Weight Loss Tips & Insights

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

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I have pan-hypopituitarism, will bariatric surgery be effective?

Pan-hypopituitarism is a rare condition of inadequate or absent production of the anterior pituitary hormones. If you have pan-hypopituitarism and are considering weight loss surgery, it’s important for your endocrinologist and bariatric surgeon to discuss the particulars of your case both with each other and with you. After careful consideration of the risks verses rewards, you […]

Apr 21, 20211 min
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How well do people do who have a starting BMI less than 35?

Typically, bariatric surgery is reserved for those with a BMI of 35 and higher but there are occsions when those with a BMI less than 35 will qualify for surgery. Can people with a BMI less than 35 see enough positive results to warrant going through with weight loss surgery?

Apr 21, 20211 min
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I never feel full, will bariatric surgery help?

Leptin is a hormone that your body produces to tell your brain to stop eating and makes you feels full. When you have leptin resistance, that hormone release is ignored by the brain. This means that people with leptin resistance never feel full and often feel constantly hungry. In this video, Dr. Weiner explains what […]

Apr 21, 20211 min
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Choice of Bariatric Surgery and Acid Reflux Relief

https://www.youtube.com/watch?v=qmPXfX6laoQ Choice of Bariatric Surgery and Acid Reflux Relief Acid reflux, or gastroesophageal reflux disease (GERD), is a prevalent issue, particularly among individuals suffering from obesity. As many consider bariatric surgery to address their weight and improve their overall health, understanding how acid reflux interacts with this decision is crucial. In this article, we explore […]

Mar 11, 20213 min
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Should I take a stool softener while I’m on my pre-op diet?

Constipation can be a problem during your pre-op and post-op diets depending on what you are consuming. If your pre-op diet consists of mostly protein shakes, you aren’t getting the fiber and fluids necessary to move your bowels. Solving this problem requires a trial and error approach.

Mar 4, 20211 min
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My brother has strictures and still vomits daily, 6 months after gastric bypass. What can be done?

Vomitting after bariatric surgery is not a typical side effect and there are usually underlying causes for it. In this particular case, we see a patient with strictures. Meaning the area around the insicion scars over and creates a smaller opening than desired. So what  can be done to stop the vomitting? And, how do […]

Feb 25, 20211 min
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When does the weight loss stop after bariatric surgery?

There is a period of time after weight loss surgery that I refer to as the “honeymoon” period. It’s during this time that you experience excellent appetite control, lose weight easily, and have tons of energy. For most people, depending on the surgery they have and the eating habits they adopt, the honeymoon period can […]

Feb 18, 20211 min
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I have constipation after gastric bypass, what should I do?

I’m sure you’ve heard it said before that “weight loss surgery is the easy way out.” But no one who has ever had the surgery has ever said that. And no bariatric surgeon would ever say that. That’s because weight loss surgery is inherently more difficult than standard weight loss through diet and exercise. Not […]

Feb 11, 20211 min
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Can you provide more information about the duodenal switch?

Bilio-pancreatic diversion with duodenal switch (also called Duodenal switch), is a complex bariatric surgery where the stomach is “sleeved” and a significant portion of the intestines are bypassed. It’s not a popular or routinely  preformed procedure when compared to a sleeve gastrectomy or gastric bypass but produces a significant amount of weight loss.  In this […]

Feb 4, 20211 min
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I haven’t lost as much weight as I wanted after VSG, what else can I do?

Most people go into bariatric surgery with a weigh loss number. The number of pounds they want to lose in order to feel satisfied with their results. Unfortunately, it’s not that simple. Your starting weight, height, choice of surgery, postoperative lifestyle, ability to exercise, genetics (just to name a few), all have a say in […]

Jan 28, 20211 min
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Can I use the Cabbage Soup Diet instead of the VLCD Bariatric Surgery preoperative diet?

The Very Low Calorie Diet (VLCD) is a preoperative diet used to prepare for surgery. It specifically designed to help you lose a few pounds, shrink your liver and ensure you have enough protein for healing.In this video, a viewer asks Dr. Matthew Weiner whether she can substitute the VLCD for the cabbage soup diet.

Jan 25, 20211 min
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Why Do I Weigh More After Surgery Than I Did Before?

Many people believe that weight loss after bariatric surgery is a continous, methodical, downward trajectory from the moment you leave the hospital until you’ve reached yourdesired number. Unfortunately, that’s not the case. In fact, weight loss after surgery looks more like the horizon of a variing landscape. You will have hills, valleys, and plateaus.In this […]

Jan 19, 20211 min

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