Weight Loss Tips & Insights
Evidence-based articles on GLP-1 medications, bariatric surgery, nutrition, and healthy living - by Dr. Matthew Weiner, MD.

I gained all my weight back after the sleeve. Will a revision work?
Unfortunately, it’s not uncommon for VSG patients to gain some, most, or even all of their weight loss back after surgery. The good news is that the sleeve is a great surgery with respects that it can be revised with the outcome being additional weight loss.

I had poor weight loss after SADI. Should I have a revision?
A SADI-S (single anastomosis duodeno-ileostomy with sleeve gastrectomy) is one of the newest and most aggressive bariatric surgeries. In this video, the caller is wondering why they haven’t experienced much weight loss and what can be done going forward. Dr. Matthew Weiner explains.

Will malabsorption and osteoporosis be a concern as I age if I have a bypass?
Osteoporosis risks do slightly increase in older individuals who have had a gastric bypass when compared to people who have never had a bypass surgery. However, that doesn’t mean that it’s significant enough to not have the surgery when compared to the wealth of benefits the surgery provides.
Should I have a gastric sleeve or try the Pound of Cure diet plan?
The Pound of Cure diet is a whole foods weight loss plan that drives significant sustainable weight loss. If you have not tried it, or other similar diets (like the vegan diet), it is almost always best to try to lose the weight without surgery. Weight loss surgery should be used as a last chance […]

How do I break a plateau?
Plateaus happen. Even after weight loss surgery. It’s important to recognize whether you’ve hit a plateau during the honeymoon stage or if you’ve just lost all the weight the surgery will provide. If you are 18 months to 2 years post surgery, the likely answer is that you’ve maxed out what the surgery can do […]

I have a dairy allergy. Which protein shake should I drink?
Most commercially sold protein powders use whey protein which is derived from dairy. If you have a dairy allergy or intolerance, it doesn’t mean that you have to avoid protein shakes and powders completely. There are pea, soy, and nut protein options available.

Is it true that bariatric surgery can negatively affect the heart in the short term after surgery?
Any surgery, whether bariatric or otherwise, will slightly increase your risk for a heart attack. It’s one of the reasons that patients are given a cardiac stress test before surgery. Does that mean that you should avoid bariatric surgery? Dr. Matthew Weiner explains.

Are seltzers and carbonated beverages okay to drink after surgery?
https://youtu.be/dRkTmEbWCu4 There is a lot of confusion and misinformation on carbonated beverages. Will carbonation really stretch out your pouch? Dr. Weiner digs deeper into the question and spells out exactly what you should and shouldn’t be drinking after bariatric surgery. what to expect from the pound of cure weight loss program No more fad diets […]

One month after VSG I’ve lost very little weight. Is that normal?
There are averages that surgeons use to benchmark patients weight loss after surgery. With a VSG, it’s normal to see an 8-10% weight loss at the 5-6 week mark. In this video, Dr. Matthew Weiner explains what could be the cause of low weight loss and and what additional steps to take if you experience […]

I need to lose more weight. What can I do?
Many people, unknowingly, start off their surgical weight loss journey with an expectation or idea of a goal weight they want to achieve. Unfortunately, weight loss surgery doesn’t know what your expectation is and doesn’t work that way. There are dozens of influences that factor in to how much weight your body will lose. Dr. […]

My weight loss stalled when I transitioned from protein shakes to soft foods. Why?
Weight loss stalls and short-term weight gains are normal after bariatric surgery. It doesn’t mean that you are doing something wrong, or that the surgery didn’t work. That said, it can be very frustrating which is why setting non scale victories (NSV) is so important.

How do I prevent weight regain after spinal fusion surgery?
Injuries are often a cause of weight gain and weight regain. Which is why preventing injury is so important. So what do you do once you have an injury to prevent weight regain? Dr. Matthew Weiner explains.
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