“Weight loss recommendation?”

Gastric sleeve is an option, but, in my opinion, it should be your last option. Too many people give up and do the surgery and then find that their weight comes back on. My recommendation is to go online to: https://obesitymedicine.org/find-obesity-treatment/ and find a physician who specializes in helping people lose weight with wise nutrition (high protein, low carb) in addition to using medications. If that is not successful, after doing all that you can do, then consider the next step of bariatric surgery. Of all of the patients I have seen that have considered bariatric surgery, less than 5% ever needed to as we have been that successful.

Yo se la recomiendo pero además debe cambiar sus hábitos alimenticios y realizar ejercicios físicos no como hábitos si no como un estilo de vida además de mantener la visita periódica al psicólogo y nutriologo

It is certainly an option but it needs to be discussed with a bariatric surgeon, which I am not. I will say, however, that in my experience seeing many patients who have had a gastric sleeve, the best results are achieved in patients who stay disciplined about their oral intake after the sleeve. Too many sleeve patients remain obese afterward because persistent overeating actually stretches the stomach over time such that it ends up accommodating just as much food as before. Hence, they regain most or all of the weight that was lost initially, rendering the sleeve essentially pointless.

Hello, Excellent question. The sleeve is certainly the most common surgical procedure, accounting for approximately 65% of weight-loss procedures. On average, patients can expect to lose 60-65% of their excess body weight. The surgery is quick and well-tolerated. The only major side effect that I warn patients about, is postoperative acid reflux. If you already suffer from acid reflux, I would avoid this surgery, as it may make it much worse. Gastric bypass surgery, on the other hand, is a cure for acid reflux and offers patients approximately 75% excess body weight loss. You'll notice, neither surgery has a 100% effectiveness. That is because they are merely tools to help you reach your goals, but the rest of the effort is still on you. Please let me know if you have any further questions!

Consult Functional Medicine. Consult Endocrinology to evaluate thyroid, pancreas and adrenals. Start organic, non-GMO, low gluten or no gluten MIND diet. Consult Obesity Medicine. Start organic juicing of 1 glass of carrot, beet and ginger. Start Acupuncture with Moxibustion. Start Rapid Transformational Therapy for root cause analysis psychotherapy. You may have an eating disorder as well.

While not understanding your health history it would be hard to recommend any particular type of Bariatric procedure. Your BMI is 49.1 and a healthy BMI is 24.9. While Bariatric Surgery may seem like an easy way to a healthy weight you must consider the post-surgical lifestyle changes that will have to be adhered to for the rest of your life. Regardless of the path that you and your doctor choose diet and exercise will always be required. A physician directed very low calorie diet (VLCD) along with appropriate exercise will produce your desired weight loss and benefit you both mentally and physically for the long term.

Yes! Weight loss surgery is your best tool for weight loss, Either a sleeve gastrectomy or gastric bypass would be appropriate for you. Surgery is more likely to help you achieve a healthier weight and having longer lasting results than diet and exercise alone. I would arrange consultation with a surgeon as soon as you can. I have never had a patient tell me they wish they had waited longer to have surgery.