Blog
21st Nov, 2018
Intensive medical management of Type 2 diabetes at the Cleveland Clinic consists of intensive tight control medical management with oral and injectable medication including GLP-1 agonists, together with dietary counseling and modification, an exercise program and support groups. This strategy was compared to metabolic surgery in a randomized, prospective controlled trial called the Stampede Trial published in the New England Journal of Medicine. 150 patients with… Read more »
8th Nov, 2018
recommendations for the treatment of type 2 diabetes. According to both the National Institutes of Health and the American Diabetes Association, bariatric surgery is recommended for all individuals with a BMI of 35 or more who have type 2 diabetes -without exceptions. Based on research that shows remission of diabetes even among lower-BMI individuals after metabolic surgery, the ADA also recommends bariatric surgery for individuals… Read more »
18th Oct, 2018
There are a few reasons you might not feel any restriction after weight-loss surgery. For one, restriction is actually believed to be very important for losing weight and getting healthier. I know, that sounds crazy, but if you’re worried about not feeling restriction after weight-loss surgery, here's what to understand. Dated Views of Success In the old days, the pioneers of weight-loss surgery, or what… Read more »
2nd Oct, 2018
real tools needed to succeed. Have you been made to feel that obesity is a character flaw and that losing the weight is just a matter of complying with the right weight-loss program? In reality there is essentially zero medical evidence to support those assertions. The truth is that there is no proven or published non-surgical weight-loss program that delivers results, and the fact that… Read more »
29th Aug, 2018
Every individual is different, and each person’s biology and metabolism are different. Furthermore, each person‘s commitment to eating a lower carbohydrate diet, and a daily regimen of increased exercise is… you guessed it, different. So, it stands to reason that not every person is going to lose as much weight as the maximum possible and keep it off forever. Also, we must keep… Read more »
21st Aug, 2018
Among the patients who had type two diabetes before surgery, the vast majority experienced complete remission at year 1, and then as the years passed, diabetes gradually returned in a minority of the patients. But even 10 years after surgery, there was still a persistent 55% reduction in the number of people who were considered to have diabetes, compared to before surgery. Laparoscopic sleeve gastrectomy… Read more »
18th Oct, 2017
sleeve gastrectomy because of its excellent success rate and low complication rate. In fact, many studies show an equivalent weight loss success and equivalent diabetes remission success rate as gastric bypass surgery but with fewer complications of blockages, reoperations, and vitamin deficiencies. In my own hands, after a decade of experience with other bariatric surgeries, and other complex gastrointestinal surgical procedures, I have completed approximately… Read more »