Gastric Sleeve Surgery for Patients with Low Initial BMI (BMI 30-34.9)
Post updated February 2021. Recently, I updated my post Weight Loss Surgery for Low BMI Patients (BMI 30-34.9) based on updated guidelines from several leading organizations. These guidelines answer the question, “Is weight loss surgery an appropriate treatment for people with mild obesity (BMI less than 35)?” When I first wrote that post in 2012, the answer…
Is Weight Loss Surgery Right for Low BMI Patients (BMI 30-35)?
Post updated January 2021. Why are we still telling people that they must be at least 75-100 pounds overweight before they can have bariatric surgery—the most effective way to lose weight? Other methods for losing weight—diet and exercise—are largely not effective long term. Diet and exercise programs fail for 95-98% of people within 3 years.1,2…
Body Weight Set-Point Prevents Weight Loss
Losing weight is possible over the short term, but weight regain is almost a certainty over the long term. The statistics tell us that people can generally lose about 10% of their weight with a concerted effort. The bad news is that almost everybody will quickly regain all their lost weight and often more. Why is this? Eating…
Why Gastric Sleeve is the Favorite Weight Loss Operation
Post updated November 2020. In 2010 <10% of weight loss operations were sleeve gastrectomy operations. In just three short years, the sleeve went from a distant third place in popularity, significantly behind both the gastric bypass and LAP-BAND®, to first place. It has remained in first place ever since.
Weight Loss Surgery Lowers The Body Weight Set Point
Blog post updated November 2020. Weight loss surgery is by far the most effective method for losing weight and keeping it off. In a blog post entitled The Body Weight Set Point Prevents Weight Loss, I discuss why non-surgical methods for weight loss almost never work – they don’t change the set point. In this…
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Denis’ Incredible Gastric Bypass Success Story
The following incredible gastric bypass success story is about a patient of mine named Denis, who transformed his life from disaster (>500lbs, heroin addict) to awesome (healthy weight, successful entrepreneur). I have been fortunate as a bariatric surgeon to have been able to help countless people improve their lives with weight loss surgery. I have seen…
What to Eat after Weight Loss Surgery
Weight loss surgery enables weight loss, we are learning, by changing the body weight “set point” to a lower weight (see blog post Weight Loss Surgery Changes The Body Weight Set Point). This is a compelling justification for weight loss surgery – it changes the biology that prevents weight loss. Nothing else that we know…
Weight Regain after Weight Loss Surgery
Weight loss surgery is the most effective long-term treatment for obesity. Why? Because surgery resets the body weight “set-point” to a lower weight (see blog post Weight Loss Surgery Changes The Body Weight Set Point). Nonsurgical methods of weight loss are not effective over the long-term because they do not change the body weight set-point (see…
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