How Weight Loss Surgery Really Works

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

The one complication of weight loss surgery that no one is talking about.

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 foundation that has driven much of the advice we’ve given to our postoperative patients as …

The one complication of weight loss surgery that no one is talking about. Read More »

The Five Stages of Every Weight Loss Surgery Patient’s Life

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 down to four stages, and added the equally important preoperative planning and decision making stage as …

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