• Cuché Avec Moi The last thing famous people do to lose weight

The biggest pandemic of the 21st century is obesity and not covid

.

However, in just two years most of the population has become aware of the danger of the virus and has been vaccinated.

The same does not happen with obesity.

In Spain, for example, one in three people suffers from it and is not undergoing treatment to remedy it.

Dr.

Gontrand López-Nava

is one of the most prestigious doctors in the world who fights against this reality.

He is a pioneer surgeon in a revolutionary technique of

stomach reduction without scars,

through the mouth, and many celebrities and other personalities from all over the planet have put themselves in his hands to lose weight.

From aristocrats to sheikhs, through actors and journalists.

"There is a health culture that

obesity is bad. It causes cardiovascular problems, diabetes, cancer, breaks bones

... But the disease in origin is not treated, but its symptoms.

Patients are given treatments to palliate them, but not tools to lose weight.

The solution for this depends both on the patient and on the health system," says this doctor, currently head of the Bariatric Endoscopy Unit at the HM Sanchinarro Hospital in Madrid. It is there that he offers his patients a comprehensive service to achieve his goal of losing weight together with a team of psychologists and nutritionists. He is the one who operates them, who takes away their hunger. "In many patients, the help has to be interventionist;

putting them on a diet alone is not going to help them.

We do something on the stomach without scars, through the mouth.

We help with nutrition, the psychologist... Everything during two years of follow-up.

The patient looks clothed.

You save on health and food.

It pays off."

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The surgeon is specialized in placing intragastric balloons or performing stomach reductions (Apollo method) through the mouth with endoscopic surgery, sewing the stomach as if it were the lining of a bag, which favors a very rapid recovery for the patient.

This weight loss plan, intervention included,

costs between 4,000 and 10,000 euros

and is certainly worth it because it improves the patient's quality of life.

He always operates, in Madrid and in many cities in Spain and the world (Australia, Saudi Arabia, Qatar, France, Poland, USA) and has taught his innovative technique from Israel to the Mayo Clinic.

"The secret is the coordination between the psychologist, the nutritionist and the surgeon," says the doctor.

López-Nava is 53 years old and graduated in Medicine in Valladolid, with an extraordinary award for a doctorate in Endoscopy at the CEU in Madrid.

He was a digestive doctor at the San Carlos Clinical Hospital in Madrid

, then Head of Digestive at the San Rafael Hospital and 14 years ago he founded the Digestive Apparatus Service of HM Sanchinarro.

Doctor López-Nava, in Saudi Arabia.

In his field he has achieved great goals, but it is seen that they know little about him.

"These techniques are very effective but they have to reach more people. We have faced the covid pandemic, we should set ourselves a similar goal with obesity. But it is

impossible for Social Security to cover it, the queue would be infinite

."

The public health system operates with

bypass to morbidly obese, but it is an "aggressive and mutilating" technique

for many patients, since it requires cutting the intestine.

This surgery is major, with its risks, and slower recovery.

Nothing to do with the natural orifice endoscopic system (the mouth) executed by López-Nava.

In addition, in the doctor's team there is another type of aid for each moment of the weight loss process, which lasts two years.

"In their long journey to lose weight, the patient's strength sometimes weakens and they may have a flat weight loss curve, so we resort to a booster or accelerator,

such as the drugs Saxenda and Ozempic

. It is usually abandoned in two months, we use it when the patient stagnates. We must bear in mind that it is a challenge for these patients and just to maintain themselves, something that requires anyone to play sports, say no to meals, etc. For these people accustomed to eating badly and not having routines of exercise, it is much more difficult," says the doctor, who also teaches his technique to other surgeons in other fields of the digestive specialty such as oncology.

"The obese patient consumes a lot of resources. In Social Security or in other private insurance they would have to organize themselves in another way, they do not have time to treat the patient, but they do

invest in nutritional education

. The only intermediate solution is to select the patient, choose the one who is most motivated and encourage them, for example, with a reimbursement system if they are successful. Something like 'If you keep the weight off, we'll give you your money back", appreciates the doctor.

López-Nava has also used this attractive alternative technique to conventional surgery in

special patients

, such as a girl with Down syndrome and obesity, or a woman over 70 years of age.

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