Category Archives: Before Surgery
March 9, 2021
Your first consultation with your bariatric surgeon is an exciting step toward a new and healthier life. Before we even get to the nitty-gritty of what you should bring or with questions you should ask, you should understand that taking this first step is no small feat and you should be very proud of yourself. One of the most common comments we get after the procedure is over is “why didn’t I do this sooner!” So you are well on your way.
November 8, 2019
Traveling for bariatric surgery seems relatively common, as evidenced when you scan popular online support groups. While discounted prices and quick workups may be appealing, there are several things you should consider, especially if you are looking to go out of the country for your bariatric surgery. Medical tourism isn’t without risks and it is important you do the appropriate research and feel confident in your decision, no matter where you choose to have surgery.
July 30, 2019
Several people have commented about body image when we were talking about sex. Some women stated they didn’t like to undress in front of the spouse. As most of you know, patients may develop loose skin and the breasts may “deflate” after surgery.
I will encourage each of you to love yourself as you are…regardless. Whether you’re overweight or underweight, tight overweight skin or loose skin, young or old. Learn to love yourself for your mental and emotional health. You say “how do we do that?”…the answer is simple. You must practice it. Consciously tell yourself the positive things. Work on repeating the positive things about yourself but be realistic. Ask the trustworthy people in your life for feedback too.
June 14, 2019
Anxiety before any surgical procedure is perfectly normal. There are many unknowns and that can be scary. Bariatric patients may feel even more anxious because the results do not become apparent on the day of surgery – they have months and years of weight loss to pursue and maintain. Patients are often concerned about the safety of the procedure and potential complications after surgery. Of course, they may also worry about the long-term results. While all of these concerns are justified, they are also very manageable and the team here at Advanced Bariatric and Surgical Specialists makes it our goal to ensure the smoothest surgical process for each of our patients. So, let’s jump in and see how to best manage the anxieties and fears we may have before surgery.
December 7, 2016
We have recently been able to extract data from our bariatric society (American Society for Metabolic and Bariatric Surgery). Our report showed that patients from our practice entered into bariatric surgery 3 BMI points lower than…our patients were smaller on the day of surgery. However, they lost weight at a faster pace than the comparison group (the rest of the patients done elsewhere). At 2 years post-op, our patients were 5 BMI points lower than the comparison group.
December 5, 2016
I’ve heard that quite a few patients are doing medically supervised weight loss plans.
- When patients do temporary plans, they have temporary weight loss.
- When the diet stops, the patient is largely destined to regain weight. although this sounds like #1, it’s different. When you have to purchase foods or shakes or meal replacements, NO ONE will do this lifelong. Therefore they will only have temporary weight loss. The average American cannot afford the additional expense for a lifetime.
- Protein shakes as meal replacements don’t work. the feelings of fullness are partially generated by chewing your food. You will not get this from drinking a smoothie or drinking a protein shake.
- If the stomach is not properly filled, the patient stays in a starvation state. Studies of contestants from the Biggest Loser showed that their basal metabolic rate (BMR) went down by 25%. However, the same studay also showed that the BMR decreased with gastric bypass. The differences are the following…there was a smaller decrease with bypass and the calorie intake was lowered so much with bypass that patients were much more likely to keep weight off.
- Most patients I see for bariatric surgery have tried some gimicky medical weight loss plan…usually with Phentermine. If this really worked well, they would not be considering bariatric surgery!