Obesity: What are my options?

Obesity, its causes and treatment options:

Obesity and its related health conditions are now considered as the world’s biggest health problem.

What are the causes of obesity and how it could be prevented or treated?

Excess weight is mainly due to what we eat and our lifestyle choices. However, some people are at a disadvantage as overeating can be driven by biological factors, genetics and hormones. Some people have a predisposition to gaining weight.

These people can overcome these disadvantages, but it requires modification of eating behaviour and lifestyle changes in the long term and is easier said than done.


Some people seem to be genetically susceptible to obesity. Children of obese parents are much more likely to become obese than children of healthy weight parents. Is this nature or nurture?

Insulin resistance

Insulin is a hormone that regulates energy storage. Elevated insulin levels cause energy to be stored in fat cells instead of being available to use. Elevated insulin levels can lead to insulin resistance

The Western diet promotes insulin resistance which is linked to developing obesity and this contributes to the development of Type 2 Diabetes.

To lower insulin levels, cut back on refined carbohydrates and sugars, combined with increasing fibre intake and activity levels, which will also lead to a decrease in weight and reduction in the risk of developing Type 2 Diabetes.

Leptin Resistance

The hormone Leptin is produced by fat cells and the amount in the blood increases with a higher body fat mass. As a result, leptin levels are high in people with obesity.

In people with a healthy weight, high leptin levels reduce appetite.

In some obese people, the brain does not respond to Leptin, so they keep eating which causes fat cells to produce even more Leptin. This is known as Leptin resistance and the Leptin levels will keep increasing as a person gets fatter.

Underactive Thyroid

This is a condition where the thyroid gland does not produce enough thyroid hormone. This deficiency of thyroid hormone can disrupt the heart rate, body temperature and metabolism.

Symptoms include fatigue, cold sensitivity, constipation, dry skin, depression and unexplained weight gain.

Blood tests can diagnose an underactive thyroid.

Treatment generally involves taking the oral medication Levothyroxine. Levothyroxine is usually continued for life and can reverse the symptoms and help you to return to a healthier weight.


Some prescribed drugs can cause weight gain as a side effect. These drugs alter the function of your body and brain, reducing metabolic rate (reducing calories burned) or increasing appetite resulting in weight gain.

Steroids, also known as corticosteroids, used to treat conditions such as arthritis and asthma increase the appetite in some people, which leads to weight gain.

Cushing Syndrome:

A very rare syndrome affecting less than 1 in 50,000 people is caused by high levels of cortisone in the body. Weight gain is a common symptom, particularly on the chest, face and stomach.

Processed foods and addiction

Processed foods are usually full of cheap refined ingredients and additives which promote overeating, lack of satiety and addiction.

Many high-fat and sugary junk foods stimulate the reward centres in the brain.

Some people become addicted to these foods, the same way someone would become addicted to alcohol or drugs.

The brain chemistry changes and addiction are difficult to overcome.

As processed junk food is available everywhere, in some poorer neighbourhoods it can be difficult to source healthy foods locally.


Added sugar is probably the single worst aspect of the modern diet. Sugar changes the hormones and biochemistry of your body when consumed in excess, leading to insulin resistance.

Excessive sugar intake is considered to be one of the main causes of obesity.



The food industry

Food marketing is unethical at times and unhealthy foods can be marketed as healthy foods and sadly, this is often targeted at children. Many of today’s children are becoming obese and addicted to junk foods before they are even able to make their own choices.

It is easy to use the above reasons as excuses not to aim for a healthier lifestyle and healthier weight.

Emotional eating:

Unfortunately, often the body’s natural response to uncomfortable emotions is to reach for food as comfort. This is usually foods high in sugar and fat as these foods very temporarily give a boost in feelings of wellbeing. Food can and does temporarily fill an emotional void.

Often with professional help it is possible to find ways of dealing with emotions in a way that does not include food. Whether this is to help to change habits, to deal with stress, anxiety, depression and past traumas etc., qualified professionals can help with these issues.

Relying on exercise only:

Exercise is great and we all should do it but relying on exercise alone to lose weight isn’t going to work. Unless you change your dietary intake, you are unlikely to see any reduction in weight. In theory you can enjoy all foods in moderation if you are mindful about portion size.

Motivation to lose weight:

Be prepared, plan well balanced nutritious meals in advance.

Stay hydrated, drink plenty of water.

Aim to achieve quality sleep.

Get sound professional advice on medical weight loss options available.

Treatment options:

Psychological support:

If you feel that emotional/comfort eating is an issue to you, ensure you factor in expert professional support to deal with emotional eating as well as physical hunger. This can involve many aspects of treatment such as habit change, removing triggers, finding non-food alternatives to dealing with negative emotions, dealing with past traumas, anxiety, stress and depression. The Gateway Health programme, unlike other bariatric providers, deals with the psychological aspects following weight loss surgery aftercare.

Diet pills:

Why rely on pills? Many pills flush out vital vitamins and minerals which are essential for losing weight and avoiding disease.

We understand the desperation to lose weight in the short term, but we are concerned with your long-term health.

Drugs do not give a long-term solution and can be very costly… for example the average cost of a MONTHLY private prescription for the weight loss drug Saxenda is approximately £600-800! When you consider the costs of paying for these drugs over many, many months AND their side effects, would it not be more cost effective to look for a permanent solution?

If you can lose weight eating smaller portions and exercising more then we sincerely congratulate you.

However, we understand this is easier said than done.

There are many other factors in the mix….  genetics, metabolic, biological, behavioural and psychological barriers to losing weight …

Gateway Health offer only time served, evidence-based weight loss surgeries.

Our gold standard after care programme addresses dietary, exercise, behavioural and psychological issues, which result in superior weight loss results and weight maintenance.

Call Gateway Health 0345 9000 339


Bariatric surgery is without doubt the most effective weight loss method available.

Choose a Bariatric provider who not only has UK leading safety statistics (check out he NBSR – national Bariatric Register) but also provides an all-encompassing after care programme.

Gateway Health are the market leaders in Bariatric Surgery with the most comprehensive support and after care programme with industry leading results.

Diabetes Death Trap!

Diabetes is killing people across the globe. Type 2 Diabetes is a known co-morbidity of Obesity.

415 Million people worldwide have diabetes, worryingly almost half of those people do not know yet that they have the disease. It truly is a global epidemic.

It is estimated that by 2040 1 in 10 people will have diabetes.

 What are the risk factors of Type 2 Diabetes?

Being obese, being inactive, a family history of diabetes, high blood pressure and being aged 45 and over.

What are the symptoms of Diabetes?

Frequent urination, excessive thirst, very hungry, fatigue, dry skin, slow healing wounds and leg or foot pain.

Long term risks of diabetes:

Increased blood pressure

Nerve damage

Kidney disease

Eye problems which can lead to blindness

Serious sores on the skin and feet which can lead to amputation.


If you are worried about the risk of diabetes see your GP and request a HbA1c blood test. This blood test gauges your average blood sugar level for the last 2-3 months.

If you are diabetic it is important to take your medications as prescribed by your doctor, to monitor your blood sugar levels, to reduce/eliminate sugar from your diet, eat a healthy balanced diet as advised by your doctor and to increase your exercise and REDUCE YOUR WEIGHT!

If your BMI is above 30, Bariatric surgery may well be an effective option for you.

Bariatric surgery can trigger physiological changes, hormones are changed which stabilise blood sugar……… all without the use of drugs!