Author: Dr Samantha Green
In the past CBS was primarily focused on offering surgical weight loss options. In recent years this focus has broadened, and we now include a range of non-surgical options for weight management. This shift has been driven by our ever-increasing understanding of just how complex weight gain and weight loss are.
We understand there is no single weight loss solution, and there are several reasons why surgery might not be your next step:
- You might not want surgery.
- You might want to try all other weight loss options before feeling comfortable with a surgical decision.
- Surgery may not be the most appropriate or suitable choice for you, for a variety of reasons.
You might also be one of our patients who has undergone a weight loss surgery in the past, but who is now looking for some extra support with the aim of further weight loss.
As we are a multidisciplinary team we have broad experience in weight management. The team can be used for stand-alone care, or as part of a surgical care pathway, and you might find benefit in talking to one or all of us.
We are made up of:
- Dieticians – providing specialist weight loss advice as well as general dietary advice.
- Psychologists/Counsellors – helping address the complex psychological behaviour patterns we often have around food and eating.
- GP Bariatric Physicians – providing a “whole person” approach to the medical management of weight loss.
Not having surgery? We can still help.
We can discuss:
- Lifestyle advice – Don’t worry, we know everyone knows the basics. Our skill lies in taking a really focussed look at diet, exercise, and eating patterns – which helps us identify all the little things that might be contributing to weight gain. This can lead to new ideas and tips that help with weight loss as well as general improvement in quality of life.
- Specific dietary modification – we can provide information and support relating to Very Low Calorie Diets (VLCDs) and evidence-based intermittent fasting structures (for example the 16:8 and 5:2 approaches).
- Non-hunger eating and ways to tackle it. There are many triggers for eating that are not related to us feeling hungry. Common patterns contributing to weight gain are comfort eating, stress eating and sweet (or other) food cravings. Our Psychologist and Counsellor can help you develop tools to change eating behaviours long-term.
- Medications – There are a number of medications on the weight loss market, some older and some quite new. Older agents such as Duromine and Xenical can still be of benefit in certain situations. The newer medications Saxenda and Contrave have been designed to use long term, in the same way you might take a blood pressure medication. They aim to reduce hunger and improve “fullness” after eating. Contrave also aims to reduce food cravings. Suitability for any of the medications can be discussed with our GP Bariatricians.
For our patients who have already had surgery they can also be used as an adjunct or “added layer” if weight has plateaued but you are aiming for further loss.
There are also a number of other medications in the development stage – this list is likely to increase in coming years.
We look forward to helping you find the best weight loss solution for you.