I wrote How Weight Loss Surgery Really Works in an attempt to convince those who suffer from obesity that:
1) obesity is a disease of fat storage, not a sign of personal failure
2) weight loss surgery works primarily by changing the hormonal state that regulates your appetite and metabolism and offers an opportunity to repair a broken fat storage system
3) Long term, durable weight loss (including after Bariatric Surgery) can only be achieved through permanent changes in your lifestyle that preserve and enhance these hormonal changes
For many years, we've been telling patients that Bariatric (Weight Loss) Surgery works by preventing people from eating too much and by blocking the absorption of calories in the intestine. These two mechanisms, labeled "restriction" and "malabsorption" have laid the...
In the first year after Weight Loss Surgery, your body will tell you what to eat – it’s your job to listen closely.
Weight loss surgery patients are instructed to always eat their protein fist – but is this really the best advice?
What most preoperative patients don't recognize and many postoperative patients don't expect is that the impact weight loss surgery has on your hunger, metabolism, ability to eat and weight loss changes substantially over time. I've broken these postoperative changes...