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Hello everyone, I'm Dr. Mohit Bhandari, and in today's video, we'll be discussing a critical issue that many patients reach out to us about – post-bariatric surgery weight gain. We understand the distress it can cause, whether you had your surgery at our center or elsewhere several years ago. Fortunately, we have effective solutions to address this concern. Weight regain after bariatric surgery can occur due to a few primary reasons. It might be because your appetite has increased, your dietary habits have changed significantly, or your physical activity levels have decreased. We'll work together to determine how much weight needs to be shed. For those aiming to lose a substantial amount of weight, typically 20 to 25 kilograms or more, surgical intervention is often the best approach. We can revisit your previous procedure, like a sleeve gastrectomy or gastric bypass, to further adjust the pouch size or bypass length, effectively rekindling significant weight loss. However, if your goal is to shed around 10 to 15 kilograms, we have non-surgical, endoscopic methods available. Using a specialized device known as the Overstitch, we can reduce the pouch or stomach bag size through small stitches. This outpatient procedure allows you to return home the same day, and you can expect to lose 10 to 15 kilograms over time. For those whose weight gain is modest, say 5 to 10 kilograms, drug management may be the solution. Our clinic offers various medications, including orally administered and injectable options like Semaglutide or GLP-1 analogs. These drugs can effectively help you manage your weight. In summary, we offer three distinct solutions at our center – surgery, endoscopy, and pharmaceutical management. You can consult with me to determine which approach aligns with your specific weight loss goals and health needs, such as managing diabetes, blood pressure, or other conditions that may have resurfaced over time. Feel free to reach out to us anytime, and we'll guide you toward the most suitable path to reclaim your health and well-being.