Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Jul;35(7):2745-2754.
doi: 10.1007/s11695-025-07895-5. Epub 2025 May 20.

Obesity Management Medications as Adjuncts to Metabolic and Bariatric Surgery: Consensus Recommendations from India

Ramen Goel  1 , Nandakishore Dukkipati  2 , Randeep Wadhawan  3 , Abhishek Katakwar  4 , Shashank Shah  5 , Aparna Govil Bhasker  6   7 , Amrit Manik Nasta  8 , Deep Goel  9 , Raj Palaniappan  10 , Sarfaraz Baig  11   12 , Manish Khaitan  13 , Sandeep Aggarwal  14 , Abhay Agrawal  15 , Ashvind Bawa  16 , Gyan Saurabh  17 , Jasmeet Singh Ahluwalia  18 , Jayanth Leo X L  19 , Jaydeep Palep  20 , Kedar P Patil  21 , Kuldeepak S Kular  22 , Mahendra Narwaria  23 , Mandeep Kaur  24 , Manish Motwani  25 , Rahul Borude  26 , Rakesh Kumar Sinha  27 , Sadashiv Chaudhari  28 , Satish Pattanshetti  29 , Sumeet Shah  30 , Surendra Ugale  31 , Suviraj James John  32 , Vikas Singhal  33 ; IAGES Research Group
Affiliations
Review

Obesity Management Medications as Adjuncts to Metabolic and Bariatric Surgery: Consensus Recommendations from India

Ramen Goel et al. Obes Surg. 2025 Jul.

Abstract

Obesity is a global health concern, with weight regain (WR) common after bariatric surgery. Clear guidelines on post-surgical medication use are essential. This expert consensus evaluates the role of obesity management medications (OMMs) in optimizing weight loss (WL) and preventing WR in individuals undergoing metabolic and bariatric surgery (MBS). Using a modified Delphi approach, a panel of 12 experts reviewed evidence and formulated consensus recommendations. Two voting rounds led to consensus on 11 of 15 statements, covering preoperative WL strategies and postoperative weight management. The recommendations guide OMM selection, timing, and effectiveness in enhancing WL outcomes. Integrating OMMs into bariatric care protocols can help clinicians improve long-term success rates in obesity management.

Keywords: Bariatric surgery; Metabolic surgery; Obesity management; Overweight; Weight loss.

PubMed Disclaimer

Conflict of interest statement

Declarations. Ethics Approval and Consent to Participate: This article does not contain any studies with human participants or animals performed by any of the authors. Competing interests: RG received speaker's honorarium from Novo Nordisk and Eli Lilly pharmaceutical companies. However, no financial transaction is related to the current manuscript or has an impact on the content of this manuscript. ND, RW, AK, Shashank S declare no conflict of interest. AGB received honorarium for lectures/presentations from Novo Nordisk. AMN, DG, RP, SB, Manish K, SA declare no conflict of interest. AA, AB, GS, JSA, JLXL, JP, KPP, KSK, MN, Mandeep K, MM, RB, RKS, SC, SP, Sumeet S, SU, SJJ, VS declare no conflict of interest.

References

    1. Rubino F, Cummings DE, Eckel RH, Cohen RV, Wilding JPH, Brown WA, et al. Definition and diagnostic criteria of clinical obesity. Lancet Diabetes Endocrinol. 2025;13(3):221–62 Published correction in: Lancet Diabetes Endocrinol. 2025;13(3):e6. - PubMed
    1. Anjana RM, Unnikrishnan R, Deepa M, Pradeepa R, Tandon N, Das AK, et al. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). Lancet Diabetes Endocrinol. 2023;11(7):474–89. - PubMed
    1. Ray S, Kapoor N, Deshpande N, Chatterjee S, Kumar J, Tantia O, et al. An overview of therapeutic options of obesity management in India: the Integrated Diabetes and Endocrinology Academy (IDEA) 2023 Congress update. Expert Rev Clin Pharmacol. 2024;17(4):349–62. - PubMed
    1. Deshpande NR, Kapoor N, Dalal JJ, Palshetkar N, Shah S, Makkar BM, et al. Consensus on current landscape and treatment trends of obesity in India for primary care physicians. J Assoc Physicians India. 2023;71(10):69–77. - PubMed
    1. Ribaric G, Buchwald JN, McGlennon TW. Diabetes and weight in comparative studies of bariatric surgery vs conventional medical therapy: a systematic review and meta-analysis. Obes Surg. 2014;24(3):437–55. - PubMed

Substances

LinkOut - more resources