Healthy Living

Wednesday, February 10, 2010

Overweight? Surgery is not your only option

I’m just back from a trip to Cleveland, Ohio where Prevention held a one day festival called Health for Good at the gorgeous Cleveland Botanical Gardens. Our fitness expert (and my fellow blogger) Chis Freytag started the day with an outdoor morning stretch, and the day’s activities included yoga sessions led by Chris, makeovers from Bobbi Brown beauty consultants, massage and reflexology, diabetes-friendly cooking demonstrations, presentations from me and Liz Vaccariello, Prevention’s editor-in-chief, and so much more (it was pretty great if I do say so myself)! But one of my favorite sessions of the day was one Liz led with Ali Vincent and Roger Schultz, this season’s winner and runner up on NBC’s Biggest Loser. Ali, the first female winner on the show lost 112 pounds and Roger 164.

The stories, insights, tips, and life lessons they shared were so genuine, and incredibly moving. And it was evident from meeting them that they’ve both transformed their relationships with food and exercise in ways that can’t be “undone.” My favorite part is that they’ve been able to lose and maintain these incredible results the old fashioned way—by changing how they eat, and how they move. They both said so many things I find myself saying to clients all the time, including concepts I’ve blogged about, such as looking at food as a budget, and considering not just the “what” and “how much” behind food choices, but also the “why.”

In order to achieve the rapid results that wow Biggest Loser viewers, the contestants exercise 5+ hours a day while “on the ranch,” and they are away from their families, jobs and communities, but Ali and Roger have both been successful at making the transition back to “real life,” despite hectic schedules, traveling, work, holidays and special occasions…they’re amazing examples that you can do this—without medication or surgery.

Now I’m not bashing surgery—I do know people who’ve had gastric bypass and believe it saved their lives; but many people have told me that they think surgery is their only option for success, and I don’t believe that’s true. It’s not without risk, and there is no guarantee you’ll reach your ideal weight or maintain the weight loss.

A recent study looked at 60,000 Californians who had gastric bypass between 1995 to 2004 and found that 20% were admitted to hospitals the year after surgery, 18% two years after and 15% in the third year (only about 8% had been hospitalized the year prior to surgery). The most common reasons for being admitted included complications from the procedure.

Another recent study published in the New England Journal of Medicine found that after 10 years, gastric bypass recipients weighed on average 25% less (that’s a new weight of 225 pounds for someone who starts at 300). That’s enough to improve a number of conditions, including diabetes and blood pressure, but these results (or greater) can be achieved without surgery. Ali, Roger, and a number of Food for Thought readers are living proof. Many of you have shared your incredible, inspiring success stories, and I invite you to please share them here again!


Would you ever consider gastric bypass surgery?
Do you know someone who has gone through with the surgery? Was his or her experience a positive one?
I'd love to hear from you!

Surgery-Free Ways to Slim Down:
Discover 100 Ways to Cut 100 Calories
Eat to Lose: Tried and True Diet Tips
Make Every Meal Healthier

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From the Community…

Comments 1-7 of 7
  • paula's Avatar
    Posted by paula Mon Jun 9, 2008 7:06am PDT

    I have friends who have had gastric bypass surgery and I can tell you it isnt for me.I have seen them loose weight yes but at the expense of thier health.One lady even died,one ended up in the hospital for almost 6 months becuase where they cut her didnt heal properly,one lady lost 100 pounds and cant loose anymore and she eats like a bird.While yes I am overweight I would NEVER have this surgery.Its not a cure all,nothing is but diet and exercise and I can do that without worry and the expense that goes with that surgery.

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  • Camilla's Avatar
    Posted by Camilla Mon Jun 9, 2008 8:10am PDT

    I am a gastric bypass survivor. It will be two years ago in August. It was one of the hardest decisions I ever made, but it was the best decision I ever made. I was 260 pounds to begin with and now I range between 130 and 135 depending on what time of month it is. I had no complications. I can tolerate most foods well now. There are certain things that make me sick, but nothing I can't work around. I tried every diet and exercise program out there and nothing worked for me. I kept getting heavier and heavier. I knew the surgery would not be a magic cure. You still have to work hard and think about what you eat and your food choices every day. The surgery just happened to be what did it for me. I always knew eating less was what needed to happen, but my stomach had been stretched so far, that I always felt like I was starving. The surgery was simply a tool--an aid--to helping me eat less and feel full. Sure my portions were very very small at first, but now I can eat a healthy portion of food and feel full. I LOVE it. Anyone considering have the surgery--my advice is don't rush into it. It isn't for everyone. You have to be committed. If you eat as an emotional crutch, you've got to work through those issues. People can seriously become depressed when they can't eat food to deal with their issues anymore. I would recommend it to anyone though. It changed my life completely and if I had it to do over again, I would do it in a heart beat.

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  • Beth's Avatar
    Posted by Beth Mon Jun 9, 2008 9:28am PDT

    I would consider it. Especially since I didn't gain my weight like a lot of people on Biggest Loser did, by eating garbage food every day. I tend to eat pretty healthy and when I tried doing both eating healthy and exercise and still didn't lose weight, I kind of gave up on the possibility of being able to lose it. I have a friend that had the surgery and it worked great for him, the only downside was that he didn't exercise afterwards so when all the weight came off it left a lot of extra skin.

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  • Mark's Avatar
    Posted by Mark Wed Jun 11, 2008 12:39am PDT

    I have a close friend who had surgery. It is basically an extreme calorie restriction. She can only eat a small amount of food at a time (like 1 cup) and she has to take prescribed supplements because she does not get enough nutrients from food anymore. This is so sad and shows how inept our healthcare system is at providing health. They are more like a health repair system. And not a very good one.

    Before you do something extreme like surgery, do research at a place where they are not selling anything: http://www.westonaprice.org/splash_2.htm

    I am 39 years old, 5'6" and I have been battling my body fat since 2005 when I was at 220. I thought it was my excercise, then my family genes, then I reduce my overall food intake and felt weak and stressed out. In March 2008 I was stuck at a chunky 200, I was working out 4 times a week 30-40 minutes doing heavy bag workouts and 3-5 mile walk/run/climb in the parks and canyons near my home. I am now a much leaner 187 and still shedding fat! All I did was find some real information from some very smart people. I found out that the modern foods that we eat like white sugar, grains, legumes all require some kind of processing before they are edible and we did not evolve eating them. I also found out that the whole thing about saturated fats being bad for you is wrong. When I changed my diet, I found out that the feeling of being really hungry does not happen unles I have gone more than a day without food and water. I found out that the sensation of being full is a learned response to the insulin spike that has been happening since I started eating cereal as a child.

    Here are two websites I recommend to anyone who has had a similar frustrating experience with the USDA RDA diet: http://www.westonaprice.org/traditional_diets/index.html

    http://en.wikipedia.org/wiki/Paleolithic_diet

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  • gabbygetsme's Avatar
    Posted by gabbygetsme Mon Jun 30, 2008 10:28am PDT

    Hi I had this done in 2001 and its not worked that well for me as I regained weight last year, though I have since lost some during the course of this year naturally.

    I understand from my surgeon Mr Pollard in Leeds that a lot of people who have this done do end up putting weight back on ending up overweight or even obese so its not a total cure

    For me - my stomach has stretched in two places and i have a leakage

    I will be having a remedial procedure in october with the aim to rid me of another 20kg but this time it will be the gastric band and where I am going the surgeon is better than in the UK.

    To be honest the only way anyone even with surgery can remain thin is to excercise and eat heathily I can eat most foods now and eat almost normally - but I try not to snack or eat crap - Thats seen me stay within 9kg of my lowest weight on the gastric bypass

    I should be stick thin by the end of the year once the lap band is in place round my gastric bypass

    It is genetics but its also about looking and seeing what you eat and being less emotional with it too

    I have seen a lot of other gastric bypass patients and lapbands who lost weight and put on weight and looked obese

    I went from a 28 size in 2001 to a 8 / 10 at my lowest and now I am a 12

    With the lap band I hope to fall back to an size 8

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  • gabbygetsme's Avatar
    Posted by gabbygetsme Wed Oct 15, 2008 1:37pm PDT

    Hi since i posted my comment I had the lap band procedure done

    I should also mention that I found out my gastric bypass was not done properly ( which I will be doing something about legally) and thats why I actually put on weight.

    For my height and weight my bmi is 26.8 still overweight and I should be around a stone and 3lbs lighter but the lap band does work if you educate yourself and eat and excercise sensibly

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