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Barbell Medicine Podcast
Episode #252: Metabolic Bariatric Surgery
Nov 22, 2023
This podcast explores metabolic bariatric surgery, including its efficacy, eligibility criteria, and preoperative assessment. It also discusses the long-term outcomes and impact on fertility and pregnancy. The chapter highlights misconceptions and barriers surrounding the surgery and suggests rebranding as behavior change surgery.
01:44:19
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Quick takeaways
- Metabolic surgery can lead to significant and sustained weight loss, with patients maintaining 50% of their excess weight loss after 10 years post-op.
- Metabolic surgery has positive effects on various medical comorbidities such as diabetes and high blood pressure, leading to long-term remission and rapid improvements in blood pressure control.
Deep dives
Weight Loss Expectations
Metabolic surgery, such as Ruen Y gastric bypass and sleeve gastrectomy, can lead to significant and sustained weight loss. After two years, Ruen Y gastric bypass patients can expect to lose approximately 70% of their excess weight, while sleeve gastrectomy patients can lose around 60%. These weight loss percentages translate to about 30% to 70% of their total body weight, depending on the procedure. A plateau in weight loss is typically seen around 10 years post-op, with patients maintaining 50% of their excess weight loss.
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