Principles of Adjustments

• 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, escessive 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 Adjustmens

• 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.