Sweet Pee

Not only an excellent article but some great additions by people here. Why is it a judgement? Stars get plastic surgery done all the time. That's ok but people helping themselves get healthier isn't?

If you’re a weight loss surgery patient or patient-to-be, you’d better grow a thick skin if you haven’t already. Your thick skin will help shield you from negative reactions to bariatric surgery. People are not afraid to make personal and hurtful comments about this surgery, even they often have no idea about the facts.


One of the barriers to getting weight loss surgery is the fear of telling others about it. People are quick to make you feel ashamed about your choice. They accuse you of cheating or of making a dangerous decision.
But it’s not just uninformed people who can make you feel bad. What about the media, which you trust to get its facts straight, and which influences millions of Americans’ beliefs and opinions? Sadly, the media spreads its share of misinformation about weight loss surgery.
One striking example occurred on the final episode of this season of NBC’s “The Biggest Loser.” For the record, this was not the first time this show publicly aired negative comments about weight loss surgery. On this occasion, Dr. Robert Huizenga clearly stated that weight loss surgery is an unhealthy choice. The implication was that it is a mistake in all cases, and far inferior to the weight loss methods used by “The Biggest Loser” contestants.
There was no mention of the fact that the weight loss methods used by the contestants are the exact same as the most effective weight loss methods used by weight loss surgery patients. That is, both use a low-calorie diet that dramatically reduces junk foods, and both encourage physical activity. The problem with weight loss surgery? Dr. Huizenga did not explain. Viewers can only guess at the horrors he was thinking of.
I’m certainly not the only one to notice such snubs on national television. The BariatricPal community had a thing or two to say about this particular episode of “The Biggest Loser,” and I invite you to check out the comments and add to the discussion if you haven’t already.
The Biggest Loser
Nobody’s dream in life is to get weight loss surgery. Unfortunately, nobody’s dream in life is to struggle with obesity, but many of us do. What options do we have? Those of us who have chosen weight loss surgery chose it because we exhausted our other options. Those options – regular diets – just didn’t work for us.
So, what would Dr. Huizenga have recommended in my case? A 16-week stay at the Biggest Loser Ranch, just like the contestants who made it to the season finale? Full dietary, medical, and physical activity support, just like the contestants? Sure, I would have been happy to try that option. Unfortunately, it costs about $3,000 per week to stay at the resort. That’s a value of $48,000, not including the longer-term support contestants receive.
Could I have lost the weight without surgery if I had had $48,000 to spend and the promise of lifetime support? I don’t know. What I do know is I did not have the chance to try. I did, however, have the chance to get weight loss surgery, and I made the most of it.
Don’t get me wrong. I really respect what I see on television of the Biggest Loser trainers and health staff that I see on television. Dr. Huizenga seems genuinely distressed about contestants’ poor health at the beginning of the show, and just as genuinely satisfied about their improved prognoses by the end. This season, trainer Jen’s tears were representative of the sincere stake the trainers have in the contestants’ lives. And, like many in America, I’d be on the first plane to Los Angeles if Bob or Dolvett offered to train me. But I do wish they did not feel the need to bash weight loss surgery without explanation.
The Truth of the Matter
Even if you have the choice between losing weight the Biggest Loser way or through weight loss surgery, which is better? There’s no question that you need to decide for yourself, but let’s take a look at each of these weight loss methods.
Losing weight Biggest Loser style means spending hours a day in the gym. The show doesn’t air nearly as much material on food as it does on exercise, although terrible eating habits got contestants to where they were, and good nutrition is clearly a part of their new lifestyles. It seems doubtful that Biggest Loser contestants can continue to exercise so many hours per day for the rest of their lives after the show, and I am certain that many other individuals just do not have this kind of time.
Weight loss surgery is…well…surgery. It involves going under the knife and changing something about your insides. There are inherent risks that are unavoidable when you undergo weight loss surgery. Aside from that, bariatric surgery requires a controlled, high-protein, nutritious diet, and exercise is recommended. Many patients can average about 100 pounds, or a respectable and reasonable 2 pounds per week, during their first year after surgery.
How do the results of losing weight Biggest Loser style versus with bariatric surgery? Initial weight loss seems comparable, according to a study discussed in US News and World Reports. But the study found Biggest Loser contestants ending up with a lower metabolic rate – making them potentially more likely to regain their weight. Granted, this study did not follow participants long-term, so we do not know what will happen in 10 or 20 years. What does seem clear, though, is that it is not yet justifiable for the “Biggest Loser” to state matter-of-factly that all weight loss surgery is bad.
Why Does It Matter?
Does it really matter what a reality television show says in passing about weight loss surgery? I believe it does. For one thing, the country already has a culture that largely views bariatric surgery negatively. We don’t need to increase the negative feelings with these vague statements proclaiming that the show helps contestants lose weight the “right” way, and other methods of weight loss are “wrong.”
Second, the show has millions of loyal viewers, including many who may be eligible for weight loss surgery. In my opinion, the show is doing them a disservice by stating unequivocally that bariatric surgery is a bad option. For some of these viewers, bariatric surgery may be the only option that would allow them to lose the weight that has plagued them their entire lives.
I don’t know what the solution is to this problem of negativity towards weight loss surgery and weight loss surgery patients. Education and patience come to mind – spread the word, when you can, about how weight loss surgery works and why some people get it. And, grow a thick skin. No matter where you are in your weight loss journey, you’re bound to get some negative comments about your decisions. Just know that you are doing the right thing for yourself.

There is a significant amount of variability as to how much weight people lose following weight loss surgery. Research indicates that up to 20% of patients fail to lose the expected amount of weight following surgery. While there are surely surgical and medical explanations for this outcome, patient behavior has also been shown to play a role. Therefore, it is important for anyone having surgery to anticipate and understand factors under their control to improve outcome.


I often tell patients, “The surgery does what the surgery does.” What I mean by this is that weight loss surgery almost certainly will affect how much food you can eat, but may do little to change what you eat. Weight loss surgery does not make you suddenly crave healthier and less caloric food. You have to make those choices for yourself. Additionally, while losing weight may make it easier for you to adopt a more active lifestyle, surgery itself will not make you suddenly fall in love with exercise. So making health behavior changes in addition to having surgery remains critical. So what specific health behavior changes have been shown to improve outcome?
1. Document what you eat – Many people strongly dislike writing down what they eat but there is evidence that this helps people after weight loss surgery as it does with non-surgical approaches. The reason is likely that documenting what you eat gives you valuable information about your behavior and allows you to make changes when necessary. Consider that your actual weight is the end product of what you eat, so weighing yourself gives you the results, but not the information necessary to make changes. For many, weighing themselves is a pass-fail exam. Either I’m a good boy or a bad boy. Consider that you can’t actually change your weight…you change what you eat and/or exercise, and that is what helps change your weight.
Many people seem to have little or no objection to weighing themselves so why do so many people despise writing down what they eat? Writing down what you eat is the truth teller. It forces you to acknowledge what you are doing. To avoid seeing the truth, you can either change what you eat or stop writing it down. Unfortunately, many people choose the latter. The good news is that in the smartphone era, there are literally dozens of apps and other technological devices that can make documenting your food and activity level extremely easy. If you do a little research you can find one that is right for you.
2. Exercise – You probably saw this one coming as well because it makes sense. Regular exercise is a way of burning calories and losing weight that does not involve changing what you eat. Given how difficult it is to lose weight and keep it off, it would be silly not to take advantage of one of the few methods known to work. Ironically, it might not work the way you would expect. Many people who lose weight through exercise notice that it helps them not just by burning off calories, but also by affecting their food choices. In other words, when you discover how difficult it is to burn off 250 calories on a treadmill, you may think twice before having that chocolate bar afterwards. Not everyone finds this effect, but for those who do, it can make a big difference.
When deciding what form of exercise to do, consider that you don’t need to become an Olympiad or a marathon runner. Many of the positive effects of exercise have been documented with just walking 30 minutes 3-4 times per week. If rigorous exercise is enjoyable for you, that’s great. But any time spent engaged in activity is beneficial...especially if you would otherwise be sitting on the couch watching all of those tempting food advertisements on television!
3. Stress Reduction – An increasing amount of research has documented a relationship between stress and weight gain. The obvious connection is that many people use food as a means of comforting themselves from distress, commonly called “emotional eating.” An interesting new discovery is that is that some people who report high levels of stress gain weight even when their calorie intake is unchanged. How is that possible? There is the suggestion that stress hormones and other chemicals may affect how our body metabolizes food and stores food. So even if you’re eating the same foods and the same number of calories, what your body does with those calories can vary.
If you’re going to be successful in reducing stress, you need to begin by discovering what “pushes your buttons” and take steps to change. One first step could be to document the things that you find to be stressful. Sometimes just writing down your problems makes them less frightening now that they’re just words on a page. For other people, writing their sources of stress naturally leads them to write what they might do about them. Another good idea is to investigate some simple stress management techniques. Many refer to them as relaxation or meditation exercises. As discussed earlier, there are a number of excellent smartphone apps and other technology-based methods of relaxation that you can explore. No one is better than the rest so just find one that works for you and begin to incorporate relaxation/meditation into your daily routine. If reducing your stress requires more than practicing relaxation techniques, consider speaking to a psychologist or other mental health professional to get the help you need.
4. Get some sleep – Here’s another suggestion that you’ve probably seen in the media recently. There is growing consensus of an obesity-sleep connection. Like exercise, the benefits of sleep are more than meets the eye. The obvious connection is that if you’re up longer, you become hungrier and are likely to eat late at night. This interpretation is not wrong, however, new research suggests that people who get 7 or more hours of sleep tend to maintain lower weights even when people with fewer hours of sleep consume the same amount of calories. How is that possible? Again, it’s not just how many calories we eat…but what our bodies do with those calories. Unfortunately, an increasing number of people are so busy between their work and social lives (not to mention all those tempting television shows) that sleep is not a priority. Just know that making sleep the last priority comes at a cost.
Consider how we train children to sleep. We create a nighttime ritual to ease kids to bed. There’s dinner, wind down time, then bath time, maybe reading a story or two in bed, and then lights out. Many adults however have a terrible routine. Eat a big dinner at 9pm, catch up on emails and pay bills, watch television for an hour or so and then fall asleep on the couch and stumble into bed at 2AM only to have to wake up three or four hours later. Try to change your sleep habits by changing your nighttime ritual. Eat an earlier dinner. Try to pay bills and check your emails at another time. Use the evening as wind down time. Rather than fall asleep on the couch, watch a set amount of television or Internet time and then turn it off and “put yourself to bed.” Begin by trying to go into bed a half-hour early every night for a week and see how you feel. If you notice some improvements in your level of energy, mood, appetite or other factors, see if you can make it permanent.
5. Join a Support Group – Some research has demonstrated that patients who participate in support groups lose and maintain more weight than those who don’t. Of course it may depend on the content of the group and who attends, but adding a social element to your weight loss and weight maintenance goals seems to help. This may relate to the accountability factor discussed earlier. If “we’re all in it together,” there may be more of a commitment to stick to your goals to help out the group. Or perhaps it motivates you not to be the one group member who is falling behind. Either way, participating in support groups seems to have benefits both in terms of weight loss as well as emotional well being after surgery.
There are other suggestions of course, such as improving your diet by reducing carbohydrates in favor of lean protein and a more plant-based diet. However, for many people, changing their diet can push all of those emotional “diet” buttons; so before you make those changes (or in addition to making those changes), strongly consider some of the changes recommended above. There is evidence that the benefits are additive. For example, many people find that when they exercise, they sleep better and in turn these changes help them manage stress better. The key is to acknowledge whether or not some of the factors above are problem areas for you and to begin making small changes. Sometimes small changes can lead to big results!

I always watch what I eat, and how much.
NOT TODAY!!!! :-)

I always watch what I eat, and how much.
NOT TODAY!!!! :-)

My plan is to enjoy good family fellowship, eat what ever I like and pay close attention to when i am starting to feel full.
I may eat more than I should but it will take all day to do it and certainly not at one sitting like I used to do.
Just being truthful.

I'm eating a little bit of everything...shrimp appetizer, deviled eggs, turkey, stuffing, potatoes, cranberry jello, green bean casserole, wine and pumpkin pie with whipped cream. Even if it takes all day ????