Blockbuster New Yorker Article on Weight Loss Surgery Underscores the Powerful Case in Favor of Bariatric Procedures, says Dr. Feiz & Associates

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The Los Angeles based weight loss clinic notes that the recent in-depth piece underscores the reality that, largely due to hormonal and metabolic impacts, procedures like the sleeve gastrectomy represent the best available means of medically addressing severe obesity.

Constance left 75 pounds and many health problems behind with the help of a weight loss procedure.

The vast majority of people struggling to defeat obesity are simply unable to resist the pangs of appetite that seem to grow more powerful as they continue to lose weight..

An article from the September 26 issue of The New Yorker explores the history and impact of bariatric surgery in depth; it comes to the conclusion that, apart from prevention, procedures such as the sleeve gastrectomy are likely the most powerful solution to severe obesity. Commenting on the article, Dr. Feiz & Associates says that its descriptions of people with severe obesity who have struggled for many years trying to defeat their serious weight issues prior to obtaining a procedure and finally achieving long-term weight loss, comports with what they have been seeing at their Los Angeles area offices for quite some time. The clinic adds that the reasons these procedures seem to help patients change their dietary habits and lose weight appear to break down largely into two categories:

1. Reduction of appetite. Dr. Feiz & Associates notes that, contrary to some of the writing on weight loss, a low calorie diet accompanied by increased exercise is, in fact, the best and only way to lose weight. The problem, however, is that the vast majority of people struggling to defeat obesity are simply unable to resist the pangs of appetite that seem to grow more powerful as they continue to lose weight. What appears to be happening is that the body’s production of ghrelin, an important hunger-inducing hormone, is higher in obese people than in others. Worse, ghrelin production actually increases in response to ongoing weight loss, making weight loss hard to achieve and much harder to maintain. Dr. Feiz & Associates notes that procedures like the sleeve gastrectomy address this issue by removing a large portion of the stomach. While this makes it more physically uncomfortable to overeat, the more powerful impact may be that removing large portions of the stomach also drastically lowers production of ghrelin. Thus, most patients who have this procedure report that, alongside the added discomfort associated with overeating, their actual desire for food is dramatically decreased following a procedure, says Dr. Feiz & Associates.

2. Other metabolic benefits. Dr. Feiz & Associates notes that the widely publicized study on contestants on the popular reality TV series, “The Greatest Loser,” has provided further evidence of the role metabolism may play in making long term weight loss without a bariatric procedure so difficult. As recounted in The New Yorker, the study found that people who do manage to lose large amounts of weight through the show’s highly intensive program of low calorie nutrition and long hours of exercise are typically saddled with a dramatically slower metabolism once they have lost their weight. (All but one of the show’s contestants so far have regained most or all of their lost weight.) Dr. Feiz & Associates points out that, as The New Yorker article mentions, patients who lose weight following bariatric surgery appear to have more normal metabolisms that burn calories at a more standard rate.

Readers who would like to learn more about bariatric surgery can contact Dr. Feiz & Associates at (800) 868-5946 or visit medical office online at

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Bob Westal
Cyberset Corp
+1 (818) 883-7277 Ext: 121
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Dr. Michael Feiz - Sleeve & Lapband Surgeon
since: 09/2010
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