The main purpose of aromatherapy is to help you feel relaxed mentally and physically. Essential oils are used to help make that happen. Aromatherapy has gained a lot of recognition in recent times. The products usually used for aromatherapy are diffusers, inhalers, bathing salts, clay masks, face steams, and a lot more. To sum it up, you can expect to feel completely relaxed and rejuvenated after your aromatherapy session. Just like aromatherapy, tantric massages have been getting a lot of recognition too. That’s also because of its many benefits. Listed below are some of the many benefits of aromatherapy.

Benefits of Aromatherapy:

• Aromatherapy helps you understand how to manage your pain and have control over it. Its therapeutic qualities help you reduce your pain too, emotional and physical.
• Aromatherapy has proven to be of great help when it comes to working on yourself. For starters, aromatherapy helps you sleep better and improve your sleep schedule.
• Aromatherapy is a great option for those who are stressed out and those who are dealing with anxiety. It’s not easy to battle anxiety all by yourself, to your luck, now there’s a treatment to help you out with it and help you feel better about yourself.
• It can help you with your sore joints too.
• Aromatherapy is used by many people to reduce some side effects of chemotherapy.
• Pregnancy is one of the most difficult and painful moments for a woman. Aromatherapy can help you reduce pregnancy pain too.
• Believe it or not, aromatherapy can also help you boost your overall immunity and rebuild you.

Some of the cities where aromatherapy is especially famous are Asian cities, most cities in China, some countries in Europe like France, London, and many others. Wherever you reside, aromatherapy is a must-try!

Let’s look at what we really mean when we use the word ‘diet’ for most of us it’s something we do short term to achieve the goal of losing weight. which is why for most people diets don’t work. If you eat in a way that makes you gain weight, then diet, then go back to eating the way you did when you first gained weight. the only logical conclusion is, that you will regain some, all or more than the weight you lost. Here’s another strange thing to consider, if, as we’re constaly told by the ‘diet industry’ that we have to restrict our calories, our fat, our carbs or any combination then why don’t we all explode? Sure some people can weigh 600lbs but they stay at that weight, they don’t keep going, they may die and do if they do nothing to reduce the burden their bodies carry but they don’t explode. their skin doesn’t stop stretching, their body doesn’t stop creating more cells to store the fat in. Their bodies do give out but it’s the heart, liver, kidneys, pancreas or other organ or organs that give out and cause death.

If there is any confusion related to the purchase of the best testosterone booster, then you can do proper research. You can do little research at the platform to purchase the correct boosters. There is no gaining in the weight for long period with continuous consumption  of the boosters. 

So if weight gain is just a matter of more calories in than out why don’t people just explode? Doesn’t it mean that there may be something else at work? Like insulin response, acidosis or something as yet to be discovered genetically. The main stream medical fraternity is now paying much more attention to modifying insulin respones, not just for diabetics but for everyone. Problems always seems to arise when someone, be it a ‘celebrity’ or ‘expert’ comes out with yet another diet plan, one that will ‘cure all’. Often ‘with no effort’ so thousands flock to this new plan, making a lot of money for it’s authors and suppliers along the way. Many succeed in the first weeks and post comments on line that encourage more people to try it (and make more money for the authors etc.) and yet, when the next ‘new diet’ comes along many will migate to that. Why? If the first one was so great and such a ‘cure all’ why did they need to move to the second?

Could it be do you think that in fact the first diet didn’t work long term? Is it too restricted? To fiddly? Too boring? What? Maybe, it’s because healthy eating is not the same as dieting and, maybe what’s healthy for some is not for others. Maybe because we’re all individuals and as such our bodies process food, fluid, stress and happiness in unique and different ways, that in turn means that our bodies react differently to different foods and ways of eating.

To help you make up your mind, below are 3 links to some research into different diets and the long term results. For me a successful eating plan is one I can enjoy every day, that doesn’t require me to obsess about what I can and can’t eat (because I’ve got good alternatives to the bad food) and one that enhances my health while balancing my weight. Oh yes, and it’s not going to be proven a total success until I’m dead and either slim or fat. If I’m slim, it worked if I’m fat it didn’t, simple as that.

Calorie Counting Diet Plan – The Research

As I read this I thought Yes! that makes sense, we are all different and it explains why some people on a calorie restricted diet (which in my opinion is one where not only do you count your calories but have a level above which you must not go, regardless of whether that’s 1500, 1800 or 2000) lose weight and keep it off and others don’t.

Fat or Calorie Restriction – The Research

A different study concluded that it make no statistical difference if you restrict fat intake instead of calorie to the end result, which is some people will succeed and the majority won’t. The majority who don’t will be villified by those who do as weak or in some other way at fault. When the truth appears to be more along the lines of has the diet changed your insulin response? If it has become more sensitive, then you will not regain the same amount of weight as someone who’s insulin response has not been altered.

Low Fat – Mediterranean – Low Carb Diet Plans

This study compared 3 diets, calorie restricted low fat, mediterranean and no restrcition low carb. Strangely enough the low fat group lost the least amount of weight, the low carb just edged out the mediterranean diet but not really enough to make a huge difference.

Back muscle pain can lead to serious problems in your system and cause difficulties in your daily activities. This kind of pain can be treated at home, but at times they become unbearable. So you need to know how you are going to heal from it. But, did you know that there are different kinds of back muscle pain? Yes! Let’s take a look at the most common ones – 

• Axial Pain –

Also known as mechanical pain, Axial pain is usually focused on a particular spot or region around the back. This kind of pain can be described as sharp or dull and it is not constant. It comes and goes. Axial pain is mostly caused because of a muscle strain when the facet joints or the annular tears in discs are injured. 

• Referred Pain –

Many people describe this type of pain as dull and very achy. It tends to move around the region and can vary in intensity throughout the day. For instance, around the lower back this can cause much higher and sharp pain when compared to others. Referred pain can lead to serious problems because of the sudden pain.

• Radicular Pain –

Can be very painful and takes a lot of time to heal properly. It delivers an electric shock or searing – like pain around the back. It usually affects the area around the spinal cord. The most common reason for this kind of pain is because of an injury or inflammation around the spinal nerve.

These are the three different kinds of back muscle pain which people usually face. All of them can be very painful and need to be treated properly over time. Do not neglect any of the categories of muscle pain we just said. You can buy palmitoylethanolamide from different online medical stores with good inventory.

The incline bench has been in use for quite a while and is now considered to be very important when you want to take your weight training to the next level.

When you’re working out, it is a good compromise between using the overhead and the bench press. That’s because it does a good job of working the clavicular pecs rather than the sternal ones while still working the delts and tris. It is also somewhat easier on your back than the usual overhead type. Moreover, you can easily improve its effectiveness by adding leptoconnect pills to your diet plan.

When incline benches first came out they had no racks attached and the user needed another person to hand them the weights. Because of this inconvenience, the “standing” benches were much more common. These were benches where the board was held up at an angle and had footholds built into it. The biggest advantage of this bench was that you could stand up and get the bar to the floor if you missed a lift.

These days, incline benches come both with and without racks, and some, but not all, are adjustable. Even with the adjustable incline benches, they may not adjust enough to suit everyone. It can be particularly annoying when the angle of the bench causes the bar to be behind your head when lifting.

If the bench does not have a rack, it is important to have a power rack to lift off properly. Often, this type of bench without a rack is the best choice for many lifters because the saddle heights are adjustable. They also usually have safety bars that are just below your upper sternum and are invaluable if you miss a lift.

The incline bench press is a very good exercise if you are trying to build your upper chest. It works many of the upper muscles and most of the shoulder muscles.

To use an incline bench, first lie supine. Take the barbells off the rack over your chest using a wide oblique overhand grip. Lower the bar to your upper chest and press until your arms are completely extended. Repeat until you have completed your desired number of repetitions.

Using the incline bench press is about the same exercise as when you are using a traditional bench. The main difference is that with this exercise you will be lying back on a bench that has about a 45-degree angle of incline.

Some of the muscles that you will be working with this exercise are pectoralis major, pectoralis minor, anterior deltoid, and triceps brachii. The only caution is that if you have shoulder problems you should either avoid the incline bench or use it at only a slight angle with barbells to cut down on stress on the joints

Some of the advantages of using the incline bench are that you will be able to develop strength and/or build muscle. Using the incline bench press has become very popular and for good reason. It has proven to one of the best ways to enhance strength training and most people love it. If you are not currently incorporating the incline bench into your routine, why not give it a try?

Jeff wanted to reduce his weight when he turned 40, he had 25 pounds extra than the normal weight. So he followed strict dieting which caused weight loss. On the other hand he started looking lifeless and empty. So his friends were worried about him and his health.

Then he continued his normal diet and by the time he volunteered for a fitness program he had gained another 25 extra pounds. The fitness program was for 6 months and this time he became slim. He was energetic and was in great health.

I was totally astounded at the results when I looked at him and there was such an enthusiastic verve in his gait that I wanted it to rub off on me given the condition I went through so without further ado, he told me a ready alternative which was to look up leptoconnect reviews for shedding weight.

Do you know what helped Jeff to become so energetic? The first time he reduced his weight, but the second time Jeff reduced the fat in his body. Research says, when you are dieting it causes loss of connective tissues and muscles and a small amount of extra fat in your body. But when you do exercise this causes a reverse effect it makes your body slim and reduces the excess fat. Most of us believe that cellulite are present in people who are overweight and we always relate cellulite with obesity and fats.

What does cellulite actually mean?

They are the wrinkled cells and the connective tissues that form the layer of your skin. So cellulite is not only related to those people who are obese, there are people who suffer from cellulite and are not overweight.

There are several factors which are considered to be the main cause of cellulite in our body. According to the health experts the structure of your fat cells and poison that has entered your body are the main causes for cellulite. In some people it may be due to hormonal changes, but the real cause for cellulite has not been proven by anyone in medical history.

Cellulite are more common among women than in men. This is because of the connective tissues in women. These connective issues are more firm and rigid in men than in women. The connective tissues become bigger and tend to swell when a women becomes fat which is the cause of orange peel look in woman.

What does Cellulite and Fats mean?

Most of the people think that cellulite is caused in their body due to obese. But this is not the real cause; fat may only be one of the reasons for cellulite. When you become fat it gives lot of strain to skin and it tends to push the tissues, which in turn cause cellulite. This also depends on the cell structure in a person’s body. There are some individual cells which don’t expand even after the fat is deposited, so there is no fear of cellulite.

How to stop Cellulite?

Many people suffer from obesity due to consuming lots of food which causes fat deposition in the tissues. Gaining weight is easier than losing it after gaining. There are three alternatives which help people to have balanced diet.

• Take less food and be more active.

• Keep food intake constant and try to increase activity.

• Keep a balanced approach to your diet and exercise. So if you are planning to reduce your calorie intake try to do these activities. Never follow Jeff in his first attempt which caused loss of connective tissues rather than the removal of fat. So if you want to lose cellulite always engage yourself in an exercise routine.

By this time, you might know somebody who does some kind of yoga or you have comes across Yoga Burn 12 Week Challenge Review. Or better yet, YOU might have some specific yoga routine. A lot of people are getting into the habit because of the health benefits of yoga. It has slowly crawled its way to western culture. In particular, the yoga types practiced today in a lot of clubs, gyms, and available in videos are yoga postures or “asanas” that are from Hatha Yoga. But beyond the physical level, yoga is considered a way of living that unites mind, body, and soul.

Origin

The origin of the word yoga has a number of different meanings. Its Sanskrit root is “Yuj” which means “to unite”, “to control”, “to integrate” among others. The origins of Yoga can be traced in India and is associated with Buddhism and Hinduism meditative practices. What is now known as a classical science and philosophy of yoga as expounded by Indian sage by the name of Patanjali, who is known today as the compiler of Yoga sutras? While yoga is already considered as old as civilization, it still continues to evolve and is as relevant now and before.

Benefits

As a tradition and philosophy, yoga is considered a key to personal growth and self-improvement. Hatha Yoga helps achieve a body and mind balance through the physical poses or Asanas, breathing techniques or Pranayama and meditations. The popular Asanas are positions beneficial for toning muscles, lubricating joints and massaging the body. There are poses that a beginner can easily learn and there are those that take longer to master. For healthy body and mind, you could try here at the official site to get the right benefits. The massaging of the body will be great and different poses can be there. The medications to the person should be great for the exercises and yoga.

Beyond improved flexibility, increased strength, and enhanced posture, yoga poses are also alternative cures to asthma, seizure, eating disorder, arthritis, and even bipolar disorder. In weight management, yoga poses can also lower cholesterol, burn calories, and even improve blood sugar levels. It also is considered effective for preventing heart disease and high blood pressure, especially if combined with a fiber-rich diet and aerobic exercise.

Certain yoga poses form part of therapies to strengthen the back, after a spinal injury. It can also help you sleep better.

Yoga meditations and breathing techniques help you commune with nature. It can be regarded as a way to maintain a balanced attitude that can help combat stress, depression, and anxiety of day to day living. In stress management, the precise movements of yoga draw your focus to relaxing situations and away from the chaos. And because yoga increases your stamina, you can cope up with the physical aspects of anxiety.

Yoga postures bring physical as well as mental stability, health, and vigor. But more than just stretching, Asanas are known to open energy channels and psychic centers of the body.

In different facets, yoga helps slow down the aging process. On the physical level, the benefits of flexibility, strength, and posture can do wonders for your skin, muscles, bones, and blood circulation. Overall, yoga can help achieve a strong healthy body that has an increased immune system to combat various diseases.

In a mental plane, achieving that inner peace can relieve a person of stress, depression, and anxiety which in turn can also translate to degenerative diseases

Growing trend

In today’s world, yoga is popularly considered as an exercise routine. There are a lot of yoga routines that fit almost anyone’s preference. There are even yoga poses for pregnant mothers, and there is no age limit for the practice. You can visit a yoga class to see for yourself the yoga concepts and techniques.

There are different classes designed to address different needs. There are those for building strength and endurance, for weight management, and those that aim to unite your body and spirit. Before you enroll yourself in a yoga class, make sure that yoga teachers are certified and that your chosen studio is reputable.

The last thing you need is to stress over your yoga program.

A slow, sluggish body metabolism hinders weight loss, promotes weight gain, and promotes low energy levels and digestive problems. Speeding up and energizing a sluggish metabolism can be achieved by implementing these easy-to-follow steps:

Eat smaller, more frequent meals

The simple process of eating stimulates metabolism. Every piece of food that is consumed requires digestion, which causes a metabolic spike. The key to using eating as a way to stimulate a sluggish metabolism is to avoid eating a few large meals throughout the day and instead eat several smaller meals throughout the day. Eating 5-7 small meals will provide 5-7 metabolic spikes, and smaller, more frequent meals are easier to digest and less likely to be stored as fat. The key is to keep overall caloric intake the same but divided up in small increments throughout the day. This type of eating pattern stimulates a sluggish metabolism and keeps it functioning at a higher rate due to the constant influx of small meals that need to be digested and excreted! For the excellent metabolism, the leptitox reviews will be visited through the person. The functioning of the body will be excellent with the consumption of the nutrition with less charges.

Eat More Protein-Rich Foods

Out of all the micro-nutrients available in foods, protein has the highest thermic effect, which is the amount of calories the body has to waste digesting a particular food source. Fat has a very minimal thermic effect; carbohydrate slightly higher; protein, however, has a significant thermic effect, requiring tremendous digestive function to digest and transport. Therefore, a diet rich in protein, specifically lean cuts of protein, will have a positive, uplifting effect on a sluggish and slow metabolism. Many times a person’s metabolism will drastically increase simply by eliminating certain metabolic quenching foods(fats, sugars, simple carbohydrates) and replacing them with lean proteins(lean cuts of meat and fish, nuts and legumes, and low-fat or non-fat dairy). An added benefit of higher protein consumption is the satiating effects that protein has on appetite; diets high in protein tend to curb hunger and satisfy much better than high carbohydrate and/or high fat diets!

Drink Plenty of Water

Keeping adequately hydrated is of great importance to maintaining peak metabolic function. Many people with sluggish metabolisms are dehydrated. A body that is dehydrated does not function at optimal levels, and this includes metabolic deficiencies. The human body is made up largely of water, and every vital function necessary for the maintenance of health and life requires sufficient body hydration on a daily basis. Everything from cellular functions and processes to digestion and elimination require adequate amount of water. An active, healthy adult should aim to drink at least 8-10 cups of water per day. It’s always better to over hydrate than to under hydrate, as frequent trips to the bathroom are a small price to pay for increased body efficiency and a healthier, faster metabolism!

Get Daily Physical Exercise

A sedentary lifestyle is one of the biggest factors causing a slow, sluggish metabolism. Physical movement burns calories by elevating metabolism. The more strenuous an exercise or movement, the higher the metabolic spike and the greater number of calories burned. Simply incorporating more physical exercise on a daily basis will have a significant impact on a person’s metabolism. And exercise need not be overly-strenuous to have a significant metabolic impact. Gardening, walking the dog, and performing household chores all count as physical exercise with metabolic-boosting effects. The key with exercise is to incorporate it into daily life; getting in the habit of moving more and being more physically active in general translates into more calories burned and a higher-functioning, speedier metabolism!

Before we start on the benefits of digestive enzymes supplements, let’s first take a closer look at what really is the modern diet. Our modern diet consists mostly of foods that are far from its natural state. Potatoes become French fries, fruits become bottled juice, and milk becomes ice cream; you get the idea. They’re all non-living foods!

Sure we can eat them when we are young and nothing really happens. But as we get older, all of the common symptoms of gas, bloating, indigestion, and heartburn start to show out of nowhere. Therefore, what most of us do is simply take antacid to relieve them. But the symptoms will always come back.

All foods in their natural, raw state have functional enzymes that allow you to digest them. Enzymes are protein molecules that as soon as it is exposed to hotter temperatures, such as cooking, they become deactivated, and nonfunctional.

Digestive enzymes help you to absorb all the nutrients present in the food you eat and make your body fit and strong. The immune system has a positive effect and protects the body from diseases and ailments, which would be impossible for a weak immune system. The enzymes are basically catalysts for nutrients like protein and carbohydrates, which you can find in various substances like green juice powder and fruits and veggies.

Our bodies naturally produce 22 different digestive enzymes to digest what we eat. For example, the enzyme lipase is for digesting fat. The enzyme amylase is for digesting carbohydrates. The enzyme protease is for digesting proteins.

When our diet is consisted of mostly cooked and processed food, then that means we simply tax our organs such as the pancreas to continue producing these enzymes to digest the food we eat. Overtime, these organs are just overload with work, because nothing we eat has any digestible enzymes in it. Sooner or later, we will start getting digestive symptoms from foods not properly digested because some organs were too exhausted to keep up.

The easiest way to start helping our body does what it do best is to take digestive enzymes supplements. When enzymes are abundant, then it means less work for the over-worked organs. Foods we eat now digest better, and that means everything else will be better, since our internal reflects our external.

However, if digestive enzymes supplements are still not enough, then we really need to adjust our modern diet to a more natural diet consists of many live foods. Instead of drinking bottled juice, eat a real fruit. Instead of eating canned vegetables, eat a real salad for once.

Of course, we do not have to go to the extreme of becoming a total raw-food eater, because we will end up missing a lot of our favorite foods. But our health is important, and the food we eat will reflect it. Therefore, before picking up that slice of pizza, just think about how far from its natural state it is. Then take some enzymes supplements to help digest it. Better yet, replace that processed food item to something more living. Constantly thinking about what we eat before we eat (not after) will definitely help in making the transition to a healthier, easy-working body.

Getting a well-muscled physique is a goal a lot of guys (and even some girls) aim for. In this article, I’m going to try and show you a few steps you need to take in order to build muscles quickly. It really doesn’t matter how skinny you think you are, because the fact is everybody, no matter how skinny, has muscles, and I’m going to try and show you the most important steps you need to take in order to grow your muscles into massive size.

Step 1: Eat The right Foods

Chucking out junk foods from your diet routine is a must if your are really serious about getting heavy muscles fast. The kind of foods you really need to feed your body are protein-rich foods like chicken, steak, and pork. Also make sure you eat lots of carbohydrates. Then last of all eat as much fruits and vegetables as you can, because they help to keep your body in prime condition.

When it comes to building muscle mass, carbohydrates and protein-rich foods are your body’s building blocks.

Step 2: Take Nutritional supplements

Nutritional supplements are great for helping to provide your body with the extra nutrients it needs in order to build muscle mass. In order to accelerate your muscle building progress and supply your body with the extra protein it needs, protein shakes are an excellent option, as they also help to repair torn muscles. Supplements like Testogen are also effective in providing support when building muscles. You may check Testogen review 2020 online for more information about the product. 

Step 3: Workout . . . Intensely

This one’s obvious, but some people seem to think that they can build muscle just by taking nutritional and muscle building supplements. In order to build muscle, you MUST work out heavily, its something you just can’t avoid. I mean you can take every single nutritional and muscle building supplement on the planet, but if you don’t actually carry out intense workouts, you are merely wasting your time.

A lot of guys want to burn fat, and build muscle, but are under the mistaken impression that if they’re ever going to successfully build muscle, they’ll either have to sign up at an expensive gym, or install a lot of fancy (and costly) fitness equipments in their home, the truth is actually very fat from that, because the fact is you do NOT have to sign up at a gym or buy any fancy equipment in order to start building muscle, of course working out at a gym is very helpful, but if you would prefer not to fork out cash for a gym membership, its not 100% essential.

In order to build massive muscles quickly without stepping a foot in the gym ,the kind of workouts you’ll need to carry out are Body Weight Exercises, as the name implies, Body weight Exercises are workouts where the only resistance to movement is supplied by the weight of the practitioner’s body. some Body weight workouts are even more effective than gym workouts, and if you carry out body weight exercises regularly and with intensity, you’ll end up with the kind of body most guys who go to the gym only dream of.

Here are a couple of body weight exercises you can carry out from the privacy and comfort of your room.

One Leg Balance Squat – 2 minutes or more Squat-Thrusts – 10 reps Chair Dips – As Many as You Can Push-Ups – 10 reps Mountain Climbers 20-40 seconds

If you need detailed descriptions of these workouts visit the following page. http://sportsmedicine.about.com/od/tipsandtricks/a/basictraining.htm

P.S. One of the best books on how to build massive muscles using body-weight exercises only I’ve ever come across is The Naked Warrior by Pavel Tsasouline, a former Russian special forces fitness instructor.

Step 4: Rest

You may or may not know this, but muscle growth actually occurs when you’re resting, so overworking your muscles without giving them a brief resting period is actually counterproductive, and might even lead to injury since your muscles will be overstrained.

So there you have it, a few effective tips to help you build massive muscles fast.So what are you waiting for, try them out and very soon you’ll start seeing changes in your physique.

Obesity is a chronic medical condition. Successful treatment employ a multidisciplinary approach to weight loss with hypocaloric diet, physical exercise, behavior modification to change eating habits, social support, and drugs.

Diet Reduced caloric intake play most important role in obesity treatment. A diet rich in fruits, vegetables, whole grains, and other low glycaemic carbohydrates is recommended for promoting weight loss. There is no special advantage to diets restricting carbohydrates and consuming large amount of proteins and fats. Knowledge of the caloric and nutrient content of the food is a valuable aid to weight loss and weight maintenance.

Exercise increases energy expenditure and has a much more positive role in reducing fat storage and weight maintenance.

Behavior modification Patient is requested to monitor and record the circumstances related to eating, and modify behavior leading to change in eating habits. Patients can be taught to recognize `eating cues�Œ ( emotional, situational etc) and how to avoid and control them. Weight loss clinic Houston is very keen in observing these habits to their clients. Hence, if you want to get support in achieving your desired weight, weight loss clinic is the answer.

Social Support is essential for a successful weight loss program. Support from family members is essential for reinforcing behavioral changes.

Drugs Carefully controlled diet and physical exercise are the main approaches for any weight loss program, but increasing number of patients may also need medications for obesity. These drugs may act by suppressing food intake, increasing energy expenditure or increasing lipolysis. At present only two drugs are mainly used for weight loss program: Orlistat and Sibutramine.

Orlistat is the first approved medication for obesity. It is a pancreatic lipase inhibitor and thus reduces absorption of fat. In randomized trials with up to 2 years of follow-up orlistat(120 mg) has resulted in modest weight loss (8.7 kg). Side effects include oily stools, flatulence, and cramping.

Sibutramine was originally developed as an antidepressant, found to be effective in the treatment of obesity. Sibutramine acts as an inhibitor of neuronal 5- hydroxytryptamine (5-HT) /noradrenaline reuptake at the hypothalamus that regulate food intake. It reduces food intake and a dose of 10 mg/d results in an average weight loss of 3-5 kg. Side effects include anorexia, dry mouth, constipation and insomnia. In some patients increase in heart rate and blood pressure is reported and the drug is contraindicated in the presence of cardiovascular disease.

Surgery Surgery may be considered as treatment option for patients with severe obesity having a BMI  gt;40 and in whom treatment using diet, exercise and available drugs did not produce adequate response. The beneficial effects of surgery include major weight loss and improvement in hypertension, diabetes, angina, hyperlipidemia, and congestive heart failure. The most popular surgical procedure is roux-en-y gastric bypass (GBP). Operation can be performed by laprotomy or by laproscopy. Another surgical procedure laproscopic adjustable gastric banding is widely used in Europe and can produce substantial weight loss.