Surgical Weight Loss
|18.5 - 24.9||Normal weight|
|25.0 - 29.9||Overweight|
|30.0 - 39.9||Obese|
|Over 40||Extremely Obese|
Although your BMI is a simple way to evaluate whether your weight puts you at potential risk for health problems, a lot of other factors may also affect your health. These include:
Your health care physician or advanced practice provider can help you to evaluate your BMI and the other factors to determine your overall health picture.
Q. If I am extremely obese, what actions do I take now?
Extreme obesity is a life-threatening medical condition. Gaining control over this serious health problem requires a commitment of your time, attention, energy and efforts. After you have tried every possible method in your fight against obesity, including nutrition, exercise and medical expertise, you and your health care physician or advanced practice provider may consider weight loss surgery.
Q. What risks do I face if I'm extremely obese?
If you are extremely obese, you have a much greater risk of developing a variety of serious medical conditions compared to individuals who are not obese. You may develop health problems at a younger age. Some of these conditions may include Type 2 diabetes, heart disease, high blood pressure, sleep apnea, high cholesterol, arthritis, liver disease and certain cancers.
Q. Who is a candidate for weight loss surgery?
To be accepted for weight loss surgery (such as gastric bypass surgery), you need to meet certain criteria. Your must:
- Be between 18 and 60 years old
- You must have a Body Mass Index (BMI) of 40 or more, or a BMI of 35-40 and have at least two significant co-morbidities (illnesses related to obesity).
- Are free of severe psycho-emotional or medical problems that make surgery unnecessarily risky.
- Are neither drug nor alcohol dependent, or have at least one year of sobriety.
- Have documented attempts to lose weight medically.
- Are a non-smoker, or are making a serious effort to stop smoking.
- Have a personal ongoing commitment to improve your health and lifestyle. You need to be willing to change your lifestyle for the rest of your life.
Q. What are the benefits of bariatric surgery?
There are many benefits of weight loss surgery. In addition to feeling better physically and emotionally, patients are very likely to see an improvement concerning diabetes, high blood pressure (hypertension), obstructive sleep apnea, GERD (gastroesophageal reflux disease), arthritis, and asthma.
Q. Is bariatric surgery covered by insurance?
Many insurance companies cover this procedure, however, each insurance policy differs. Once it is established that you qualify for the procedure, our staff will work with you and your insurance carrier and submit all required information to expedite their approval process. This helps you by knowing, in advance, what the insurance company will cover and what is your financial responsibility.
Q. What kind of diet do I follow after bariatric surgery?
You will eat small quantities of high protein, low fat, low sugar foods immediately following surgery. The amount of food will be 2-3 ounces per meal. For the first two weeks you will eat pureed food. The types of food and the amount increases over time as you reach your goal weight.
Q. How quickly does a person lose weight after surgery?
Each person is different; it depends on the person's metabolism, but usually about 15 to 20 lbs per month, slowing down over time.
Q. When will I be able to eat regular food?
At two weeks after surgery you will be able to eat soft food without concentrated sweets in six small portions per day. You will need to learn to eat only tiny amounts, chew your food well and to eat very slowly.
Q. Will I be on an exercise program after surgery?
Exercise is an important component of our surgical weight loss program. We will work with you to develop an individualized fitness program including a cardiovacular, stretching and strength component. All patients are encouraged to participate in an exercise program following surgery, which is increased gradually, given the individual patient's health issues. We encourage patients to begin walking in the hospital. This activity improves the recovery. Follow up appointments are scheduled at 1 month, 3 months, 6 months, and 1 year as well as annually where we'll discuss your weight loss program and your fitness progress.