How much weight will I lose after Bariatric Surgery - The answer may surprise you
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- čas přidán 4. 06. 2014
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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 CZcams 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...
I was 330 lbs when I had GBS and am now 114 lbs...
Wow!!! What a great result. If any of your family members also are considering surgery, they should know that their chances of a good result are high if they share your genes!
Heather Springs Congratulations
Heather Springs Hi I am about to have the surgery could you tell me if is true that the surgery cure type 2 diabetes
Heather Springs did u have the sleeve done
I had gastric bypass, not the sleeve. :)
best video, last few minutes were the BEST & incredibly eye-opening!!
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Wow, these videos are a must for all the bariatric support groups out there. Well done, Doc!
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I had diabetes for 2months now. I’m 93kg and I want to lose 53kg within a year. I’m having the gastric bypass done 10 days wish me luck.
*update* I am 1 wk post op now and I’m still recovering in the hotel, my incisions are looking good n healing well. I’m 85kg so since surgery I was 93kg, I’ve lost 8kg in a week🥳 pre op diet wasn’t required but surgeon told me to fast 12hrs prior to surgery. I can’t wait to see the results in 1month, so excited I don’t feel hungry anymore, I can live on one protein shake a day (sipping away) and little water. Can’t do more as I’m still swollen, bloated inside and recovering. Soups gives me diarrhoea for some reason.
how are you doing now...howmuch have you lost
Can we get an update Shazana?
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I love watching these videos. You are very informative and detailed. I almost wish I had insurance or the funds to get a gastric sleeve preformed by you and your team. I’m 32 year black male. I weight 270 and only standing at 5’5. My primary told me my BMI is around 44.9. I would love to be off of these pain meds and finally have a good night rest without this sleep apnea problem. I’m happy to see tons of people in the comments were able to get it done and taking control of their life
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Got sleeved on 21st July 2019. I was chain smoker but after surgery I can’t even stand the second hand smoke.
I get mine july 29 2019 and i already lost 36 lb.
What about you?
I've lost 36 lbs in 4 weeks
👏🏽👏🏽👏🏽👏🏽
Hi Rania how is ur weight loss surgery going? I pray everything is going well with u 😊
So glad to see you here-- your POV is fresh and right up my alley! I am loving following the Pound of Cure Program now as I am 4.5 years out RNY- I lost 100% of excess weight- and had minimal rebound- at year 3-4.5-- now after one week- I am so excited to see it is possible for me to lose this extra rebound! I eat mostly lean and green, and legumes-- but had added wine- too often and relaxed a bit. A Pound of Cure is JUST what I have been looking for!
Glad to hear it!
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I will be having RnY in September. Just found your channel as recommended on a FaceBook support group. Have to say, I absolutely LOVE this definition of success! Very inspiring.
Thanks, good luck!
How's success going Tina?
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Your videos are fantastic. I am getting a gastric sleeve on June 10 2014 and I love watching your videos.. in fact I am watching a lot of them today in preparation for getting my mind as strong as possible for my post surgery lifestyle :)
Glad to help, good luck on the 10th.
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I'm having weight loss surgery soon and I wish you were doing my surgery. I love listening to you because you explain everything so well.
Thanks!
+virginia brooks I was thinking the same. I had my surgery wednesday, so far so good, but it's awfully hard to get to talk to my surgeon
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Especially the last few minutes, Dr Weiner!! Not about the numbers so much few years out it's about being able to look in mirror like the body, know you're working hard to get it and having positive relationship with oneself and food!! Very true and not discussed enough sometimes!! I'm pre op in new Zealand, very grateful to be having it done at a public hospital here , your videos are very helpful . Thank you!
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I had gastric bypass 14 weeks ago and have lost already 24kg yay!!! I just can’t put into words how much this has changed my life, my PCOS has almost gone, I’m not pre-diabetic anymore I have my e energy back!
+jennilicious007 great, congrats!
jennilicious007 I’ve got the same conditions as you do. My surgery is in 2mnths time . Great results . Are you from Austr
Hey Jenny how much weight have you lost by now
Omg you just wrote out my life. I’m at the beginning of my journey and you just gave me hope
@@faysaab1781 yes I live in Australia 🙂 how are you now post op? Any side effects?
Fabulous perspective on this. Thanks.
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I am sharing this video with my friends. I have several coworkers, friends, and family members, along with myself, who have had bariatric surgery of some form over the past year or so. We are all stuck on the number on the scale, but I love that you brought up the healthy relationship with food and your body. That’s what truly matters, regardless of what the number on the scale says.
Thank you for this video! I am so excited about my journey and watching other peoples!
How is it going? I'm having surgery in about two months
@@redtaylor4936 I lost 60 pounds and I am no longer diabetic 💕
@@MsPrivatetube I'm so happy for you, that's awesome. Thank you
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Thank you for your time. This information is so helpful.
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This doctor's job is to educate us on Bariatric surgery. If you are focusing on negativity just find something else to watch. Because Im serious about this surgery. Thank you doctor Matthews.
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I am laying down in bed after my SASI bypass and I feel so grateful for this content you created.
My doctor is doing a great job at supporting and teaching me through the process but being a very curious person I happened to find these videos that are adding so much value and knowledge to my journey.
Grazie mille from a spiritual patient of yours!
Glad to hear it has been helpful.
Thank you doctor I am having gasto sleeve tommorow I have learned so much from your videos
Mike Rash Hello Mike how are u doing it has been one year am just wondering how are u doing one year after surgery? I pray ur doing well 😊
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This video was such a blessing.
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I'm an avid fan of your post bariatric weight loss surgery videos. I've purchased your book, A Pound Of Cure,as well.
This is an excellent topic! Thanks for continuing to give very valuable info and info that really differs from most other bariatric surgeons.
You're welcome.
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Great information! Thank you
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I love your videos, Dr. Weiner; they're so informative! My dad had VSG done in May of 2015 at 74 years of age, and he's lost almost 130 pounds! I'm having the sleeve done in a couple of months, and am hoping to have results similar to my dad's.
+SasaWest69 you probably will, genetics plays a big role. Good luck!!
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Love the way he teaches. Gosh this is definitely awesome old school medicine!👍
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This talk was extremely beneficial for me thank you
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I love your videos! I've lost 21 lbs since surgery on 7/28 and I feel so good!
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Your videos are very informative. Thanks, Doctor. I wonder what your thoughts are on gastric sleeve. I've explored all other surgeries, I've been told that gastric sleeve is that best option.
+Majdo81 The sleeve is a great surgery, but so is the gastric bypass. This video may help: czcams.com/video/A3cAJsaTnyY/video.html
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I love your knowledge and POV. I contacted your office because I was interested in having you be my surgeon for my gastric bypass revision, but it's been a month and I haven't received a call back. I was disappointed. I'm now scheduled to go through the doctor who did my original bypass, which I do like. I was just hoping to have a different and more involved relationship with a surgeon as you seem to have with your patients. Thanks for your honesty and candor.
No problem, sorry that no one got back to you, usually they're pretty responsive. Revisions are a very tricky business and require even more thought than the first time around.
Best,
Dr. W
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Thanks you so much doctor for your vídeos! I 've just started the program to get my surgery, and the information you give really helps and motivates me! Greetings from Argentina ;)
LOYDA DE IZAMBARD Good to hear from you and good luck.
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Thank you Dr. Weiner this video was super informative and very helpful. I have a clearer understanding of what a realistic goal should be. I want to lose as many of the pounds (fat) as I can, but I want to be able to have a healthy relationship with food. Not one where food dominates my life and my choices, and this will lead to an increase in happiness.
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thank you so much this was great
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bought your book as well
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Thanks Doc, I have VSG 6/2/20 your videos truly help me 💕
6/8/20 How many lbs have you lost?
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Thank you for trade final thought. Great video. .
Has my survey 6/28
I'm doing well. Just a lot of pain.
I am 21 years old 5'3 and 268 my bmi according my physician is 47 which is to be considered obese. I have always had problems with my weight even when i was super active in school (played softball). My junior year i was diagnosed with a thyroid problem. I did my research on gastric bypass. After my reseach i called a surgeon and set up an appointment. I am really excited and nervous at the same time
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I will be having surgery (gastric sleeve) in 2 weeks, I'm excited and so hopeful! I'm 5'4 and 240 lbs, high blood pressure, Spine issue's that I have to have shots for, swelling in my feet/ankles, pre-diabetic. Really looking forward to living better..eating healthier! I'll miss a few things like dt. cokes and so on but already have gave them up and doing good. It will be sooo worth it 😊 This dr. is very informative and helpful.
Good luck
Dr. Matthew Weiner Thank you so much, I'm my way there now 😊 excited!
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Your videos make me more confident, my doctor I've had since birth suggested I consider surgery. I'm going through insurance and they require 6 months with a nutritionist before I meet a surgeon so I decided to research now. I'm 20 and 292lbs at 5'6 and have been for years no matter diet or exercise I might take off 10lbs but that's about it, I'm a hairdresser so I'm on my feet all day. My mother had bariatric surgery in about 2005 and is still around 135lbs.
If you haven't already, check out my video "Should I have weight loss surgery?" Should I have weight loss surgery?
During your 6 months try out the Pound of Cure program - it's likely that you'll discover some of the reasons why you're only able to lose 10lbs.
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Thank you so much for your videos. I had RNY in 2006 and had a goal weight set by my surgeon of 130. I was compliant and at the end of one year only reached 190. I was made to feel like a failure by my surgeon and left the program. I recently found a new surgeon who is helping me to lose the weight I gained and get back on track. He says my goal weight should have only been around 190 to begin with. He explained the reasoning to me exactly as you did in this video. I guess so much more is known now than 12 years ago. I WAS happy with myself and felt I could have maintained 190 if not constantly being told that I was a failure for not reaching my goal weight. Thank you again!!!
Glad you've found a surgeon who can help keep you on track. You didn't mention your starting weight, but I'm certain that 130 was way too optimistic of a goal weight. Keep up the hard work!
Dr.Weiner, my starting weight was 315.
130 lbs was VERY optimistic, 190 seems more reasonable
Thank you for your reply, Dr. Weiner!
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Thank you for all this great videos! I live in Finland and my doctor has suggested the surgery for me so i need to gather a lot of information. Im 157 cm and i have bmi on 48 so im so happy for this videos thank you so much! and im on my limit to diabetes 2 and high cholesterol. And im a little concerned about what i should choose but i think the gastric bypass might be the best. Or what do you think?
+Berry J if your primary goal is to get rid of your diabetes, definitely choose gastric bypass
Thank you for the answer. I think it might be the best thing to choose because i have a lot of weight to lose and then i really want to get pregnant in the future and as i heard in one of your videos for womens that have infertility problems should do the bastric bypass. So i think thats a good chose. But i have been worried about Intestinal Volvulus, how common is it? the once I know that have had the gastric bypass didnt have any big complications, but I have heard from one women that she had it and it was really painful. So thats what im most worried about - small complications is not a big of matter but this kind really scears me.
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I hope I'm a super loser my op is in 5 weeks can't wait. With my GPs help I have lost 10 kilos in 8 months. I have insulin resistance high blood pressure and RA the meds for RA suck for weight loss. I have i think hit the outer limits away from my set point so my body is fighting back. I hope my op will help me to keep going down in the right direction I'm determined. I Ordered your book pound of cure. It will be my bible going forward. Dr Weiner you truly are a good person your videos are a great resource. The fact that you provide this resource because you want to help us obese folks speaks highly for your character bless you 🙏
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@@apoundofcure thanks for that Doc
I have lost 40lbs in less than 3 weeks after surgery I feel good
+Big Gee great!
What did you do to lose the weight? I had my surgery sept 17th and it’s been 6 days I have not eaten my tummy hurts and I don’t want any food. I don’t even like food anymore.? Why is that.?
Big Gee hi who was your surgeon??
Can u do surgery while weight 168 pounds?
@@graceberrezueta1189 I don't think so.. 168 is actually a decent weight and you'd typically have to be at least 100 pounds overweight for the surgery so 220lbs+
These videos have been very helpful. Thank so much sir. I’m very concerned with the possibility of death during surgery...it’s really freaking me out.
+Kaneki xx assuming you are a normal risk patient (bmi
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Your videos are spot on! I wonder what your opinion on gastric balloon is?
It seems like a long run for a short slide. Very expensive, lots of nausea and likely temporary weight loss.
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I did my research about bariatric surgery, wls, gastric sleeve and gastric bypass for many years now :)
Thank you 😊
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I start my 6 months program July 29; so that means I will have surgery next year sometime! I have had 3 children; 14, 9, and 2 but recently as of Dec/2015 I have gained about 60lbs, so now I am up to 308; heaviest I have ever been. I was able to walk last year with no problems but now my body, back, knees hurt all the time and lately my feet have been very swollen. I am ashamed that I have allowed myself to get this big. I use to carry my weight very well; as in you couldn't tell what I weighed and if I told someone they would not believe me. Now you can see it. I am going to get gastric bypass, I am very scared and excited at the same time. I know this is right for me; because of all the health problems, I have been having-GERD, pre diabetic, Asthma, Depression, sore body and the worst one Sleep Apnea. I am only 34 and I have all these preventable conditions. It's a long journey A life long journey but I am ready for it! Thank you for your videos by the way, I have been watching them for the last year.
Sounds like you'll do great. Good luck!
Dr. Matthew Weiner thank you!
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you are so amazing and love the videos!
Thank you for the info & wish you would be doing my SURGERY too...
Love the nutritional info and that you promote good health thru natural foods.
all the best to you!
+vk vk thanks
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So happy to hear this since my mother responded so well to the gastric sleeve. I wish she would follow your diet recommendations. She lost every lb of her excess weight in about 6 months. She did end up losing her gallbladder. Is there any way to prevent this? Such as a gallbladder cleanse or purge or something?
No, some people prescribe a medication, but it probably doesn't help much
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Just came across your video. Was sleeved Dec 3rd at 241 pounds 12 days I'm down 226 but 2 days ago still at 226.
Been on liquids for almost two weeks.
Monday puree food starts.
Dr. How long do you keep your pt's on liquids after surgery?
6 weeks or 36 days or some doctors do 3 weeks
How it is right now??
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Getting my sleeve done soon
Have you had it done yet ? And if yes how are you feeling ?
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I agree..im doing EVERYTHING right and I have only lost 35 pounds and I'm 8 weeks out..i have stalled and have stayed the same weight for over 1 month now and I'm so frustrated but I'm gonna keep going and pray I lose the weight..i had the full gastric bypass so b4 anyone has these surgeries really know that it doesn't work for everyone
I disagree, the gastric bypass works for everyone, at least at first. Be patient.
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Almost at the 8 month mark from my GB. Been on keto since around month 2. Started at 315, with an "ideal" weight that maxes around 160. I am down to 189 this morning. Still losing from 1 to 5 pounds a week, with about 2-3 average.
Sir Jon Smith III hey who was you surgeon
@@elizabethclark2648 Sacramento, CA. I am now down to 175. I hit my first plateau at 180, but it has started again. Still on keto.
Sir Jon Smith III congratulations 🎊🎉🎈 THATS amazing 😉 what’s the name of your surgeon please if you don’t mind me asking I’m just on my journey and I wanna look into all the good doctors available
@@elizabethclark2648 Dr. Machado. She was really good. I went to one in a different (Chico) area and they charged a lot of extra charges. This one did not and I really respect her.
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I had the sleeve done back in late August and I am already down 104lbs. I am also off a blood pressure medication and now eat a plant based diet. Having WLS was the best thing I could have done.
+M Williams great, congrats!
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I m following diet plan as well
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You're great
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I have VSG on 11/20/19, I'm 5'10 my highest weight was 311 I was 288 on the surgery date. NOW I'm 201, my goal is 190. I feel amazing... I just constantly worry that as the years pass I will regained the weight...I live in constant fear of the future. Any tip to make me feel better about the future
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Hi! I’m 5’10 and 266. How long did it take you to get to 190?!
I recall in one of your books you said you could expect to lose half the weight you will lose by four months. Is that starting weight or surgery weight? If you lost a fair amount before surgery does that effect that halfway point?
I am feeling absolutely GREAT after my gastric bypass surgery 4 months ago! I am losing about 2 pounds a week and I am VERY HAPPY ABOUT THAT!!! I have plenty of energy and can move faster than before. I don’t want to lose weight too fast neither too much because: NUMBER ONE , I want to FEEL GOOD not sick, tired, or fatigued; NUMBER TWO, I am vain and looks are important to me and I DONT WANT TO GET WRINKLES to the point of having to go to a plastic surgeon! Makes no sense whatsoever....your skin will suffer tremendously IF a person regardless of what sex they are lose weight WAY TOO FAST and this is a fact. A dermatologist or plastic surgeon can tell you that; NUMBER THREE, I do not care AT ALL about a dress size! A SIZE in clothes is unimportant to me and it is meaningless. What I MOSTLY care is FEELING GREAT AND LOOKING GOOD and not creating health problems by being a “skinny mini!” HELL NO! Being there done that. Enough of that. HEALTH is the most important thing in life, more than money, a house or anything else!!!! WITHOUT HEALTH YOU HAVE NOTHING AT ALL, period. And when I chose to have the gastric bypass was MAINLY BECAUSE OF HEALTH REASONS!!! I want to FEEL HEALTHY and LOOK HEALTHY that is my priority. What’s the use to be on a size 4 or 5 when you don’t feel good and look “sickly” and have all kind of “health issues” which they come by been under weight??? That mentality is for the birds and it is very ignorant! MY OPINION! One should lose the weight ACCORDING TO AGE, HEIGHT AND WHATEVER HEALTH ISSUES YOU MIGHT HAVE! If a person has diabetes that person needs to be on medication for the rest of his/her life unless they do the gastric bypass surgery (if they are obese) which is great for people with high blood sugar and even so they might have to continue their medications; or if a person has heart problems, or depression, etc. they are not going to stop any medicines even if their medicines makes them gain weight ! For what reason?? just TO LOSE WEIGHT TO BE SKINNY??? Come on....that is insane and very dangerous.
In my case, Thanks to the Good Lord, I am a healthy person who doesn’t have any mayor illnesses at all, NONE! My parents had great genes and were VERY HEALTHY ALL THEIR LIVES UNTIL THEY PASSED ON TO AN EVEN GREATER LIFE.
Having said that, I am very happy that I am losing my weight SLOWLY and NOT fast. Two pounds a week is FINE WITH ME. I keep my skin healthy and youthful for the “looks”
and I love it. I get compliments as to how “young” I look for my age, and that makes me feel terrific. I guess I am doing something right.
This has been my opinion and what I do in real life!
Happy trails.....
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I wish you were in NC
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I am from lansing michigan and plan on getting weight loss surgery but i have diabetes and a lot of other health problems so I hope it can reverse it with surgery because my goal weight is 150 pounds but right now i am almost 400 pounds but I am gonna be compliant with the program.
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Hi Dr. Weiner, I have a hiatal hernia so my doctor suggested I fix it and do the gastric bypass at the same time. I also have PCOS and suffer from migraines. What are your thoughts on having both surgeries preformed at the same time?
That’s what I have right now is a small hetsil hernia.I was supposed to have surgery last Thursday and I got scared and I postponed it Because I was having a small little area burning in the upper part of my stomach that I later found out that was part of the hernia
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What gene? I have had my dna mapped various times and by various methods since the genome study early on... it should be there or not there unless it is a previously known gene somehow
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Dr. Weiner what about Hashimoto Thyroiditis does it affect how fast or how slow or how much weight one will loose?
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I definitely think I have the “genetic “ thing ya talking about- I’ve been consistent since day one in my WL which is about 1 kg every 1-1/2 weeks. Im now 6 months out. It’s still good but definitely nothing amazing! (20 kgs since surgery, 26 since pre op and 44 since my journey started 😤)
Loving all your videos, I've been overweight since the 2nd grade, lost 70lbs in college, developed hashimotos and gained it all back plus 40 over 10 years all while trying to lose weight. Is bypass a better option than VSG for a hashimotos/genetic predisposition for obesity and type 2 diabetes? I just fear I'll be one of the patients who is compliant but struggles to lose post op
+Stephanie Anderson hard to say, need more info, a Skype consult may be helpful
Dr. Matthew Weiner thanks for taking time to respond, and yes I figured it would require a consultation to really figure out what surgery is best. I'm loving your videos and learning a lot and will be attending a local seminar next week, but until then I'm learning so much from your videos, thanks for the education!
You're welcome
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I'm going to my first appointment soon with a gastric bypass doctor will I be scheduled for surgery that day or will I have a follow-up after this one I will be at a seminar in a few days and I've got a doctor and my insurance approval
+casper62200 Every doctor does it differently.
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Dr Weiner, Thank you for sharing this .. It is something I wish I had known.
I would have chosen a more radical surgery for sure. The relative question is very interesting. Topamax is a horrible medication, causes memory loss. Took it for migraine control, for several years.
Haven't used Topamax - beyond the side effects, it doesn't work all that well.
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Any recommendations for those trying to gain muscle after gastric bypass? Protein sources seem difficult to digest and getting enough (100-150 grams) a day is difficult, and may not even be adequate?
Don't think that much protein is helpful. Weight lifting is your best bet
+Dr. Matthew Weiner love your videos I'm 12m in 219 and 5'5 where should I be now as it being 12mz in
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Dr Matthew, thank you for posting video I really appreciate it.
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Went from 315 (size 26/4X) to 143 (size 10/M) after gastric sleeve. happy with that but have to revise to bypass due to GERD.
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Hello Dr. I'm in Michigan I have medicaid omni care it change name how long will it take for me to get sleeved my bmi is 47.6
Doretha Jones Most of my medicaid patients take 18 around months before their insurance company approves the surgery. They are often denied initially and we have to file an appeal. It is a very frustrating and time consuming process. Good Luck.
Thank u hun I have omni care I'm almost done with my pre op process so I'm happy I didn't listen to it
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I am on corticosteroids 500mcg daily and occasional ventolin as needed. Is this dose high enough to make weight regain more likely after VSG.
I'm assuming you're talking about inhaled steroids - at this dose, the effect is minimal and shouldn't impact your weight loss after surgery.
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Dr. Weiner Do you have any knowledge about weight loss surgery on Polycystic Ovarian Syndrome?
It typically improves substantially. Talk to your weight loss surgeon to learn more.
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Having sleeve done March this year and doctor put me on 8 week liquid diet before my surgery hopefully lose good amount b4 and after
+beanie baby gamerchickk good luck!
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I weighed 374 lbs in January 2019, and got down to 321.5 by the day of surgery on May 23. Today is July 23, and my weight this morning was 278.5. That’s 43 lbs lost in the 2 months since surgery, and 96.5 lbs in 6 months. By far the most success I’ve had with weight loss.
congrats, sounds like you're doing great!
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My brother was very successful with Duodenal Switch but I had Gastric Bypass is that still a good indicator of success, even with different surgeries?
Great question, there's no scientific evidence to guide us, but I suspect the answer is yes.
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Hi, this is the end of my second day home, so really the second day of sipping 40 to 64 oz of fluids, and my three protein shakes. The shakes have been about 6 to 8 oz, wondering if you think that's too much protein shake volume wise? thanks, pete
Need more information, this question is better directed at your surgical team
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I'm doing lots of research prior to hopefully getting a sleeve gastrectomy. My concern is from past HORRIBLE iron deficiency anemia and a full workup with a hematologist, I only seem to be able to utilize heme iron. I was a vegetarian when this was discovered. No amount of veggies or iron supplements helped. With a Hgb of 8 and 7 months pregnant, I had to start eating meat because the other option was a blood transfusion. I'm worried about this after surgery. How do you handle this problem?
Need lots more info to address this question, iron deficiency can be from blood loss or poor absorption, need a thorough work up from a hematologist. I’d be careful about choosing a gastric bypass since this could make things even worse. Sleeve patients are also susceptible to iron deficiency but less so
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Dr, I have a very important question to ask you and a little bit more of what your opinion or thoughts are in my situation. I'm a 29 year old female with Spina Bifida, but only partially paralysis (L2-L3, can move everything except ankles and down)and in a wheelchair. I am 5'1, 220 lbs, the reason why I use the wheelchair frequently now is because I am to heavy to be able to walk with my braces and crutches and get tired easily. I had my first child at 21, and after that I just ballooned! I gave birth to my second child at 25. I currently have changed the way I view food all together, and I have made it a habit of choosing what's right and healthy for my diet, and do regular leg exercise and such, but I'm just too overweight and My primary Doctor, my Neurosurgeon both discussed with me the importance of weight loss. It wasn't until a month ago that my Neurosurgeon suggested I look into weight loss surgery because he said it would benefit me alot since it's so much more difficult for me to lose weight on my own vs a normal walking person. I also like to mention I have hypertension, high cholesterol, depression, and lots of frequent urinary infections due to wearing an intro foley catheter. And the only way I could prevent using a intro foley catheter is if I self cath like I used to, but the problem with that is that it's extremely difficult to do because I am so heavy and can no longer do it like I used to with ease when I wasn't overweight. So my question is, is if weight loss surgery in your opinion could benefit me and if you'd recommend surgery like that for someone with my health issues and disability? Do you find me a candidate for a surgery like this, after everything else is failing?
Candy macchio Yes, this is worth pursuing and probably your only option. Good nutritional compliance after surgery will be critical for long term success given your age and limited mobility. Strongly consider the gastric bypass.
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Would you recommend dropping some of your bi-polar meds if you are on a lot of meds?
No, discuss this with the prescribing physician first!!!
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Hi Dr Weiner. I'm considering surgery but am very skeptical. I have a stockier build and all the women in my family are the same. I'm 5'6 and 285 right now. I lost a little of weight but it quicky tapers off to nothing even with working out and eating healthier. I wanna get down to 215-220lbs. would I even benefit from gastric sleeve? I also have PCOS and that hinders weigh loss a lot.
+FlaymeGoddess21 you sound like a great candidate for a sleeve
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my dad and sister are very skinny my mother is 280 pounds I'm 240 but i was never heavy growing up .i was very thin until i had my first and only child then i gained. after that i was diagnosed with pcos and pseudo tumor ceribri high blood pressure gerd etc... i wanted the sleeve but i think ill have to get the bypass. I'm so confused I've also developed a food addiction. I'm one big complicated mess lol
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Well I am having WLS next month..I sure hope I don't have the same issues as my Mom..She now barely a hundred pounds and is on a feeding tube..So.yiu just scared the crap.out of me.
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I recently had my sleeve done july 28,2016 and its hard to keep eating the same liquid foods all the time I already tired of eating chicken broth and protein shakes I don't even have taste for
This is the difficult part of recovery after surgery, it will pass
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I'm 5'11 and I lost majority of my weight (85 pounds ) before surgery. after surgery I really only wanted to lose about 60 pounds or so and that's it. I had my surgery four and a half months ago and I'm only ten pounds from my goal weight that I set. according to your calculation, I would lose entirely too much weight, I'm not trying to lose 100 or more pounds after surgery, so how can I stop weight loss without stretching my stomach. again, I'm still in the beginning stages of my surgery but I'm pretty much at goal.
+missb19822010 the weight loss often takes care of itself. I caution anyone against trying to gain weight after surgery. For every person who is below their goal weight, there are 100 who are above it. Be patient, things will take care of themselves
Thank you
Dr. Matthew Weiner m
missb19822010 n
Beauty4Ashes hello who was your surgeon??
Dr. Weiner, I had a Gastric Bypass on July 8 and am at a plateau. I am now weighing 203 and SO longing to get under the 200 mark. I have not had much support or orientation from the surgeon and feel that I have hit a wall. I really want to get to at least 160 to 170 at least. I am only 5'3" but since I am 63 years old I don't want to go down too far and feel all shriveled up. Can you help me?
Linda, my nutritional program is outlined in my book and on many of these videos and you should follow this as closely as possible. I also have an experimental new app that may help called CaloRatio.
Regarding your plateau - make sure that you're eating right and exercising regularly, and then be patient, they happen.
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I'm having the sleeve done I'm a my weight goes up and done every year. And I dont eat meat .vegan for one year now I eat only fish and veggies. I've gained the weight back again . Because I have hypothyroidism. So I'm hoping the sleeve will keep me from gaining and losing every year. I'm hoping it will be a success because I dont eat meat. 🤞
Fish is animal flesh 💔 Vegan for the animals.good luck with your weight loss journey.
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Hello doctor I am 210lb 5'4 I have a family history of type 2 diabetes high blood pressure high cholesterol heart disease asthma COPD I have high cholesterol fatty liver asthma and I'm pre-diabetic I've had two family members have the gastric bypass but I'm not sure if that's the best one for me or the sleeve what would you recommend
If your family members did well with gastric bypass, I'd consider having that surgery since there's a strong genetic component to success after surgery. If they didn't do well, I'd recommend a sleeve.
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I had it done.got really depressed. at the time.I lost my son and before that was having. a bad time worrying about loosing him so I started gaining weight.I gained 104 pounds since 2008. I will get back there again.
+Tammy hughes you can do it!
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Dr. Weiner,
I have thalassemia. I was wondering if surgery could make my anemia worse?
This is definitely a question that is best directed at your hematologist. If there's any debate or uncertainty, you may be better off with a sleeve.
So you're saying since I have thalasemia that it is probably better for me to get the sleeve? I have spoken with my hematologist and he doesn't seem to have a problem with me getting the sleeve. Thanks for answering my post.
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I I am currently pre-op about a month away I've been approved by my insurance carrier and my surgeon requested that I lose 20 to 30 pounds before surgery to make it safer obviously I've done so I've actually lost 31 pounds the question is now my surgery is not for nearly a month and I will be doing the 2-week pre-surgical diet but what do I do in between I don't want to gain any weight back. thank you in advance.
I would put you on the Metabolic Reset Diet that I write about in my book
Great Thanks for the help!
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Hello
I was wondering what is your opinion on a revision surgery to a stretched sleeve after 6 years out. The sleeve was orginally done well and about 75 cc but then it got stretched and now i am stuck as i had never reached a weight where my BMI was normal i am still morbidly obese.
I am considering a mini gastric bypass but i am really afraid of doing it and i am worried if i do a resleeve i may never reach a normal BMI due to the fact my metabolisim is very slow and i may remain fat and with a stretched sleeve again.
My surgery is due next week and i am thinking to call it all off.
Thanks alot
Sarah, this is a very complicated question that I can't answer online - it sounds like you should get a second opinion. Is there another surgeon in town that you can get a second opinion from? If you're close to Detroit, I'd be happy to see you, but I also offer Skype consults for those who live far away.
How can i reach you on skype ?
Call my office to set up a skype appointment: 248-413-2670
Thanks alot Dr Matthew
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Had my surgery today, Gastric Sleeve, everything went well surgery was only about 1 hour and a stay of 4-5 hours and I got to go home ! 😊 (outpatient). Just want to let people know that the Gas X is saving my butt! The pain was bad! No the hospital did not give it to me- I had it at home. Other than that not too bad, no nausea, not bad incision pain, just the Gas bubbles. These video's Dr. Weiner does are so helpful and infornative, much better than sitting in a classroom with a bunch of people I don't know 😊
Great, glad you're doing well
Hi who was your surgeon?
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Wt regain has to be directly related to diet compliance. I don’t understand the genetics argument. All the patients who have the surgery are obese so it’s obvious they don’t have great genetics. It all comes down to changing relationships with food and making it healthy and finding self love. Thanks for the video doc.
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How would you suggest someone who has bipolar disorder "avoid medications that cause weight gain" after GP?
I am bipolar and alot of meds I take cause weight gain. I have PCOS and high blood pressure, diabetes. I made an appointment to see my Dr to ask to have surgery.
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Dr.Weiner I had the vsg surgery 16months ago I've lost 145pound but my skin looks so wrinkly please give some advice to what can help the unattractiveness.
Cynthia Martin I have a video about excess skin that may be helpful. Plastic Surgeons can be very helpful. Also, if you smoke, this is a major contributor to wrinkly skin after weight loss surgery. Finally, making sure to eat plenty of fruits and vegetables can help as well.
Thank u Dr.Weiner very helpful
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what about folks who were not always fat? i use to be skinny, 180lbs very large bones (wrist 8.5in around) then in my mid 20's i started gaining and now over 400...
+Daniel Jackson they often have an easier time losing weight without surgery, but otherwise are not much different. The important question is why you started to gain weight so that you can make sure that make every effort to prevent regain after surgery
Im 349 pds and want ESG for many reasons, looking at at jacksonville Mayo for that, but my surgeons are saying I need really should have bariatric surgery, sleeve or roun xy, for greater weight loss. And they told me I have a slow metabolism today. Should I take thier advice and have the more invasive, expensive surgery or is there any chance I can lose enouhh weight with ESG? I do have a sister that just lost 90 pounds so far after her laproscopic sleeve. Any thoughts would be appreciated.
I wasn't always that my whole life either and then I my twenties after I got in the depo-provera shot and then had my two last kids I gained weight and couldn't lose it and I got up to 299 I had the gastric bypass 2 months ago and now I'm at 260 but I want to get down to 150
Daniel Jackson is
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Dr. Weiner, I'm due for surgery on Jan 26th. Do you have any knowledge on GBS and hypothyroidism?
Have operated on lots of patients with hypothyroidism. As long as it is well managed pre-operatively, there shouldn't be any issues.
Thank you very much!!
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I am 6 weeks post-op RNY and recently discovered your videos. So excited someone is talking about fruits and vegetables. I wanted to start green smoothies with plain protein powder and got scolded by the Nutritionist that they are too high carb. My question is do you think being on bio-identical hormone cream - estrogen and progesterone- would slow weight loss? Also do you think past yo-yo dieting slows weight loss? I lost 100 pounds on 5 different occasions and always gained it back... and 75-80 pounds a couple of time too. Thanks for sharing these videos.
NYMom Not sure about the bio-identical cream - probably not a major factor, but your ob-gyn would know more. Yes, yo-yo dieting can definitely slow down future attempts at weight loss- I have a video on this coming out in a few weeks.
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Dr. Weiner, I used to take Risperidone. It's been 2yrs since Ive stopped taking it. Would it still slow down my weight loss after surgery?
maryamchai Yes, big time.
@@apoundofcure Is it even worth having gastric bypass if you have bipolar and NEED to take risperdal? I don't think I can stop and neither does my doc, but I would like to have WLS as my BMI is 48.
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