The level of adjustment should be sufficient to achieve a prolonged sensation of safiety in the patient.

  • Weight loss should be steady and progressive, with the early rate of weight loss ideally being >0.5 Kg but < 1 Kg/week.
  • Adjustment should induce no restrictive symptoms, ie, heartburn, vomiting, discomfort, excessive difficulty with eating a normal range of food.
  • Loss of excess weight shoud be planned to occur gently over a period of 18 months to 3 years, depending on initial weight.

Schedule of Adjustments

  • At 6-8 weeks – initial adjustment.
  • Review every 4-6 weeks. Asses weight and clinical status.
  • The fills will be schedule according to your needs.