Senior Consultant Surgeon & Head of Surgery at SKH. Leads Upper GI & Bariatric Service. Fellow of RCS Edinburgh & Glasgow and World Obesity Federation. PhD in Biomedical Engineering. Expert in surgical innovation and obesity treatment.
Bariatric Surgery
Clinician's Perspective: • Clinical Efficacy: Metabolic Bariatric Surgery (weight loss surgery that alters the digestive system) resulted in an average total weight loss of 28.3%, nearly triple the 10.3% observed in the medication group. • Economic Impact: Over a 24-month period, surgical intervention saved an average of
Lifestyle & Wellness
Clinician's Perspective: • Nutritional Adequacy: Many popular dietary patterns achieve weight loss by eliminating entire food groups, which frequently leads to micronutrient deficiencies (the lack of essential vitamins and minerals required for health). • Sustainability vs. Speed: While diets like Atkins or Keto often show rapid initial weight loss—up
Bariatric Surgery
Clinician's Perspective: • A synthesis of 13 randomized controlled trials involving 693 patients found that probiotics did not significantly improve weight loss outcomes compared to a placebo. • Minimal BMI impact: There was no clinically meaningful difference in postoperative Body Mass Index (BMI) between those taking probiotics and those who
Bariatric Surgery
Clinician's Perspective: • Consuming a minimum of 60g of protein daily or 1.2g per kg of ideal body weight is critical for Fat-Free Mass (muscle, bone, and organ tissue) preservation. • The Critical Six Months: The protective effect of high protein intake is most significant during the initial
Bariatric Surgery
Clinician's Perspective: • Significant Blood Sugar Reduction: The analysis of 3,855 participants revealed a consistent and significant drop in fasting blood glucose (the amount of sugar in the blood after an overnight fast). • Improved Post-Meal Response: Researchers identified a sharp decrease in postprandial glucose (the blood sugar
Lifestyle & Wellness
Clinician's Perspective: • Global Prevalence: it is estimated that 44.9% of individuals categorized as overweight or obese engage in emotional eating behaviors. • Possible mechanism: Negative emotions are linked to increased levels of Ghrelin (a stomach-derived peptide that signals hunger and modulates the brain’s reward centers), promoting
Bariatric Endoscopy
Clinician's Perspective: • Clinical Efficacy: Participants undergoing Endoscopic Sleeve Gastroplasty (ESG) achieved a mean excess weight loss (EWL) of 49.2% at 52 weeks, compared to just 3.2% in the control group. • Metabolic Impact: The data reveals that 80% of the ESG cohort experienced significant improvement in one
Understanding Obesity
Clinician's Perspective: • Origin Story: The Body Mass Index (BMI) was developed nearly 200 years ago by a mathematician, not a physician, and was never originally intended to diagnose individual health. • Mortality Predictor: Large-scale data involving 3.6 million adults confirms that BMI remains a strong predictor of