Saturday 31 August 2019

Artemis Gurugram performs North India’s first Endoscopic Sleeve Gastroplasty

Artemis Hospital, Gurugram has become the first hospital in North India to introduce Endoscopic Sleeve Gastroplasty (ESG), a newer and revolutionary non-invasive procedure to treat obesity. It’s performed to help to lose weight and potentially lower the risk of serious weight-related health problems.
Recently Artemis Hospital treated north India’s first patient who had obstructive sleep apnea and hypertension.
(Source:https://www.biospectrumindia.com)
Endoscopic sleeve gastroplasty (ESG) is a newer type of weight-loss procedure. ESG reduces the size of your stomach using an endoscopic suturing device without the need for surgery. It is performed to help you lose weight and potentially lower your risk of serious weight-related health problems, including, Gastroesophageal reflux disease, heart disease and stroke, high blood pressure, sleep apnea and type 2 diabetes.
Considering the patient’s severe condition, the team of doctors led by Dr. Atul Sharma, Senior consultant at Artemis Hospital decided to apply the ESG (Endoscopic Sleeve Gastroplastiy) procedure. The treatment is so convenient with such high success rate that he was discharged within 48 hours of procedure and resumed his normal routine life.
Dr Kapil Jamwal, Head Gastroenterology Unit, Artemis Centre of Excellence for Digestive and Liver Diseases said that, “ESG is a day care procedure in which a flexible tube with endoscopic suturing device attached is inserted into the stomach through mouth and fat is taken out. With no operative complications involved, the process is cost effective. The entire process takes approximately 90 minutes with no anesthesia required and majority of patients can go home same day. It reduces the size of stomach with the endoscopic device without surgery. Apprehensions regarding cuts, surgeries and scars are no more involved in the treatment of obesity.”
The team of Dr. Atul Sharma, Senior consultant and Clinical Lead in Motility, UBD and Third Space Endoscopy, Dr Kapil Jamwal, Head of the Gastroenterology Unit, Artemis Hospital, Gurugram and Dr. Rajesh K Padhan, Senior Consultant and Clinical Lead in Hepatology and Pancreas at Artemis Hospital have brought this ESG treatment for the first time in North India.
Elaborating further Dr. Jamwal said, “ESG is the future of bariatric and metabolic endoscopy for patients with or without comorbidities. ESG has minimal or no side effects leaves no scars or sutures on patients and can be done in patients who are not fit for Laparoscopic Sleeve Gastrectomy and bariatric surgery. The procedure is presently being done in a few centers across India and we are proud to introduce the procedure for our patients across north India.”
This treatment is common in the USA but now through Artemis Gurugram, Delhi and NCR population and others will also be benefitted. Till now the most common procedure done for obesity worldwide is Laparoscopic Sleeve Gastrectomy but it has its own limitations. Obesity can now be treated with a new endoscopic procedure which is Endoscopic Sleeve Gastroplasty or ESG, in this procedure the stomach size is reduced from 60-70% of the original after passage of the endoscope from the mouth and with placement of sutures in the stomach.  The procedure shows effects over 6 months to 1 year and patient loses around 60-80% of the excessive body weight.
Obesity has become the biggest epidemic in India with an obese population of 7.5 crore and over 5 crore are morbidly obese. With such a high rate, a treatment like ESG is the most appropriate and feasible treatment option available.
According to NFHS (National Family and Health Survey) 2007 data Delhi and NCR had the highest overweight population with 45% in males and 49 % in females. As per the latest report of Obesity Surgery Society of India, the country has seen a 100-fold increase in weight-loss surgeries in the past 15 years, rising from just 200-odd in 2004 to more than 20,000 in 2019. During this period, the number of surgeons who specialize in the surgery also went also went up from eight (in 2003) to 450. Delhi, Punjab, Gujarat, Maharashtra and Tamil Nadu lead in the number of surgeries performed every year.

Saturday 20 July 2019

Catch The Story Of A US Patient After Getting The Sleeve Gastrectomy Surgery In India


Hi, my name is David R. Duff , I am from Kansas, United States of America. I was born and brought up at this place and now has been working in a college teaching the students the subject of Maths at the University of Kansas. My life was not less than a hell when I found overweight and nothing seemed to be working for me till I got the surgery called Sleeve Gastrectomy in India. My obesity has created a problem in my life and I had become a laughing stock as well. This has reduced my confidence and self esteem in a big way. I tried all the non-surgical options like diet and workout sessions but nothing seemed to be working for me. I then consulted my doctor who recommended me a surgery, but the cost that was involved in it was huge and kept me wondering how can I find any affordable solution.


I have heard about the cosmetic surgeries and other similar surgeries like the weight loss surgery to work in my favor, but things did not work for me in the US, which made me think about the other options in places like India as it offers too many benefits. I researched and found out many Sleeve Gastrectomy surgery Benefits India, which convinced me that I should plan my treatment in this country. Soon while I was researching I came in touch with a medical tourism company that seemed to be trusted as it had several good ratings and reviews in its favor. I checked their rankings and services they provide to the global patients and felt that I should apply for the package there. I shared my medical reports and they were quick to offer me a solution in the form of a weight loss surgery. I then applied for a medical visa which I needed to travel to India.


I finally got the same and soon I was seen travelling for my Sleeve Gastrectomy surgery inIndia with my wife. I reached India on time and was attended by the company’s rep. I was pleased with this gesture and soon checked in the hotel to settle down. The meeting with my doctor was on the next day and soon the day dawned and we discussed the idea about having the treatment done on time. The doctor seemed a gentleman person and he made me feel comfortable and boosted my morale assuring me the best outcome of the treatment. I was then admitted to the hospital and was away from the surgery with the beginning of the preparation. I am glad that I got things done on the right time. I got the test results green, which was good to go for the treatment.
The day for the surgery dawned at me and soon I was in the OT for the surgery. My doctor made me comfortable and I was like okay let's see. Soon the surgery started and even completed in no time as was announced to come out in flying colors. I was then shifted to the recovery room and was glad to get the treatment done for the post discomfort and pain I had in my body after the surgery. I am glad and happy with the result and now I had to work hard to retain my weight rather than making it higher for no reason and turning the laughing stock for many. I am pleased with the surgery outcome and the treatment I have got in India for the surgery. I would like to thank everyone for the treatment I have got including the doctor and the surgeon along with his team and the medical tourism company India Laparoscopy Surgery Site that offered me too many Sleeve Gastrectomy surgery Benefits India.
Thanking You…
David R. Duff

Friday 5 July 2019

Hernia can be operated with keyhole method: Expert


(Source: https://images.tribuneindia.com)

Jalandhar, July 4

During a press conference here today Dr Jasmeet Singh Ahluwalia, bariatrics and advanced laparoscopic surgeon India, said: “All types of hernia can be operated with keyhole method.”
He said: “From small scar and a quick recovery, the chances of hernia coming back are less in this method as a large mesh is placed inside the body. This technique is like putting a puncture on a tyre from inside, instead of usual outside.”
Dr Ahluwalia said: “He has a special technique of performing surgery for hernia at navel or around it, in which instead of using “tacker” he used routine sutures to fix the mesh inside abdomen. The grip of suture is much more as compared to the tacker and its cost is also less. Hiatus Hernia surgery can also be performed easily with laparoscopy now.”

Dr Mandeep Kaur, infertility specialist, said: “Uumbilical hernia is commonly seen during pregnancy and after delivery, it can be easily operated with the laparoscopic technique.”

Thursday 20 June 2019

The Global Patient Has Much To Share About Her Successful Laparoscopic Uterus Removal Surgery In India

Hi, my name is Lizza Barazza, I am from Nairobi, Kenya. I was born in this place and would remain till my last breath. But for my ailment I had to travel to an alien country in the East as I could get uterus removal surgery cost in India with great affordability and quality. With passing time, the ailment in my uterus turned bad to worse and things did not work out for me in my own country as we still lag behind in having advanced healthcare services. People here have to rely on other nations to get rid of their medical ailments and problems. So, when I had to get my uterus removal surgery my doctor suggested me to rely on a medical tourism, which involves travelling to another nation to get the treatment done on time. Many people relied on countries like the US and the UK but at these developed nations we need to pay huge money.




This is the reason why more and more people from countries like Kenya and other African countries turned to East denying the west as they came to know that they would find out high quality healthcare services at affordable cost. Checking the uterus removal surgery cost in India and comparing it with the US and the UK along with other developed nations,I found a huge difference making me to rely only in India. This made me feel that I should only go to India to get the treatment, however, now the big question, how should I go to a nation, which is known to me. This made me further research and find out a competent medical tourism company that can offer me the best of the healthcare services with affordability. I got one that offered me a decent package that comprised everything, right from my local stay to the travel, medical investigation and many more things that I would need to carry out the treatment in no time.  
I shared my medical reports that were checked by competent doctors and surgeon team at the medical tourism company giving me the right option to travel to India for the surgery. I then gave my consent and started my preparation for the journey till I got the medical visa allowing me to travel all over the new place getting my treatment done. Once I reached India I found everything was organised and I had little time to complain as was glad to be the part of the best group that managed things for me at affordable uterus removal surgery cost in India. I met the doctor he explained me everything and asked me  not to worry as he would take care of me the best.
I then was hospitalised and with few tests, I was ready to get my treatment done on time. I then got the surgery on the decided day and was lucky enough to say goodbye to my ailment. I am pleased with the services with the nation that I have never been to, and wish I could recommend this place to everyone who was looking for affordable uterus removal surgery cost in India but with quality. My medical tourism company India Laparoscopy Surgery Site has remained my helping hand and extended it support to every other place I needed and thus proved that they treat the guests as their lord.
I thank them personally for carrying out such an incredible healthcare services at affordable cost. I also thank my doctor and his team for carrying out a perfect surgery with great care and professionalism. I am lucky to get rid of the ailment at such an affordable cost.
Thanking You,
Ms.Lizza Barazza,Nairobi, Kenya

Thursday 18 April 2019

Man loses 130 kg after surgery at AIIMS

NEW DELHI: A 20-year-old engineering student who underwent a weight loss surgery in May 2017 at the All India Institute of Medical Sciences (AIIMS) here has lost over 130 kg over a period of two years, doctors said.
Ravi Khatri (name changed), a resident of Lajpat Nagar, had approached doctors when he weighed 250 kg, they said.
He was highly obese and his movement was restricted. He also suffered from depression because of his physique and wanted to lose weight desperately, Dr Sandeep Aggarwal, in-charge of bariatric surgery at AIIMS, said.
“We put him on diet and asked him to reduce 10 kg so we operate upon him, but he could not make it. He was then admitted to the hospital for two weeks during which we made him shed around 10 kg of weight,” Dr Aggarwal said.
Doctors performed sleeve gastrectomy, a surgical weight-loss procedure in which the size of his stomach was reduced to 100 ml by stapling out large proportion of it. It gave the stomach a sleeve like structure.
“Reducing the stomach size automatically reduces intake of food. Also the procedure leads to hormonal changes because of which absorption of food in the blood also gets reduced and that helps with weight loss,” he said.
He was then in the hospital for a week or two before being discharged. He was put on a low-calorie and high protein diet and asked to follow a healthy lifestyle including some exercise.
“He would come for a follow-up after every three months and lost 130 kg over a period of two years,” Dr Aggarwal said.
Like Khatri, 61-year-old Rajpal Solanki, a Gurgaon resident, lost around 72 kg after he underwent a mini-gastric bypass in August 2016.
Solanki weighed 133 kg before the procedure.
According to Dr Aggarwal, bariatric surgery is as safe as gall bladder operation but requires life-long care. One has to maintain a healthy lifestyle and proper diet after the surgery to maintain the weight.
“Bariatric surgery also helps patients suffering from diabetes and fatty liver and many people are not aware of this. This kind of surgery is also beneficial in advanced liver diseases,” Dr Aggarwal explained. PTI

Tuesday 9 April 2019

Laparoscopic Gallbladder Surgery in India Gave Tapti Bhowmik Life Back


While Tapti Bhowmik being a housewife loves cooking, but lately she found herself fighting nausea and fending off abdominal cramps more and more often. But ever the optimist, Tapti concluded that stomachaches and indigestion were nothing more than a natural stop on the road to growing older. During one long, painful night she realized something more serious was going on. After feeling mainly nauseous all day lengthy, she went to bed early and awoke in the wee hours with excruciating ache.

(Source : https://speciality.medicaldialogues.in)
Almost as soon as her feet touched the hospital, Tapti was in her doctor’s office — but not for her abdominal pain. She was undergoing a routine CT test to monitor another condition when the radiologist caught a glimpse of her gall bladder. In Kolkata, Sanjoy Mandal, senior GI, laparoscopic and onco surgeon, determined to conduct a CT scan and found that the gall bladder had expand a whole lot beyond normal size to nearly 12 inches, in preference to the natural length  of 3 -5 inches. 


The gallbladder is a small organ that is located underneath the liver. It stores bile and releases it into the small intestine all through digestion. In adults, the gallbladder measures approximately 7 to10 centimeters (2.8 to 3.9 inches) in length and 4 centimeters (1.6 in) in diameter when fully distended.


The surgery was done through laparoscopic procedure. Tapti Bhowmik was suffering from an acute stomach ache on the right side of her upper abdomen region. After conducting an ultrasonagraphy on women, the surgeons at AMRI Hospital came across a sizeable obstruction in her gallbladder. However the 11.6 inch gall bladder is a few inches away from beating the world record. The longest gall bladder is a few inches short of beating the world record. The longest gall bladder was measured 11.8 inches and found in Suma Rao 46, women from Churu, Rajasthan in August, 2016. Doctors at Jaipur Sawai Singh Hospital had removed the gall bladder, which was acknowledged by Guinness Book as the longest gallbladder.

Sanjay Mandal, senior GI, laparoscopic and onco surgeon in Kolkata who conducted the surgery says “Though laparoscopic gallbladder surgery in India are common but Tapti Bhowmik case was a very serious case since bile duct was under pressure caused due to stones which was causing discomfort and further complications due to her complicated medical conditions, she was facing like COPD, hypothyroidism and diabetes mellitus,” Mandal said.

I performed hundreds of laparoscopic gallbladder surgery in India every year. My patients always ask me if this is taken into consideration major surgery. I tell them that whenever they’re on the sharp end of the scalpel, its major surgery. On the day after her laparoscopic gallbladder surgery, Tapti Bhowmik was released from the hospital at noon and was already walking her dogs later that afternoon. She was able to return to her home immediately, and was also able to resume her regular, healthy diet.

“Laparoscopic gallbladder surgery in India was easier than some root canals I’ve had,” Bhowmik says. I can work in my yard for six or seven hours, I can do more than people half my age.” Based on her experience, she often expresses the importance of listening to your body. I urge anyone with severe pain to seek immediate care through laparoscopy surgery services,” she says. “It’s better to be safe than sorry!”

India laparoscopy surgery site also assisted laparoscopic gallbladder surgery in India, the company help patients to travel thousands of miles to secure treatment sooner or more budget friendly than they could at home country.Many patients from different countries recommend India laparoscopy surgery site because of the thoroughly professional way in which they organized treatment plan and provide complete guidence about the laparoscopic gallbladder surgery in India to make surgery successfully.

Source 

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To Know More About India Laparoscopy Surgery Site Visit Here : www.indialaparoscopysurgerysite.com

Tuesday 2 April 2019

Crest Hill man loses 185 pounds after gastric sleeve surgery at BMI Surgery at Silver Cross

Crest Hill native Michael Washlow admits bouncing between seven different foster homes as a child had a lot to do with his weight gain over the years. Although he was adopted into a loving family at age 11, his weight struggles continued.
(Source : https://www.theherald-news.com)
Washlow tried nearly every diet he could think of. Then one day his mom found BMI Surgery at Silver Cross online. He signed up for one of the weekly informational meetings in early 2017.
“It’s a totally different lifestyle, but I knew it would be worth it in the end,” he said.
In July that year, Washlow had laparoscopic sleeve gastrectomy surgery, which changes the shape of the stomach, creating a “sleeve” to allow food to go from the sleeve to the intestine, helping to increase feelings of fullness.
Before surgery, Washlow weighed 415 pounds.With diet restrictions, the weight came off faster at the beginning; the real challenge was motivating himself to work out.
“I paid for a personal trainer for a while,” he said.
Now, at 239 pounds,“I’m able to crouch and bend my knees and put weight on them,” Washlow said. “I can run. I can also tie my shoes and breathe at the same time. I would go to BMI Surgery again in a heartbeat.”
Though he’s not at his goal weight just yet, Washlow remains focused on staying healthy and active.
“Now that I’m putting on muscle, my goal weight is changing. I’m more fit and active than I’ve ever been in my life.” In fact, Washlow’s amazing transformation will be featured in an upcoming issue of Men’s Health magazine.

Thursday 14 March 2019

Weight-loss Surgery Ends Sleepless Nights

CRYSTAL CITY, Mo.March 13, 2019 /PRNewswire/ -- Brandon Chandler was not getting much sleep at night, partly due to worry about whether he would wake up in the morning.
"My wife would complain of me snoring constantly and there would be several instances where she would have to wake me up in the middle of the night because I had stopped breathing," Chandler said. "There were times I would wake myself up gasping for air."
After weight-loss surgery, Brandon Chandler now has the energy to keep up with the animals on his farm.
Brandon Chandler (Source: https://prnewswire2-a.akamaihd.net)

That was more than 145 pounds ago. Chandler, 37, of Bixby, Missouri, had sleeve gastrectomy surgery last summer to reduce the size of his stomach. Download a free bariatric surgery guide here: mercy.net/bariatricsleepstory.
"Now I sleep great," Chandler said. "It's a good feeling to be rested and ready to go the next morning."
After an eight-hour day at work, he would come home exhausted and spend most of the time in his recliner, watching TV until it was time to go to bed.
"Now that I am getting full sleep, I have the energy to do the things I enjoy: the hunting and fishing, working on the farm, taking care of my animals," Chandler said. "I would recommend this for anybody who has ever had a weight-loss battle or sleep apnea issue."
He's not the only one in the house enjoying more restful nights.
"If Dad's sleeping better, everybody's sleeping better. Sometimes the snoring would get pretty intense," he said.
Dr. Jay Snow, medical director for the bariatric surgery program at Mercy Hospital Jefferson, was Chandler's surgeon. Dr. Snow said the changes Chandler has seen are typical.
"Patients will notice improvements in their sleep apnea in as little as a month after their surgery," Dr. Snow said. "They get a better night's sleep. They are more rested in the morning. As many as 80 percent of patients will actually be cured of their sleep apnea within a year of their surgery."
Prior to surgery, Chandler's Continuous Positive Air Pressure (CPAP) machine provided relief, but it wasn't enough, he said.
"I was on the CPAP machine about four or five years. It helped some, but I still had issues and fighting with the mask and the hose and cleaning," he said. "I do not use the machine anymore. When I get up, I feel like I've had a full, peaceful night's sleep."

Tuesday 5 March 2019

Dr. Shalin Dubey, Laparoscopic surgeon, Apollo Hospitals - Navi Mumbai performed inguinal hernia surgery on a 101-year-old patient, the oldest patient to undergo the surgery

The patient, a 101-year-old gentleman had complaints of pain and irreducible swelling in his right groin. Though he had this swelling for many years, it was painless to start with, until recently, when he noticed lot of discomfort. He had no medical history, was not on any medication even at this age and used to walk for a kilometre every day before his hernia started hurting him. He started developing vomiting after meals and pain was making it difficult for him to even walk. He had consulted several doctors in past about his hernia but was declared unfit for surgery in view of his age.
Dr. Shalin Dubey with his expert team and the infrastructure at Apollo Hospitals, Navi Mumbai organised a joint clinic to discuss the case and proceeded with the inguinal hernia surgery. The patient was discharged the very next day and left the hospital, walking by himself.
He is the oldest patient reported in medical literature to undergo inguinal hernia surgery and we are privileged at Apollo to have treated him.
Dr. Shalin Dubey, Laparoscopic surgeon, Apollo Hospitals - Navi Mumbai performed inguinal hernia surgery on a 101-year-old patient , the oldest patient to undergo the surgery
Source : https://www.apollohospitals.com

Saturday 2 March 2019

Teenager who weighed 275lbs undergoes weight loss surgery at SIXTEEN to avoid the same fate as her obese mother who died of a heart attack

A teenager who watched her obese mother die of a heart attack has undergone weight loss surgery at 16 to avoid the same fate.
Muriel Mena, 18, was just a toddler when her mother Debbie Mena, 44, suffered a heart attack at the family's home in Whitman, Massachusetts.
Then aged three, Muriel watched in horror as her mother Debbie collapsed in front of her in 2004.
Debbie, who weighed around 300lbs, knocked over Muriel's toy kitchen as she fell to the floor and had passed away by the time paramedics brought her to hospital.
Terrified she would also die young, the teenager - who weighed 275lbs (19st 6lbs) - had a vertical sleeve gastrectomy at 16, and has since lost 100lbs.
Muriel Mena, 18, from Massachusetts pictured after her weight loss surgery. The teen underwent a vertical sleeve gastrectomy after a 2016 blood test revealed that her cholesterol was sky-high and that she was in danger of developing type two diabetes
Muriel Mena (Source: https://www.dailymail.co.uk)
 Muriel said: 'Me and my mother were at home the day she died and she started experiencing pains.
'She called 911 from the bathroom so I wouldn't hear. I remember even though I was young.
Muriel Mena, 18, was just a toddler when her mother Debbie Mena, 44, suffered a heart attack in the familyt's home in Whitman, Massachusetts. Muriel pictured with her mother when she was a babyƂ 
Source:https://i.dailymail.co.uk
'When she came out she fell onto the floor just as the paramedics came right in. I always remember she knocked over my toy kitchen.
'She was brought to hospital but she sadly died. They determined that she had a heart attack.
'I believe she was over 300lbs when she died and did live with heart disease.'
Muriel was raised by her dad Jose Mena, 69, a retired maintenance worker, but said her weight was a constant struggle throughout her childhood.
The teen's love of fried chicken and piled-high portions of rice and mashed potato led her to tip the scales at 275lbs (19st 6lbs) by the time she started high school.
Muriel after surgery in Boston Children's Hospital. The 16-year-old underwent a vertical sleeve gastrectomy in August 2017
Source:https://i.dailymail.co.uk
She said: 'For as long as I remember I always felt like I was bigger than everyone else.
'Even though I felt like I was quite sporty and I played soccer growing up, my weight was out of control.
'I think genetics plays a part, but my lifestyle was unhealthy too.
'I had a lot of unhealthy eating habits. I would eat in secret a lot because I was scared of people judging me.'
A wake-up call came in 2016 when a blood test revealed her cholesterol was sky-high and she was in danger of developing type two diabetes.
The high school student feared she would die young like her mother and was afraid of having to take insulin daily like her father Jose, who lives with diabetes.
Muriel said: 'It wasn't until I had a blood test and I discovered I was at risk of type two diabetes. My cholesterol was really high and I had problems with my liver. 
'My dad is a diabetic and he has to take insulin shots every day.
'I was close to being diabetic and I just didn't want to have to wake up and give myself shots in the belly every day for the rest of my life.
'It was scary for me especially when I think about how my mother died.
'I didn't want to leave my kids behind. I want to have a full and happy life.
Doctors discussed the option of weight loss surgery and she decided to undergo a vertical sleeve gastrectomy in August 2017.
She now works out four times a week, has shed 100lbs (7st 1lb) and says the surgery has greatly altered her life.
Muriel said:  'It was then my doctor brought up the possibility of weight loss surgery.
'My dad and my stepmom didn't want me to do it. At 16, weight loss surgery seems like a foreign idea.
'But I knew that medical intervention was necessary for me.'
Muriel underwent the procedure, which reduced the size of her stomach, in Boston Children's Hospital but the teen warned it is not an easy process.
She added: 'For two weeks after the surgery I lived on just chicken broth. I will have to eat a low-carb, high-protein diet for the rest of my life.
'It can be quite dangerous for me if I don't eat my 60 grams of protein a day because my muscles will deteriorate.
'You need to take vitamins because you really lack nutrition after the surgery.
'I had some insane side effects. For instance chunks of my hair started falling out, which was scary.
'I wouldn't recommend this surgery to someone who wants to do it for vanity or to look good in a prom dress. My health was the motivation.'
Since losing the weight Muriel has gone zip-lining on a trip to Costa Rica, something she wouldn't have been able to do at 275lbs (19st 6lbs).
She said: 'I weighed in under 197lbs (14st) by January 2018 which was crazy. It felt really weird but I was so excited.
'It was my goal to be below 200lbs (14st 2lbs) before my school trip to Costa Rica.
'I was at a safe weight to go zip-lining in Monteverde which was an incredible experience.'
Muriel, who now weighs 175lbs (12st 5lbs), said although weight loss surgery in teens is a controversial topic, the procedure has greatly improved her health and lifestyle.
'I'm glad I did it.
'I did not want to have diabetes like my dad or die as young as my mother did. I happy I don't have to worry about that anymore.