Bariatric Surgery Myths - Dr. Matthew Weiner addresses common misconceptions about Bariatric Surgery
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- เผยแพร่เมื่อ 20 ก.ค. 2024
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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 TH-cam 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...
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These myths are commonly told everyday by Bariatric Dr's & their staff however I've had no problems or complications after my RNY surgery doing the opposite of these myths Im 13mos post-op & have lost 138lbs & is16lbs from my healthy goal weight. I encourage everyone to follow your Dr's orders but remember everyone's body is different & if eating & drinking at the same time works for you than do what is pleasing to you! I did & my journey is a success so far! Thank you Dr Weiner for your honest & educational videos.....I've learned more from you than my own Dr.😉
Dr. V says that you can stretch your stomach out
@@westskincare he is not Dr V and not nearly as arrogant
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I am so grateful to you for you making these videos-- I know so many who have struggled with these myths for years! THANK YOU! on behalf of the huge WLS community that exists online on FB and YOU TUBE- thank you!
You're welcome - glad to hear that you're enjoying the videos.
Dr. Matthew Weiner Hi Doc. Wondering when I will be able to drink coffee?? Can’t find anything about this topic
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My food cravings never really went away. Food tasted bad for awhile but that ended too. I'm only 10 months post op but I'm down 90#.
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oh my gosh! thank you for this! I have been struggling with several of these issues and when I question those at my clinic I am looked at in a judgmental way that I am not following the program
...therefore I am not taking my surgery seriously. Everyone has questions, even if it's just knowing the why. I no longer feel comfortable talking with my clinic about things and look elsewhere.
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I am so grateful for your heart for us as Bariatric patients... you provide clarity for me as a 3 month out patient who has had VSG surgery. The road to surgery for me was mapped out and planned, but I feel less guided and prepared for what this journey really is now. Your videos are so helpful. They are lighting this new road for me, like a guide with a flashlight and a smile... they make me feel I can make it ...😀👊🏾... Thank you.
I love this surgeon. He's so real and tells it like it is. Eat your vegetables! Thank you Dr. Weiner!
Protein 1st
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I'm only a week post on and I'm physically hungry. Not just head hunger. So I want lucky to have this time to be "free' of anything.
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Great video. It helped to clarify some things that I've been having a difficult time fully understanding after surgery.
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I’m having VSG in two weeks, and I’ve watched all your videos that I can find. Thank you for making things so understandable. Your pre and post regimens parallel what my surgeon has recommended as well. Thank you again.
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Thanks for the focus on vegetables. that's awesome. not many doctors have that nutrition focus.
Thanks for your videos! I'm learning a lot!
Man I’m so thankful for you!! All these things I was worried about..
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Wow, right to the point and cleared up a lot for me ! Thank you doctor
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Thank Doctor I am glad I found this channel...I am having the bypass...waiting for my surgery date.
Thank you so much for making these video they are so educational for me as a rny 2 yrs post op person
I was told “not to use a straw after the gastric bypass surgery,” so I am glad you are discussing this topic in this video. Glad to hear it is a myth, like carbonated water which is fine to drink. I like Perrier and Pellegrino waters , so now I know I can have them. Thank you Dr. Weiner for this clarification, it is appreciated.
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Brilliant, I am 14 years out and I had a feeling all these thoughts very myths
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This video was so helpful ty for your time
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I'm so glad I came across this video!!
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Thank you so very much for these videos!
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I love this video!! I learned so much!!!
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You gave some good advice. Thank you
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I’m tuned in! ❤
Brilliant Vid - Thanks for Sharing!
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#7! I am so happy to see that! I have never thrown up since 2 days post op.
Very useful video. Thank you!!
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Thank you for this video! I am still pre-op, but have always believed knowledge is power!
Thanks again from your Canadian neighbour! :-D
Pre-op is the BEST time to be learning this stuff!
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You really do have to find what works for you. I love the fact you encourage listening to your own body. I love intuitive eating. I do listening to several different Drs and people who have lost a lot of weight. Then I use my own judgment usually thru trial and error as to what makes sense and what works in my own life. Love the eat your veggies first concept. Makes perfect sense to me besides my tummy loves them. Somethings hit like a brick after I eat them. I have lost 85 pounds since July 2 2021 my labs are good. I have 27 pounds to go and have NEVER felt better. I just wish Dr Weiner had more videos!
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Thanks Dr. W for all the great information. I saw a couple food documentaries on Netflix which reminded me of your book, Pound of Cure. I've recommended it to quite a few people. The food documentaries on Netflix are Food, Inc., Food Matters, Forks over Knives. May God richly bless you!
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Thank you so much for your videos. I don't eat many processed foods and it was nice to find a plan that didn't include them.
I am so glad you touched on getting mostly veggies after month 3. I am 14 mos out and I wanted to shift to a vegetarian based diet I visit a lot of WLS forms on Facebook and they all drive home the same message no carbs and this from people 3 years and beyond out from surgery. I tell them fruits like berries are great low carb fruits with antioxidants great for the body and they all tell me to stay away from fruit and that too much fruit will cause us to gain weight. And protein first cause our bodies need 80 grams of protein a day for the rest of our lives. It's so much info out there that can confuse us so thanks for sharing.
what does WLS stand for?
verified facts Weight Loss Surgery
I say listen to your body. Your labs and check out intuitive eating.
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Thank you! This was very enlightening and I am going for RnY on Monday in Ontario :)
Good luck!
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why do so many health practitioners proclaim the opposite of these _myths?_
Someonez Mom many were taught these rules when learning to put in the lap band and these rules were designed to place blame on the patients not the failure of the medical devices as they have a 60% reoperation rate they are simply uneducated on the subject
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@@apoundofcure thanks but no thanks
Thank you for these videos. I am in GR MI and had a wonderful surgeon. He is super busy and you do a great job of explaining things!
Kelley Irish I know the surgeons in GR - they're all great surgeons and friends of mine. It sounds like you're in good hands.
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Dr Weiner, I have learned a lot from your videos. I just went to my first seminar about weight loss surgery. I will be making my first appt soon. I have been trying to decide between sleeve or bypass. I'm 5'51/2 and weigh 245. I have diastolic CHF, sleep apnea and back and knee pain. I also have had problems with foot pain. I'm a nurse on a busy medical floor so it would improve my job if I could move better. I am going to order your book. I also plan to watch all your videos. The hardest change for me will be giving up diet pop but I plan to watch your video about that as well. Thank you for making all these videos.
Karen Locey You're welcome, I hope that the videos help you make a good decision.
Think about that pop as posion. That's what it is. It's over loaded w/sugar. Sugar is poison to your body. They contain poinson, aspertame. Diet soda's have the highest level. It's a slow kill. When I first tasted bottle water, I was hooked. Walmart brand. Labels so tiny I can't read it, but tried Nestle and it tastes creamy yuck. They say water flushings out fat, not sure but if your pee is dark that's bad, drink water instead and watch how it lightens up. The way nurses run, I'm surprised any of you are over weight, has to be your diet and those killer soda's. You'll feel so much better when you start water & stop the soda's. You adjust fast.
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This has been great! :)
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Dr Weiner, how many grams of protein are sufficient eight months post-op? Should I increase protein after skin removal surgery? I have now lost 110 pounds and am SO grateful for your videos. I’m rewatching all of them this week to keep my head in the game. I read “A Pound of Cure” and it is fantastic - but you should consider a book specifically for WLS patients. So many times I had to come back and scroll through video after video to find the piece of info I was looking for (and couldn’t remember which video addressed it).
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I had surgery May 5th 2009, at 280 lbs. I have maintained 130 for 7 years. Loads of hernias repaired though.
+sunnylilme congrats! Sounds like you had your surgery done the old fashioned way (open), hernias are very rare after laparoscopic surgery.
Dr. Matthew Weiner nope laprascopic. along with pseudo bursas, seromas.. etc. really the tummy tuck is the killer.
On a side note, I really appreciate your interest, obvious research, information, to our community. Very few of us have this level of info, empathy and lack of judgement you offer here. thank you.
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Thank you for making these informative videos! I am a 59 year old male weighing 408 pds. Five years ago I had lap band surgery by another surgeon. It was great a first, I went from 393 down to 335 but then the weight started creeping back up to an all time high. Although I don't eat/drink nearly as much as I used to, my weight keeps going up. I'm sure it's probably from my bad food choices. I still love my carbs. I'm contemplating a gastric sleeve but after watching your video, I'm afraid that after a year or two, I would be right back to eating my carbs and gaining weight. Can you recommend a diet that I could try before I make a decision about the sleeve? Also, what hospitals do you work out of in the Detroit area? Thank you very much!
Larry Meyers
Eastpointe
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such good information
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Thank you for your response. A few years ago I became a vegan for six months and the severe eczema was still there. A year after that I juiced my own veggies and that and water was all I did for 30 days and eczema stayed the same.
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Thank you doctor you are excellent
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I just had my Gastric Bypass surgery, what you said about feeling pain when having a drink of water and hurts, that's exactly what I felt last night when I was having a cup of tea. I though it was the tea, so I stop drinking tea.
+Claudia. M Diaz it will go away in a few weeks
Thank you Doctor!! :)
I have a question regarding extended release Wellbutrin. It's the same size as my current SR. I don't really like taking the SE because now I have to take it twice a day and with ER Wellbutrin Hcl I only had to take it once. But my treatment team says no. I just recently had VSG on 7/10/19. I'm looking for 2nd opinion. Thanks.
I am 6 years out and still get dumping really bad. I am going for a revision of my rny.
Oh boy. I hope I don’t have the fat gene. 😬 I was sleeved on 8-26-19 and I’ve lost 11.8 lbs as of today 9-2-19. I’m following my program as prescribed and I feel great. I really want to be successful. Prior to surgery I had lost 115 lbs on my own by cutting out soda and sugar, limiting my portions, just watching what I eat. I wasn’t always successful and I found myself having junk food Fridays/weekends. I also started doing cardio. From my birthday in November of 2018 through February of 2019 I gained about 40 lbs back and THAT’s when decided to pursue bariatric surgery. I’m a few pounds away from the weight I was at my birthday. I believe since I was able to keep a large amount of weight off for three years I’ll be able to maintain a normal, healthy weight after surgery.
Matt Hardy agree, you’re off to a good start and success through dieting is also predictive of success after surgery
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Very helpful
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@@apoundofcure good morning yes I do I will give u a follow today and 😊
DrWeiner. I am 5 days post op from my VSG, your videos have been instrumental in helping me make my decision for WLS. There is very limited information available here in the UK. I actually went into Europe to a private clinic to have the surgery. I just wanted to ask although you didn't carry out my surgery, would it still be ok to follow your guidelines.
I recommend that those of you who are not my patients discuss my approach with your surgeon. If you've had a uncomplicated course, starting my nutritional program around 3-4 mos out should be fine. Earlier than that, listen to your surgeon.
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Thank you for this video as these are the most common things I have heard regarding surgery, however, it is quite confusing as all of these myths were told to me by my surgeon's office! What leads to such a big difference in information given to patients from physicians? Is this due to training, education, or studies?
+Meghan Adkins Much of what we teach patients is standard dogma that remains unquestioned and unstudied. I've listened to my patients over the years and recognized that many of the things that I was telling them to do or not do did not cause any issues, so I started focusing on the things that did seem to work (like eating lots of vegetables).Medicine and Surgery are more of an art than a science, this explains the wide variation in recommendations from practice to practice.
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Hi Dr Weiner. Really enjoyed your video. I know it's a couple years old, but I hope you're still reading comments. Quick question. I understand the content regarding eating and drinking at the same time. You address the issue of it being uncomfortable. However what I keep hearing is that water makes food wash through the pouch more quickly, causing more frequent hunger. Is there truth to that? You didn't really address it in the video. Thank you so much. Again, great video.
+Brianna Stevens this varies from person to person - for some, drinking while eating will cause more hunger, but for most it does not. We have no idea why this is.
Thanks so much for your response. Sounds like maybe it's not a bad thing to experiment and see how my body responds. So many of the recommendations are one size fits all. It's exciting to think that I could vary the regimen to suit me as an individual! So grateful for your (very prompt!) response. I know you're a busy man. Cheers, Brianna
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Good morning Dr. I am have a serious problem after the sleeves surgery. My skin has been breaking out with hives and it is very painful and it causes my joints to swell and hurt very much. Do you have any idea what it could be. I’ve been to lots of doctors and also to emergency room and no one seems to know what it is.
I love your videos, and have watched most of them. I am 4 1/2 months out from RNY, and would love to eat more vegetables, but I have to work at getting the protein in. Don't think I could make my 60-80g of protein without those protein drinks. I try for the higher end because my bloodwork pre and post op has always come up low on protein. I was off all artificial sweeteners for 5 years and I hate that they are in the drinks and things I am using now. If I cook beef in the crockpot with liquid that works, but other meats are hard to eat. Fish works OK too. It's funny I find salad easy to eat, but I am always afraid of eating too much of it, and not having room for my protein.
-One myth I would love to hear you address, if it is a myth...is that you won't lose weight if you don't eat enough because your body goes into starvation mode.
- Another question, in your Pound of Cure book do you directly address how it works for Bariatric patients, or is the presentation geared more for those who haven't had surgery?
Thanks and keep the videos coming, they are very informative.
NYMom Yes, you will lose less weight after surgery if you don't eat - this is not a myth. I address this in the book and talk a lot about your metabolic thermostat. The book is written for anyone and does not address the issues that postop patients have with getting enough to eat. However, you are not going to feel this way forever, within a year to 18 months, you will be able to eat plenty and will be just like everyone else trying to eat less, not more, so the book will be extremely relevant to you in a few months. Your difficulty eating meat is common and should resolve within 9-12 months of surgery.
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Dr. W, Your videos are fantastic and appreciated. I do have a concern about stretching. If it's physically impossible to do, what is a revision surgery actually doing? Thanks much!
Depends on what revision surgery you are having. Most that are done today are for patients who have a gastric band in. I don't offer any revisions that target pouch size or stretching
Thank you i really felt bad when i drank soda after 4 months and i didn't have any reaction i had surgery june 7, 2016 and already got 7 months i did surgery and i lost 120 pounds since and wanna loose 50 more pounds like I'm kinda going back to my old habits but like before because their certain foods that make me fuller and their same that can eat bigger portions but thank i will see if i buy a copy of your book i know it will help thorough out my weight lost and i did sleeve.
+RomeoTheShow soda after surgery is the #1 cause of weight regain
Yeah i know and I'm addictive idk how to stop
RomeoTheShow just stop
I’m concerned because I am 2 months post op VSG and I feel as though I have very little restriction. Trying my best to eat small portions and exercise 6x per week...
This is a fear I have. I will be having VSG in less than 4 weeks. Have you spoken with your surgeon?
+Kimberly Smith this isn't just about restriction, the changes in your setpoint are the more important changes
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hello, doc Weiner i just first wanted to say thanks for your video i would just like to know if its safe to take bariatric vitamins before surgery
Of course, there's no problem - I have my patients take it during their preop fasting diet.
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I have been following these rules for almost 6 years and I will continue to follow them. They may be a myth or not; but I would rather keep my weight off and keep following my surgeon's rules that you claim are myths.
It's hard to argue with success
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I wish everyone understood these things!
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I just found out I have gallstones. Is there anything to do to get rid of them outside of surgery? Or is that really my only option?
Great information. I can't believe how many people say that your pouch stretches as time progresses. Because I'm diabetic, I thought I was going to have the gastric bypass procedure, but when my surgeon saw that I take antidepressants, anti-anxiety meds and sleep meds, he felt that the sleeve would be a better choice for me. He explained to me that he has a couple of female patients that became so depressed with their gastric bypass, that he reversed the gastric bypass procedure for these patients. I thought that both gastric and the sleeve were irreversible. What's your experience with WLS and antidepressants and sleep medication?
Watch out for an upcoming video on "Stomach Stretching" - or what it really is.
I have tons of patients on antidepressants and anti-anxiety meds - these usually don't impact my surgery recomendation, but I certainly respect what your surgeon is saying and think there's merit to his reasoning.
Love your videos. Keep the coming. You're doing such a great service to all obese people all over the world. My surgeon went to UCLA med school, which is where I went to school. Just curious, what medical school did you go to? My niece is starting med school this coming fall.
Sigi
University of Michigan - Go Blue!
hi doctor , I want to know one thing if I have hepatomagaly with speelomegaly with pcos so is bariartric surgery suitable
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Hi Dr Weiner.. Does medication such as lithium still work after gastric bypass surgery?
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What about pills with the gastric sleeve? Will I be able to take "normal" sized pills after surgery? As in, not immediately after, but down the road?
Sami Fabulous I cover this in my "what to expect after bariatric surgery" video. In short, most people can take most pills. There are a few exceptions and it varies from person to person.
I just had the bariatric sleeve and i'm trying to find a vitamin that is either liquid or capsule that will give me as close to 200% RDA any suggestions? I would perfer one with either multi with iron or multi with calcium.. please help
+Yvonne Hicks celebrate, o purity and bariatric advantage all have several different options.
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Hello Dr. I am 5 days post op and I have had severe eczema for the last 7-8 years and have to use cortocosteroid creams all the time. Since the surgery, I have not itched once, nor have I had to use any cream. Do you think this is due to the surgery?
+elizabeth morrison more likely it's due to a change in your diet.
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my brother-in-law's been in the hospital 7 months fighting for his life. A friend of mine had gastric bypass 2 years ago and she's in the hospital bleeding as we speak. This surgery is a killer
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Do your patients not need to do a liver shrinkage diet pre-op? I thought it was important to have a well shrunken left lobe in order for the surgery to be carried out safely ( referring to bypass )?
I put everyone on a fasting diet, but it is probably necessary in only a small percentage of my patients. With experience, we've learned to handle even the biggest livers.
+Dr. Matthew Weiner Thanks for your reply, I have watched all of your video's and found them all interesting and informative.
I was bypassed in February. At my particular obesity centre, the surgeons require a two week preoperative diet, consisting of milk, not sure if you've come across this in the US. Here in the UK, it's standard in a few hospitals, unless the patient is dairy intolerant of course.
My surgeon told me that it is safer if the liver is well shrunken at the time of surgery. It is interesting how opinions differ between consultants. I couldn't be happier with my new tool.
Thanks again.
+Dr. Matthew Weiner Thanks for your reply, I have watched all of your video's and found them all interesting and informative.
I was bypassed in February. At my particular obesity centre, the surgeons require a two week preoperative diet, consisting of milk, not sure if you've come across this in the US. Here in the UK, it's standard in a few hospitals, unless the patient is dairy intolerant of course.
My surgeon told me that it is safer if the liver is well shrunken at the time of surgery. It is interesting how opinions differ between consultants. I couldn't be happier with my new tool.
Thanks again.
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I can drink seltzer water?.............................I think I love you!
girl yes, I said the same thing lol
you mentioned about drinking but i was told not to drink half an hour before my meal so i dont fill my belly up. and not to drink half an hour after so u dont wash the food out?
+Leah Hill for some patients this is important, for others it is not. You should figure out how this affects you and act accordingly.
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Why is diet soda bad if other zero calorie drinks are ok? Is it because of the artificial sweeteners and other chemicals that are in it? I’ve heard before that diet soda can still cause weight gain, but am having trouble understanding why, I guess. I’m considering gastric bypass, and I’m just trying to educate myself on everything that I can before I make that huge decision.
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Would you get an Instagram account to show regularly the “new” foods for a patient to explore, try, or taste?
If not do you recommend one that exists?
+John Strelow I've heard that some people tag poundofcure on Instagram.
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Dr Weiner, I think your ideas sound great but I would like to read evidence or studies that support this information. Most of the evidence based research around says that people regain their weight due to stretching of the sleeve over time. The minimizer band has been designed to prevent this but, as it is still so new there is not much data to support this theory. I am having VSG surgery in August (in Australia) and would really like to find out more about your methods. Can you direct me to any medical journals or studies that can demonstrate your points please? Thank you kindly :)
There's a growing body of research that supports my assertions - check out anything by Lee Kaplan out of Harvard or Randy Seeley out of Univ. of Cincinatti. As far as the minimizer band, I'm not aware of any convincing evidence on this device - didn't you guys down under learn your lesson with the lap band?
Hello Dr. Weiner!! I was wondering if you consider gastric bypass Roux-en-Y patients never being able to use NSAID'S (Advil, Ibuprofen, Naproxen, Aspirins, etc. and other such anti-inflammatory drugs) a myth also? Are using NSAID'S a risk of getting ulcers and is it true that we are never able to use them for the rest of our lives?
Todd Ford Great question. I tell my patients that they cannot take NSAID's on a daily basis, but every now and then for aches and pains is fine.
Thanks for your response, Dr. Weiner!! I am familiar with a couple of your patients through a Facebook gastric bypass surgery support page, and they have said they are quite pleased to have you as their surgeon!! Take care!!
Dr. Matthew Weiner Hello Dr. Weiner!! With regards to NSAID's, would using a topical cream such as Voltaren on my osteoarthritic knees, still pose the same risk as it could be for orally ingested NSAID's?? I know that my knees are a bit far from my pouch and I just assumed that any absorbed into my skin (unless I am regularly swimming in it, as one pharmacist put it) would have lost its potency by the time it reached my pouch after going through my bloodstream. Is it a bit of a stretch to think that topical creams would carry the same risk as an oral NSAID, or is it a legitimate concern in your opinion??
It's definitely a legitimate concern. I don't forbid my patients from taking them at all - I allow them to take them every now and then for minor aches and pains, but discourage the use of them daily. This is the way I handle this with my patients, I recommend that you discuss it with your surgeon though.
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3 days post rny surgery... On a full liquid diet. When am I expected to have my first bowel movement?
Maribeth Jones when you start eating soft foods be worried when it starts to hurt because of lack of bowel movement remember pain meds are also constipating
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Can you please help me explain specific gravity and it's correlation to plain water causing pain and nausea in your pouch? I cannot get it through my husband's skull that plain water is a no-go. All I need is a little lemon or even a splash of anything else and it's fine!
Whatever works for you, but I encourage my patients to drink plain water.
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*You just said the pouch being stretched is a myth. It absolutely can be stretched. My best friend has stretched out her pouch twice. This was proven by photos of the inside of stomach taken by her surgeon, years after her surgery. So your first statement is not true.
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I am 15 years post op and I am now re-gaining the weight I had a pretty good run. I did well especially with no diet/guidance etc. Because back then the didnt know too much. Wondering if I could or should have a revision? I have been trying everythign I know to lose weight and nothing is working maybe because I am almost 40 years old. I dont know.
Jessica Arciola Need to know so much more about your situation to even begin to make a recommendation about it. In general, I think that most revisions are very high risk and have a very low success rate - the exception is the removal of a lap band and conversion to gastric bypass - I've had good success with it.
Find a good bariatric surgeon near you and get his/her opinion.
Dr. Matthew Weiner Thanks I am not going to take the chance. I had a perfect first surgery and I dont want to chance it. I will accept my 40 yr old body. Thanks
Jessica Arciola Enjoy it, cause the 50's will be worse. Unless you are eating right and working out. Everything goes south you know. Us women get a raw deal, while men for the most part hold onto their looks.
Yeah I guess I will be solo forever unless I trick a man into marrying me now.
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I wanna get the surgery but i am scared cause my best friend had it done and i seen all the tubes she had in her after
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Does WLS help with Empty Sella Syndrome (causing Growth Hormone Deficency), as it is usually found in overweight women? RnY on 4/11/16...down 50 as of 6/15/16.
Not familiar with empty sella syndrome
Dr. Matthew Weiner ok, thank you
Not familiar with empty sella syndrome
hl...Do you have this video in spanish...or subtitle..
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I am interested in sleeve surgery and type 1 diabties. I know it won't cure it! Is it safe?
Yes, just operated on a type 1 diabetic today, it won't cure it, but it will decrease your insulin requirements and may help bring down your A1c
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I'm going to get rny. I have bipolar disorder. Will this effect me? Will I have to stop taking meds?
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OMG I was a seltzer drinker yes unsweerened no sugar just whatever flavor never soda but was told I'd have to give it up so when I got brave and really wanting it nearly 2 years later I tried cheating by leaving it open, stirring it, etc.
Now I learn it was ok lol well yeah ok will it be considered a hydrating beverage though?
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what about diet (0 calories and 0 sugar) caffeine free ginger ale - not drinking with meals and drinking in a small amount (5 0z)
I recommend against artificial sweetener use
Cozied Up Meena Artisan LP
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The one thing i noticed the most regarding regain was alcohol intake. Alcohol is big no no!!!
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Straws it is!!!!! :)
I had the Sleeve In January 015. I,ve never been not hungry and I have no restriction. I was put on soft eggs at 1 week because of this. I can drink 16 ounces in 10 minutes. I started at 199 and now weigh 190. At 8 months my weight loss quit at 183. I continued to lose inches. But I,ve regained 7 pounds and it's getting harder and harder. After I eat I,m starving in 10 minutes. All protein.heavy protein whatever it is i,m starving. I,m really feeling like a failure. My Goal weight is 160 But the 180 is not moving. I find myself snacking on weight watcher snacks,dry cereal etc. I try to keep my calories under 1000. Some days I may eat 1 meal and Exercise all day. I,ve lost all the weight from the waist up and now I guess I have 180 pounds of behind and legs. I take seizure meds and I,ve had 2 knee replacements. What do I do. how much am I supposed to eataaa/ I,m lost
I need more information - I offer skype consults through my office: 248-413-2670
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Hi. Could you please clarify for me about drinking carbonated drinks? When I first heard no carbonated drinks that was more wording to me than not eating unhealthy foods. I feel as though I'm addicted to the carbonation in drinks rather than the sugar. i am diabetic and only drink coke zero and soda water. The problem is I can in a day easily drink at least 1litre or more. I feel that poorly controlled blood sugars making me thirsty and usually only soda water will quench my thirst. So I guess my question is would it be had to incorporate low calorie drinksnsuch as diet coke into a post op diet once healed. Would diet drinks or soda water be ok occasionally in social situations. Also I was wondering if it was possible to have dumping syndrome with out wls? I haven't had wls but on occassion had very similar symptoms to dumping. Servers abdominal and stomach pains that take an hour or more to pass, nausea and vomiting and sweats? Thanks😊
I recommend avoiding artificial sweeteners as much as possible, but don't think that carbonation is dangerous. This basically leaves you with club soda which is just plain water with bubbles. Your perception that you can only quench your thirst with carbonation is just that, a perception, not reality. Your stomach pains are complicated but would probably disappear if you cleaned up your diet and eat like I describe in my book.
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If myth # 1 is not true, why do some patients have to have a revision?
Revisions are generally not about tightening up a stretched stomach and are most often related to treating complications
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If sweet juice causes dumping syndrome then what about fruit?
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Is it true that after surgery you have to take vitamins for the rest of your life
Yupe
Lucy, he answers that in video. It depends.
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Is smoking shisha really bad after surgery i snoke it once a day and hav fir the last 15yrs iv heard smoking can cause leeks in pouch
Alazeemi Al Assad There's a simple formula: Smoking + Weight Loss Surgery = Miserable Patient. The two don't mix. It's not a matter of if you will get an ulcer, it's when.
I hav many friends that are a few years out after surgery and never quit smoking n non hav ebded up with symptoms. Is it safe to say that its a luck game
Alazeemi Al Assad It's definitely a luck game
What sence does it make to go though major surgery, change to healthy eating, and work out just to smoke anway?
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So... will old habits stretch itv
+heatricky no, old habits cause you to feel like it stretched
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Dr. V says you can stretch your stomach out
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For myth 7, what about eating while drinking water? They always say its a major cause of weight regain.
I don't buy it
oh oh oh! I am dancing with joy! EAT YOUR VEGETABLES FIRST! When I had my early struggles post RNY- I could not deal with meat-- and I skulked away in the dark and began my love affair with Legumes- Lentils to be specific- they saved me- they still do- and all the veg, and now thanks to you- I no longer fear fruit! and I have fallen in love all over again with my 4.5 year season, to become the best and strongest me I can be again! Detox was phenomenal- I could see my body changing before my eyes just like after RNY in 2009. I only have to take off 10-15 and it is easily done now- thanks to A Pound of Cure!
Yes, it's a very frustrating experience being told to consume tons of protein, but not being physically able to. Beans and nuts provide quality protein, are healthier for you and go down really easily after surgery.
Dr. Matthew Weiner And I am a vegetarian ... eating your vegies first is music to my ears just like Sassy Sally :)
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What is the gene?
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I eat the peanuts that are in the shell roasted is the alright?
Iris Jenkins Not ideal, but not a big deal either
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Since you feel that WLS is a one shot chance, do you believe that after a regain a patient cannot lose that weight again?
Not always, but usually, yes
I had the same question. I’ve learned so much after surgery and after weight regain. It’s discouraging to think that I missed my opportunity to lose the weight and can’t lose the weight I’ve regained. Dr., are you sure about this? Why do you think so?
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Most people that embrace a whole foods plant based diet won't need any surgery, its the way to go.
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