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WHY have surgery?

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Hey gang! I work for WebMD (they bought OnHealth.com) and this is from a

bariatric

specialist. I thought it was a concise and effective description of WHY we

need surgery,

rather than just " diet and exercise " :

http://my.webmd.com/content/article/1700.50725

" We have to differentiate between obesity and morbid

obesity. There is a big difference between obesity and morbid obesity

which is a much more serious disease. Again, we define that as body

mass index as greater than 40 or being 100 pounds over ideal body

weight. That is more of a genetic, physiologic problem or disease.

Obesity in and of itself is an epidemic because most people in the U.S.

are 20 or 30 pounds over ideal body weight. Once you hit 100 pounds

over ideal body weight, that makes all your co-morbidities and risks for

early mortality increase. So, I wanted to make the distinction between

being obese and morbidly obese. Again, surgery is limited now to only

patients with morbid obesity. For patients that are obese, physical

activity or exercise is definitely the only proven benefit to help lose

weight. Dieting, in and of itself, is not very useful. Combining dieting

with

physical activity or exercise is very useful. But the physical exercise

component has to be added. That is for patients who are obese. For

patients who are morbidly obese, dieting plus exercise has been shown

to be very ineffective in helping patients lose weight or, especially if

they

do lose weight, in keeping the weight loss maintenance. So, at this time

surgery is considered the only real effective therapy for patients with

morbid obesity. "

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