How many kilos can you lose in the first month with stomach Botox

Are you tired of strict diets and long workouts and still searching for an effective way to lose weight? Gastric Botox for slimming has become a popular solution for those who want to shed pounds safely and non-surgically. This procedure involves injecting botulinum toxin into the stomach muscles to slow gastric movement and increase the feeling of fullness, helping you eat smaller portions without constant hunger.In this Dalily Medical article, we will discuss in detail how much weight you can lose after gastric Botox, how it aids in slimming, the steps of the procedure, necessary preparations, post-injection diet, and essential tips to ensure the best results. All information is presented in a simple and realistic way to help you make the right decision.

What is Gastric Botox?
Gastric Botox is an injection containing botulinum toxin that relaxes the stomach and intestinal muscles. This effect is useful for treating conditions like stomach cramps or irritable bowel syndrome.

In the case of obesity, gastric Botox is used differently: it is injected into the stomach wall to slow gastric movement and increase the feeling of fullness, which helps with significant weight loss when combined with a proper diet.


Frequently Asked Questions About Gastric Botox for Weight Loss

  1. Is gastric Botox suitable for children or teenagers?
    No, it is only for adults because it requires strict dietary adherence and careful follow-up.

  2. How much weight can I expect to lose after gastric Botox?
    Usually between 5–15 kg during the first few months, depending on diet and physical activity.

  3. Does gastric Botox reduce appetite only, or does it burn fat?
    It reduces appetite and slows stomach movement but does not directly burn fat. Weight loss depends on reducing calorie intake.

  4. Can gastric Botox be combined with other slimming methods?
    Yes, it can be combined with diets, exercise, or other non-surgical procedures to enhance results.

  5. Is there a difference between its effect on healthy people and overweight individuals?
    Its effect is greater in moderately overweight individuals. In cases of severe obesity, it may be less effective and may require additional procedures.


Necessary Tests Before Gastric Botox

Before the procedure, several tests are necessary to ensure safety, including:

  • Blood and urine tests: Evaluate liver and kidney function and check for infections.

  • Imaging tests: Sometimes a CT scan or ultrasound is performed to check the stomach for any issues that might prevent the procedure.

These tests help assess overall health and ensure the procedure is safe.


Calculating Excess Body Weight

Excess weight is calculated using BMI (Body Mass Index):

BMI=Weight in kg(Height in meters×Height in meters) ext{BMI} = frac{ ext{Weight in kg}}{( ext{Height in meters} imes ext{Height in meters})}BMI=(Height in meters×Height in meters)Weight in kg​

Example:

  • Weight = 80 kg

  • Height = 1.7 m

  • BMI = 80 ÷ (1.7 × 1.7) = 27.6

A BMI over 25 is considered overweight.


Does Gastric Botox Require General Anesthesia?

Yes, general anesthesia is used to ensure patient comfort and safety during the injection.


Common Concerns About Gastric Botox

  1. Does it cause permanent damage to the stomach?
    No, Botox does not cause permanent stomach damage. Some patients may experience mild fatigue, nausea, or constipation (1–10%), lasting a few days to two weeks. Repeated injections in the same area can, however, lead to permanent muscle paralysis, which is a serious side effect.

  2. Minimum age for gastric Botox: 18 years, under medical supervision.

  3. Gender differences: No difference; both men and women can safely use it for weight loss.

  4. Does Botox spread in the body?
    No, its effect is localized to the stomach muscles to reduce contractions and appetite.

  5. Weight loss potential: Varies based on diet, physical activity, and overall health. On average, patients may lose 15–20% of their weight with proper diet and exercise.

  6. Duration of results: Temporary, lasting 4–6 months. Maintaining weight loss requires ongoing diet and exercise.

  7. Procedure duration: Usually 45 minutes to 1 hour.

  8. Recovery time: No long recovery period; most patients can return to daily activities the same day.

  9. Onset of effect: Appetite reduction starts in 2–3 days, noticeable weight loss within 2 weeks.

  10. Post-procedure care: Follow a healthy diet, exercise regularly, drink enough water, and consider a nutrition plan supervised by a dietitian.

  11. During pregnancy or breastfeeding: Not recommended until after pregnancy and lactation.

  12. Coffee and beverages: Coffee is allowed after consulting the doctor, but avoid it for the first three days. Avoid soda, acidic drinks, and fast food.

  13. Why might weight loss not occur?

  • Incorrect injection amount or location.

  • Lack of adherence to diet and exercise.

  • Proper medical supervision ensures success.

  1. Frequency of Botox injections: Varies per patient; some need only one session, others may need multiple sessions.

  2. Lifestyle changes after injection: Required. Follow a healthy diet, exercise regularly, avoid heavy meals, soda, alcohol, and fatty foods.

  3. Are results permanent?
    Temporary, lasting 3–6 months. Repeat injections may be necessary.

  4. Weight loss range: Typically 10–20 kg over 4–6 months, with results often visible from the first month.


Who Can Benefit From Gastric Botox?

  1. Mild to moderate obesity

  • For those with noticeable weight gain not suitable for major obesity surgery.

  • Reduces appetite and delays gastric emptying.

  • Non-surgical, quick procedure for mild to moderate weight loss.

  1. Difficulty controlling appetite

  • For people who get hungry quickly and eat large portions.

  • Slows stomach movement, prolongs fullness, and reduces constant desire to eat.

C. Obesity Cases That Prevent Surgery

  • Patients with health issues that prevent major surgeries (e.g., heart or lung disease).

  • Role: Provides a temporary and safe method for gradual weight loss before any future surgical intervention.


D. Temporary Weight Loss Before Other Surgeries

  • Some patients need to lose weight before major procedures to reduce risks.

  • Role: Serves as a preparatory stage to improve health before surgeries like gastric sleeve or gastric bypass.


E. Patients Who Need Lifestyle and Dietary Improvement

  • Individuals who need help reducing food intake and increasing satiety.

  • Role: Gradually promote adherence to a healthy diet while showing tangible results.


F. Cases Requiring Limited Rapid Weight Loss

  • Patients who want moderate weight loss quickly without surgery.

  • Role: Quick procedure with results visible within a few days, with continued weight loss if diet and exercise are maintained.


Benefits of Gastric Botox

  1. Reduces Appetite and Increases Satiety

    • Botox weakens stomach muscles, slowing gastric emptying.

    • Creates a longer feeling of fullness, reducing daily food intake.

  2. Relatively Safe Weight Loss

    • Helps lose weight without major surgery.

    • Highly effective when combined with a healthy diet and exercise.

  3. Quick and Non-Surgical

    • No abdominal incision or strong general anesthesia needed.

    • Procedure usually lasts 20–40 minutes, and patients often return home the same day.

  4. Temporary and Adjustable Effect

    • Results last 6–12 months.

    • Injection areas and doses can be adjusted for optimal outcomes.

  5. Reduces Obesity-Related Complications

    • Weight loss lowers risk of heart disease, high blood pressure, diabetes, and joint problems.

  6. Suitable for All Adults

    • Safe for patients over 18 years old, especially those who do not want surgery or have health risks preventing major bariatric surgery.


Components of Gastric Botox and Their Functions

Component Function / Role Notes
Botulinum Toxin Type A Main active ingredient; temporarily weakens stomach muscles to slow food movement and prolong satiety Concentration and dose vary based on patient weight and stomach size
Sodium Chloride Diluent to reduce Botox concentration and facilitate injection Helps distribute Botox evenly in the stomach
Povidone or Bovine Serum Protein Preservative or stabilizer to prevent rapid Botox degradation Varies by manufacturer
Sterile Water for Injection Dilutes solution and ensures sterility Prevents infection during injection
Sugar or Lactose (in some types) Helps stabilize solution and prevent clumping Not present in all Botox types

Types of Gastric Botox Procedures

Gastric Botox involves injecting botulinum toxin into the stomach wall to reduce muscle activity and slow gastric emptying. The differences lie in the injection method and targeted area:

  1. Full Stomach Botox

    • Goal: Reduce muscle activity across the entire stomach.

    • Benefits: Creates faster satiety and slows overall gastric emptying.

    • Drawbacks: Temporary effect; requires follow-up to avoid digestive issues.

  2. Upper Stomach Botox

    • Goal: Inject into the upper stomach where satiety begins.

    • Benefits: Quickly reduces appetite; helps control food intake.

    • Drawbacks: Additional injections may be needed if full effect is not achieved.

  3. Gastric Antrum Botox

    • Goal: Inject into the lower (pyloric) part that pushes food into the intestines.

    • Benefits: Slows emptying and increases satiety for longer.

    • Drawbacks: Some patients may feel heaviness or excessive fullness.

  4. Endoscopic or Imaging-Guided Botox

    • Goal: Precise injection using endoscopy or imaging.

    • Benefits: Higher accuracy and safety.

    • Drawbacks: Requires special equipment and high physician expertise.


Steps of Gastric Botox Procedure

Gastric Botox is non-surgical, quick, and relatively safe, and the steps are as follows:

1. Pre-Procedure Preparation

  • Consultation and evaluation of weight, medical history, and stomach health.

  • Blood tests to check for contraindications.

  • Fasting for 6–8 hours before the procedure.

  • Adjust medications (e.g., blood thinners) under doctor supervision.

2. Anesthesia

  • Usually local anesthesia with mild sedation, or light IV sedation.

  • Goal: Ensure patient comfort without complete loss of consciousness.

3. Endoscope Insertion

  • A thin endoscope is inserted through the mouth into the stomach with a camera for clear visualization.

4. Botox Injection

  • Botulinum toxin is injected into specific areas of the stomach wall.

  • Number of injections: 10–30 depending on stomach size and target area.

  • Goal: Relax muscles, slow gastric emptying, and increase satiety.

5. Completing the Procedure

  • Endoscope removed gently; no stitches or surgery needed.

  • Duration: 20–40 minutes.

6. Immediate Post-Procedure

  • Monitoring for 1–2 hours.

  • Most patients return home the same day.

  • Temporary bloating or mild nausea may occur.

Recovery and Follow-Up After Gastric Botox

  • Avoid solid foods during the first 24 hours.

  • Follow a healthy and balanced diet.

  • Monitor for side effects such as severe vomiting or stomach pain and contact your doctor immediately.

  • Botox results appear within a few days and last 6–12 months.


Side Effects of Gastric Botox

Common and Temporary Side Effects

  • Nausea or vomiting: Common in the first few days after the procedure.

  • Bloating or feeling full: Due to slowed gastric emptying.

  • Heartburn or stomach cramps: Experienced by some patients after injection.

  • Mild diarrhea or constipation: Resulting from changes in stomach and intestinal movement.

Limited and Temporary Effects

  • Botox effect typically lasts 6–12 months.

  • After the effect wears off, the stomach returns to its previous state and weight may return if diet is not maintained.

  • Weight loss is generally limited compared to major bariatric surgeries.

Rare Complications

  • Allergic reaction to Botox: Skin rash or itching.

  • Temporary stomach muscle weakness: Feeling of heaviness or difficulty digesting.

  • Botox spreading to other areas: Very rare; may cause temporary issues.

High-Risk Groups

  • People with chronic health conditions such as heart, liver, or kidney disease.

  • Pregnancy and breastfeeding: Procedure is not recommended during these periods.

Cost Consideration

  • Botox is temporary and requires repeat injections to maintain results.

  • Repeated costs may be higher compared to other weight-loss methods.


Pre-Procedure Preparations

Medical Consultation and Tests

  • Evaluate weight, medical history, and general health.

  • Basic blood tests: liver and kidney function, infections, blood type.

  • Heart and lung assessment: ECG or chest X-ray if needed.

  • Exclude digestive or stomach issues that could affect the procedure.

Fasting and Medication Adjustment

  • Fast 6–8 hours before the procedure.

  • Adjust or stop blood-thinning medications under doctor supervision.

Psychological Preparation and Dietary Commitment

  • Expect mild nausea or fullness after the procedure.

  • Follow your doctor’s instructions for post-procedure diet.

  • Prepare family support to ensure proper follow-up.


Post-Procedure Expectations

Immediately After the Procedure

  • Usually discharged the same day or after a few hours of monitoring.

  • Mild bloating or nausea is normal.

First Few Days

  • Feel full faster than usual.

  • Eat small, light meals to prevent nausea.

  • Avoid heavy or fatty foods.

Following Weeks

  • Gradual weight loss if diet and exercise are maintained.

  • Some bloating or heartburn may continue for a few days.

  • Botox results usually appear within a few days.

Long-Term

  • Botox effect lasts 6–12 months.

  • Re-injection may be needed to maintain results.

  • Adhering to a healthy diet and exercise is essential to preserve weight loss.

  • Regular medical follow-up ensures no complications occur.


Post-Botox Diet Plan

After the procedure, the stomach empties more slowly, increasing satiety. Following a proper diet is crucial:

Days 1–3:

  • Allowed foods: Clear liquids such as water, light tea, sugar-free juices, and light broth.

  • Notes: Sip small amounts every 30–60 minutes; avoid solid foods.

Days 4–7 (Transition Phase):

  • Allowed foods: Full liquids, low-fat milk, pureed juices, mashed potatoes, mashed carrots, cooked apples.

  • Notes: Eat small meals every 2–3 hours; avoid fatty or spicy foods.

Weeks 2–4 (Soft Solid Phase):

  • Allowed foods: Light proteins (eggs, fish, chicken), cooked vegetables, cooked fruits, boiled rice, toast, oatmeal.

  • Notes: Eat small portions; drink fluids between meals, not during.

After Week 4 (Long-Term Diet):

  • Allowed foods: Lean proteins, fresh vegetables and fruits, healthy carbohydrates.

  • Avoid: Fatty and fried foods, sweets, soda, large solid meals.

  • Tips: 5–6 small meals per day, chew food well, drink water between meals.

Additional Tips:

  • Follow up with a nutritionist for a tailored plan.

  • Avoid overeating to prevent vomiting or stomach stretching.

  • Engage in light physical activity as recommended by your doctor.

  • Maintain a consistent meal routine to help the stomach adapt.


 

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