How Long Do the effects of Bariatric Surgery Last?
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- Опубліковано 8 чер 2024
- Dr. Matthew Weiner is an author and bariatric surgeon who specializes in the treatment of obesity. His practice is located in Tucson Arizona.
Dr. Weiner graduated from the University of Michigan medical school in Ann Arbor, Michigan. He completed his general surgery residency at New York University Hospital in New York City. He practiced in suburban Detroit for 12 years before moving to Tucson in 2019 where he, together with Dr. Guillermo Higa, founded Tucson Weight Loss Surgery.
In addition to his surgical practice, Dr. Weiner is the Director of Bariatric Surgery and the Medical Director of Telemedicine at Tucson Medical Center. He is an active member of the American Society of Metabolic and Bariatric Surgeons (ASMBS) and is a past President of the Michigan State chapter a Bariatric Surgeons.
Dr. Weiner has performed more than 2000 bariatric surgeries since joining his first practice in 2006 and frequently does complicated revision surgery. He also performs general surgery with an interest in stomach and small intestine surgery along with complex hernia repair.
In his first book, A Pound of Cure, Dr. Weiner debunks the traditional understanding of calorie balance driving weight loss and offers a non-surgical solution to those suffering from obesity through nutritional stability.
His second book, How Weight Loss Surgery Really Works: And How to Make it Work for You, is now available on Amazon in paperback and kindle. In this book, Dr. Weiner describes how the hormonal changes that alter your brain, fat stores and hunger signals are the most important component of weight loss surgery, rather than the portion control effects that have been emphasized in the past.
A third publication called The Bariatric Diet Guide And Cookbook is a cookbook for bariatric patients that will offer recipes and guidance on the most effective post-surgical diet. It’s set to be published in May 2021 and is available for pre-order at most online bookstores.
On his website, www.poundofcureweightloss.com, he offers more than 150 videos on a wide array of nutritional and bariatric topics. Lesson plans range from, “Preparing for Weight Loss Surgery” to “The Metabolic Reset Diet” including recipes and meal plans.
Dr. Weiner is licensed to practice in both Arizona and Michigan and even offers Telemedicine appointments. For more information call his office at (520) 420-1000 or check out his many resources below. For more videos and Facebook Live events, subscribe to his UA-cam channel.
Tucson Weight Loss Surgery
6422 E. Speedway Blvd, Suite 150
Tucson, AZ 85710
Office: (520) 420-1000
Fax: (520) 420-1001
Websites:
www.poundofcureweightloss.com
www.tucsonwls.com
Social Media:
/ apoundofcure
/ drmatthewweiner
Books:
www.amazon.com/gp/product/168...
www.amazon.com/gp/product/148...
www.amazon.com/Bariatric-Diet...
20 years post op, I am chronically anemic, B12 and vitamin D deficient. Those who have just had RNY, pay attention to your vitamins.
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Sharon, good to know!
Interesting video. I m currently at the 10 month mark yesterday and celebrated my 100 pounds weight loss with a BMI of 30.0. Hope to continue loosing to get down to a healthy BMI.
Congratulations on your success, Follow me on instagram @drmatthewweiner see you there!
Dr. Weiner did my RNY surgery here in Michigan and I am 4 years out. I went from 233 to 137. I am quite thin at 5'8". I don't have any issues with eating too much. I believe I am appropriately hungry and eat and stop when satisfied. I do my best eating a low carb diet and enjoy it. I check my blood sugar often to see what foods might cause a jump in BG. I will keep an eye out for this 4-5 year weight increase.
Such an inspiration!! I’m 5’8” 267lb and in my 3rd week of presurge counseling. 🤞
HIYA Lisa- best wishes. I was once at 5ft8in- 365 pounds I'm now at 2 5 years 180 due to a RnY bypass. I'll be sending encouraging thoughts your way!
@@TheMidLifeWife p
Congratulations on your success, Follow me on instagram @drmatthewweiner see you there!
Can I just say; what an awesome service you are offering.! Thank you for sharing your expertise 🙏
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Amazing info! Kudos
Thanks. Very interesting. I had gastric bypass surgery 28 years ago. I weighed 264. 5’5”” one year later I was at 164. I had a small gain to 172. I maintained that weight for many years. To day after cutting calories I am at 155. I am working to hit to 149. The ting that helps me is the weekly weigh in with my husband. Both are in the best shape we have been in for many years. I still need to loose a few more lbs to get the suggested BMI. This bothers me as I am looking very thin. I do have loose skin but no funds for a tummy tuck. My age is 78 an live a very full life. My only health problems are arthritis , and AFib . PS I am a junk food junkie and live on diet soda. I know both are bad for me.
You are an inspiration!!! I was sleeved 4/9/21 at 50 and I was thinking I waited too late for the procedure, and was kicking myself for not doing sooner. Your success is my inspiration. Thank you for sharing.
Good on you. I had my bypass 29 years ago. I can eat more than1 1/2 cups. I try not to push it, as I don’t want to stretch out my new stomach. I eat what ever I want just in smaller portions. I seldom fell deprived. I do count calories,but I have plenty to eat. My one problem is I still love sugar, even when I makes me feel sick, I will consume more than I should. For years if I just cut out the sugar I will loose weight. My prayers go with you. It is hard but well wort the struggle.
Good stuff, just had mine 4 weeks ago and it’s heartening to see an actual recipient with a validated long term success
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Excellent information, thanks for sharing
Want more free content? I'm on IG too. Follow me @drmatthewweiner. Looking forward to seeing you on there and chatting more
All of your videos are very helpful. Thank you so much ❤️
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excellent video that explains the mechanisms of how weight loss surgery actually works...
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Awesome content!
Love the down-to-earth and scholarly presentation. The so-called “most famous Bariatric surgeon in the world guy” has a bigger ego than I have ever witnessed and the information is often less than stellar,. Thank you so much for your great videos.
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Excellent video!!!
Are you on instagram? You might appreciate the content there too, and we'd love the engagement. @drmatthewweiner is the account.
I'll be 7 months post op on November 2nd 2022 I have gone from 252 lbs at my heaviest 224 lbs day of surgery to 136 lbs BMI 23.5 I'm delighted. I love your videos Doc they are brilliant easy to understand for the layman. I have overhauled my life your pound of cure book is my new bible.
Hey Dr. Weiner! Are there bigger neurohormonal changes from the bypass vs sleeve? Are there any studies showing such data? I was wondering if bypassing the duodanal section is better.
I'm on track with my hospital but I don't know which one I want. The hospital is also a part of a study called BEST where they choose which one I have to have an equal number of each type for a ten year review. But I can choose to opt out, but I'm super ambivalent right now.
great and helpful video... I have stalled now for 3 months, starting VSG Surgery weight was 375 , today I'm at 224 at 1 year, 9 months out from my VSG surgery. I will go back to eating Fruit and veggies, to hopefully see my weight to continue losing. My goal is to reach at healthy BMI, right now my BMI is at 41 bmi.
Maybe try upping protein and water. I had stalls like that in the past.. tuday i am 6 years post op vsg.. i lost a 166 pounds.. i was a 3x today i am a petite 6-8,, i am age 63 i am 5"2.. i know you will get to where you need too.. my vsg is the very best thing i ever dine fur me and my health.. Best of Luck my sleve sister!! You Got This!!
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How can I say to my body :hey this is our new set point. .. Stay there...
Low carb/IF helped me with it. Of course, do the healthy keto version if you try it. I had BG about 1.5 years ago and started Keto about month four. I am at my ideal weight and have been keeping it off without issues.
@@sirjonsmithiii992 j
Had sleeve 2013 dec. last few years been throwing up everyday. Just been living with it. Now I have been recommended for the revision to the by by pass. If the by pass needed on most sleeve surgery
I agree injury/ surgery : with a bad emotionally abusive relationship and break up caused me gain back 35 pounds. My surgery was 2/12/2013 Pre surgery I was 225 pounds. Lowest post op weight 134 pounds.
I got back “ on the wagon “ journaled all
my food and water intake. Read labels if food. Went back to gym ( 4-6 times per week). I weigh daily. ( most do not recommend this but it works for me) I have lost those 35 pounds and back to 134 pounds. I realized that I am accountable for me. I go annually to my bariatric surgeon and he dies a full battery of labs: CBC, comprehensive metabolic panel. Vitamin B, D , thiamine PTH abs TSH ( I have hypothyroidism : auto- immune) I go to a T. O. P. S group and they tell me that I cheated and took the easy way out . Cruel. Another person had weight loss surgery and she has gained back a lot. But she does not truly follow abs healthy lifestyle and diet abs exercise plan.
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I have Hashimoto’s thyroid disease. Having weight loss surgery is not the easy way out. It’s very difficult. It’s a tool to achieve your weight loss goal. Don’t let people’s negative comments discourage you. Job well done. I hope I will be successful as you have been. I had my gastric bypass 12/7/22.
This question addressed to Roux-n-y gastric bypass surgery. My question relates to the VSL vertical sleeve laparoscopic surgery. How long - how many years is this effective at weight loss
I am not someone with medical training, I have never had weight loss surgery before, I don't know what questions to ask a prospective surgeon or what answers and why they are important. Please where do I go to find these questions and what answers I should look for? I live on the island of Kauai in Hawaii so my choices in weight loss surgeons are limited. I want to trust my surgery to the best surgeon that will give me a compassionate best chance of success! Can you aim me in the direction of these questions?
Thank you for valuable information and encouragement. My question is what are some great medications! Had Roux 2008. Size 4, 125lbs now 160 to 165; 170; depressed; looking at having surgery again. I never had excess skin removed and breast -lift, etc.
Thanks
I started at 334 and in 10 months i'm down to 200. Im a little afraid of losing more weight 🤦🏻
Why are you afraid of losing more weight? Its okay to feel afraid too about losing or gaining weight. I am post op 6 years post ol VSG.. i have kept all my weight off. I am age 63 ,I am 5"2.. its best thing i have ever done for me and my heajth..Dr .weiner is very Awesome too.
Congratulations on your success, Follow me on instagram @drmatthewweiner see you there!
I feel like a loser gaining weight back. I’m more warped mentally about my weight than ever.
Thats normal!! just pick yourself up ,,Give it your All. Its so very worth it!!!
How long ago did you have your surgery? How much weight did you gain back ?
@@micahmcclough8918 I’m so sorry I commented now bc I only gained back about 15-20lbs at the time. However, I have in total lost 150lbs 😃.
I was told gaining happens but you have to refocus and change habits even after losing weight after surgery bc your body is constantly changing. I actually began to eat more because I exercised harder. I’m still learning by maintaining my current weight 167-170. Thank you 😊
@@micahmcclough8918 sorry to answer your question 😏 8/2019.
@@El_Roi75 no problem this video will be up forever so you'll have other questions come up yrs down the road lol
Dear dr I had BMI=34 plus diabetes 2, and ME/ fibromyalgia. I got my lap band in Uk 2012. First year lost weight but due to vomiting & pain had to de fill. Due to Hiatus hernia & reflux my surgeon decided to take the band out but as my BMI = 30 now I can’t have revision to sleeve . I am extremely anxious and worried about gaining weight if I take band out. Even though it didn’t give much restriction but it was there . Please help me to hope that weight gain is not necessary happens to all band removal patients
I had RNY surgery 12-26-18, but I stopped losing weight 6mos after surgery. My nurse practitioner prescribed Metformin to help with my sugars & help lose weight more weight and I actually gained about 5 lbs in a month I feel it's from taking the metformin so I discontinued the pill, but now I can't lose the 5lbs that I gained. Do you have any suggestions on how to continue this weightloss. I've currently been walking 6miles a day 7 days/wk with no luck. Hw 373, sw 309 cw 260 I was 256 when I started the metformin. What weightloss pills if any are recommended?
I had a RY 20 years ago. As a result I have to have monthly B12 shots and yearly iron infusions. Not something I was told before making the decision whether to have it or not. Would I do it again? Hell No
reverse it then
Hey Dr.Weiner i am 18 days post op and i feel like i can eat a. Little more than i should like 4 ounces of protein or 3 ounces at a time mostly tuna and i get hungry sometimes i take in about 600 to 700 hundred calories a day
Congratulations on your success, Follow me on instagram @drmatthewweiner see you there!
I had gastric bypass RNY kept the weight off for 13 years I did so well, until menapause I developed hypothyroidism and can't keep my weight off. I feel like I did before my initial surgery and stopped eating meat now I'm a vegetarian and I don't eat much sugar or fat. I'm thinking of having revisonary surgery.
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I am so depressed I had gastric sleeve 8 months ago only lost 39 pounds. I’m regaining. Never felt restriction, never felt any pain or discomfort I even believe they scammed me. I am so depressed because now they told I have to wait to get a revision. And that the insurance needs to approve it which is so unfair!
So if my weight gain is Genetic, should I go ahead with the Surgery? My mom was obese and all her kids also.
I have decided to have the RNY I just wanted to ask. I'm on Arava and otezla for autoimmune arthritis I'm in full remission my concern is both these meds are in tablet form and whether my body will absorb them properly and will they be utilised properly so as not to cause flair up.
You should discuss this with your surgeon. Medication absorption is, typically, not a problem after surgery.
@@apoundofcure thanks for thatCeline my coordination lady said the same yesterday when she rang one less worry take and thanks again
I had RNY almost two years ago and this is the first I’m hearing about the hormonal shift. I’m curious about this as I was diagnosed with hormone positive breast cancer about 7 months post op. I have no family history, all of my genetic testing was negative and I was 42 when I was diagnosed. My oncologist said that had it not been for the surgery and my weight loss, I would not been diagnosed as early as I was. I’m wondering if this explains it.
Hi 2 years after my RNY I also was diagnoses with hormone positive breast cancer. No family history. It was stage 1 and surgery and radiation completed my treatment. very interesting thought. I questions whether it was the weight loss that caused the hormones stored in the fat to start circulating. I am very thin and skin and bone on top which was the reason I found the lump so soon. Hope you are doing well.
I had breast cancer and gained 35 kg after.. Was thinking about doing gastric sleeve but hasitant because I don't know the impact of that in the future.. Especially that I have BRCA positive
Could I ask for my insurance to investigate my surgery?
Hi Mr. Doctor. I just had the surgery September 26th 2019 would like to know about the process of eating pureed food step one it also step 2 eating solid food instead of three eating regular food every time.. I put something in my mouth my chest burns bad what is. I'm doing wrong. 😞
Hey just curious how is your journey going?
stacee wright My journey is going well I lost 120 pounds my doctors go for me was 150 so I’m pretty much there only thing I don’t like about it is the loose skin hopefully once I lose the rest of the Weight I can get the skin removed
@@mamadopenails7765 hello asking for my wife, she has symptoms like yours after surgery a month ago. she also has burning chest pains. How long will that last? Also, what helps to bring it down. Thanks
Is there a surgery if you had a by pass alredy
It really hurts me that I didn't receive this education in 2013.
Do you think doing healthy Keto and Intermittent Fasting can help elongate or maximize the positive hormonal state and Honeymoon?
Also, why can’t SOMEONE come up with a hormonal cocktail PILL that makes these hormonal shifts happen WITHOUT surgery? Or do they really WANT to? After all, WLS is a pretty lucrative thing...
No need for this surgery. Join good Keto plan & do fasting. Join groups on Facebook to sort out your hormones. It makes me so mad that people have to hack their bodies. Criminals.
I had my gastric bypass surgery on September 30th 2019 and I have a question I’ve been scared that im able to take down to much full liquids in one sitting, im 7days out and im able to take down half a protein shake in 30mins without my stomach hurting. Is that normal because the last thing i want to do is stretch my stomach.
Hi. I was the same. I thought the operation didn't work...
@@yehyeh5066 yeah I was all scared because my friends that did it also where so surprised that I could get that much down. I have a doc appointment on Monday so im gonna take to him about it all and see what he says
@@yehyeh5066 when did you do yours and how are you feeling now
@ChristineCane What did your Dr inform you about drinking more than half of the protein shake?
hey bitch lol x
Approximately what is the costs for revision surgery? I had RNY.
How do artificial sweeteners make you gain weight if they are usually 5 calories of less and 1 or less carbs?
I believe it increase food cravings
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When I had a barium swallow that I requested they told me my stomach was big.
you mentioned artificial sweeteners so using splenda or a generic version of splenda is really bad i did really well on my rny i had 13 years ago then i had a miscarriage and 2 really bad car accidents and got put on steroids then i also got hurt at work so lots of inactivity and then i use lots of splenda so if i stop the splenda and try to eat good again will i be able to start to loose again i started at over 600lbs and got down to 250 which is still big but i was happy then all the drama i mentioned above and 2 years later it has crept up to 333 and stayed there for a year i want it to go back down pls help thanks
Melynda Zeek I’d love to hear some ideas that are given to you.
Great information, thanks Dr. Very interested in those courses.
Eleven years post op and happy with my RNY, then 50 lb gain after a year of Covid. Cry.
Same! Cept i did my back & had a 90% fusion stopped working and moving as much
Same here,only more post back fusion surgery and bilateral foot drop causing me to be less mobil! I've lost some of what I gained, but still not to where I was originally!🥺
Do you think thats a problem
I wasn't getting in enough calories thats why i was hungry but i corrected my issue thanks
Hi, how are you ? This bariatric surgery is a medical error, just as errors occur in any other profession. I have two acquaintances of mine who died because of this surgery. One had little stomach and when she went to eat a snack, the little stomach she had was unable to digest it, and then she got severe pains in her stomach, feeling sick and died. The other acquaintance of mine, became weak and when she ate, her intestines could no longer retain nutrients from food and she died of malnutrition. And when she was alive, she kept passing out fainting from weakness, even eating and eating right. Her stomach became small and so the body did not absorb food for it to survive. With so little stomach left in it, they cut a part of it out, and didn’t keep the tissue to be frozen, so that if she eventually needed to undo the surgery, put it back in it again. So how do you do it? And there was another one that I forgot to mention. That the internal scar of the surgery became very thin and broke, causing her stomach to fall into her body and she died instantly. I do not know how they have not yet banned this surgery, with so many people who give problems, after they went through it. Not to say them all. Be careful. Why go through this? Dieting, without being radical and exercising, is the best thing. And examine the patient to see why he doesn't lose weight. I currently, when I eat only two tablespoons of rice on the plate and eat at regular times. It helped me a little to maintain the weight. Hugs.
I can't diet anymore. I was able to do that easily but for whatever reason I literally can't control my apatite. I listened to all the advices but none of them work anymore. It's frustrating (losing all the progress slowly is painful) but I don't know what to do. any advice (because you sound like a very well-spoken person).
Hi Mike, how are you? I am on a diet that, of all, was the only one that is helping me maintain a little weight. I'll put the video down here for you to watch, but it's in the Portuguese language. I don't know if you can watch it in English, but summarizing the diet, you have to assemble the dish differently. You have to mentally divide it into two different parts. Or in half. Right and left. On the right side of the plate, you can only put two tablespoons of rice, pasta or another carbohydrate and on the top a protein. On the other side of the plate, on the left side, just put salads or vegetables or both. If after lunch or dinner you still feel hungry, eat more salad and vegetables, until you are full. Cut sodas or juices that have a lot of sugar, I for example just drink water. But if you want you can have something else, a diet soda, understand? Or even a normal one if you take it from time to time. That's it. And make meals at regular times, breakfast, lunch and dinner. I also cut the butter and margarine, which used to be on the bread for creamy cheese that has less fat. If it gives you hypoglycemia or the urge to eat something else, you can have a sweet or salty, but then go back to the diet. The important thing is to eat these things from time to time, not always. That's what I'm doing. As time goes by your stomach has shrunk a little and you are feeling less hungry. And it is also good to do physical activity. A hug. I believe that when the person gets older, the organism does not work the same right when the person is younger, it gets slow. I think that's why there are so many obese people today. I saw a report that said that they genetically changed the wheat flour that makes bread, so that wheat grows faster. They said that in the past wheat had much more protein than carbohydrate. Now because of that most of it is carbohydrate. I think that's also why people get so fat. Wheat flour is the staple of the diet. It is not possible to eliminate wheat flour, it is everywhere. Just reduce consumption. A hug.
link - How to assemble your dish -
ua-cam.com/video/JBt3_KLuH8I/v-deo.html
dr Rocha. This doctor invented a diet for diabetic people, through food to reduce the excess sugar in the blood of diabetics and serves to lose weight too. Or reduce the amount of them, the carbohydrates, to a healthy level, without extremes, so that the person does not feel ill afterwards. Some diabetics reversed it in the 4 month by doing this diet. There is no more diabetes, but others still have it. Because he is against some surgeries, because he said that depending on the surgery the person gets even worse instead of improving. He is afraid. Because there are surgeries that are not reversed afterwards, it is very difficult. Then they don't move because the person gets worse. They don't know how to undo sometimes. It is rare to achieve anything. But sometimes it does and sometimes it doesn't. Sometimes the surgery they do to correct another one, their theory is wrong, and the person ends up getting even worse. And they sometimes don't know nor that. So you have to be careful. Um hug !! 🙂 ✨✨✨✨
@@tiagot6516 Hey Tiago, i'm fine thanks 😊. What you said made me speechless. It's very well researched and has some vey good advices that I haven't heard before. That mental type of diet seems like a very interesting topic that may work very well with people that bengie eat like me. I also believe that what you said about wheat was very true especially because my country's diet relies a lot on wheat products (that made most people unhealthy and have bad eating habits). The physical activity part is also right (because of dopamine rush after exercising) it's effective at stopping bengie eating.
As for the surgery part I considered having a Gastric sleeve but what you said is right (a lot of ppl do revert to old habits) and the price is somewhat high in my country, so I am not planning on having that surgery any time in the future.
I want to that you very much for that wonderful informative response. I really appreciate thak you put in the effort to help me with my problem. You're an amazing person. At last a Hug 😊✨
Hi Mike. Imagine ! You're welcome. I hope it helps. Thanks ! Glad if help. And thanks to you for enjoying it and for your return ! A hug !
😊
I had gastric bypass (laparoscopic) in 2001. I was 280 and I did loose all the weight. I have gained a lot back, I’m now at 205 18 yrs later. If you don’t do the work you won’t be successful hence I am now at 205. The positive side was the huge weight loss however my body created this anxious feeling. I would get blood work done to get my vitamins checked out because I had no idea what was wrong with me. After many tests done and I was normal another And years later I realized it was anxiety. Not just a passing anxiety I mean it affected everything. I know now this surgery affected my nervous system in some way. Years later I am fine but I will say I struggled.
Susie T perhaps it was low blood sugar, not anxiety.
Dr. Matthew Weiner I also checked my sugar when I had these issues and it was within numbers. Thank you for your reply 🙂
Your answer is Too wordy and shooting in every direction. You are trying too hard to sound too smart!!
You are right, I talk a lot! Probably too much!