Dr. Weiner

I’ve hit a stall less than a month after my surgery. What can I do?

Most people think that post-surgical weight loss is a constant downward trajectory. Unfortunately it’s not. Weight loss, whether surgical or non-surgical, is more of a stepwise process. You lose a few pounds and then you stall. You lose a few more pounds and then you stall. It’s just the way the body works. Embracing non …

I’ve hit a stall less than a month after my surgery. What can I do? Read More »

I can eat more than I expected after RYGB. Do I have false expectations?

One of the hardest things about bariatric surgery is that you can do all the research in the world and still not have a strong grasp on what to expect. Our bodies are so complex and outcomes vary greatly from person to person. So what one person experiences may be vastly different from what another …

I can eat more than I expected after RYGB. Do I have false expectations? Read More »

My friend has chronic nausea and hunger after VSG. What does it mean?

Nausea and vomiting are typically a response to over eating in the early stages after surgery. With a sleeve, however, in the later stages after surgery it is possible that nausea could be caused by a complication of the stomach stretching lengthwise. An evaluation by a surgeon may be necessary.

Can you explain a bipartition and will it help with my acid reflux?

A bipartition VSG is a very new surgery. It’s similar to the SADI procedure but slightly less complicated to perform and will, hopefully, be safer for the patient. The problem with the bipartition is that it is so new and therefore not recommended until it has been well studied.

I gained all my weight back after the sleeve. Will a revision work?

Unfortunately, it’s not uncommon for VSG patients to gain some, most, or even all of their weight loss back after surgery. The good news is that the sleeve is a great surgery with respects that it can be revised with the outcome being additional weight loss.

I had poor weight loss after SADI. Should I have a revision?

A SADI-S (single anastomosis duodeno-ileostomy with sleeve gastrectomy) is one of the newest and most aggressive bariatric surgeries. In this video, the caller is wondering why they haven’t experienced much weight loss and what can be done going forward. Dr. Matthew Weiner explains.

Will malabsorption and osteoporosis be a concern as I age if I have a bypass?

Osteoporosis risks do slightly increase in older individuals who have had a gastric bypass when compared to people who have never had a bypass surgery. However, that doesn’t mean that it’s significant enough to not have the surgery when compared to the wealth of benefits the surgery provides.

Should I have a gastric sleeve or try the Pound of Cure diet plan?

The Pound of Cure diet is a whole foods weight loss plan that drives significant sustainable weight loss. If you have not tried it, or other similar diets (like the vegan diet), it is almost always best to try to lose the weight without surgery. Weight loss surgery should be used as a last chance …

Should I have a gastric sleeve or try the Pound of Cure diet plan? Read More »

How do I break a plateau?

Plateaus happen. Even after weight loss surgery. It’s important to recognize whether you’ve hit a plateau during the honeymoon stage or if you’ve just lost all the weight the surgery will provide. If you are 18 months to 2 years post surgery, the likely answer is that you’ve maxed out what the surgery can do …

How do I break a plateau? Read More »

I have a dairy allergy. Which protein shake should I drink?

Most commercially sold protein powders use whey protein which is derived from dairy. If you have a dairy allergy or intolerance, it doesn’t mean that you have to avoid protein shakes and powders completely. There are pea, soy, and nut protein options available.

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