Compassionate assessment after bariatric surgery, with nutritional and surgical safety at the centre of care.
Weight trajectories vary after bariatric surgery. Biological adaptation, appetite, mental health, medicines, eating patterns and anatomical change can all contribute. The answer begins with understanding, not blame.
Bariatric surgery is a powerful treatment, but it does not remove the body’s long-term regulation of appetite and weight. Some regain can occur as hormonal effects change, circumstances evolve or weight-promoting medicines are introduced.
A larger change may also reflect eating tolerance, psychological distress or an anatomical issue. Returning weight is a clinical signal to investigate, not evidence that you failed.
People who have had bariatric surgery usually need lifelong supplements and annual nutritional monitoring, regardless of their current weight or how well they feel.
Bone health, anaemia and neurological symptoms can be affected by deficiency, so routine follow-up is part of treatment rather than an optional extra.
We review the type and date of surgery, lowest and current weight, symptoms, supplements, food tolerance, protein intake, medicines and follow-up history. Blood tests may identify iron, vitamin B12, folate, vitamin D, calcium or other deficiencies.
Vomiting, reflux, pain, swallowing difficulty, severe dumping symptoms or concern about surgical anatomy require prompt bariatric-team review.
Treatment may include nutritional support, behavioural care, review of weight-promoting medicines and obesity medication where appropriate. The choice depends on anatomy, nutritional status, symptoms and other conditions.
Appetite-suppressing treatment needs particular care if intake is already restricted, because dehydration, vomiting and nutritional compromise must be avoided.
We do not replace bariatric surgical follow-up. When symptoms or anatomy need investigation, we coordinate with your own doctor, bariatric surgeon and specialist dietitian.
Metabolic treatment is added only when that safety foundation is in place.
Understanding what is driving your weight takes a proper assessment — your history, the other conditions you live with, the medicines you already take, and what has been tried before.
Where obesity is complex, Dr Raj may recommend the Specialist Weight Management Plan: our most intensive option, for the most complex cases. Not everyone needs it. For others, consultations and review alone are enough, and what you are offered depends on what is actually going on.
Care is delivered through our London and Chennai clinics.
This information cannot replace a consultation. Your care depends on your symptoms, history, medicines and test results. We coordinate with your own doctor or relevant specialist when needed.
Understanding the physical, metabolic and emotional factors behind your weight.
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Care that considers blood glucose, weight and your wider metabolic health together.
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Polycystic Ovary Syndrome (PCOS): hormonal symptoms, metabolism and reproductive health considered together.
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Looking beyond weight to understand thyroid function, symptoms and wellbeing.
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Individual care for the hormonal and metabolic changes of menopause.
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Exploring the connections between hormones, weight and fertility concerns.
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Considering liver health as part of a broader picture of metabolic wellbeing.
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Sensitive assessment of hormonal concerns and their links to wider health.
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Ongoing support that recognises weight maintenance as part of long-term care.
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Understanding weight changes after surgery, without blame or judgement.
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