Oh my word. Thank you so much for this video. I have been struggling on whether or not to go through with the surgery. I am over 400 pounds and I know that I need to do something soon... but my head keeps telling me... why can't you just do this on your own? This is the first time I have ever heard someone say that someone who is obese can have a good diet and still not be able to loose weight. That is me! I cook everything from scratch. I have eliminated salt from my diet. I don't eat processed foods. I never buy snack food. Two years ago I eliminated all breads, potatoes, pasta and rice from my diet. I eat only fruits and veggies and lean meats and have done this for over 6 years. Me and my family spent a week at my mom's house on vacation this past year. I did all the cooking and we all ate the same thing. As usual, I ate less than everyone else. My mom loved it because she gets to eat healthy while I do all the work...lol. My mom lost 12 lbs during these 2 weeks. I gained 18 pounds. For the past year my sister has done all my shopping for me (I sustained a knee injury last year). After a year of shopping she says to me... "oh my goodness. I cannot believe how healthy you guys eat. Why are you over 400 pounds? I would be the skinniest person on this planet if I ate like this." Anyway, thank you. This video helps me to see that I am not crazy and that I need some help.
You're welcome - I'm glad this video helped you understand that there is much more going on beyond a lack of willpower. It sounds like you're a good candidate for surgery - make sure you find a well qualified and experienced bariatric surgeon in your area.
I realize I'm not the doctor here, but I feel like I made a pretty important observation here... Which is that you spoke a lot about how many changes you made to yr diet and how long you've been doing it for. So it sounds like you've got yr dietary choices in check. Which is great! Don't get me wrong! But what you did not even touch on was exercise... Which is arguably the most important topic when it comes to weight loss along with dieting... In his comment he mentions yr metabolism. Which by definition is how yr body converts the things you eat and drink into energy... Well what do you think happens inside yr body when you don't use that energy? All I'm saying is if you can somehow lose enough weight to live a happy and healthy life WITHOUT having to resort to having a surgery then I'd say that would without a doubt be the best case scenario long term... Bc even if you choose to go with undergoing a bariatric weight loss procedure and looking back on it you can say that the side effects you experienced as result were relatively minor, I'd argue that if you were able to motivate yourself enough to stick with a rigorous weight loss program including a healthy combination of both diet AND exercise then once you see the pounds start dropping it will only get easier and easier as you go... and that's a fact! So the hardest part will be finding a plan that works for you or taking components of multiple programs and creating your own program. It rly doesn't matter if you choose a pre-existing program or if you wanna make up yr own bc if it works, it works! And if it doesn't...... Then obviously it sounds like you need to change something about yr program haha! Anyway, my point is that once you get the ball rolling it's not just stop on it own... The momentum is what yr looking for regardless of how you get it. So essentially what surgery does for you is it picks that ball up, makes an incision into it, drops some weights into it, sews it back up, places it back on the ground, and then gives it a push... therefore making it's momentum greater. The argument I'm trying to make here is that an effective weight loss plan can give you that same pus you need in order to gain that weight loss momentum that the surgery does... albeit without having to make irreversible alterations to yr body... So dropping those weights in the ball and giving it a push to get starts sounds perfectly fine in theory and on paper, but that's only when you need that ball to travel down straight path. What happens when you need that ball to travel down a path that requires to make a turn or to stop and go? That's when the design flaws of the weighted ball idea rly start to show. In other words, the long-term practicality is what makes them visible... In conclusion, I of course don't have a dog in the fight, but either way I truly hope that you will find what the best option for you to make in order to live yr best life that you possible can. So I hope you choose to do whatever it takes to make you the healthiest and the happiest version of yourself that you can be. I know yr family wants that for you as well bc they want you to be with them for as long as you can and I know you want to be with them for as long as you can too! So the desire is there within yr heart and on yr mind. Now it's just the matter of putting a plan into motion bc it is a fact that by losing weight you will essentially be adding years back onto yr life that wouldn't have if you continue living yr life as you have been 400 lbs. I hate to sound so morbid, but that's the grave reality and I just want you to realize that yr worth so much more than that and that yr strong enough to overcome this challenge as well as any other challenge life may decide to throw at you! Which I know that if you can beat this one, then that'll give you the confidence to make the next challenge that comes along be like a cake walk. So you got this! 💪🏻Nothing but love❤❤❤
Buy this book; 4 hour work body by Tim Ferris. Very helpful in terms of diet and exercises. The concepts helped my friend significantly. For a year now he is able to loose 160 lb
I have a multitude of problems. I have PCOS, Hypothyroidism, Border line Diabetes, no gallbladder, insulin resistance, etc.. I am 150 lbs over weight with a 5'3" Asian frame. I have been talking this choice over with my family for 4 years. I just want to know if this will work for me with all my problems and will any of these problems be gone if I am able to lose the right amount of weight.
“7:15-8:00” THANK YOU. 🙏 I wish you could be my surgeon. You explain so well what I have been struggling with my whole life. I have been training my whole life, eating healthy, clean habits , never drank sodas , drink water only and ever since im a child... and cannot loose 1 pound for some reason. It is extremely frustrating and disappointing.. meanwhile people around me can eat crap everyday, not moving and they are thin. I will never understand that. I really hope the sleeve surgery will work or else I wouldn’t know what to do next as I tried everything already
Dear Doctor Weiner, I am very happy that I have finally fund a doctor that is so whiling to explain exactly what’s going on in an Obese body. That doesn’t think that too many information would hurt our "little heads"! I tried all kind of diets, Dukan did work but I gained all the weight back very very easily. I am very active, dance Latin American and play volleyball. Finally after this video I can say that I am in the second group of people, I am 38 therefore I was an obese child 30 years ago. Sure been Italian I suppose it’s easier for us to gain weight, but I do not have thyroids issues, so I can’t give the fault to my hormones either and I don’t have family history either. Also in another of your videos, the one about the type of surgery to choose, I have discovered that I am that 1/3 of people for whom the gastric bandage doesn’t work. I did the surgery 10 years ago and I am still the same weight. I am looking forward to get your book that I have just ordered, but I have already started to eliminate the sweeteners, I don’t drink anymore diet coke, I am changing to stevia and I started to do shakes, I eat when I am hungry and I will not let myself starve anymore etc. I will have a mini gastric by-pass on the 28 of October and if before I was a little scared that nothing will change after this surgery as well, I am now sure that I will succeed this time because the surgery will be the first step but your guidance and your advices will be what I will follow for the rest of my life. I am very sad that I live in Ireland and not in USA, otherwise I would have loved to come to one of your seminars. Thanks again for all your help.
Seven years later and we still find this. I'd watched a few of your other videos, joined the Bariatrics complications group, and Doctor, All I have to do to eat right and work out hard, is to have a few new tools that i've gotten from you and the surgeon I was going to have do the surgery.... and what it came down to for me is that I never had all of the essentials together bfore, the fundamentals, I 've lost over a hundred pounds twice before, but dehydrated both times!! Arrrgh... the small bites, the slow bites.... I'm 68 and I threatened myself with a knife an d said to myself, "you win, I'll do this without the surgery... so that's what I'm doing and i feel like a million bucks. HW 300+, Previous lw 150 and 160 but I had a lower bmi. last HW 263, CW 247 and trending downward. Getting stronger every day.
I watched a number of videos before my RNY last year. At a year post op, I can say he is almost 100% spot on. The only thing I completely disagree with is not eating more red meat, chicken, and fish. A lot of us who get bariatric surgery have that "cracked out" look around 8 months. Meat and strength training, especially in women, is important. It helps build muscles and help your overall health!
I am so happy I found your videos! Thank you so much for taking the time and effort to make these extremely informative and valuable videos! I am planning to have gastric bypass surgery ! your videos are so helpful
Franziska Iannitti, Glad you enjoyed the video. I've got a video on artificial sweeteners that points out that Stevia is no better than any of the other artificial sweeteners, particularly in liquids. I'm not a fan of the mini gastric bypass and favor the full gastric bypass instead, particularly for patients converting from a lap band. Best of luck.
I would hug you if I could. Your videos are so supportive and informative. My RNY was in Texas 053014 for diabetes and weight. I have watched your videos several times to get better understanding so here I am again watching and decided to leave a thank you note!! ps I am following my md orders but I like to hear your reasoning and the reinforcement of the change necessary to be healthy. Thanks again!
Thanks for the note, great point that your surgeon's advice trumps mine every time (I'm not the one seeing you and examining you and I wasn't in the operating room).
Hi Doc. First, I love your videos, they are so informative and especially this one because it explains really well the “set points “ and what I am going through for years now. I am somebody that eats very healthy, clean, I do not drink alcool/soda and refined sugar/processed food And I am overweight. I am currently at 225 for 5.7 and back in 2011 I lost 80 pounds on weight watchers. It was really easy and I lost about 10 pounds a months by eating even more that I ever have before. I got a back injury 2 years ago and gained it all back . I suscribed to weight watchers again.. after 3 months of the scale not moving not even 1 pound I got discouraged and tried the keto diet... as A vegetarian... I didn’t have too much choice and seeing no results whatsoever I TRIED something else....not results either. I could literally go days without eating and I wouldn’t loose 1 pounds. Everything that seems to be working for somebody does not seem to work for me and this is what scares me about the sleeve. I am considering having it as my last resort but very scared I wont see results as I am already eating very well and small portions and it doesn’t change anything in my weight. I suspected pcos.. got an echo and everything was fine. Got my cortisol level checked... everything is fine aswell ... I am now in pre op diet for the sleeve and where everybody sheds like crazy.. The scale haven’t moved at all. I havent cheated once. I am very discouraged and starting doubting my choice of getting the sleeve as I think It could be a total waste of money in my case. The nutritionist doesn’t understand how I am not loosing while everybody else is. I would have to loose 13 pounds in less than 2 weeks... or else the surgery would get canceled. Please help... what would be your advices?
In your book, is there a list or recipes that we should eat after surgery(specifically when it's safe to eat anything)? I heard you say we should eat fruits,veggies, and less animal protein. I love sweets! I also enjoy fruits and veggies. My surgery is set up for the month of October. I'm trying to gain as much knowledge as possible before I have this surgery. Thanks for making this channel. When I watch your videos, I feel like I owe you a $20 copayment. 😄
Toshi, aside from the first three months after surgery where there's a lot of restriction and eating enough is the issue, your dietary requirements after surgery are no different from anyone else's. I put all my patients on our Pound of Cure plan at the three month mark (there are recipes in the back and we're working on a cookbook, but there's tons of great recipes out there from proponents of similar eating plans. Joel Fuhrman has some of the best). Our address is on our website - be happy to take your copay -Just Kidding :)
Has anyone had the sleeve surgery while on kidney dialysis?. I have a pacemaker and take cumidin! They say the cumidin is digested in the stomach. With the sleeve done where will the cumidin get digested? Can this get done? I need to lose 40 pounds so I can get a kidney transplant and get off dialysis? Anyone on dialysis and having bariactric surgery?
I had gastroparesis when I had my surgery. It was indeed life changing to me. Saved my life. I was dying from rotten food sitting my stomach. I was on propulsid for a while and it helped move the food. They were planning to take it off the market. I was not going back to the condition I was before I took it. I found a very experienced bariatric surgeon in F.t Collins that agreed it was a good idea and he performed it in 2000 - a roux-en-y. I discovered over time that enzymes were necessary to help digest my food and get the vitamins out of the food the my body needed. I also found the need for gastric acid because I was no longer making much of it. I take vitamins and keep track of the levels of my vitamins to be sure I am taking enough. Today I am lower in weight, healthier, and I can eat. Not many patients with gastroparesis can eat without problems. I take enzymes and gastric acid before I eat anything. It is costly, but I am alive. I take Digest Gold by Enzymedica, PB8 probitic, and betaine with pepsin
Dr.Matthew, I have been overweight since childhood, dont drink sodas, dont eat ff, eat processed foods minimally and seldom, my sugar intake mosytly comes from natural sugars or that already in purchased foods. I make my own bread and try to keep added "bad ingredients" as low as possible. I eat a low sodium diet and only use healthy very minimal oils and butter. I am disabled and unable to excercise amd never been an over eater but I have reduced my portions anyway due to my slow metabloic issues and morbid obesity. I suffer from a comrpomised immune system and a myriad of health issues and vitamim deficiencys. Though I want to lose weight I am not convinced the surgery is for me. Especially after hearing some of your points in the video. Can I ask if you were in my shoes would you have the gastic sleeve surgery or no? Knowing you cannot exercise before ir after surgery and I have at least 3 pills larger than an m&m I take daily along with many others. I am not diabetic, no heart issues.
I can't believe you actually said portion control isn't important. That's where I'm stuck. Ive changed my diet but my body doesnt know when its full no matter what I eat.
Hi Dr. Matthew Weiner, I am considering gastric sleeve surgery and wanted to comment on your diagram at 11 minutes. What about the people who are "likely to require surgery" for weight loss that have obesity in their family, were overweight as a child, find it difficult to lose more than 10-15 lbs but who also struggle with their diet and struggle with eating the wrong foods? That is the situation that I am in, and I'm very interested in hearing more about your eating plan and want to read the resource that you mentioned, "A Pound of Cure." Just want to say that I am so thankful to have found your videos - they have been a huge help for me. Thank you so much! I'm really going to heed your advice and make sure that I use my one opportunity the first 6 months to relearn my eating habits.
My mother and my siblings including me are obese. I'm 260 pounds and I don't eat processed food at all, no soft drinks. I eat small portions, but not active regular. I gained 100 pounds in 2 years.
That video was super helpful. I really like all your videos! I think I am someone who would benefit quite a bit from WLS (have family history of obesity, have made dietary changes in the past, eat a fairly healthy diet already, & keep gaining and losing the same 20 lbs). I'm excited for the idea that I can get help with this weight loss battle but the main, #1 thing I struggle with is the permanency of this procedure. I'm sure I wouldn't regret it in the short term, but wonder about the data many, many years out (15, 20, 25+). I'm still in my 30's and wonder if having changed my anatomy if sometime in the distant future that will prove to be a disadvantage. I've tried researching long term data on health (not just weight loss) for sleeve patients and maybe I'm not researching well, because I'm not finding anything helpful. In the short term though - this seems like a great option to help me finally achieve more weight loss than I've been able to do on my own in the last 10 years.
You certainly sound like an excellent candidate. We've only been doing the sleeve in high volumes for about 7 years which explains the lack of long term data. If you're worried about the durability of the weight loss, a gastric bypass is a better procedure with good data 10+ years out that patients are still much better off. Long term issues related to an anatomic changes do occur with both surgeries, but are rare (
Hi Doctor Weiner, I am looking into either a VSG or a DS on the public system here in New Zealand. I have Bipolar type 1. However I am unmedicated and have maintained wellness for several years now. My last hospital admission was in March 2011 - so 6 years now. I stopped medication in 2013 - will be 4 years in October. I noticed you mentioned that patients with bipolar don't tend to do as well. I was wondering if you had any suggestions to help make the very best of this tool. I have been through cognitive behavioral therapy and I do yoga weekly (sometimes a few times a week). I am really enjoying your videos in the lead up to meeting with the team. thank you for making them.
I want to lose 50lbs and I'm scheduled for bariatric sleeve in 5 days. I weight 220lbs and I'm 5'6. My BMI is 35. I'm not sure if I should go forward with the surgery. Need advise!
Hi ;) did you end up getting surgery? I’m on the same boat you was just wondering how it went. I’m contemplating doing it . Thanks for your help in advance.
Hi Dr. Weiner, Your videos have helped me so much. I live in Missouri and I am starting the process of weight loss surgery. Watching your videos have answered a lot my questions and eased some of my fears. Thank You
How does all this relate to middle age men (50-60) who have been relatively sedentary but who try to eat healthy and still need to lose weight but have not "succeeded"?
am thinking of doing bypass, my weight always a problem but I did make it work but now that am gaining weight too fast and it affecting my blood pressure and my asthma keep acting up now every other day...I get tired was fast also ..am 24 and feel like am Goin down a spiral if I continue like this ..mind u am on a diet everyday I no myself and I will lose 5 lbs n nothing more. am 5'11 and 260, am at that stage I'm feeling sick everyday bec of my weight now..I will wake up feeling more tired then I went to bed..am so strick with my calories I count everything I eat
Hi Dr. Weiner! After doing research, I've come to see that a majority of people had Gallbladder surgery, or issues with their gallbladder in both short & long term after VSG. This really discourages me, and I wanted to get your advice and ask, is it possible to undergo the procedure and have absolutely NO gallbladder issues within the lifetime? Also can leaks occur in the extreme long term later on in life? (15+ years later) I would be happy to hear from you!
Rapid weight loss cause gallstones and there's really no way to avoid it. About 5% of my patients require a gallbladder removal within the first two years of surgery. It's a simple, low risk surgery with minimal complications or long standing problems, despite what you read on the Internet. Leaks can occur up to 6 months postop or even longer in rare cases. Pretty uncommon though (around 1% of all patients suffer a leak)
Dr. Matthew Weiner I appreciate your response Dr. I won't take your time long on this but, but lastly - is it possible to not have any gallbladder problems after VSG? Or is it something that every patient is bound to have problems with later in life? And also some doctors prescribe a medication called Actigall - Ursodiol as a way to protect the gallbladder - would that be considered effective in preventing g.bladder problems? Thank you for your time Doctor!
There are no guarantees but most patients do not have gallbladder problems. Actigall is minimally effective, but may be worthwhile if you are very concerned.
I have fibromyalgia, Lyme disease and a mycoplasma co-infection and all of the miriade of sub issues under each of those categories. I am unable to do any excercise whatsoever. I also have quite a few vitamin decificencys that i take perscription supplements for already. My family is all obese and I generally eat healthy but not 100% of time. I love fruits and vegetables and only eat out on very rare occassions. I have never had an over eating issue but ive suffered from obesity all my life. Would this surgery be a good idea for someone like me? I feel like im in a catch 22. I have a real concern about being able to take my daily meds as there are so many and if this surgery would make me even more deficient than i am already.
I feel a little discouraged after watching this. I already eat a very healthy diet, but am not losing as readily as I feel I should be. I have a family history of obesity on both sides of my family, and was overweight/obese as a child, so does that mean that surgery isn't likely to work for me?
No, it sounds like the surgery is exactly what you need - those with a good diet who still can't lose weight are the ideal candidates for bariatric surgery
I have a bmi of 33 i have been suffering from overweight and alot of mantal issues (revolving around my weight) and now i accept my self , but still i can’t control my self on a healthier level, i dont eat so much but i eat sweets and junks (but cant finish a big meal) still i tried intermittent fasting and i gained weight and it didn’t suits me at all ,, when i try losing weight i cant lose alot (i have a mild form of pcos) I’m tired of all this i feel like 70 yo while im only 27 💔 i don’t have comorbidites but slightly high cholesteol /ldl and there’s a few people in my family who are obese ..is the sleeve the right option ? Please help doctor since i really like your videos ❤️
Actually cico works, problem is long term. Class 3 obese here. Lost 220 lbs. MD is right. I should have let them cut my stomach out. Now, I guess I just need to regain 100lbs, slowly as i deal with chronic hunger, and have a vsg or rygb. Is what it is.
Hi Dr Weiner.... I weigh 120 kilos. They say my bmi is to high to have bariactric surgery. I am on dialysis and said I could have the sleeve. When I went to the cardiologist, she said her patients were turned away because of having a pacemaker and on Cumadin. Without a large stomach there is no place for the Cumadin to be digested. I have a wonderful son who wants to donate his kidney to me, but now I don't know about the bariactric surgery. They won't just do the kidney transplant without loosing 30-35 pounds.help... Should I push for the sleeve surgery. Do you have a patients on dialysis, with a pacemaker on Cumadin and other medications? I see patients having surgery that are way bigger than me! Finally, I need to have kidney transplant and get off dialysis. One dialysis they say not to drink to much and on this program sleeve. You drink your every calorie? Can it be done?
Dr. Weiner, I am scheduled to have VSG on July 16th 2015, but not for weight loss. I was diagnosed with a gastrointestinal stromal tumor last oct and it sits at the top of my stomach. Will all the guidelines of the "normal" VSG apply to me? And I do need to loose about 60lbs.
Keto Kelli Kelli, this depends primarily on who does the surgery and how it is performed. If the procedure is being done by a surgeon who specializes in cancer, it is likely that he won't make a tight sleeve like we do for weight loss (and you won't lose much weight). However, if your surgery is being done by a bariatric surgeon, he/she will likely perform a formal VSG and you will have all the restrictions and issues of other VSG patients. GIST's are usually benign and even when they're not, they're rarely life threatening, so it is certainly something a bariatric surgeon could handle (I've done a few). Good luck!
thank you, it is not benign it is malignant, and 15 cm to start and after some chemo has reduced by half, it is an oncology surgeon not a bariatric surgeon, however because of the placement of the tumor my sleeve will probably be as small if not smaller than a VSG patient. Hopefully all will go smoothly, because the fear was complete removal of the stomach. Again thank you for your response.
It sounds like you'll have all the restrictions that the bariatric patients do, but it's still hard to say without looking at the images or watching the surgery. Good Luck!
Hello Dr. Weiner! I am 257 pounds and have a BMI of 45.5. I'm 5'3". I also have PCOS, no fall bladder, anxiety and depression. Would I be a good candidate?
Hi Dr. Weiner. Wow I have learned a great deal from your videos already but I am wondering if you have a video about PCOS and Insulin in relation to weight loss surgery. I am a 53 yr old Lady currently at 226lbs at 5'2" BMI is 42. My GP just sent in a referral for surgery. My A1C is 5.1, GTT2H 6.9 and yet my Insulin is 154.1
I am thinking of having the sleeve surgery. I am 40yr old, white female. I weigh 230, 5'7. I have been dx with predibetic, PCOS, hypothyroidism, depression. I have family hx of obesity, DM, heart disease, high lipids. I have been dealing with my wt for yrs. Am I a good candidate for the sleeve surgery?
Perhaps, go see a surgeon in your area for a consultation. In my experience, figuring out the answer to this question requires a 45 minute consultation and several follow up visits.
I am 63 years old, female, bi polar under good control, senosis of the spine and cannot exercise , is this a good choice for me? I did not gain the weight until I went on the meds for bipolar.
I have started to watch your videos like what l’m hearing from you it’s very clear for me to understand and l’m now doing my test and l don’t have my date just yet but my doctors Said it will. be in the New Year he said January of 2020 so as of now l’m just trying to get all my tests done. I have high blood pressure but it’s under control l am a diabetic l just started taking insulin to help get my A-1 C down faster before Surgery. l have Osteoarthritis in both Hips and knees but it’s. Not bad it’s not to we’re l need surgery on them and in my lower spine but l do need to have both hips Replaced.. And also have Neuropathy in my feet so yes everything is wrong with me my weight has always been up and down.! I was 240 l went down to 212 my weight has come up some and Now l’m at 219 220 so this has been my life and also now that l’m a little older l notice it’s hard for the belly fat to really go down l can’t really do any real exercise because of my Osteoarthritis in my hips n back lots of pain there and my Neuropathy so it’s difficult but l hope and pray with the change in life style and sleeve surgery and my hip surgery’s l my life.can be Whole again l’m middle age so this for me has been such a challenge for me the Arthritis started about age 47 or 48 then l Had pain and was given pain pills but then it went into Osteoarthritis in my body. Do you think the sleeve will help along with the must have hip replacements.? Thanks for any information you can give to help with my condition. Thanks 🙏🏽
I don't know what to do.. I am thinking about the surgery not a fan of exercising a lot, try to eat a little better, more portion control not over eating.. I've cut back in Coca Cola drink it once in awhile if I crave I drink a little then continue with water a little juice so forth anyways very depress while with my ex 18 yrs we are no longer together it's been 2 yrs when we broke up I was at 298 now I'm at 238 I need to lose 105 lbs want to be at 135 I'm 5'5 43 yro.. Don't know what to do I do know I hate having this weight on me.. I do want to eat healthier for sure I see ice-cream I'm not as tempted anymore I'm working on cutting back anything sugar somewhat carbs.. Don't know Doctor.. Pls your advice would be truly welcomed and I appreciate it greatly.. Also afraid of getting so much extra skin😓
+Carol Salas early diabetes can be treated with lifestyle modifications, like I describe in a pound of cure, once you start bordering on needing insulin, it's time to consider surgery.
Carol Salas. When I say I was going to have the gastric bypass surgery (my choice of surgery), people started to tell me that I was “too old”, blah blah blah…..and here I am now, at 69 years-old had the gastric bypass surgery and feeling great, like I am on top of the world! I don’t know if there is an age limit but in my case, I wanted to have it done ni matter what my age was and I did it without any complications. Talk to a doctor and find out …..and if you don’t have major health problems, you will be fine. I do not regret having the gastric bypass surgery, NOT AT ALL, on the contrary, love it and love how I feel with 96 pounds less to carry on. God bless you and don’t listen to people, just listen to a BARIATRIC doctor who will give information about this surgery. Good luck to you.
Hello Dr. Weiner. I was recently approved for weightloss surgery. I am starting to have second thought. It's like a 50/50 mental struggle. I have a bmi of 35 with prediabetes,htn, and severe sleep apnea. Do you find that alot of patients are able to keep it off without surgery?. If they are able to change their diets. I really want the surgery, but fear is starting to set in.
Erica, Your second thoughts are very common - in fact they are a sign that you are giving the surgery the proper amount of consideration. I think that weigh loss is 90% physiologic and 10% mental, not 50/50 as you believe. If you are able to lose weight easily by manipulating your diet and exercising, then perhaps the surgery is not necessary. If you struggle to lose even a few pounds, then it's likely that surgery is your best bet. Very tough question to answer on a quick post - perhaps your surgeon has some thoughts on this question.
luv ur vids doc very informative. im considering bariatric surgery for the moment im on a wholefoods plant based low fat lifestyle. im cycling long distances cant lose a pound my skin is great joints much better dexpite d lack of weight loss. hopefully my body will release d weight in d next few months.
If you suffer from anxiety, the surgery can be a little more mentally taxing, but other than that, I have not found that it interferes much after the first three months. I haven't seen any issue regarding long term success.
Can i be a candidate for bariatric surgery? Im 18 (male) 5'11 around 285lbs. I've been considering a gastric sleeve for along time now since I've had a lot of trouble loosing weight on my own I've been obese for over 5/6 years and I've convince my parents to let me go under the surgery because Im at risk of having diabetes type 2.
kendall You're right on the border of officially qualifying, but I personally think that you are too young. I encourage patients to wait until they are over 25 and living independently before having surgery. At your height and weight and your age, you should be able to lose the weight on your own through exercise and changes to your diet.
Thank you for your reply. I have been banded for almost six years. My highest weight was 278 and my lowest weight was 187. During this time I was diagnosed with Hodgkin's Lymphoma. I am now 4 years in remission. My treatment and recovery from Hodgkin's took priority over my weight loss. I am a 48 year old female. I had an adjustment about a month and a half ago. Your video has help me set some achievable goals for myself. At this point I at 220. Dr. Matthew Weiner
Hey Dr. Weiner, thank you for the video. I am pretty close to 200 lbs, 5'4, and my bmi is 31. I want gastric bypass surgery but I am concerned about loose skin. Do you think that will really be an issue since I'm not over 200lbs?
Dr. Matthew Weiner I am a 19 year old , native american female who currently weighs in 241lbs with a 5'3 frame. I have been overweight since 6 years old and my whole life I have been in and out of gymnastics and dance. My family has a slight problem with being obese. I have had a few relatives die from problems that stemmed from their weight. I have always been active, swimming, dancing, gymnastics, even girls on the run. My family eats organically and tries very hard to stay away from gluten. Noe that I am on my own I continue to walk about 2 miles every morming with my husky and I am thinking about biking again. I've tried many different diets, from liquid to no carbs to all protein and I still have not been able to get the weight off. Do you have any suggestions for me? My mother and I have been talking about Bariatric surgey but I'm scared and have tried everything to keep myself from thinking and resorting to it. Though these past few years it's felt like a lost cause and we've been doing more research.
I think surgery is a great option for those who are significantly overweight despite a good diet and exercising. I'd give my metabolic reset diet a try first (it's in my book) and see how that goes - if you are still struggling, I'd recommend strongly considering surgery.
I am thinking abt having the weight loss surgery but unsure which is right for me I'm 40 years old and weigh 275 pounds. everytime I lose weight I gain it back quickly and more than what I loss
+mrs unhappy It sounds like you should go see a good bariatric surgeon - this doesn't mean that you're definitely going to have the surgery, it's just the best way to learn about your options.
daneala portis You would need to meet with a surgeon to determine if you're an acceptable candidate, but based on your height and weight, you are a candidate.
Oh my word. Thank you so much for this video. I have been struggling on whether or not to go through with the surgery. I am over 400 pounds and I know that I need to do something soon... but my head keeps telling me... why can't you just do this on your own? This is the first time I have ever heard someone say that someone who is obese can have a good diet and still not be able to loose weight. That is me! I cook everything from scratch. I have eliminated salt from my diet. I don't eat processed foods. I never buy snack food. Two years ago I eliminated all breads, potatoes, pasta and rice from my diet. I eat only fruits and veggies and lean meats and have done this for over 6 years. Me and my family spent a week at my mom's house on vacation this past year. I did all the cooking and we all ate the same thing. As usual, I ate less than everyone else. My mom loved it because she gets to eat healthy while I do all the work...lol. My mom lost 12 lbs during these 2 weeks. I gained 18 pounds. For the past year my sister has done all my shopping for me (I sustained a knee injury last year). After a year of shopping she says to me... "oh my goodness. I cannot believe how healthy you guys eat. Why are you over 400 pounds? I would be the skinniest person on this planet if I ate like this." Anyway, thank you. This video helps me to see that I am not crazy and that I need some help.
You're welcome - I'm glad this video helped you understand that there is much more going on beyond a lack of willpower. It sounds like you're a good candidate for surgery - make sure you find a well qualified and experienced bariatric surgeon in your area.
It's your metabolism. Look into your Thyroid. Thyroid is the key to weight loss!
I realize I'm not the doctor here, but I feel like I made a pretty important observation here... Which is that you spoke a lot about how many changes you made to yr diet and how long you've been doing it for. So it sounds like you've got yr dietary choices in check. Which is great! Don't get me wrong! But what you did not even touch on was exercise... Which is arguably the most important topic when it comes to weight loss along with dieting... In his comment he mentions yr metabolism. Which by definition is how yr body converts the things you eat and drink into energy... Well what do you think happens inside yr body when you don't use that energy? All I'm saying is if you can somehow lose enough weight to live a happy and healthy life WITHOUT having to resort to having a surgery then I'd say that would without a doubt be the best case scenario long term... Bc even if you choose to go with undergoing a bariatric weight loss procedure and looking back on it you can say that the side effects you experienced as result were relatively minor, I'd argue that if you were able to motivate yourself enough to stick with a rigorous weight loss program including a healthy combination of both diet AND exercise then once you see the pounds start dropping it will only get easier and easier as you go... and that's a fact! So the hardest part will be finding a plan that works for you or taking components of multiple programs and creating your own program. It rly doesn't matter if you choose a pre-existing program or if you wanna make up yr own bc if it works, it works! And if it doesn't...... Then obviously it sounds like you need to change something about yr program haha! Anyway, my point is that once you get the ball rolling it's not just stop on it own... The momentum is what yr looking for regardless of how you get it. So essentially what surgery does for you is it picks that ball up, makes an incision into it, drops some weights into it, sews it back up, places it back on the ground, and then gives it a push... therefore making it's momentum greater. The argument I'm trying to make here is that an effective weight loss plan can give you that same pus you need in order to gain that weight loss momentum that the surgery does... albeit without having to make irreversible alterations to yr body... So dropping those weights in the ball and giving it a push to get starts sounds perfectly fine in theory and on paper, but that's only when you need that ball to travel down straight path. What happens when you need that ball to travel down a path that requires to make a turn or to stop and go? That's when the design flaws of the weighted ball idea rly start to show. In other words, the long-term practicality is what makes them visible... In conclusion, I of course don't have a dog in the fight, but either way I truly hope that you will find what the best option for you to make in order to live yr best life that you possible can. So I hope you choose to do whatever it takes to make you the healthiest and the happiest version of yourself that you can be. I know yr family wants that for you as well bc they want you to be with them for as long as you can and I know you want to be with them for as long as you can too! So the desire is there within yr heart and on yr mind. Now it's just the matter of putting a plan into motion bc it is a fact that by losing weight you will essentially be adding years back onto yr life that wouldn't have if you continue living yr life as you have been 400 lbs. I hate to sound so morbid, but that's the grave reality and I just want you to realize that yr worth so much more than that and that yr strong enough to overcome this challenge as well as any other challenge life may decide to throw at you! Which I know that if you can beat this one, then that'll give you the confidence to make the next challenge that comes along be like a cake walk. So you got this! 💪🏻Nothing but love❤❤❤
Buy this book; 4 hour work body by Tim Ferris. Very helpful in terms of diet and exercises. The concepts helped my friend significantly. For a year now he is able to loose 160 lb
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Had my gastric bypass dec 14th 2018. I dont regret it at all. Ive learned alot from your videos.
Lisa Bragg hi. How is your progress going ??
Progress?
How is your progress going?
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Poly Seeker - no videos on PCOS, but I may make one on insulin resistance (which is a major factor in PCOS). Thanks for the suggestion.
I have a multitude of problems. I have PCOS, Hypothyroidism, Border line Diabetes, no gallbladder, insulin resistance, etc.. I am 150 lbs over weight with a 5'3" Asian frame. I have been talking this choice over with my family for 4 years. I just want to know if this will work for me with all my problems and will any of these problems be gone if I am able to lose the right amount of weight.
Dr. Weiner- did you ever make the video on insulin resistance? I'd love to watch it
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“7:15-8:00” THANK YOU. 🙏
I wish you could be my surgeon. You explain so well what I have been struggling with my whole life. I have been training my whole life, eating healthy, clean habits , never drank sodas , drink water only and ever since im a child... and cannot loose 1 pound for some reason. It is extremely frustrating and disappointing.. meanwhile people around me can eat crap everyday, not moving and they are thin. I will never understand that. I really hope the sleeve surgery will work or else I wouldn’t know what to do next as I tried everything already
It's your metabolism. Look into your Thyroid. Thyroid is the key to weight loss!
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Dear Doctor Weiner,
I am very happy that I have finally fund a doctor that is so whiling to explain exactly what’s going on in an Obese body. That doesn’t think that too many information would hurt our "little heads"!
I tried all kind of diets, Dukan did work but I gained all the weight back very very easily. I am very active, dance Latin American and play volleyball.
Finally after this video I can say that I am in the second group of people, I am 38 therefore I was an obese child 30 years ago. Sure been Italian I suppose it’s easier for us to gain weight, but I do not have thyroids issues, so I can’t give the fault to my hormones either and I don’t have family history either. Also in another of your videos, the one about the type of surgery to choose, I have discovered that I am that 1/3 of people for whom the gastric bandage doesn’t work. I did the surgery 10 years ago and I am still the same weight.
I am looking forward to get your book that I have just ordered, but I have already started to eliminate the sweeteners, I don’t drink anymore diet coke, I am changing to stevia and I started to do shakes, I eat when I am hungry and I will not let myself starve anymore etc.
I will have a mini gastric by-pass on the 28 of October and if before I was a little scared that nothing will change after this surgery as well, I am now sure that I will succeed this time because the surgery will be the first step but your guidance and your advices will be what I will follow for the rest of my life.
I am very sad that I live in Ireland and not in USA, otherwise I would have loved to come to one of your seminars.
Thanks again for all your help.
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Seven years later and we still find this. I'd watched a few of your other videos, joined the Bariatrics complications group, and Doctor, All I have to do to eat right and work out hard, is to have a few new tools that i've gotten from you and the surgeon I was going to have do the surgery.... and what it came down to for me is that I never had all of the essentials together bfore, the fundamentals, I 've lost over a hundred pounds twice before, but dehydrated both times!! Arrrgh... the small bites, the slow bites.... I'm 68 and I threatened myself with a knife an d said to myself, "you win, I'll do this without the surgery... so that's what I'm doing and i feel like a million bucks. HW 300+, Previous lw 150 and 160 but I had a lower bmi. last HW 263, CW 247 and trending downward. Getting stronger every day.
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I watched a number of videos before my RNY last year. At a year post op, I can say he is almost 100% spot on. The only thing I completely disagree with is not eating more red meat, chicken, and fish. A lot of us who get bariatric surgery have that "cracked out" look around 8 months. Meat and strength training, especially in women, is important. It helps build muscles and help your overall health!
I am so happy I found your videos! Thank you so much for taking the time and effort to make these extremely informative and valuable videos! I am planning to have gastric bypass surgery ! your videos are so helpful
+Veronique Not Veronica thanks!
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Franziska Iannitti, Glad you enjoyed the video. I've got a video on artificial sweeteners that points out that Stevia is no better than any of the other artificial sweeteners, particularly in liquids.
I'm not a fan of the mini gastric bypass and favor the full gastric bypass instead, particularly for patients converting from a lap band.
Best of luck.
What is the "mini bypass"?
I would hug you if I could. Your videos are so supportive and informative. My RNY was in Texas 053014 for diabetes and weight. I have watched your videos several times to get better understanding so here I am again watching and decided to leave a thank you note!! ps I am following my md orders but I like to hear your reasoning and the reinforcement of the change necessary to be healthy. Thanks again!
Thanks for the note, great point that your surgeon's advice trumps mine every time (I'm not the one seeing you and examining you and I wasn't in the operating room).
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Hi Doc.
First, I love your videos, they are so informative and especially this one because it explains really well the “set points “ and what I am going through for years now.
I am somebody that eats very healthy, clean, I do not drink alcool/soda and refined sugar/processed food And I am overweight. I am currently at 225 for 5.7 and back in 2011 I lost 80 pounds on weight watchers. It was really easy and I lost about 10 pounds a months by eating even more that I ever have before.
I got a back injury 2 years ago and gained it all back .
I suscribed to weight watchers again.. after 3 months of the scale not moving not even 1 pound I got discouraged and tried the keto diet... as A vegetarian... I didn’t have too much choice and seeing no results whatsoever I TRIED something else....not results either.
I could literally go days without eating and I wouldn’t loose 1 pounds.
Everything that seems to be working for somebody does not seem to work for me and this is what scares me about the sleeve.
I am considering having it as my last resort but very scared I wont see results as I am already eating very well and small portions and it doesn’t change anything in my weight.
I suspected pcos.. got an echo and everything was fine. Got my cortisol level checked... everything is fine aswell ... I am now in pre op diet for the sleeve and where everybody sheds like crazy.. The scale haven’t moved at all. I havent cheated once.
I am very discouraged and starting doubting my choice of getting the sleeve as I think It could be a total waste of money in my case. The nutritionist doesn’t understand how I am not loosing while everybody else is. I would have to loose 13 pounds in less than 2 weeks... or else the surgery would get canceled. Please help... what would be your advices?
In your book, is there a list or recipes that we should eat after surgery(specifically when it's safe to eat anything)? I heard you say we should eat fruits,veggies, and less animal protein. I love sweets! I also enjoy fruits and veggies. My surgery is set up for the month of October. I'm trying to gain as much knowledge as possible before I have this surgery. Thanks for making this channel. When I watch your videos, I feel like I owe you a $20 copayment. 😄
Toshi, aside from the first three months after surgery where there's a lot of restriction and eating enough is the issue, your dietary requirements after surgery are no different from anyone else's. I put all my patients on our Pound of Cure plan at the three month mark (there are recipes in the back and we're working on a cookbook, but there's tons of great recipes out there from proponents of similar eating plans. Joel Fuhrman has some of the best).
Our address is on our website - be happy to take your copay -Just Kidding :)
Has anyone had the sleeve surgery while on kidney dialysis?. I have a pacemaker and take cumidin! They say the cumidin is digested in the stomach. With the sleeve done where will the cumidin get digested? Can this get done? I need to lose 40 pounds so I can get a kidney transplant and get off dialysis? Anyone on dialysis and having bariactric surgery?
Dr. Matthew Weiner gottalovehim 😂😂😂
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I had gastroparesis when I had my surgery. It was indeed life changing to me. Saved my life. I was dying from rotten food sitting my stomach. I was on propulsid for a while and it helped move the food. They were planning to take it off the market. I was not going back to the condition I was before I took it. I found a very experienced bariatric surgeon in F.t Collins that agreed it was a good idea and he performed it in 2000 - a roux-en-y. I discovered over time that enzymes were necessary to help digest my food and get the vitamins out of the food the my body needed. I also found the need for gastric acid because I was no longer making much of it. I take vitamins and keep track of the levels of my vitamins to be sure I am taking enough. Today I am lower in weight, healthier, and I can eat. Not many patients with gastroparesis can eat without problems. I take enzymes and gastric acid before I eat anything. It is costly, but I am alive. I take Digest Gold by Enzymedica, PB8 probitic, and betaine with pepsin
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Dr.Matthew, I have been overweight since childhood, dont drink sodas, dont eat ff, eat processed foods minimally and seldom, my sugar intake mosytly comes from natural sugars or that already in purchased foods. I make my own bread and try to keep added "bad ingredients" as low as possible. I eat a low sodium diet and only use healthy very minimal oils and butter.
I am disabled and unable to excercise amd never been an over eater but I have reduced my portions anyway due to my slow metabloic issues and morbid obesity. I suffer from a comrpomised immune system and a myriad of health issues and vitamim deficiencys. Though I want to lose weight I am not convinced the surgery is for me. Especially after hearing some of your points in the video.
Can I ask if you were in my shoes would you have the gastic sleeve surgery or no? Knowing you cannot exercise before ir after surgery and I have at least 3 pills larger than an m&m I take daily along with many others. I am not diabetic, no heart issues.
What is your disability from keeping you from “exercising”
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I can't believe you actually said portion control isn't important. That's where I'm stuck. Ive changed my diet but my body doesnt know when its full no matter what I eat.
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Thank you very much Doctor this video answered my question and help me make my decision.
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Hi Dr. Matthew Weiner, I am considering gastric sleeve surgery and wanted to comment on your diagram at 11 minutes. What about the people who are "likely to require surgery" for weight loss that have obesity in their family, were overweight as a child, find it difficult to lose more than 10-15 lbs but who also struggle with their diet and struggle with eating the wrong foods? That is the situation that I am in, and I'm very interested in hearing more about your eating plan and want to read the resource that you mentioned, "A Pound of Cure." Just want to say that I am so thankful to have found your videos - they have been a huge help for me. Thank you so much! I'm really going to heed your advice and make sure that I use my one opportunity the first 6 months to relearn my eating habits.
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My mother and my siblings including me are obese. I'm 260 pounds and I don't eat processed food at all, no soft drinks. I eat small portions, but not active regular. I gained 100 pounds in 2 years.
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That video was super helpful. I really like all your videos! I think I am someone who would benefit quite a bit from WLS (have family history of obesity, have made dietary changes in the past, eat a fairly healthy diet already, & keep gaining and losing the same 20 lbs). I'm excited for the idea that I can get help with this weight loss battle but the main, #1 thing I struggle with is the permanency of this procedure. I'm sure I wouldn't regret it in the short term, but wonder about the data many, many years out (15, 20, 25+). I'm still in my 30's and wonder if having changed my anatomy if sometime in the distant future that will prove to be a disadvantage. I've tried researching long term data on health (not just weight loss) for sleeve patients and maybe I'm not researching well, because I'm not finding anything helpful. In the short term though - this seems like a great option to help me finally achieve more weight loss than I've been able to do on my own in the last 10 years.
You certainly sound like an excellent candidate. We've only been doing the sleeve in high volumes for about 7 years which explains the lack of long term data.
If you're worried about the durability of the weight loss, a gastric bypass is a better procedure with good data 10+ years out that patients are still much better off. Long term issues related to an anatomic changes do occur with both surgeries, but are rare (
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Hi Doctor Weiner,
I am looking into either a VSG or a DS on the public system here in New Zealand.
I have Bipolar type 1. However I am unmedicated and have maintained wellness for several years now.
My last hospital admission was in March 2011 - so 6 years now.
I stopped medication in 2013 - will be 4 years in October.
I noticed you mentioned that patients with bipolar don't tend to do as well.
I was wondering if you had any suggestions to help make the very best of this tool.
I have been through cognitive behavioral therapy and I do yoga weekly (sometimes a few times a week).
I am really enjoying your videos in the lead up to meeting with the team.
thank you for making them.
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I want to lose 50lbs and I'm scheduled for bariatric sleeve in 5 days. I weight 220lbs and I'm 5'6. My BMI is 35. I'm not sure if I should go forward with the surgery. Need advise!
Hi ;) did you end up getting surgery? I’m on the same boat you was just wondering how it went. I’m contemplating doing it . Thanks for your help in advance.
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Hi Dr. Weiner,
Your videos have helped me so much. I live in Missouri and I am starting the process of weight loss surgery. Watching your videos have answered a lot my questions and eased some of my fears. Thank You
You're welcome. Good luck!
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I needed this video today! Thank you so much!
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@@apoundofcure I'm not. However, I'm subscribed to this channel. Thanks for the reply! 😘
What a wonderful surgeon. My surgeon isn't interested in anything but the surgery.
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How does all this relate to middle age men (50-60) who have been relatively sedentary but who try to eat healthy and still need to lose weight but have not "succeeded"?
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am thinking of doing bypass, my weight always a problem but I did make it work but now that am gaining weight too fast and it affecting my blood pressure and my asthma keep acting up now every other day...I get tired was fast also ..am 24 and feel like am Goin down a spiral if I continue like this ..mind u am on a diet everyday I no myself and I will lose 5 lbs n nothing more. am 5'11 and 260, am at that stage I'm feeling sick everyday bec of my weight now..I will wake up feeling more tired then I went to bed..am so strick with my calories I count everything I eat
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Hi Dr. Weiner! After doing research, I've come to see that a majority of people had Gallbladder surgery, or issues with their gallbladder in both short & long term after VSG. This really discourages me, and I wanted to get your advice and ask, is it possible to undergo the procedure and have absolutely NO gallbladder issues within the lifetime?
Also can leaks occur in the extreme long term later on in life? (15+ years later) I would be happy to hear from you!
Rapid weight loss cause gallstones and there's really no way to avoid it. About 5% of my patients require a gallbladder removal within the first two years of surgery. It's a simple, low risk surgery with minimal complications or long standing problems, despite what you read on the Internet.
Leaks can occur up to 6 months postop or even longer in rare cases. Pretty uncommon though (around 1% of all patients suffer a leak)
Dr. Matthew Weiner I appreciate your response Dr. I won't take your time long on this but, but lastly - is it possible to not have any gallbladder problems after VSG? Or is it something that every patient is bound to have problems with later in life? And also some doctors prescribe a medication called Actigall - Ursodiol as a way to protect the gallbladder - would that be considered effective in preventing g.bladder problems? Thank you for your time Doctor!
There are no guarantees but most patients do not have gallbladder problems. Actigall is minimally effective, but may be worthwhile if you are very concerned.
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i hv knee pain ..tendinidis but i kno its is fatinitis..do u think tht getting bariatric surgery will lighten my knee prblm?
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I have fibromyalgia, Lyme disease and a mycoplasma co-infection and all of the miriade of sub issues under each of those categories. I am unable to do any excercise whatsoever. I also have quite a few vitamin decificencys that i take perscription supplements for already.
My family is all obese and I generally eat healthy but not 100% of time. I love fruits and vegetables and only eat out on very rare occassions.
I have never had an over eating issue but ive suffered from obesity all my life. Would this surgery be a good idea for someone like me? I feel like im in a catch 22. I have a real concern about being able to take my daily meds as there are so many and if this surgery would make me even more deficient than i am already.
Are you at risk when you walk? Not all exercising has to be intense.
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Thank u u were very helpful I wish I had known this before
I barely found out a few months ago and now I'm ready
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Neurohormone, I would like to know more about this. Where can I find the other video? TY for all the information Dr. Weiner.
All of my videos are either on youtube or my new website, www.poundofcureweightloss.com
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I feel a little discouraged after watching this. I already eat a very healthy diet, but am not losing as readily as I feel I should be. I have a family history of obesity on both sides of my family, and was overweight/obese as a child, so does that mean that surgery isn't likely to work for me?
No, it sounds like the surgery is exactly what you need - those with a good diet who still can't lose weight are the ideal candidates for bariatric surgery
I agree, do it! It sounds perfect for you!
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I have a bmi of 33 i have been suffering from overweight and alot of mantal issues (revolving around my weight) and now i accept my self , but still i can’t control my self on a healthier level, i dont eat so much but i eat sweets and junks (but cant finish a big meal) still i tried intermittent fasting and i gained weight and it didn’t suits me at all ,, when i try losing weight i cant lose alot (i have a mild form of pcos) I’m tired of all this i feel like 70 yo while im only 27 💔 i don’t have comorbidites but slightly high cholesteol /ldl and there’s a few people in my family who are obese ..is the sleeve the right option ? Please help doctor since i really like your videos ❤️
Take the quiz on my website: www.poundofcureweightloss.com/which-bariatric-surgery-is-right-for-me/
@@apoundofcure i took it and filled my email
Actually cico works, problem is long term. Class 3 obese here. Lost 220 lbs. MD is right. I should have let them cut my stomach out. Now, I guess I just need to regain 100lbs, slowly as i deal with chronic hunger, and have a vsg or rygb. Is what it is.
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Hi Dr Weiner.... I weigh 120 kilos. They say my bmi is to high to have bariactric surgery. I am on dialysis and said I could have the sleeve. When I went to the cardiologist, she said her patients were turned away because of having a pacemaker and on Cumadin. Without a large stomach there is no place for the Cumadin to be digested. I have a wonderful son who wants to donate his kidney to me, but now I don't know about the bariactric surgery. They won't just do the kidney transplant without loosing 30-35 pounds.help... Should I push for the sleeve surgery. Do you have a patients on dialysis, with a pacemaker on Cumadin and other medications? I see patients having surgery that are way bigger than me! Finally, I need to have kidney transplant and get off dialysis. One dialysis they say not to drink to much and on this program sleeve. You drink your every calorie? Can it be done?
+Ricki Lieberman I don't know all of your background, but nothing you have said would prevent you from havinga sleeve done
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Dr. Weiner, I am scheduled to have VSG on July 16th 2015, but not for weight loss. I was diagnosed with a gastrointestinal stromal tumor last oct and it sits at the top of my stomach. Will all the guidelines of the "normal" VSG apply to me? And I do need to loose about 60lbs.
Keto Kelli Kelli, this depends primarily on who does the surgery and how it is performed. If the procedure is being done by a surgeon who specializes in cancer, it is likely that he won't make a tight sleeve like we do for weight loss (and you won't lose much weight). However, if your surgery is being done by a bariatric surgeon, he/she will likely perform a formal VSG and you will have all the restrictions and issues of other VSG patients.
GIST's are usually benign and even when they're not, they're rarely life threatening, so it is certainly something a bariatric surgeon could handle (I've done a few).
Good luck!
thank you, it is not benign it is malignant, and 15 cm to start and after some chemo has reduced by half, it is an oncology surgeon not a bariatric surgeon, however because of the placement of the tumor my sleeve will probably be as small if not smaller than a VSG patient. Hopefully all will go smoothly, because the fear was complete removal of the stomach. Again thank you for your response.
It sounds like you'll have all the restrictions that the bariatric patients do, but it's still hard to say without looking at the images or watching the surgery. Good Luck!
thank you
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Hello Dr. Weiner! I am 257 pounds and have a BMI of 45.5. I'm 5'3". I also have PCOS, no fall bladder, anxiety and depression. Would I be a good candidate?
+Michelle Renee without knowing more, yes, but you'd need a full evaluation by a bariatric surgeon.
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Hi Dr. Weiner. Wow I have learned a great deal from your videos already but I am wondering if you have a video about PCOS and Insulin in relation to weight loss surgery. I am a 53 yr old Lady currently at 226lbs at 5'2" BMI is 42. My GP just sent in a referral for surgery. My A1C is 5.1, GTT2H 6.9 and yet my Insulin is 154.1
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I am thinking of having the sleeve surgery. I am 40yr old, white female. I weigh 230, 5'7. I have been dx with predibetic, PCOS, hypothyroidism, depression. I have family hx of obesity, DM, heart disease, high lipids.
I have been dealing with my wt for yrs. Am I a good candidate for the sleeve surgery?
Perhaps, go see a surgeon in your area for a consultation. In my experience, figuring out the answer to this question requires a 45 minute consultation and several follow up visits.
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I am 63 years old, female, bi polar under good control, senosis of the spine and cannot exercise , is this a good choice for me? I did not gain the weight until I went on the meds for bipolar.
+Maureen Hunt common story, yes weight loss surgery is helpful and safe for most bipolars
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I have started to watch your videos like what l’m hearing from you it’s very clear for me to understand and l’m now doing my test and l don’t have my date just yet but my doctors Said it will. be in the New Year he said January of 2020 so as of now l’m just trying to get all my tests done.
I have high blood pressure but it’s under control l am a diabetic l just started taking insulin to help get my A-1 C down faster before Surgery.
l have Osteoarthritis in both Hips and knees but it’s. Not bad it’s not to we’re l need surgery on them and in my lower spine but l do need to have both hips Replaced..
And also have Neuropathy in my feet so yes everything is wrong with me my weight has always been up and down.!
I was 240 l went down to 212 my weight has come up some and Now l’m at 219 220 so this has been my life and also now that l’m a little older l notice it’s hard for the belly fat to really go down l can’t really do any real exercise because of my Osteoarthritis in my hips n back lots of pain there and my Neuropathy so it’s difficult but l hope and pray with the change in life style and sleeve surgery and my hip surgery’s l my life.can be Whole again l’m middle age so this for me has been such a challenge for me the Arthritis started about age 47 or 48 then l
Had pain and was given pain pills but then it went into Osteoarthritis in my body.
Do you think the sleeve will help along with the must have hip replacements.?
Thanks for any information you can give to help
with my condition.
Thanks 🙏🏽
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I don't know what to do.. I am thinking about the surgery not a fan of exercising a lot, try to eat a little better, more portion control not over eating.. I've cut back in Coca Cola drink it once in awhile if I crave I drink a little then continue with water a little juice so forth anyways very depress while with my ex 18 yrs we are no longer together it's been 2 yrs when we broke up I was at 298 now I'm at 238 I need to lose 105 lbs want to be at 135 I'm 5'5 43 yro.. Don't know what to do I do know I hate having this weight on me.. I do want to eat healthier for sure I see ice-cream I'm not as tempted anymore I'm working on cutting back anything sugar somewhat carbs.. Don't know Doctor.. Pls your advice would be truly welcomed and I appreciate it greatly.. Also afraid of getting so much extra skin😓
Lots of questions here - I offer skype consults which may help - you can call my office: 248-413-2670 for more info
So, 2 years later-did you do it?
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I'm 59 yes old is there a age limit for doing this surgery
I'm a Diabetic type 2
+Carol Salas I've operated on many diabetics in their early seventies, it's worth it
+Carol Salas early diabetes can be treated with lifestyle modifications, like I describe in a pound of cure, once you start bordering on needing insulin, it's time to consider surgery.
Carol Salas. When I say I was going to have the gastric bypass surgery (my choice of surgery), people started to tell me that I was “too old”, blah blah blah…..and here I am now, at 69 years-old had the gastric bypass surgery and feeling great, like I am on top of the world! I don’t know if there is an age limit but in my case, I wanted to have it done ni matter what my age was and I did it without any complications. Talk to a doctor and find out …..and if you don’t have major health problems, you will be fine. I do not regret having the gastric bypass surgery, NOT AT ALL, on the contrary, love it and love how I feel with 96 pounds less to carry on. God bless you and don’t listen to people, just listen to a BARIATRIC doctor who will give information about this surgery. Good luck to you.
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i am contemplating the bariatric surgery but sill need some reassurance.
Janice Gordon It's a big decision that you might not be ready for. Don't proceed until you are. There will be a sign...
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Hello Dr. Weiner. I was recently approved for weightloss surgery. I am starting to have second thought. It's like a 50/50 mental struggle. I have a bmi of 35 with prediabetes,htn, and severe sleep apnea. Do you find that alot of patients are able to keep it off without surgery?. If they are able to change their diets. I really want the surgery, but fear is starting to set in.
Erica, Your second thoughts are very common - in fact they are a sign that you are giving the surgery the proper amount of consideration. I think that weigh loss is 90% physiologic and 10% mental, not 50/50 as you believe. If you are able to lose weight easily by manipulating your diet and exercising, then perhaps the surgery is not necessary. If you struggle to lose even a few pounds, then it's likely that surgery is your best bet. Very tough question to answer on a quick post - perhaps your surgeon has some thoughts on this question.
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luv ur vids doc very informative. im considering bariatric surgery for the moment im on a wholefoods plant based low fat lifestyle. im cycling long distances cant lose a pound my skin is great joints much better dexpite d lack of weight loss. hopefully my body will release d weight in d next few months.
+Amanda Culley let's hope, weight loss surgery works best on those who eat well and exercise but still don't lose any weight (like you!)
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What role does anxiety play with weight loss surgery?
If you suffer from anxiety, the surgery can be a little more mentally taxing, but other than that, I have not found that it interferes much after the first three months. I haven't seen any issue regarding long term success.
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Can i be a candidate for bariatric surgery? Im 18 (male) 5'11 around 285lbs. I've been considering a gastric sleeve for along time now since I've had a lot of trouble loosing weight on my own I've been obese for over 5/6 years and I've convince my parents to let me go under the surgery because Im at risk of having diabetes type 2.
kendall You're right on the border of officially qualifying, but I personally think that you are too young. I encourage patients to wait until they are over 25 and living independently before having surgery.
At your height and weight and your age, you should be able to lose the weight on your own through exercise and changes to your diet.
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Do you perform gastric banding?
faithg6 I've performed 100's, but not in the last two years for many of the reasons I expressed in my informational seminar video.
Thank you for your reply. I have been banded for almost six years. My highest weight was 278 and my lowest weight was 187. During this time I was diagnosed with Hodgkin's Lymphoma. I am now 4 years in remission. My treatment and recovery from Hodgkin's took priority over my weight loss. I am a 48 year old female. I had an adjustment about a month and a half ago. Your video has help me set some achievable goals for myself. At this point I at 220.
Dr. Matthew Weiner
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Hey Dr. Weiner, thank you for the video. I am pretty close to 200 lbs, 5'4, and my bmi is 31. I want gastric bypass surgery but I am concerned about loose skin. Do you think that will really be an issue since I'm not over 200lbs?
+Chanel Amos probably not, based on your size. Technically you don't even qualify for bariatric surgery because your bmi is
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Dr. Matthew Weiner I am a 19 year old , native american female who currently weighs in 241lbs with a 5'3 frame. I have been overweight since 6 years old and my whole life I have been in and out of gymnastics and dance. My family has a slight problem with being obese. I have had a few relatives die from problems that stemmed from their weight. I have always been active, swimming, dancing, gymnastics, even girls on the run. My family eats organically and tries very hard to stay away from gluten. Noe that I am on my own I continue to walk about 2 miles every morming with my husky and I am thinking about biking again. I've tried many different diets, from liquid to no carbs to all protein and I still have not been able to get the weight off. Do you have any suggestions for me? My mother and I have been talking about Bariatric surgey but I'm scared and have tried everything to keep myself from thinking and resorting to it. Though these past few years it's felt like a lost cause and we've been doing more research.
I think surgery is a great option for those who are significantly overweight despite a good diet and exercising. I'd give my metabolic reset diet a try first (it's in my book) and see how that goes - if you are still struggling, I'd recommend strongly considering surgery.
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22. 5’ 2.5”. 280 pounds. I lose weight and gain it all back super quick. Everyone in my family is fat. Contemplating surgery
Sense reasonable, there's a course about deciding about and preparing for weight loss surgery on www.PoundOfCureWeightLoss.com
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I am thinking abt having the weight loss surgery but unsure which is right for me I'm 40 years old and weigh 275 pounds. everytime I lose weight I gain it back quickly and more than what I loss
+mrs unhappy It sounds like you should go see a good bariatric surgeon - this doesn't mean that you're definitely going to have the surgery, it's just the best way to learn about your options.
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if im 12 and at 132-133 lbs should i get surgery?
What is your nutrition and activity at?
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Hi Dr Weiner i was wondering if i stand at 5feet in weight 236 pounds can i get surgery to lose the weight
daneala portis You would need to meet with a surgeon to determine if you're an acceptable candidate, but based on your height and weight, you are a candidate.
Thank you
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I'm only just now finding your videos, I'm considering getting wls, would having a heart condition prevent me from getting bariatric surgery?
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