way to treat morbid obesity in the long term.

When the use of a gastric balloon can be useful

Even if a gastric balloon does not appear to be a target for long-term weight reduction, it can still be a sensible temporary solution in individual cases. For example, if a surgical intervention is not (yet) an option because of a very high excess weight. Then the gastric balloon can help to achieve a weight reduction that makes surgery possible. But that’s all.

If we consider once again that the intragastric balloon is basically a foreign body that can only be used temporarily and is ultimately only a “crutch” for weight loss, the intragastric balloon is ruled out as a long-term and efficient solution to the problem of obesity.

Counselling ensures best treatment results

Anyone who is confronted with the physical, social and psychological impairments caused by morbid obesity should seek specialist medical advice and professional care. A good place to start may be the Swiss1Chirurgie clinics, the Centre for Bariatric Surgery ZfbC or the Gastroenterology Group Practice in Bern. Here, patients are advised in detail, individually and openly about the chances, risks and possibilities of permanent weight reduction. Obesity experts are always concerned with long-term solutions and less with quick but less reliable success.

In a special consultation at Swiss1Chirurgie, patients also learn in which rather rare cases the temporary use of a gastric balloon in preparation for bariatric surgery can be useful. At the same time, however, it is always made clear that the use of a gastric balloon can never be the permanently helpful solution to a pathological obesity problem.

Adipositas-Podcast.ch – Know what’s what

With the obesity podcast, you can find the latest and essential information on obesity, its origins, development, consequences and treatment options at adipositas-podcast.ch. Here, real experts talk about the causes and development of morbid obesity, which, with its manifestations such as overweight, cardiovascular diseases, shortness of breath, organ diseases, diabetes, limited mobility and performance as well as social stigmatisation, severely restricts the lives of those affected. On adipositas-podcast.ch we always want to inform you professionally and comprehensively and at the same time show you ways to break the vicious circle of obesity.

One can accept obesity as a seemingly inevitable fate and surrender defencelessly to the dire consequences. But in the same way, obesity can also be understood in its development and ways can be found to return to a self-determined, happy and desirable life. What is your path?

Listen to experts from Swiss1Chirurgie, the Centre for Bariatric Surgery or the Gastroenterological Group Practice Bern and learn what obesity is, what it means for an individual’s life and which paths lead out of the disease. In this way, you will gain valuable knowledge that can significantly accompany your own path out of obesity. Testimonials from patients and sufferers and the knowledge of obesity experts will help you find your own way out of the fatal obesity career and lead a healthier and happier life.

Adipositas-Podcast.ch – Know what’s what