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Bariatric surgery

Gastric Sleeve and Bypass in Kut

Discounted price

$3,600

$4,800 · First consultation — Free

Real result
Bariatric surgery: a patient before surgery and after weight loss before after
Weight loss with support and guidance
all along. Your surgery and recovery plan is discussed at no cost — before deciding.

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Results

Before and after: weight loss in our patients

All cases are real patients of the clinic.

Irina, 26 — before and after bariatric surgerybeforeafter

Irina, 26

Bariatric surgery

Angelina, 22 — before and after bariatric surgerybeforeafter

Angelina, 22

Bariatric surgery

Anna, 31 — before and after bariatric surgerybeforeafter

Anna, 31

Bariatric surgery

Veronika, 25 — before and after bariatric surgerybeforeafter

Veronika, 25

Bariatric surgery

Valentina, 23 — before and after bariatric surgerybeforeafter

Valentina, 23

Bariatric surgery

Evgenia, 41 — before and after bariatric surgerybeforeafter

Evgenia, 41

Bariatric surgery

Anna, 27 — before and after bariatric surgerybeforeafter

Anna, 27

Bariatric surgery

Veronika, 26 — before and after bariatric surgerybeforeafter

Veronika, 26

Bariatric surgery

Kristina, 23 — before and after bariatric surgerybeforeafter

Kristina, 23

Bariatric surgery

Anna, 24 — before and after bariatric surgerybeforeafter

Anna, 24

Bariatric surgery

Veronika, 34 — before and after bariatric surgerybeforeafter

Veronika, 34

Bariatric surgery

Comparison

Weight loss
methods

Choose your method with confidence by comparing our two main procedures — sleeve gastrectomy and gastric bypass — in terms of how they work, their purpose and their indications.

Sleeve gastrectomy

Making the stomach smaller

A surgeon explains sleeve gastrectomy to a patient on an anatomical model

Discounted price

$3,600 $4,800

Main goal
Weight loss, feeling full quickly
When it is needed
Obesity without marked reflux
Type of anaesthesia and stay
General anaesthesia, hospital stay of 1–3 to 4–5 days

Gastric bypass

Less stomach volume and a changed route for food

A surgeon shows a patient on a model how gastric bypass is done

Discounted price

$4,000 $5,200

Main goal
Weight loss, better metabolism
When it is needed
Obesity, diabetes or reflux
Type of anaesthesia and stay
General anaesthesia, hospital stay of 1–3 to 4–5 days

Treat the recovery times and benefits here as guidance averaged by method: how extensive the surgery is and how you recover depend on your own anatomy and features, and the surgeon confirms this at the consultation.

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The clinic

Feel at ease throughout your stay with us

Modern technology, cosy rooms and personal attention for every patient

A doctor and a patient in a clinic ward

Get in touch through any channel you like

Ask us anything, and we will arrange a consultation at a time that suits you

Get a consultation

Bariatric surgery is not for everyone

Whether to have surgery is decided together with the surgeon after the consultation and check-up.

SuitableBariatric surgery helps with

A bariatric surgeon explains the indications for surgery to a patient
  • Excess weight
  • Hypertension
  • Type 2 diabetes
  • Sleep apnea
  • Varicose veins
  • Joint disease
  • Fatty liver disease
  • Reproductive health problems

Not suitableContraindications

A surgeon discusses contraindications to bariatric surgery with a patient
  • Age under 18
  • Malignant tumors
  • Pregnancy
  • Blood clotting disorders
  • Severe chronic and mental illness
  • Acute illness or flare-ups of chronic disease
  • Less than six months since breastfeeding ended

Can't tell which column fits your case?

Write to us on Telegram and our coordinator will tell you whether bariatric surgery is suitable. Your surgeon consultation is free and carries no commitment to surgery.

Find out if it suits me
A clinic coordinator talks to a patient in the waiting area

Prices

You know the price
before surgery

Your cost is confirmed at the consultation once the plan is ready and written into the contract.

Discounted price

Sleeve gastrectomy

Making the stomach smaller

Surgeons during a sleeve gastrectomy

$3,600$4,800

Lock in the price

Discounted price

Gastric bypass

Weight loss and rerouting food

A surgeon during a gastric bypass

$4,000$5,200

Lock in the price

Free

First consultation

Your treatment plan follows the surgeon's examination

First consultation

Free

the price of surgery is confirmed
and fixed in your contract

Book a consultation

Find out your method and the cost of surgery

After assessing your health and discussing your goals, the doctor picks the right bariatric surgery method. You learn the cost at the consultation, and the contract fixes it.

A nurse and a patient in a clinic ward after bariatric surgery

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A bariatric surgeon discusses a treatment plan with a patient

price

What the $3,600 (≈ IQD 4,750,000) price includes

One package — from preparation to 12 months of support. No extra charges.From preparation for surgery
to support for 12 months.

  • Surgery and the surgeon's work
  • General anaesthesia
  • Hospital stay after surgery
  • A slimmer, healthier body
  • Meals at the clinic
  • Support while you keep the weight off
  • Your own coordinator from the first day
  • Remote progress check by photos

$3,600$4,800

Discounted price

Lock in the price

What to expect

Treatment at the clinic —
from the first tests to discharge

Support for a year, hospital monitoring and a treatment plan agreed in advance.

A bariatric surgeon shows a patient the surgery plan on a tablet1

Consultation and a treatment plan

To choose the right bariatric surgery method, the doctor assesses your health, discusses your goals and orders the necessary tests.

Booking the surgery date2

Choosing and booking a date

We book your surgery date: the deposit is payable by card at the clinic or online via bank transfer. All terms are fixed in the contract for medical services

A blood sample tube for tests before bariatric surgery3

Tests to prepare for surgery

Before surgery you will have blood and urine tests, an ECG, an ultrasound and a gastroscopy, plus specialist appointments. The doctor provides the exact list at the consultation.

Surgeons performing a bariatric operation4

Surgery

The surgeon performs the bariatric procedure by the chosen method under general anaesthesia, and the medical team then monitors the patient after surgery.

A hospital ward at the clinic5

Inpatient stay

After surgery you stay in hospital under doctors' supervision. The stay lasts from 1–3 to 4–5 days, depending on the complexity of the operation and how you feel.

A doctor and a patient in the ward during recovery6

Recovery

Following discharge you get advice on diet and recovery, while scheduled check-ups track how you feel, your weight and tests. The clinic team supports you for a year.

A plan is drawn up by the doctor at the consultation, with an explanation of how surgery will go

A surgeon shows a patient the result forecast on a tablet

You pay nothing for the consultation, happens before surgery, with no obligation.

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A surgeon shows a patient the result forecast on a tablet

Doctors

Trusted surgeons

Bariatric surgeon Andrey G. Ugay

Andrey G. Ugay

View profile

27 years of experience

Chief bariatric surgeon
Surgeon

  • Has performed the largest number of SASJ operations in the country
  • Expert council member of the national Society of Bariatric Surgeons
  • Speaks regularly at national and international congresses
Bariatric surgeon Ruslan S. Menzulin

Ruslan S. Menzulin

View profile

9 years of experience

Bariatric surgeon
Surgical oncologist

  • Trained at Mercy clinic (USA) under Vadim Gushchin
  • Spoke at the World Congress of bariatric surgery in Santiago (2025)
  • Co-author of an international study published in The Lancet

Your surgeon carries out the operation and follows you from the first consultation to your result.

Your first step is a consultation with our patient care manager: BMI calculation, an explanation of the methods and booking with the surgeon. Free of charge.

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Coordinators

Clinic coordinators

Support at every step of the way

Your personal coordinator

First contact at the clinic for you — from your first message through to the consultation

Patient support

Helps you find a convenient date and answers your questions before your first consultation

  • Explains each step of preparation
  • Reminds you about tests and check-ups
Your personal coordinator

From booking to discharge — with you before and during your stay

Patient support

Guides your preparation for surgery and stays in contact while you are at the clinic

  • Supports you before and after surgery
  • Helps with documents and bookings
Your personal coordinator

By your side from discharge to your final check-up during recovery

Patient support

Stays in touch during your recovery and schedules follow-up visits with the surgeon

  • Answers questions during recovery
  • Books follow-up visits

Advantages

What makes patients choose City Medical Centre

A surgeon consults a patient in the clinic

A personal approach at every stage

We choose the best method for your health, lifestyle and goals. Our team is with you all the way.

A tablet with a meal plan and a patient's diary after bariatric surgery

Long-term
support after surgery

We support you in adapting to new eating habits, tracking results and keeping them.

A patient at the clinic

Real results that last

Steady weight loss, better well-being and a higher quality of life.

A patient picks a convenient visit time in her planner and phone calendar

We work around your schedule

Your time matters to us: we work 24/7, booking is simple and we take a personal approach at your pace.

A contract with a fixed price for surgery and no hidden fees

Fixed prices

No hidden fees and no surprises on the way to your result: after the consultation the surgeon chooses the method and you get a clear price.

Prices

Bariatric surgery cost

A free consultation for any service if you apply before the end of the month

  • Bariatric surgeon's consultation

    Free

    Book

  • Sleeve gastrectomy

    Price without discount: $4,800$3,600

    Book

  • Gastric bypass

    Price without discount: $5,200$4,000

    Book

FAQ

Answers to what people ask
before booking

Bariatric Surgery in Kut: price and what is included

Prices are in US dollars; the amount in brackets is an approximate conversion to IQD at the rate of 02.10.2026. The final price is fixed in your contract.

How much does bariatric surgery in Kut cost?

Prices start from $3,600 (≈ IQD 4,750,000). The surgeon sets the final price at the free consultation, and it is fixed in the contract, with no hidden extras.

What is included in the price?

General anaesthesia, a personal coordinator from day one, monitoring in the hospital and support for one year.

How long do the procedure and recovery take?

The hospital stay is 1–5 days, depending on the method and how you feel. Office work is possible after 2–4 weeks.

Is the first consultation free?

Yes. The first consultation is free and does not oblige you to anything. You can start online by sending a message to the coordinator.

How do I get my exact price?

Message us on WhatsApp or Telegram using the buttons below. A coordinator will answer your questions and book a free consultation where the doctor names the exact price.

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Bariatric surgery in Kut: what you should know

The decision rests on clear criteria: body mass index, overall health with related chronic conditions, and failed previous attempts at weight loss. BMI is weight in kilograms divided by height in metres squared. Contraindications include acute illness, severe chronic or mental illness, and less than six months since breastfeeding ended. Kut patients receive a personal assessment against these points.

During the operation the surgeon works laparoscopically, which keeps rehabilitation as short as possible. Right after, you are under round-the-clock care in a ward, with meals and nursing included. After discharge, most people in Kut return to office work in 2–4 weeks, following a diet plan and avoiding saunas and heavy exercise for the first weeks.

Weight loss is written into the contract, and the package includes every stage: consultation, diagnostics, the operation, inpatient care with meals and a year of support. A personal coordinator guides you from day one. To begin, patients from Kut leave a request on the page or message the clinic, then receive a free consultation with a bariatric surgeon.

Stories of well-known people

Well-known people who spoke openly about this operation, in their own words.

All stories about this operation →

Patient reviews

What patients write after this operation. Reviews are translated from the original language.

Irina, 26

For a long time I doubted whether to go ahead with surgery, but after the consultation I felt much calmer. Andrey Georgievich explained in detail how gastric bypass is done, what to expect after the operation and how recovery would go. I especially liked that they talked to me calmly and without pressure. I am now gradually getting used to my new way of life and I am very glad I took this step.

Bariatric surgery

Doctor: Andrey G. Ugay

Angelina, 22

For me the hardest part was deciding to have the operation. At the consultation Ruslan Sergeyevich answered all my questions in detail and explained the specifics of sleeve gastrectomy and recovery. After the operation I always understood what I was doing and why. Thank you to the doctor and the whole team for their attentiveness.

Bariatric surgery

Doctor: Ruslan S. Menzulin

Anna, 31

For a very long time I tried to deal with my excess weight on my own, but I did not get the result I wanted. After the consultation with Andrey Georgievich I finally understood what to do next. I came through the operation well, and my recovery was supervised by the doctors. It was important for me to feel that I was not left alone after surgery.

Bariatric surgery

Doctor: Andrey G. Ugay

Veronika, 25

Before the operation I had many fears, mostly of the unknown. Ruslan Sergeyevich explained every stage of treatment in detail and answered even the simplest questions. Thanks to that I felt much more confident. I keep following the recommendations and I am gradually seeing the changes I had the operation for.

Bariatric surgery

Doctor: Ruslan S. Menzulin

Valentina, 23

The decision to have bariatric surgery was not easy for me. I worried both about the operation itself and about how my life would change afterwards. At the consultation Andrey Georgievich explained everything in detail, so little by little my fear turned into confidence. What matters most to me now is the result and the chance to treat my health and lifestyle differently.

Bariatric surgery

Doctor: Andrey G. Ugay

Anna, 27

I am very grateful to Ruslan Sergeyevich for his attentiveness. Before the operation I had a huge number of questions, and I got a clear answer to every one of them. After the operation it was also clear which recommendations to follow and how to eat. It was important to me that the doctor stayed in touch and I felt supported at every stage.

Bariatric surgery

Doctor: Ruslan S. Menzulin

All patient reviews

Weight on the bank of the Tigris: a disease treated, not a fault blamed

On the left bank of the Tigris, inside the bend that wraps around the city, lives the largest of Wasit's towns: Kut, whose district counted 654,110 residents in the census of 25 November 2024. A river and farming city of office workers, growers and carpet traders, it shares with every Iraqi city the same quiet fact: for some people, excess weight simply refuses repeated diets. Bariatric surgery is neither a stigma nor a luxury but the treatment of a chronic condition, and that is why its questions from Kut arrive as direct messages to coordinators on Telegram and Telegram around the clock.

The first bariatric consultation is wider than most: a weight history across the years, the diets attempted and abandoned, chronic medication, the shape of your work from sitting to walking, and sleep. Whoever sends this full picture from Kut in the first week receives an initial opinion saying whether the operation fits, which type comes closest to the case, and which tests should be gathered. Here the file matters more than photographs, because this surgeon reads a history rather than a moment, and the coordinator arranges every paper into one folder before the team sees it.

The latest Wasit census draws a young society: roughly sixty percent of its ages sit between fifteen and sixty-four. Obesity in that bracket is not a matter of appearance alone; it is a silent load gathering on joints and heart and opening the door to diabetes, and whoever decides early treats the disease before its complications settle in. This is why messages from Kut's younger patients do not wait, and the surgeon answers plainly: whoever arrives in his thirties with a troublesome size may walk a shorter road than one who waits for his fifties, and the verdict belongs to the tests, not to age alone.

Before anything else, ask about what rules the operation out, from your own house: uncontrolled diabetes, serious heart disease, a pacemaker, epilepsy, intolerance of anaesthesia, and age under eighteen are all discussed in the first message rather than the last week. A written answer saves weeks of correspondence, and if a real contraindication exists the surgeon points you to the right road without embarrassment. That early transparency is what makes whoever compares two offers in Kut compare two medical files instead of two advertisements, and the difference shows in the questions before anything else.

One to five days that teach the programme

Bariatric surgery carries a hospital stay from one day to five, according to the operation's type, extent and accompanying conditions, longer than most procedures and deserving preparation to match. The days bag: comfortable clothing, a long phone charger, a reader or player, personal toiletries, and a list of the visitors allowed. In Kut, where the surrounding districts' families head to the city's hospitals, many arrange a nearby bed for one relative through these days, so the translation between the medical team and the household happens in minutes rather than hours.

The first hours after surgery carry reassuring messages for whoever knows their meaning: early standing for a few steps, water in small doses, then a gradual move into liquid meals. The medical team explains every step and repeats it for whoever asks, and the surgeon passes daily to review the wound and the readings. Take the student's role in these days rather than the reluctant patient's: write what is said, ask about what repeats, and note the medicines' names and doses to the letter. The page you leave the hospital with is your first months' programme compressed into a few sheets you return to whenever memory slips.

In the last two days before discharge begins what many miss the importance of: the explanation of the staged diet stretching from a month to two, from liquids to soft food and then solids, the vitamin schedule that will accompany you, and the first follow-up dates. Ask about everything that will puzzle you at home: how to measure a liquid meal, whether a fatty broth is allowed, what to do about nausea. Written answers to these details make the difference between a calm application and a daily guess, and whoever takes his share of the explanation in hospital finds the first weeks easier than friends had told him.

After discharge the real counting starts: an average fall of about ten percent of the excess weight each month, with the pace slowing as the body nears its target. Those numbers are managed with one scale, one hour and a weekly log sent to the coordinator monthly. Whoever turned these rituals into habit in Kut watched the months pass on a measured course, while whoever dropped the follow-up returned after a year with a single question, why did the loss stop, and the answer sat in the months missing from the record. Commitment here is not piety but the management of a project that runs two full years.

Rice, bread and the staged months

Kut's kitchen sits on rice and bread, and they are the first things rearranged after surgery: the staged months pass from liquids to soft food to small solid portions, and they pass more gently in the cold months, when broth and soup already head the table. The summer wedding season needs an early arrangement with whoever runs the kitchen, so the patient does not find himself among full trays in his first week. Pin the food schedule to the refrigerator and let it be the house's law for those two months, then let it dissolve into the new habit without announcement.

Iraqi hospitality is a sharp weapon against a new diet: a cup of tea that cannot be refused, a bite pressed upon you, a table that stretches. The clever patient in Kut prepares the answer in advance: my doctor has paused the rice for now; if they insist, one bite is enough; if they press further, invite them in two months and let them see the result themselves. The ready sentence lifts ten embarrassments off your shoulders, and the coordinator writes you a short message that serves as a formal reply to be read in the council. The printed word earns here a respect that the passing, heated argument never does.

Once the staged phase passes, the new portions begin: a smaller plate, slower chewing, water between meals rather than with them, and protein at the head of every meal. The habits those first months build are what hold the weight once surgery has fixed it, which is why the follow-up team supervises them for months rather than weeks. Whoever returned to his routine in Kut having mastered them found the same table friendlier than feared: rice was not banned but measured, bread stayed with its portion, and tea without sugar became a habit rather than an imposition.

Facing August's 43.8 degrees, a new bariatric patient needs a fluid plan more than anyone: cool water through the day, natural juices without added sugar, and moderately salted soups. Heat raises sweating and speeds the loss of fluids, and the new body demands a strict drinking routine, so the fixed cup in hand is a habit built from week one. In the evening, when the river cools, walking along the Tigris banks becomes the cheapest gym in Kut, and the light version is enough in the first weeks before the surgeon raises the pace.

Vitamins, tests, and the two-year test

Vitamins after bariatric surgery are not an optional addition but part of the treatment: a daily schedule the surgeon sets and the periodic tests review, and interrupting it opens the door to deficiencies that show after months, not days. Make it a fixed habit in Kut: one box in one place, a phone alarm at one time, and a monthly renewal noted in the same list sent to the coordinator. Whoever tied the vitamins to the blood work found that the question of whether they are truly needed answers itself in the results before any arguing, and that keeping them is the cheapest cure for a deficiency caught late.

The periodic tests after this surgery measure what the scale cannot: iron, vitamin D and the rest of the markers, read at intervals the surgeon sets. In a city with a laboratory in nearly every quarter there is no excuse for postponing them, results arrive on the phone and their photos go to the coordinator the same day. Whoever has your surgeon reading your results along their whole course knows that iron has begun to fall before you complain, so matters are handled with an adjusted supplement rather than a crisis discovered late. This is the follow-up that turns an operation into a long-breathed health project run steadily.

The weight that settles between a year and a half and two years is tested by habits rather than by the surgical page, and the steepest slope on the road is a silent relapse that begins with the return of a small second helping, then an extra spoon of rice, then a scale that quietly stops moving. This is why the channel stays open the whole period: a monthly scale photo, a passing question at the first doubt, and a written comment from the surgeon that puts you back on the line. Whoever lived these two years in Kut on routine while everyone else argued reached the final result knowing his family's house anew.

Photo follow-up includes the face and the waist too, not to shame anyone but to see what the daily eye cannot, since a body changing slowly deceives its owner in the mirror, while a monthly photo in the same clothing and the same pose tells the whole story. Tie it to your scale in one file on the phone, send it to the coordinator on schedule, and the line this album draws is what the surgeon relies on in judging your course. At the end of the two years these photos become the truest story you can tell yourself and whoever asks: this is how I was, this is how I am, by a schedule rather than a tale.

Work, harvest, and a schedule a farming city understands

Desk work usually resumes between the second and fourth week as recovery allows, while heavy work that lifts and strains does not return for around a month and a half. In a city where many work in trade and fields, this difference is arranged early: whoever can take the full leave takes it, whoever cannot arranges with a colleague or a relative to cover the first weeks until the wound settles, and tells the coordinator the nature of his work in the first conversation so the answer fits him rather than a generic office employee.

The harvest season, the carried sacks and the open markets are Kut's particular conditions, and whoever stands among them weekly naturally thinks of postponing the operation to autumn, an entirely acceptable arrangement if the weight allows the discussion. Whoever decides in summer arranges a lighter assignment for at least a month and writes the coordinator a detailed account of his work, and a written answer arrives defining what he can do and when. Nothing in this surgery succeeds by endless postponement, yet nothing in it calls for recklessness that wastes recovery for extra hours; the middle is a plan written weeks before the date.

Surgeons' records point out that bariatric surgery is two operations in one: an operation in the theatre, and the upbringing of habits that stretches years beyond it. This is why the surgeon is asked about his experience in this type specifically and about his follow-up afterwards, and Iraqi physicians' certification runs through the Iraqi Board for Medical Specializations established in 1986, with every such question entirely ordinary and expected. Elective operations like this one are arranged and paid privately, so a serious offer itemises what it covers of operation, tests and follow-up, and whoever has read three written offers in Kut has learned that the real differences hide in the details after the theatre.

The Tigris that embraces Kut does not leap toward its mouth but runs its course unhurried, and a city that knows dams and canals knows that water arrives through channels rather than jumps, which is exactly the logic of bariatric surgery from day one: month after month, schedule after schedule, until everything settles. Write your first message to coordinators on Telegram or Telegram at any hour, with your weight history and medicines, and let the written page draw the road. What follows are months that know how to pass in this city at its own pace, the way the river that has accompanied it for centuries knows how.

Is bariatric surgery realistic for someone working in fields and markets?

It fits whoever's health allows it, but the timing differs: heavy work that lifts and strains needs around a month and a half before returning, and whoever can set the date after the harvest has an entirely acceptable arrangement. State the nature of your work in the first message to the coordinator, and a written answer arrives defining when you return and under what conditions, so you arrange a lighter assignment with your employer for the required period instead of choosing between neglecting work and straining the wound.

What do I eat in the first two months after surgery?

The staged diet passes through phases: liquids first, then soft food, then small solid portions, stretching from a month to two until the new stomach takes its rhythm. In Kut's kitchen this is easiest in the cold months, when broth and soup head the table, while the wedding season needs an early arrangement with the household. The detailed schedule arrives written from the follow-up team, and you do not move between phases without their signal, however normal everything looks.

How long does the hospital stay last?

From one day to five, according to the operation's type, extent and accompanying conditions, a stay longer than most procedures and deserving a bag packed in advance: comfortable clothing, a long charger, personal items. The first days hold early standing, water in small doses, and the explanation of the vitamin schedule; they are the beginning of the programme, not silent waiting. Whoever comes to Kut from the surrounding districts arranges a nearby bed for a relative through these days to make the coordination easy.

How much weight comes off each month?

The usual average is about ten percent of the excess weight monthly, slowing gradually as the body nears its target, which is normal rather than a fault. The numbers are read as a line, not dots: a steady week between two falling weeks is ordinary, while a full month without movement deserves a question to the surgeon through the coordinator. Weigh yourself once a week on the same scale at the same morning hour and send the monthly summary; your team reads the direction, not one night's figure.

When do I return to desk work?

Usually between the second and fourth week as your recovery runs, while heavy work with lifting and carrying needs around a month and a half. Tell the coordinator the nature of your work in the first consultation, because the office employee's answer differs from the answer of someone standing in the market or carrying sacks, and the estimate arrives written within the plan. That way every worker in Kut books leave to match the real need, not family guesses and not the early-return enthusiasm that wastes what has been built.

Are the vitamins after surgery temporary?

The vitamin schedule is part of the treatment rather than an optional addition, and it continues according to what the periodic tests measure at the long intervals the surgeon sets. Interrupting it opens the door to deficiencies that appear after months rather than days, and whoever tied it to blood work found the question of need answered in the results before any arguing. Make it a fixed habit: one box in one place, an alarm at one time, a monthly renewal noted in the list sent to the coordinator; keeping it is the cheapest cure for a deficiency caught late.

Is age itself a barrier to bariatric surgery?

Age alone is not the verdict; the real barriers are your health: uncontrolled diabetes, serious heart disease, a pacemaker, epilepsy, intolerance of anaesthesia, and being under eighteen. Wasit's society is young, with about sixty percent of ages between fifteen and sixty-four, and whoever decides early treats the disease before its complications settle. Tell the whole health story in the first message; the verdict belongs to the tests and examinations, not to birth years and not to friends' estimates.

How do I handle Iraqi hospitality during the first two months?

Prepare your answer in advance instead of improvising: my doctor has paused the rice for now; if they insist, one bite is enough; if they press further, invite them in two months and let them see the result themselves. Ask the coordinator for a short written message that serves as a formal reply to be read in the council, because the printed word earns a respect the passing argument never does. That way you keep both your relationships and your diet, and the household that understands the new logic becomes real support for the months that remain.

Page medically reviewed by Andrey G. Ugay, lead bariatric surgeon. Review date: .