Thursday, 20 October 2016
BEST WEIGHT LOSS OFFER KOLKATA
WEIGHT LOSS OFFER UP TO 20KG WEIGHT LOSS ONLY 9750/-
BEST OFFER WEIGHT LOSS KOLKATA
WEIGHT LOSS OFFER UP TO 15KG WEIGHT LOSS ONLY 7100/- 36SITTING.
BEST WEIGHT LOSS OFFER KOLKATA
UP TO 5KG WEIGHT LOSS ONLY 2500/- (12SITTING)
Wednesday, 5 October 2016
What Is Ayurveda?
Ayurveda is the ancient system of healing from India. The word ayurveda comes from the Sanskrit roots ayu and veda, or “life” and “knowledge.” The use of spices as "wonder foods" has been in the ayurvedic teaching for thousands of years. Spices are a convenient, therapeutic and flavorful way to keep your diet healthy and healing.
Ayurveda is in many ways a health-care system but also a complete approach to living life. When it comes to weight loss, an ayurvedic doctor or nutritionist can recommend specific spices to include in your diet as part of a program or treatment. Simple recipes that have been passed on by generations are the secrets to weight loss. Also, look for foods that have anti-viral, anti-bacterial and, most importantly, anti-inflammatory properties. Decreasing inflammation helps you lose weight and keep it off.
Ayurveda is the ancient medical system of India. It offers one of the fastest paths to health. Instead of having to guess which foods, supplements, and behaviors are appropriate for you, there is a simple, direct prescriptive path that is developed for your unique body type, or dosha. This takes all the guesswork out of getting healthy. The benefits that occur are not only felt in your body – they are also seen in your mental and emotional wellbeing. This holistic approach to health allows you to become a balanced, vital, happy person with the least amount of effort. Ayurveda is an ancient solution to our modern-day problems that need quick, effective solutions.
The three ayurvedic body types, or doshas, are Vata, Pitta and Kapha. Each dosha has a unique set of characteristics. There are several ways to determine your body type. The most accurate is through the detailed history and physical by an ayurvedic physician. However, even taking a quick ayurvedic quiz will provide you with tremendous insight into your principal dosha. Most people are a combination of two doshas, but one typically predominates.
What is a Dosha?
According to ayurveda, each of us has a unique mix of three mind and body principles, which creates our specific mental and physical characteristics. These three principles are called doshas. Most of us have one or two doshas, which are most dominant in our nature, with the remaining one(s) less expressed.
Principles of Vata, Pitta, and Kapha?
According to ayurveda, one of the oldest branches of the vedas, vata, pitta and kapha are formed from combinations of the five elements that make up our universe. For thousands of years, it has been understood by many that our bodies are composed of these same five elements that make up our external environment. When these elements combine in the human physiology, they create three governing principles, or doshas, which must be kept in proper balance in order to maintain good health.
Of these three primary doshas, vata governs them all. Air and space are combined to form vata. Fire and water govern pitta; and water and earth, kapha. The attributes of each dosha, along with the specific combination within each individual help determine the individual's physical, mental and emotional characteristics and tendencies.
Everything that moves, fluctuates or changes is governed by vata. Ayurveda explains that without air and space, life would be unable to progress, shift or take motion. As in the exterior world, vata dosha is responsible for all movement within the body. This involves all forms of motion in the mind and body such as circulation, elimination, peristalsis, respiration, nerve impulses and the thought process. Vata qualities include changeability, airy, cold, moving, quick, light, dry and rough.
A. Vata type people are small boned, quick moving and speaking, with dry skin and small or irregular appetites. Out of balance vata can cause poor memory, worry or anxiety, insomnia, fatigue and weakness, arthritis, hypertension, constipation or rough, dry skin. In order to balance it in the physiology, the opposite qualities need to be introduced: getting plenty of rest, warmth in food and environment, heavier, oily foods with sweet, sour or salty tastes.
B. Pitta controls all forms of transformation and metabolism in the mind and body such as assimilation, digestion, metabolism, the immune system and processing sensory information. Pitta type people have medium builds, strong appetites, strong intellects and dislike hot weather. They are also articulate, intense and orderly with fiery personalities
An overabundance of pitta can cause excessive body heat, anger, impatience, skin and eye problems, heartburn and ulcers. Pitta dosha is balanced by its opposite qualities: cool environment with cool, heavy, oily diet that is sweet, bitter or astringent.
C. . Kapha qualities include cold, heavy, slow, soft, steady, oily, sticky and sweet. Kapha controls all forms of fluid balance and structure in the physiology such as water retention, mucus, physical strength, natural tissue resistance and proper body structure. People with predominantly kapha body types are large boned, strong with an even temper, affectionate and forgiving, methodical, earthy, and slow to forget.
Kapha types will show a dislike for cool, damp weather. Too much kapha may cause laziness, dullness, overweight, asthma, and depression. Kapha dosha is balanced by its opposite qualities: more exercise, less oversleeping, light, dry, hot foods with pungent, bitter or astringent tastes
The north winds of winter are associated with the environmental vata. Vata season is between November and February when the cold, dry weather of winter aggravates our internal vata dosha. Pitta season is between July and October when heat is experienced as hot and combustive. Kapha is between March and June during the wet, heavy season.
Each seasonal change soothes and balances the effects of the previous season. Vata cools the accumulated heat from pitta season, kapha replenishes the moisture of drying vata season and pitta warms the cold wetness of kapha. At the end of each season, there will be an accumulated influence found in the body. Our bodies need an opportunity to balance any influences a particular dosha may have established.
The three primary doshas are also evident within the circadian cycle, all in local standard time.
01. Vata is dominant between
2:00am and 6:00am
2:00pm and 6:00pm
02. Pitta is dominant between
10:00pm and 2:00am
10:00am and 2:00pm.
03. Kapha is dominant between
6:00pm and 10:00pm
6:00am and 10:00am.
During the early morning hours between 2:00am and 6:00am, vata is moving the toxins and impurities out of the nervous system. Ayurveda also recommends the importance of rising prior to 6:00am so that we may maintain clarity and flexibility. If we sleep past vata time and into the following kapha time, we will be dull, lethargic and stiff. During the afternoon vata time between 2:00pm and 6:00pm, our clarity and intensity is at its highest. This is the best time for mental work or activity. If for any reason we are feeling sluggish or sleepy during this time, it is due to improperly digesting our noon meal. This makes it especially important to not submit to sleep.
During midday pitta time, 10:00am to 2:00pm, while the sun is at its highest, our digestion is at its hottest and most efficient. Our largest meal of the day should be eaten as close to noon as possible to insure proper digestion. During the nighttime pitta, between 10:00pm and 2:00am, it is important to be resting as our digestion takes this time for its cleansing cycle. The heating qualities of pitta take this opportunity to cleanse our systems of any undigested food.
This is why our first impulse in the morning is to evacuate our bowel and bladder of waste. We blow our nose, cleanse our ears, eyes, mouth, and tongue of accumulated congestion, which is considered the residue from undigested food. It is especially important to not eat during nighttime pitta because without this cleansing opportunity, undigested food (ama) and toxins accumulate.
During kapha time, between 6:00pm and 10:00pm, we will begin to settle down and feel ready for sleep. It is important to go to bed before 10:00pm so kapha is still influencing our nervous system. If we wait until pitta influence begins to take hold, we will begin waking up and feeling hungry. Kapha time is the easiest time to fall asleep and the first couple hours of sleep will be more valuable if complimented by kapha.
According to the ayurvedic tradition, our routines should be in line with vata, pitta and kapha circadian and environmental cycles to insure our bodies of proper functioning. Improper sequencing is the ultimate key to imbalance, which brings on disease. Along with establishing our routines, appropriate food will help keep each dosha in proper balance.
Because vata leads the other doshas, it should be our primary concern when addressing imbalances in the system. Often times by balancing our vata dosha, this will bring pitta and kapha back into balance. Ayurveda explains that these lifestyle adjustments will create harmony on all levels of the mind, body and spirit. By addressing the vata, pitta and kapha tridoshas, our lives will be enriched on every level.
The Vata Dosha
Vata, tends to be the most slender of the three body types. Vata people can actually find it difficult to gain weight. Physically, Vata individuals are thin with prominent bony structures; tend to be cold all the time; have dry skin and hair; and have little muscle tone. Mentally, they learn fast and forget fast, enjoy change, and are very creative. Emotionally, Vata types are excitable, enthusiastic, but can become easily anxious.
Out of balance, Vata individuals can have poor digestion with lots of bloating and constipation. They can have dry nasal passages and easily catch colds during the fall and winter. They can also easily develop insomnia and fatigue. To help with the digestion, there is an herbal supplement, Triphala, which is a lifesaver for people with a Vata imbalance. To prevent dry nasal passages and fight off colds, Vata individuals can use a sesame oil nasal spray – you just spray 1-2 sprays in each nostril in the mornings. To fight off insomnia, a regular routine is critical, which, of course, Vata individuals tend to resist. Nonetheless, they should be waking up at the same time, eating lunch at the same time, and going to bed at the same time. Additionally, Vata types will benefit from a warm, spiced milk drink at bedtime.
The dietary recommendations for Vata individuals are to avoid dry/crunchy foods, carbonated beverages, and cold/raw vegetables. Their ideal diet consists of warm, cooked, soupy foods; cooked cereals; nuts; cooked vegetables; and hot milk. Also, ghee, which is clarified butter, is particularly good for Vata individuals.
VEDIC FOOD :-
According to Ayurveda, the Vedic science of holistic living, the way you cook your food will decide what it does for you. Depending on how it is cooked, the same food can boost your energy levels, make you drop off to sleep or help you meditate better! In other words, cooking determines whether the food will be transformed into sattva, rajas or tamas. There are three qualities or energies, known in Sanskrit as gunas, which stem from the essential aspects of nature - matter, energy and consciousness respectively. All of us are essentially a mix of these energies, with one energy dominating at any given time.
Food is also classified in these three ways, depending on the effect it creates in us.
Sattvic food is obviously the healthiest choice for your body and mind. Here are a few tips for sattvic cooking. When the food is cooked on a low flame, covered and a minimum of cooking is given to the food, just enough for you to be able to digest it. So the vegetables are not cooked until completely soft but they are left a bit crunchy. You can feel the juice in the vegetable. When you bite into the food the juice of the food is there in your mouth. So the nutrition and freshness of the food is still maintained.
Energize your food
There is one more way to increase the energy and wholesomeness of the food. In the Vedic tradition, we first offer the food to the Divine before eating it. Consecrating the food not only energizes it, but also helps us become aware that eating is a sacred act. This simple awareness will help us to avoid overeating, avoid wasting food – and above all, eat with a sense of gratitude and fulfillment.
Enjoy your food!
During your meal, drop everything else and just enjoy eating your food with awareness. Take a serving at a time, enjoying the colors and shape food through the eyes, enjoying the color of the food. Take small helpings; enjoy the visual treat. Take in the fragrance of the food. Relish its taste and texture in your mouth. Involve all your senses in your experience. When you eat with total mindfulness, you not only eat less, but you eat wisely, allowing your body to tell you what type of food it needs most that day. Most importantly, you get up from your meal with a deep sense of fulfillment.
Choose More Satvic Foods;-
The qualities of satvic foods produce calmness, clarity and creativity in the mind, and health and vitality in the body. Examples of satvic foods are: organic fresh fruits and vegetables, raw honey, grains, beans, lentils, almonds, unprocessed milk, ghee, nuts and seeds. These foods are moist, sweet, fresh and soft, have delicate flavors, and should be served at room temperature. The opposite of satvic foods are tamasic foods, or processed foods. When we eat tamasic foods, it brings: dullness, confusion, inertia, ignorance, and attachment. Examples of tamasic foods are: foods that are aged like cheese, leftovers, fried foods, frozen foods, homogenized foods, fermented foods, red meat, alcohol, and mushrooms. These foods are: dry, old, stale, rotten, heavy, dead, processed, preserved, tasteless, and hard for the body to process.
The Six Tastes and Your Ayurvedic Body Type:-
Ayurvedic cooking involves six tastes, which are used to prepare a balanced dish. Include all the tastes in your day to make your diet divine and healing: sweet, sour, salty, bitter, pungent and astringent.
Here are some examples of each of the 6 tastes:-
Sweet: Almonds, sugar, milk, rice, wheat, large beans
Salty: Salt, seaweed, salted snacks
Sour: Lemon, yogurt, cheese, tomatoes, sour fruits, pickled fruits, tamarind
Pungent: Ginger, mustard, clove, hot spices, radish, chilies, garlic
Astringent: Beans, lentils, pomegranate, unripe bananas, apples, cabbage, potatoes, cranberries
Bitter: Green tea, green leafy veggies, endive, tonic water, fenugreek, rhubarb, turmeric, chocolate
Each taste has a balancing ability, and including some of each provides complete nutrition, minimizes cravings and balances the appetite and digestion.
The three doshas are known as: Vata, Pitta, and Kapha :-
A. The Kapha Dosha:-
Kapha is typically the largest of the body types. Physically, they have wide hips/shoulders; thick wavy hair; good physical stamina. Mentally, Kapha types tend to me slow to learn, but they have great memories. Emotionally, they tend to be very loyal, stable, and reliable.
The Pitta Dosha :-
Pitta individuals are typically of medium build. Physically, they have good muscle tone; have a tendency to always feel warm; have premature graying hair or balding; have reddish complexions; enjoy high energy levels; and have really strong digestion – they can eat almost anything. Mentally, they are extremely intelligent, focused, ambitious people. Emotionally, they are passionate about life, have a tendency to be perfectionists, and can become easily irritated.
The Vata Dosha:-
The third dosha, Vata, tends to be the most slender of the three body types. Vata people can actually find it difficult to gain weight. Physically, Vata individuals are thin with prominent bony structures; tend to be cold all the time; have dry skin and hair; and have little muscle tone. Mentally, they learn fast and forget fast, enjoy change, and are very creative. Emotionally, Vata types are excitable, enthusiastic, but can become easily anxious.
Kapha Body Type Meal Plan :-
02. CITRUS FOOD.
B. Pitta Body Type Meal Plan:-
C. Vata Body Type Meal Plan :-
03. BLACK GRAVE.
Ayurvedic Diet: Kitcheri for Vatas
|STRETCH MARK DEFERENT PART OF BODY|
Its a ig Problem for Women thats a Stretch mark in defferents part of Body . I watch when Body Weight Is Up than If not controlled than all women are fachin like this Problem Which carryed entire life. the fact is that The anatomy of our Skin is The Upper layer skin is called Dermis, than Epi-dermis, than Hypodermis, After that The main Two Fiber called Colagen & Elastagen its like NET ( Their Function To Compress The FAT Layer & Thats not Comedown Out Side). We have Fat layer beneath a skin & fat stored in Adipose Tissue called Cellulites. When it will exassive Deposit than its like Dimpling & if you rub your hips & Thigs you will feel Uneven Surface its Up & Down. if ingnore long time than your Adipose tissue increase Diamitter & than Stretchout Colagen Fiber Women Gets STERECH MARK.
RESON FOR STRETCH MARK :-
01. INCREASE BODY WEIGHT.
02. MAY INCREASE TUMMY, THIGH'S BREASE.
03. UNOTHENTIC WEIGHT LOSS ( When you lose weight from your Muscle )
04. After every 5kg Weight Deduction Women Under wear will Modify , Basically Brs Cup size, Also Modify innerwear).
05. Unhealthy Nutrition ( Protein is Low, Normal requirement 0.8gm /kg. for Weight loss it will be 1.25-1.5gm/kg body Weight.
06. Fast Weight Loss Through Crash Diet / Supplements (unscientific Way).
What is Stretch mark:-
Stretch marks or striae, as they are called in dermatology, are a form of scarring on the skin with a silvery white hue. They are caused by tearing of the dermis, and over time can diminish but not disappear completely. Stretch marks are the result of the rapid stretching of the skin associated with rapid growth (common in puberty) or weight gain (e.g. pregnancy). Although the skin is fairly elastic, rapid stretching of the skin will leave permanent stretch marks. (Source: WD Writers). Stretch marks are generally associated with pregnancy, obesity, and can develop during rapid muscle growth from steroid use. Stretch marks are also referred to as striae distensae. Medical terminology for these kinds of markings include striae atrophicae, vergetures, striae cutis distensae, striae gravidarum (in cases where it is caused by pregnancy), lineae atrophicae, striae distensae, linea albicante, or simply striae.
Symptoms and signs :-
They first appear as reddish or purple lines, but tend to gradually fade to a lighter color. The affected areas appear empty and soft to the touch.
Human skin has three different layers: the epidermis (outer layer), the dermis (middle layer), and the subcutaneous stratum (innermost layer). Stretch marks occur in the dermis, the resilient middle layer that helps the skin retain its shape. No stretch marks will form as long as there is support within the dermis. Stretching plays more of a role in where the marks occur and in what direction they run. Stretching alone is not the cause.
Stretch marks can appear anywhere on the body, but are most likely to appear in places where larger amounts of fat are stored. Most common places are the abdomen (especially near the belly-button), breasts, upper arms, underarms, thighs (both inner and outer), hips, and buttocks. They pose no health risk in and of themselves, and do not compromise the body's ability to function normally and repair itself.
The glucocorticoid hormones responsible for the development of stretch marks affect the epidermis by preventing the fibroblasts from forming collagen and elastin fibers, necessary to keep rapidly growing skin taut. This creates a lack of supportive material, as the skin is stretched and leads to dermal and epidermal tearing. If the epidermis and the dermis has been penetrated, laser will not remove the stretch marks.
Between 75% and 90% of women develop stretch marks to some degree during pregnancy. The sustained hormonal levels as a result of pregnancy usually means stretch marks may appear during the sixth or seventh month.
Only one randomised controlled study has been published which claimed to test whether oils or creams prevent the development of stretchmarks. This study found a daily application of a cream (Trofolastin) containing Centella asiatica extract, vitamin E, and collagen-elastin hydrolysates was associated with fewer stretch marks during pregnancy.Another study, though lacking a placebo control, examined a cream (Verum) containing vitamin E, panthenol, hyaluronic acid, elastin and menthol. It was associated with fewer stretch marks during pregnancy versus no treatment.
Though cocoa butter is an effective moisturizer, no research studies have shown its ability to either prevent stretchmarks, or improve their appearance once a stretchmark has already formed.
Various treatments are available for the purpose of improving the appearance of existing stretch marks, including laser treatments, dermabrasion, and prescription retinoids. Used daily for one month, they resulted in significant improvement in the appearance of a stretchmark's length, depth, and irregular surface area. Some cream manufacturers claim the best results are achieved on recent stretch marks; however, few studies exist to support these claims. A recent study in the journal "Dermatologic Surgery" has shown that radiofrequency combined with 585-nm pulsed dye laser treatment gave "good and very good" subjective improvement in stretch marks in 89.2% of 37 patients, although further studies will be required to follow up on these results. In addition, the use of a pulsed dye laser has shown to increase pigmentation in darker skinned individuals with repeated treatments. A surgical procedure for removing lower abdominal stretch marks is the tummy tuck, which removes the skin below the navel where stretch marks frequently occur.
Wednesday, 31 August 2016
Obesity is a disease characterized by excessive body fat. People who are medically obese usually are affected by behavior, genetic and environmental factors that are difficult to control with dieting. Obesity increases the likelihood of certain diseases and other related health problems.
Who Is Affected?
Obesity is a serious world wide health epidemic that affects one in four Americans. This phenomenon is global and about 30 million Indians are obese. It is predicted to double in the next 5 years.
What Is The Difference Between Overweight And Obese?
Stages of overweight are medically defined by body mass index (BMI). An individual with a BMI of 25 to 29.9 is clinically classified as overweight. A BMI of 30 or more is classified as obese. Overweight individuals are also at risk for developing health problems, such as heart disease, stroke, diabetes, certain types of cancer, gout (joint pain caused by excess uric acid) and gallbladder disease. Being overweight can also cause problems such as sleep apnea (interrupted breathing during sleep) and osteoarthritis (wearing away of the joints). Weight-loss can help improve the harmful effects of being overweight. However, many overweight people have difficulty reaching their healthy body weight.
Body Mass Index (BMI)
BMI is a number calculated by dividing a person’s weight in kilograms by his or her height in meters squared. BMI is used in determining obesity. Obesity is most commonly calculated using BMI. An adult with a BMI of 30 or greater is clinically obese. BMI is not used to determine a person’s actual percentage of body fat, but it is a good indicator to categorize weight in terms of what is healthy and unhealthy.
What Is The Health Risks Associated With Obesity?
There are more than 30 medical conditions that are associated with obesity. Individuals who are obese are at risk of developing one or more of these serious medical conditions, causing poor health or, in severe cases, early death. In fact, more than 112,000 annual deaths in the U.S.A are attributable to obesity. The most prevalent obesity-related diseases include :
High blood pressure
Gastroesophageal Reflux Disease (GERD)
Sleep apnea and respiratory problems some Cancers
What Causes Obesity?
Obesity is due to an individual taking in more calories than they burn over an extended period of time. These “extra” calories are stored as fat. Although there are several factors that can lead to this energy imbalance in obese individuals, the main contributors are behavior, environment and genetics.
Behavior : In today’s fast-paced environment, it is easy to adopt unhealthy behaviors. Behavior, in the case of obesity, relates to food choices, amount of physical activity you get and the effort to maintain your health. Based on food choices, many people now select diets that are calorie-rich, but nutrient-poor. This behavioral problem also relates to the increase in meal quantity at home and when dining out.
Environment : Environment plays a key role in shaping an individual’s habits and lifestyle. There are many environmental influences that can impact your health decisions. Today’s society has developed a more sedentary lifestyle. Walking has been replaced by driving cars, basic physical activity has been replaced by technology and nutrition has been overcome by fast foods.
Genetics : Science shows that genetics play a role in obesity. Genes can cause certain disorders which result in obesity. However, not all individuals who are predisposed to obesity become obese. Research is currently underway to determine which genes contribute most to obesity.
What Are The Social Effects Of Obesity?
Individuals affected by obesity often face obstacles far beyond health risks. Emotional suffering may be one of the most painful parts of obesity. Society often emphasizes the importance of physical appearance. As a result, people who are obese often face prejudice or discrimination in the job market, at school and in social situations.
Effects at Work : Due to the negative stigma associated with obesity, obese employees are often viewed as less competent, lazy and lacking in self-discipline by their co-workers and employers. Often times, discriminatory attitudes can negatively impact salary, promotions and employment status for obese employees. Finding a job can also be a difficult task for an obese individual. Studies show that obese applicants are less likely to be hired than thinner applicants, despite having identical job qualifications.
Effects at School : Educational settings also provide the possibility for discriminatory situations. Obese children face numerous obstacles, ranging from harassment, teasing and rejection from peers, to biased attitudes from teachers. At a young age, children are exposed to obesity’s negative stigma. Obese children are sometimes characterized as being unhappy, lazy, mean and not having many friends.
In Healthcare Settings : Negative attitudes about obese patients also exist in the healthcare setting. Obese patients are often reluctant to seek medical care, may be more likely to delay important preventative healthcare services and more frequently cancel medical appointments. Delaying medical attention can lead to delayed discovery or treatment of co-morbid conditions, such as diabetes and cardiovascular disease, while becoming more physically damaging. The consequences of this discrimination can seriously impact an individual’s quality of life and only further intensify the negative stigma associated with obesity.
What Treatments Are Available For Obesity?
Obesity treatment strategies vary from person to person. Beginning treatment early is an essential part of success, and it is important to talk with your physician before beginning any weight-loss program. There are several methods for treating obesity, such as behavior modification, physical activity, non clinical weight management programs, medically managed weight-loss and surgical treatment.
Behavior Modification : Behavior plays a significant role in obesity. Modifying behaviors that have contributed to developing obesity is one way to treat the disease either alone or in conjunction with other treatments. A few suggested behavior modifiers include: changing eating habits, increasing physical activity, becoming educated about the body and how to nourish it appropriately, engaging in a support group or extracurricular activity and setting realistic weight management goals.
Physical Activity : Increasing or initiating a physical activity program is an important aspect in managing obesity. Today’s society has developed a very sedentary lifestyle and routine physical activity can greatly impact your health. Set realistic goals and make sure to consult with your doctor before initiating any exercise program.
Medically Managed Weight-Loss : Medically managed weight-loss programs provide treatment in a clinical setting with a licensed healthcare professional, such as a medical doctor, registered dietitian and/or psychologist. These programs typically offer services such as prescription of weight-loss medications, nutrition education, physical activity instruction and behavioral therapy.
Surgical Treatment : Surgical treatment of obesity is an option for those who are classified as morbidly obese. Morbid obesity is defined as a patient having a BMI of 40 or greater, or weighing more than 40 kilograms over their ideal body weight. In addition, a patient with a BMI of 35 or greater with one or more obesity-related diseases is also classified as morbidly obese. There are a few different types of bariatric surgery or weight-loss surgery treatment options, such as Roux-En-Y Gastric Bypass, Gastric Sleeve resection and Adjustable Gastric Banding.