With obesity affecting 62 percent of the population, the United States is the most overweight nation in the world. And once you get to be severely overweight, diet and exercise programs have dismal long-term results. Many people lose weight in the short term, but they gain it all back and then some. For those patients, weight loss surgery is the only effective long-term solution. The main problem with remaining overweight is that you have a higher chance for early death and are at risk for many medical problems associated with obesity. Most patients who have had weight loss surgery found it to be the only thing that allowed them to keep the weight off long-term. They say weight loss surgery gave them their life back.
It is important for you to understand that weight loss surgery is not magic and does require effort by the patient. It does not work by itself. Weight loss surgery is simply a tool to help you lose weight. It works by making you feel full on a small amount of food and helping to control background hunger. It is a powerful tool and for most, the only tool that helped them regain control of their weight. But like all tools, it works best if you use it correctly. A comprehensive program that provides extensive education and support will maximize the results of weight loss surgery. It is our job to provide the tool and teach you how to use it. After surgery, weight loss gives you more energy, makes you feel better about yourself and motivates you to continue the changes that have made you successful. The success of any weight loss operation must begin with realistic goals. Once you establish your goal weight, your motivation will ultimately determine the amount of weight you lose.
Weight loss surgery is not cosmetic plastic surgery. It does not involve removing extra tissue. Weight loss surgery simply creates a situation where a small amount of food makes you full and not hungry all the time. If you take advantage of this situation, you will lose weight. Weight loss operations are effective at reducing the number of calories eaten in a day. Exercise adds to this by increasing the number of calories burned. When you exercise, you build muscle, which increases your metabolic rate, which burns more calories. We strongly encourage the addition of exercise to weight loss surgery because the combination of eating fewer calories and burning more calories is very powerful for successful weight loss.
There are patients who go through the trouble of having weight loss surgery and do not lose much weight. Typically they do not come in for adjustments to the band and do not attend support group. We can help anyone lose weight as long as they keep working with their band and coming to the office for adjustments. Becoming a thinner person requires change. You must be more active and make wise food choices. An example of sabotaging is a patient who eats a large quantity of high-calorie liquids such as milkshakes or sugary sweets. Sugar is an unnecessary source of calories that you must burn off with exercise. We strongly recommend not eating sweets after weight loss surgery (unless it’s your birthday). A better choice would be sugar-free foods. Other patients will impair their success by grazing or emotional eating -- eating small amounts of food throughout the day. After weight loss surgery, if you avoid sugar, high-calorie liquids and emotional grazing, you will increase your success rate. Exercise also increases your success. The best way to lose weight is to eat less and exercise more. The Laparoscopic Adjustable Gastric Band (LAP-BAND, REALIZE band) helps you eat less, but it will not make you exercise.
We have many successful patients, but it is incorrect to think that you do not have to put any effort into losing weight. Weight loss surgery just makes it much easier because you get full on a small number of calories and you are not hungry all the time.
Improved health is not the only benefit to weight loss surgery. Patients say they have more energy and feel better about themselves. Their quality of life improves dramatically. After weight loss surgery, patients report substantial improvements in self-esteem and the ability to get jobs and promotions. If you talk to people who have lost more than a hundred pounds and been able to keep the weight off long-term, they are some of the happiest people in the world.
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