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beyond the bounds: due to her belly hanging down to her knees , a mother with many children cannot walk with her children or cook for them and clean the apartment. in the studio anastasia tsukanova. hello, anastasia, i see it’s very difficult for you, every step is difficult for you with difficulties. yes, i can’t walk 10-20 m , my back hurts very badly, my legs hurt, my shortness of breath is very bad, yes, i need to sit and rest, that is , getting to the store is already a problem, a problem, i’m not one of my friends again i can go out for a walk, my back hurts, it’s unbearable , of course, i see that it’s already hard for you to stand, it’s hard to stand, yes, your legs hurt, sit down then, tell me anastasia, what’s your

height and weight now? height 165 cm, weight 181. zieb, what stage of obesity is anastasia? typically , a normal body mass index is less than 25 kg per square meter, well, here it’s most likely more than 60 already, that is, this is the third degree of obesity. this is already very serious, right? yes, this is the last one. when did you start? after the ninth grade i somehow gained a little more control, then after the first birth i gained a little weight, then after the second, and after the third i generally got very upset, so to speak, nadya, have you ever recovered much, it seemed to me that i had improved strong for me, because i studied ballet since childhood, when i abruptly quit and went to study, and like all the students i ate a lot of bread just with... then at some point

i gained a couple of kilograms, but it was a little hard for me to walk and it seemed to me that i had gained a lot of weight, i weighed 60 kg, this was already considered a lot, well, yes, this is such childish nonsense, i i struggled with them and i really regret that i struggled with these kilograms, and you gained a lot during pregnancy, no, i gained about as much as a child weighs with water, that was probably it, well, up to seventy somewhere i i weighed it, but i quickly lost it when i was breastfeeding. breasts, that is, even for me i had to eat too much because i was already dizzy, that is, on the contrary, after giving birth i lost a lot of weight. valeria, tell me, how much can a woman normally gain during pregnancy? if a woman’s body weight was normal before pregnancy, then during pregnancy we allow a total of 11.5 and 16 kg, if there was already excess body weight, then we allow up to 11 kg, and if already... obesity, then 5, maximum 9 kg per

pregnancy is allowed. anastasia, how much did you weigh before pregnancy? about 90, probably. alexander, but it’s 90 kg. growth 165 cm is a lot, this is already excess body weight, and this already leads to the so -called fatty liver hepatosis. the liver is a very important internal filter that neutralizes food, infectious, and medicinal toxins; when it is replaced by adipose tissue, an initial mild inflammation occurs there in the form of hepatosis, then the next stage is hepatitis, the next stage, unfortunately... is cirrhosis of the liver and, unfortunately, in some cases the so-called liver cancer occurs. zieb, why do you think the weight didn’t anastasia leave after giving birth? i think that here the focus has shifted a little on the child,

that is, any mother’s main task is to provide the child with care so that everything is fine for him, somehow less time and attention is given to himself. it probably was. do you think that anastasia simply let herself go, started eating constantly, uncontrollably , perhaps anastasia, it was so, well, i never limited myself in food, i ate, well, everything, pasta, rice, and meat, fried, probably barely , yes, yes, everything is spicy, salted with mayonnaise, alexander, such a diet negatively affects weight, you are absolutely right, an adult should consume a day. woman - 2.0 kilocalories, man - 2,500 kilocalories, here about 3-3,500 kilocalories. anastasia, are your portions large too? yes, no, i don’t eat very much. in fact, the volume of food as such does not mean anything from

a nutritional point of view. you can eat a lot, but correctly, fiber, vitamins, proteins, or you can eat so -called empty calories, that is, this can be enough. small amount of food, but in this case, these calories will not contain any protein, vitamins, or minerals, they will all go to replenish fat cells. anastasia, do you have any diseases? no, but i think maybe there was some kind of hormonal imbalance. valeria, do you think it could be a hormonal imbalance? it is necessary to exclude, of course, hyperprolactinemia , this is when prolactin is high in the blood, this can also be obesity, hypothyroidism, when with ... the function of the thyroid gland, yes it can cause excess weight, but as a rule this is up to a maximum of 10 kg and then due to edema. hypoganodism is when decreased female hormones can also be a cause, but as a rule, i think that only two or three diseases need to be ruled out. marina, but

it turns out that hormonal imbalance in anastasia’s situation may not have anything to do with it? yes, that's right, adipose tissue. it is not an inert tissue, it is a fairly active organ in itself, over time it is involved in a large number of internal processes and the development of diabetes, hypertension, increased swelling, liver problems, joint problems, and back problems the heroine also told us about this complaint, they are all indirectly related to food, so in this case we should talk specifically about nutritional obesity, that is, this. anastasia, by the way, what are you eating now and what kind... i also eat everything, pasta, dumplings, soup, potatoes, yes, fried potatoes, but you like pies, cakes, baking, pies, tarts, too , i love chips, lemonade, they said, you eat a day of chips, i can

eat a pack, but how much lemonade do you drink, a bottle a day, is it a half-liter or a liter bottle, two, two liter bottles of lemonade a day, but you understand, anastasia, that this is far from healthy food, i understand, well, i can’t help myself, sometimes i want to, but i tried to refuse, i tried, i break down, the thing is , that in this case we are dealing with the so-called food addiction, that is, in this case we have obesity precisely as a disease, this is not just a whim of our patient, this is a condition that needs to be worked more deeply, marina, but maybe somehow... this chips and soda addiction , of course, is just that, an addiction, and if a person has eaten, for example, something salty, he wants to wash it down with some kind of sweet soda, he washed it down with a sweet soda, he again wants a contrasting taste, this is what all fast food is built on,

it’s impossible to just give up willpower , here we need to build the entire diet so that there is a supply of vitamins and minerals, and so that we can start. metabolism is correct, this irrepressible craving for such fast food products , it has stopped, but both chips and soda contain an exorbitant amount of calories, very... so he will eat up, in this case, the weight we are discussing, look,

the mathematics here is very simple: 1 kg of fat , which is in our body, contains approximately 9.00 kilocalories, in order to gain it, that is , you need to gain 9.00 extra kilocalories and not spend them, so, if you do a basic recalculation, then the extra 50 kg is approximately 100 kg of chips, can you imagine how much need to eat in order to to be overweight is terrible. anastasia , do you actually realize that this is an outrageous amount , i’m shocked just by these numbers, i realize that’s why i came for help, i’m afraid for my children, who they will end up with, please help, you really can’t cope with this problem on your own, i can not. well, are your hands so drawn to these unfortunate chips and soda, or what?

yes, tell me, do you somehow eat in front of your children, in front of your own, of course, that is, this is your family’s habit, do you think it’s normal to bring these foods home, yes, who are they? buys? we go to the store ourselves, we buy , it’s very difficult to get rid of such a habit, marina, indeed, it’s such a terrible addiction, it’s difficult, but possible, in order to work through this addiction, you need to give yourself... it doesn’t hurt, but the biggest risks - this is , of course, for the cardiac system, it is clear

that with obesity , blood pressure immediately increases, this is an extra load on the heart, with obesity there is excess cholesterol, bad cholesterol, which begins to be deposited in the vessels, plaques grow, and the blood circulation in these arteries, with excess weight, sugar will probably increase again , diabetes with all the ensuing consequences, well, here is metabolic syndrome and this bomb can lead to death, in the end, of course, this can lead to a heart attack, stroke , and can be listed for a very long time. anastasia, your grandmother is afraid that one morning you simply won’t wake up, because the excess weight will suffocate you and your children will be left without a mother. in the studio of lidi tolstoy. hello! you told your granddaughter that

are you worried about her, nastyulka said , nastyushka, let’s lose at least a little weight little by little, as they say, no, but what does she deny, well, grandma, okay, we ’ll give up, we’ll lose weight, we’ve lost weight, now we’re so worried about her, i i’m afraid that she will die, and leave the children small, i can’t even... or make such a wall of silence to avoid the conversation, she tries to support, but

anastasia really doesn’t have enough motivation only on motivation and here i would ask what with pleasure to anastasia, because usually many of us use food not as food, but as pleasure, provided that these pleasures are not available in other areas of life. anastasia, is it really so, food is your only pleasure, or what, right? no, what else is your pleasure in life? but here you are... well, it really doesn’t matter what happens to you, the children will be left without a mother, i understand, you know, anastasia, i just want to advise you, i ’m by profession, it’s like this kind of profession, it requires certain parameters, yes, let's say so, yes, and during the pandemic i also gained a lot of weight, and the director told me,

if you want to star in my film, you must lose 20 kg in 2 months, here i am...

everyone hears, they hear what the family says , what are we saying, she came here for help, but she is not ready, there is no internal motivation, you see, she says, i’m losing it, of course it’s difficult for her, because a colleague said correctly, everything comes from the family, which means there was already poor nutrition, nadia , why do you think anastasia let you go like that, rather just in this ninth grade she either had a difficult relationship at school, or an unhappy love, or some kind of...

she loves everything, lidi, and by the way, your granddaughter cooks herself, she cooks very well, and she does the housework she also does everything, yes, she does everything at home at home, it’s a little hard for her, of course, but she tries anyway, she does everything herself, because it seems like she needs to clean up, she needs to take care of the children, this, as they say, is her responsibility, here’s your husband he tells his granddaughter that all the housework

has long fallen on his shoulders, nikolai tsukanov is our guest, hello nikolai, hello, oh, how skinny, look, nikolai, what household chores do you do? well, i do a lot of things around the house, i come, i look in the children’s room, yes, i go into the children’s room, well, our children love it, i ate candy, everything was under the bed, there, i ate a banana under the bed, that is, for do you keep order in the house? why does anastasia’s own mother consider herself to blame for her daughter’s extra pounds? when i got divorced, i left, food could become

a substitute for the attention and love of a mother who was not there. we'll find out after a short pause. a reliable and large-scale bank knows that you can do more than you think when your dreams are not a make-believe world, but a reality. when relationships can become even warmer, when it’s so easy to increase the joy of loved ones. consumer loan from rosselkhozbank with love for its people. rosselkhozbank is bigger than you think. we are all simply bewitched.

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you like a drink? do we want? what? we do not want? no. i just don't recognize you. and where are you going? i'll run for help. do you have a plan? you ask? of course have? i'm on the right, you're on the left, we meet in the middle, i control the embankment, believe him. reckless, new season, in the report that we will write, he stole a jet ski and drove off into the sunset, today at 20:00 on ntv. it's beyond, it's beyond. the children of twenty-seven-year-old anastasia tsukanova from the tula region are afraid that their mother will one day break the scales. with a height of 165 cm

, due to excess weight, anastasia already walks with difficulty, she is tormented by shortness of breath, pain in the back and legs, so housework duties fell on her husband, forty-one-year-old nikolai tsukanov, i do a lot of things, i wash the dishes, vacuum, where -it will be necessary to take something out manually, under the beds, throw things into the car, it’s hard for her, of course, all this is difficult, because of the extra... weight, but

who works in your family, who is nikolai? i i work, but anastasia, no, she doesn’t work , we decided that anastasia was kind of at home, she worked, but it’s hard for her with her weight, by the way, anastasia, who did you work for, this is very interesting, i worked at a bakery, glazed gingerbread , but they left because of what, because of excess weight, yes, it was hard for me to stand on my feet for 12 hours, it turns out that you have both work and life, work is understandable, well, life, if you don’t do this, then the house will be a mess, let's look at your everyday life: twenty-seven-year-old anastasia tsukanova standing at the table in a small kitchen, puts cakes on a plate for her husband and two sons, she herself doesn’t like sweets, the woman claims, i eat everything, including vegetables , salad, pasta with gravy, soup.

i didn’t restrict myself in food. in the living room , an unfinished bottle of soda is safely hidden behind the sofa. i thought it was in the refrigerator, but the child put it behind the sofa. the love for fizzy drinks affects the figure. anastasia can no longer fit into old jackets and dresses; buying new clothes for her is a task with an asterisk. small size seventy-eight, trousers. size seventy-six hard to find ode. you won’t find it everywhere , i practically don’t wear this jacket because it fastens tightly, a wedding photo hangs on the wall as a reminder of the former structure: this is our wedding, which took place in february 2015, here i’m pregnant, but i also weighed about, probably 95 kg, i’m 18 years old here, and if

the hostess gave up on herself, her house... is clean and tidy, but cleaning is becoming more and more difficult day by day. it’s a little hard for me to clean, i just wipe the floor, shortness of breath begins, and i sit for a while, sit, then i’ll rest a little and then get up to clean up. more and more often, a beloved husband comes to the rescue; he can wash clothes and water flowers. and dust off the shelves. i try to help my wife with everything; of course, it’s hard for her because of her weight. again, if you don’t help, the house will be a mess. you know, to be honest, i didn’t expect that anastasia was only 27 years old, because behind these kilograms you are hidden. it seems to me that you shouldn’t have quit your job,

you gave up, you have no motivation at all. very often women give birth to children, and no matter how i wanted to talk about it, they gave up, like, well, that’s it, i’m married, i gave birth to children, that’s it, i’m already a mother, a housewife, a robe, slippers, did you want your wife to lose weight? naturally, i would like, of course, well, at least she would return to the weight that she was when we met before the wedding, she seemed to be not an inch, but they have a little bit of a family predisposition, her paternal grandmother is also like that if only she weren’t skinny, she wasn’t the same weight, of course, she was like that, yes anastasia, when you met, yes, yes, anastasia is here... how old are you, 16, probably, that is, you met nikolai when you were 16 years old, 17, 17, nikolai, you were attracted to such anastasia, yes, yes, she was attracted, a good, pleasant girl, i

don’t i love skinny people, i myself am skinny , why should i hit a bone, well, of course, a man, it’s not a dog that throws itself at a bone, then tell us how you met, where, we met on a social network, my girl is cute, well, i like her i wrote, we met, well, it started , that’s it, then it went, it went, how quickly it started we didn’t start living together right away, first of all she turned 18, she became pregnant, four or five months later, and she was already pregnant, well, we decided how to formalize it all, sign, but in the end you didn’t regret it, that you decided to connect your life with, i regretted it, i made my choice, you are happy with everything about your relationship. that’s how it suits me, well, i would like, of course, some variety there, in your intimate life, but in general you have an intimate life, you have an intimate life, well, how can it happen that it doesn’t

exist for a long time, anastasia, but why is that happens because i’m embarrassed by my body, there really is that... the only pleasure in her life, all our exhortations, persuasion, will most likely simply come down to zero. the first thing that is important is to see why for me food is about pleasure, to see where the pleasure is in other areas and where i am, to find support for myself in other moments, how i can love myself,

in addition to how to feed deliciously, there is such peculiarity that food equals love, this has really been instilled for quite a few generations, when if... i love you, then i’ll feed you, it’s precisely because of this that many of us form these incorrect eating habits, if you haven’t eaten, for example, soup, it means you don’t love your mother, or maybe there’s a problem here with your husband, anastasia , what i see now is that the family is indeed very strong , there are supports, of course, the topic of sexual intimacy, it is very important, but in fact, according to statistics, it is not ... in first place, in the first place are traditions, just general mutual understanding and support for interchangeability of partners, in any case the couple needs to spend time together, but the topic of losing weight is still

anastasia’s responsibility, it is important for her to make a decision, ask for help and go through this path herself. nikolai, do you believe that your wife can lose weight? i believe, why not? of course he can lose weight. well, your wife’s grandmother says that she constantly teaches her that she needs to lose weight, but your wife does nothing, she doesn’t hear her grandmother, vaska listens and eats. grandmother, of course, rightly says that this must be done, we must strive to monitor yourself, don’t let her go, but why don’t your wife listen to her, in your opinion? i don't know. lydia, by the way, you... are trying to influence your granddaughter on the issue of losing weight, but excuse me, has your weight always been above average? i was young , as he says, i was also getting married, i was 68 kg too, my girlfriends were like that, but i was still here, and did you somehow try

to cope with these extra pounds? i tried, that’s how i worked, and you know who i worked for, a giver, here we already have it, like it or not, you’ll be this and that. what you, too, have become more of a bad example for your granddaughter, now that i’ve retired, i’ve been retired for a long time, so it’s gone a little bit, too, yulia. could the example of loved ones motivate anastasia? in part, the example of our loved ones, of course, helps, but it only gives indirect support, internal motivation is the most basic thing that should be there, which will help anastasia really change herself. how should relatives act in such a situation in order to motivate the person? first of all, admit it, you know, yes. i see how you suffer i see how hard it is for you, and i really

sympathize with you, this is the very first moment of support that will not be received with hostility, and which can become an additional impetus for motivation. anastasia, you know, your mother admitted that she feels guilty about your excess weight. let's find out why. in the studio of svetlana baranova. good afternoon, hello, svetlana, you, like your mother, are afraid for anastasia, i’m very afraid sergei, because i work in moscow, when i come, she ’s getting bigger and bigger for me, and that’s how i i’ll see, my heart is already bleeding, but you told her about this, svetlana, that you need to look for the reason, of course, that’s how she sees herself, she needs to go to the doctors, did she ever answer you about this? three children, one to school , one to kindergarten, there you have to take this one to school,

maybe these are excuses, maybe, i don’t know, that is, she doesn’t take your advice, well, somewhere maybe she’s thinking, but she says , mom, i’ll go, i’ll go, she told me, but we have practically no such doctors there, but anastasia is not offended by you that you are her you teach, it happens a little, but you are generally close with your daughter, very close , we call each other, i come, she comes, we communicate, as a child you were always next to her, she shared girlish secrets with you, no, when i got divorced, i left because i have two children, i had to live on something, and i left to earn money. who raised anastasia when you were gone, grandmother, but you never forgot about her, you came to broadcasts, different things i came constantly, after 2 weeks i was there, i came, i took everything and bought it there. everything may be mine it’s the fault that i was

n’t there, i don’t know, anastasia, you had enough of your mother’s attention as a child, it wasn’t enough, of course, if there wasn’t enough of your mother, food could really become that very substitute for the attention and love of the mother who wasn’t there. next, anastasia, do you think this is your case, i think mine, why is my friend... on ntv. new year's tariff from nts.

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i rapidly began to gain weight, i tried to lose weight, go on a diet, well, for a day or two , i won’t break it, i can’t, lydia, what did you feed your granddaughter as a child, did you feed it, and how did you feed it, made pancakes, pickled pancakes, but how well, they made pies, they did everything, they baked their own livers they consumed a lot of sweets, maybe this had an effect, well, you gave them sweets, it’s also a pity, grandchildren, how could you not give them? i would like to turn now to anastasia, if we continue this eating behavior, it will undoubtedly trigger a huge number of pathological mechanisms, these mechanisms and this pathology are currently asymptomatic, that is, this will naturally lead to late diagnosis, late treatment a decrease,

if not a collapse, in the quality of life. it's all about the fact that we all were in childhood. grandmothers fed, loved, dumplings and pies; this has always been in our even national cuisine. at the moment, anastasia is an adult, and she needs to take responsibility for her own life, neither her mother nor her grandmother will eat for her, this is what we see now, this is , well, sort of a victim’s position, that is, i came, you help me there, i want to directly wish nastya, to add energy, to make myself angry in a good way, to really want to become... look, for example, in my practice, as it happened, my mother came and said, my son told me that mom, don’t come to my graduation at this weight, i’m ashamed. i don’t want to see you, thank god that we had several months for her to take and put herself in order, god forbid

hearing such things so that, well, well, it’s a shame, agree, you need at graduations, at your sons’ wedding, to take your grandchildren for a walk, to raise your grandchildren, what to do with her, what you hammer into her, well, it’s hard for you yourself, well, you understand, it will get worse, but what’s the point, what can i do, friend, they think that you, relatives, haven’t done enough to help her lose weight, in the studio of olesya borzenkova, hello, hello, alesa, how long have you known each other? with anastasia? i met nastya more than 3 years ago. was anastasia already at this weight? yes, she was, but it seems to me that she even gained a little more. have you ever seen a friend try to lose extra pounds? no, i didn’t try, even if it’s possible, in my soul somewhere inside i want it, but i don’t can

overcome herself, and her relatives tried to help her, well, her husband bought her a bicycle, but nastya never sat on it, they feel sorry for her very much, that is, she moved a little, she was tired, her husband sees this, that she it’s hard, okay, sit down, i ’ll do everything myself, and mom, grandma, how they treated this, they constantly tell her that nastya, where are you going, well, you’re young, well , it’s hard for you, pull yourself together, and you somehow they tried to influence a friend, you yourself tried, i openly told her that nastya, when you start losing weight, you need it, she he constantly says to me: oles, that’s enough for you already, leave me alone, i’m tired, she brushes it off, i think that this is all, again, all the justification, as it were , of anastasia’s own behavior, a person is responsible for his own destiny, we are always talking about family, right? this is important, of course it is important, but if a person says: leave your friend alone, leave your mother alone, don’t touch me, then they are looking for some

ways not to lose weight. nastya, believe me, everything depends on you, but start doing something, i have a feeling that you are doing nothing, it’s all about food, this is terrible, imagine how boring, uninteresting life is, and by the way, anastasia, have you at least once tried to go on a diet, to actually do something physically. well, i tried to go on a diet, but it doesn’t work out for me, i say, i break down for a day or two, but did you do any physical exercises, did, did squats, went to the doctors, no, i didn’t go, forgive me, of course , but the situation turns out to be more than strange, you say that you want to lose weight, but at the same time you do nothing on your own.

children, if you don't care about your figure, your life, if you are sitting in old traumas, whether you want to work with them or not, but you at least just take, well, try, roughly speaking, to beat yourself up, think about your children, because you are making them disabled, you are giving them the wrong food, habits, yes, an example of how to behave, what kind of woman to choose in the future, mother, that is , think about your children, just... don’t worry about yourself, but about them. philip, do i understand correctly, in this situation, saving

a drowning person, as they say, is the work of the drowning person himself. most likely anastasia will not no plastic surgeon will take her to the operating table, because she has a number of contraindications for surgery, that is, all anesthesiologists are unlikely to say, no, we won’t take such a patient, but the fact is that liposuction in itself is like... an operation i have never had a weight loss operation, that is, after this operation i do not lose weight, this operation is aimed at correcting the contours of the body and nothing more, but here so many liters of fat need to be removed, and we can remove a maximum of 5% of body weight, yes, but this is too much a lot, in this case these are unrealistic numbers, with each with a liter of fat, about 200 ml of blood is lost , that is, more... we shouldn’t take away 5 liters of fat, because about a liter of blood will be blood loss from the operation, but 5 liters, that is, about 5 kg, to remove from anastasia,

absolutely nothing will change , i have. there was a similar situation in my family, my mother-in-law, she weighed about 130 kg, well, i supported her, i support her, at one point i told my wife that stop doing this, we’re just ruining her, yes, that is, i i want my mother-in-law to work with my children, with her grandchildren, and as soon as i told my wife, because i myself couldn’t say it directly, maybe let’s stop giving her money, she’ll go to work, because that doesn’t suit me. i encourage her death, after that my mother-in-law lost 30 kg in about 4-6 months, but she never went to work, that is, she was very motivated, and my wife added that how will you look after grandchildren, if you can’t take care of yourself, that is , here you need, as they say, motivation needs to be raised in her case, yes, that is, if for her

the husband will continue to clean, if... the grandmother will continue to bake pies there, then, unfortunately, yes, here at 27 years old, with such a weight of prospects for the future life, like her whole life, is very low, so yes, anastasia, you you have to take care of yourself, a nutritionist can prescribe a diet for you, but he will not monitor it for you. anastasia, what is the likelihood that if they do help you, and you don’t return to this current state in... “i want to change, change my life, i’m worried about my children, i want to invite you to the studio beriatric surgeon anastasia zhukova, hello anastasia, anastasia, in what cases is a patient prescribed bariatric surgery? bariatric intervention is most

often prescribed to a patient with excess. body weight, that is, when the body mass index is more than forty. bariatric surgery is an operation aimed at reducing weight, either by reducing the volume of the stomach, or by reducing the volume of the stomach and cutting off part of the intestines and digestion, so that the patient eats little and little calories are absorbed, due to which a person loses weight, since very high weight is associated with a large number of concomitant diseases. the operation must first of all be safe for the person. but everything is corrected, corrected, you can and should prepare for the operation. what indicators should be in order for a patient to be allowed to undergo surgery? it is necessary to normalize, firstly, the respiratory system, so that the lungs can open adequately, so that there is adequate oxygen saturation of the blood, adequate ventilation, so that there is normal cardiovascular system, so that there is a stable pressure, so that there are no

sudden jumps. is there any before the operation? cooking has a checklist, that is , a checklist, according to which we take tests and see where we have a problem, what needs to be treated, what needs to be corrected. anastasia, do you need to lose weight before surgery? it is mandatory, since excess weight consists of fat deposits and visceral internal deposits under the skin, before the operation we ask you to lose 10% of excess body weight in order for us to be place to do. the operation itself and so that it is safe again for the person, and the operation lasts a long time? about 2-2 hours, recovery period? the recovery period generally lasts for a month, but the person must change his lifestyle and then live in accordance with our recommendations for the operation to give a positive result. how long will it take for the first results to be noticeable?

the very first results are noticeable. in the waist area, of course, they will go away, decrease, but probably anastasia after boriatrics a plastic surgeon will need to intervene to remove excess skin, as the skin is also overstretched. does anastasia have a chance to become your patient? we will be happy to examine and help anastasia on her way to a new life. come even tomorrow. for anastasia it will be. we can help for free within the framework of the pole, it will be within the framework of high medical technologies, let’s see what we can do specifically for anastasia, is it really possible that anastasia’s operation may not take place, we are currently undergoing surgical treatment for the patient contraindicated, watch immediately after the advertisement. a reliable and large-scale bank knows that you

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30 27 find out details about the emperor's secret, free anonymous call, happiness to you and good luck in love! new year's mask december 31 at 20:24 on ntv. it's beyond, it's beyond. her main pleasure in life is food. a mother of many children from the tula region, anastasia tsukanova, weighs 27 years old. almost two hundredweight. she cannot muster the will to give up chips and soda, the woman admits. i understand that if we run it further, it can lead to very bad consequences. it really freaks me out. probably only surgery will help in my case. the operation can really help anastasia, but only if she is ready to follow all the doctors’ recommendations, the bariatric surgeon said. we must

examine her carefully, and if we do not identify any contraindications, then we are ready to operate on anastasia. philip, and if after the beriatric surgery anastasia needs your help, already in body correction, can you help? no problem, yes, of course, we can help anastasia, but the point is that anastasia must understand that bariatric surgery is not a cure for your obesity after that. yes, you will lose surgery, but if you return to your taste habits of gaining weight, nothing will happen, that is, you are unlikely to reach me, you should reach me already in that state when everything hangs on you, i think that this the journey will take about a year, a year and a half before me, if she goes through all these stages, we will help her, of course, marina, and you can help anastasia prepare for the operation, but this is exactly the doctor’s task. nutritionist make up

nutrition plan, help you figure out different parameters, with vitamins, minerals, and so on, in order to maximize metabolic processes, in my personal practice , my largest patient was 220 kg, and he lost weight himself to 135 kg, and his motivation was travel, he really wanted to travel, but they didn’t take him on planes, because it’s clear that even with an extra belt, he couldn’t just physically fasten you. so he found his own motivation. yulia, will you provide your support to anastasia? undoubtedly, provided that she has some kind of request, and if she answers this one question, then of course, yes. as i understand it, this very question is a request, is anastasia ready to take her health seriously and accept this help. if it helps, i'll never go back that size again. i promise that. i will change,

for the sake of children, for the sake of loved ones, don’t let us down, anastasia, don’t let us down, we believe in you, the very next day anastasia tsukanova came for a consultation with psychologist yulia metlova, the first step to a healthy future is to realize your problem, that’s what it sounds like to you , your problem is now overweight, yeah.