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 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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How Weight Loss Surgery Really Works

I wrote How Weight Loss Surgery Really Works in an attempt to convince those who suffer from obesity that:1) obesity is a disease of fat storage, not a sign of personal failure2) weight loss surgery works primarily by changing the hormonal state that regulates your appetite and metabolism and offers an opportunity to repair a broken fat storage system3) Long term, durable weight loss (including after Bariatric Surgery) can only be achieved through permanent changes in your lifestyle that preserve and enhance these hormonal changes

Oct 1, 20192 min
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The One Complication of Weight Loss Surgery That No One is Talking About.

For many years, we’ve been telling patients that Bariatric (Weight Loss) Surgery works by preventing people from eating too much and by blocking the absorption of calories in the intestine.  These two mechanisms, labeled “restriction” and “malabsorption” have laid the foundation that has driven much of the advice we’ve given to our postoperative patients as […]

Apr 24, 20194 min
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Changing Tastes After Bariatric Surgery and Resetting Your Setpoint

In the first year after Weight Loss Surgery, your body will tell you what to eat – it’s your job to listen closely.

Mar 9, 20194 min
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Is “Eat Your Protein First” the Best Advice for Weight Loss Surgery Patients?

Weight loss surgery patients are instructed to always eat their protein fist – but is this really the best advice?

Jan 13, 20194 min
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The Honeymoon Phase and more, The Five Stages of Every Weight Loss Surgery Patient’s Life

The Honeymoon Phase and more, The Five Stages of Every Weight Loss Surgery Patient’s Life What most preoperative patients don’t recognize and many postoperative patients don’t expect is that the impact weight loss surgery has on your hunger, metabolism, ability to eat and weight loss changes substantially over time.  I’ve broken these postoperative changes down […]

Jan 6, 20195 min

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