those complexities in mind, a common definition of failure is loss of less than half of a person’s excess weight (%EWL is excess weight carried above a Body Mass Index of 25kg/m2).  Most of my patients express disappointment if they’ve only had 50% excess weight loss, but the reality is that even surgery has limited power to assist a person to manage their weight.Additionally, all surgeries are most effective in the first five years, and less effective after that.  And obtaining reliable data... +More

Guava. Guava is one of the most protein-rich fruits around. You'll get a whopping 4.2 grams of the stuff in every cup. This tropical fruit is also high in vitamin C and fiber Most American chocolate is highly processed, and rich in vegetable oil, sugar and preservatives. We encourage our bariatric patients to avoid candies, and other sweet items before and after weight loss surgery. It is normal to see weight gain after bariatric surgery because patients still live in an obesogenic environment, and the individual'... +More

Gastric RNY, or Roux-en-Y gastric bypass, remains one of the most effective surgical options for treating obesity. By reducing the size of the stomach and bypassing a portion of the intestines, patients experience a significant reduction in hunger and an inability to eat large meals. Gastric RNY can lead to rapid weight loss and improvement or resolution of obesity-related conditions such as type 2 diabetes, sleep apnea, and hypertension.

RNY reversal is the process of undoing the Roux-en-Y gastric bypass. Although rare, reversals are sometimes necessary due to complications such as malnutrition, severe dumping syndrome, or other medical issues.

Roux-en-Y gastric bypass is one of the most common bariatric surgeries, combining restrictive and malabsorptive techniques. It helps patients lose weight by creating a small stomach pouch and bypassing part of the small intestine, reducing calorie absorption. It’s highly effective but requires lifelong dietary changes and nutritional supplementation.