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Patients are advised to not to fast in the first 12 – 18 months after bariatric surgery to prevent malnutrition and medical complications. Patients who have had bariatric surgery may face some challenges during Ramadan period. Scheduling 15-20 minutes twice a day - before or after Suhur and Iftar for some walking or indoor exercise will help you maintain your weight loss progress during Ramadan. Here are a few very SIMPLE recommendations: Objectives: To assess outcomes and impact of fasting on patients who underwent bariatric surgery within the year leading up to Ramadan 2023. Setting: Community hospital health system. Methods: Retrospective review of medical records and direct patient contact for 376 study participants. Given that fasting during Ramadan is a very important part of people’s religion and many patients fast despite medical advice, it is critical to better understand the effects of fasting so soon after bariatric surgery. Fasting as a way to regain or refocus spirituality is common in many religions e.g. Yom Kippur in the Jewish faith, Lent in Christianity and Ramadan in the Muslim faith. Patients who have undergone a bariatric surgery including gastric banding, sleeve gastrectomy and gastric bypass are required to make special dietary changes to avoid health risks. The risk of post-prandial (after eating a meal) is reduced after the first 12-18 months, and patients who make a satisfactory recovery and are in good health can observe Ramadan fast. However, it may be recommended that they still take some fluids throughout the day. For individuals who have undergone bariatric surgery, the observance of Ramadan brings unique considerations in terms of diet and nutrition. Balancing the religious obligations of fasting with the specific dietary needs after bariatric surgery requires thoughtful planning. There are a limited number of studies examining the safety and patient outcomes in those who fast for religious purposes after bariatric surgery. In this study, 376 participants who were within 1 year of undergoing surgery were followed throughout the month of Ramadan. Bariatric surgery patients should be aware of potential health complications when fasting. It is crucial for individuals to comprehend the associated risks before deciding to fast during Ramadan, allowing them to take specific measures to mitigate these health concerns. Forty-five statements regarding aspects of fasting, such as preparation prior to Ramadan, ability to fast, instructions at fasting, risks of fasting, benefits of fasting, exercise during fasting, and disease-specific advice, were determined to be in consensus at ≥70%. Background Fasting during Ramadan is one of the five pillars of the Muslim faith. Despite the positive effects of fasting on health, there are no guidelines or clear recommendations regarding fasting after metabolic/bariatric surgery (MBS). The current study reports the result of a modified Delphi consensus among expert metabolic/bariatric surgeons with experience in managing patients who fast Fasting for religious purposes is one thing, and fasting for weight loss after bariatric surgery is another. Even research studies show that people who fast for religious reasons can struggle after weight loss surgery because the surgery already puts them at a nutritional deficit. However, further studies with larger sample size are needed to confirm the efficacy and safety of these newer medications during Ramadan fasting. Individuals with Bariatric surgery should seek advice and approval to fast from the bariatric dietician, physician, and surgeon before the beginning of the month of Ramadan. Ramadan is considered to be the holiest month of the Islamic religion. Hundreds of millions of Muslims practice the commitments of Ramadan, which include the abstinence from eating and drinking during daylight hours. Although there are exemptions to fasting for medical reasons, there is very limited guidance in terms of the safety of fasting in the postoperative period after bariatric surgery. Background: Fasting during Ramadan is one of the five pillars of the Muslim faith. Despite the positive effects of fasting on health, there are no guidelines or clear recommendations regarding fasting after metabolic/bariatric surgery (MBS). A study conducted by Al-Ozairi et al. in Kuwait to investigate nutrient and calorie consumption, satiety, appetite, and lifestyle behaviors in patients who had bariatric surgery and were fasting Ramadan for about one year and 2 months showed a slight loss of weight after fasting Ramadan in 52.7% of the study participants, weight gain in about Introduction: Ramadan is characterized by a month of fasting between dawn and sunset. Cleveland Clinic Abu Dhabi is located in the United Arab Emirates, where the majority of our patients observe Ramadan. In many practices, bariatric surgery has been delayed until after Ramadan in order to avoid postoperative complications. Navigating Fasting During Ramadan After Bariatric Surgery: Tips for a Safe and Healthy Experience. We are into the middle of the holy month of Ramadan, and the Eid is around the corner, Delhi and the walled city, in particular, are celebrating Ramadan with full fervor and gaiety. Keywords: Ramadan fasting; Religious fasting and bariatric surgery; Fasting after obesity surgery; Fasting after sleeve gastrectomy; Fasting after gastric bypass Preamble This review article is issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) in response to numerous inquiries made to ASMBS by patients, physi- Religious fasting is practiced in many religions. For Muslim patients, religious fasting in Ramadan the 9 th month of the lunar year is one of five pillars in Islam and is practiced for a full
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