Image copyright True Wonder/BBC Scotland Alison is a self-confessed food addict who weighs 21st (133kg) and is thinking about extreme action to decrease her size.
She’s had a bad day which causes her tucking into her preferred Chinese takeaway with her child and grand-daughter.
Alison understands she needs to refrain from doing it however today she feels beat in her everyday fight to consume healthily.
“I must not be consuming it, I’m implied to be dropping weight,” she informs the BBC Scotland documentary Shedding the Fat .
“I’ve lost the battle with the devil.
“The devil won. The devil is a Chinese.”
Highest levels of weight problems
The battle with an unhealthy diet plan is one which is reproduced throughout the nation.
Scotland has among the greatest levels of weight problems worldwide, with about 65% of the adult population classified as obese with more than a countless them classified as overweight.
This produces a pressure on health services and can cause sudden death due to persistent conditions such as type 2 diabetes, high blood pressure and heart disease.
The 2 significant way of life elements connected with the development of weight problems are absence of physical lack of exercise and bad diet plan.
Alison, who is 51 and resides in Ayrshire, states she wishes to slim down to be around to take care of her child and her grandchildren.
“If I’m not here, who monitors them, who watches on them,” she states.
Her desire to drop weight has actually led her to the doors of the bariatric system at University Hospital Ayr.
It is among the couple of professional centres that carries out surgical treatment which assists those who require to reduce weight.
Image copyright True Wonder/BBC Scotland The surgical treatment minimizes the size of the stomach so less food is consumed and absorbed.
This can be done by using a stomach band, placing a stomach balloon or developing a stomach sleeve to decrease stomach capability.
In other operations the intestinal tracts can be bypassed to minimize absorption of food
The system’s medical director of surgical treatment and endoscopy is Majid Ali.
He has actually seen the damage triggered to the within the body and cautions of the toll of consuming processed food.
He states: “Eating crisps resembles trading hours of your life, you need to ask yourself: ‘Is it worth it?’.”
Last year, 192 bariatric operations were carried out by NHS Scotland.
However, physicians state resources are restricted and they require to target clients who will benefit the majority of.
‘Munchies’
Crucially, this suggests those who are devoted to making way of life modifications for the much better.
“Surgery is just part of this journey, a great deal of things need to alter”, states Mr Ali.
Bariatric surgical treatment is not a simple alternative and there are threats related to this kind of surgical treatment.
Extreme quantities of fat in the body can make it risky to administer a basic anaesthetic.
Stephen, likewise from Ayrshire, has actually been informed he requires to reduce weight prior to he can be thought about for surgical treatment.
He weighs 26st (165kg) and has a body mass index (BMI) of 52, which is classified a morbidly overweight.
A healthy BMI ought to be in between 18.5 and 25.
His excess weight indicates he can not yet be thought about for the surgical treatment that might decrease his weight and his diabetes.
Doctors desire him to drop weight to reveal he is devoted to altering his methods.
But a fondness for “munchies” of pizza or a kebab after a “friendly” beverage at the weekend makes it hard.
Image copyright True Wonder/BBC Scotland Stephen states being identified with diabetes has actually terrified him.
He states: “I’ve got numerous illness now which’s when I understood I’ve got to do something.”
His better half Tina, who satisfied Stephen in a junk food store, is fretted about his health.
She states: “I feel partially to blame for it. He wasn’t as huge when he relocated here.”
During an assessment at the health center, Mr Ali evaluates his weight-loss record over the previous months and concludes that Stephen isn’t taking the procedure seriously.
The cosmetic surgeon states psychological health has a part to play in keeping a healthy weight.
Mr Ali states: “The clients I handle generally have some mental luggage – low self anxiety, esteem or stress and anxiety.
“Bariatric surgical treatment can promise to individuals.
“It can increase the quality of their life, it can include years to their life and, for some, it can conserve their lives.”
Slice of toast
In the weeks leading up to her operation, Alison dropped the takeaways to follow a stringent 800 calorie-a-day diet plan.
She weighs parts of chicken, picks the most affordable calorie veggie mix from her freezer and exercises whether including a spoonful of sauce will leave space for a piece of toast later on in the day.
Her dedication settles.
On the operating room Alison’s stomach is decreased in size by 90%, about 25% of her intestinal tracts are likewise bypassed and the brand-new smaller sized pouch will absorb the much smaller sized parts of food.
‘A brand-new journey’
Ten months after her stomach bypass she is 8 and a half stone (54kg) lighter and restoring her self-confidence.
Shopping for clothing is now a pleasure, she states.
Alison states: “I feel better and much healthier, the better is still attempting to overtake the much healthier.
“The something surgical treatment has actually provided me is flexibility.”
Stephen has actually shed about 13lbs (6kg) and wishes to have his stomach bypass prior to completion of the year.
“Then it’s the start of a brand-new journey,” he states.
Shedding the Fat is on BBC One Scotland on Monday 26 November at 21:00 GMT.
