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Surgery is not recommended for those who are overweight or obese. In some cases, diet and exercise will work—especially for those in the overweight or obese category. Surgery is not recommended for patients with a Body Mass Index of less than 35. If surgery is not an option, The Lutheran Weight Management team can help you with weight loss.

Surgery is recommended for the morbidly obese. Why? According to studies by the National Institutes for Health, individuals who are morbidly obese, those with a BMI greater than 35, are essentially trapped in a vicious weight-gain cycle that makes permanent weight loss nearly impossible.

Conventional weight loss strategies do not work. Diet, exercise, behavior modification and diet pills simply do not work long term for the morbidly obese patient (BMI 35 or greater). Few are able to lose more than 10 percent of their body weight and keep it off.

Bariatric surgery is now recognized as the only effective treatment for morbidly obese patients.

Consider the following:

  • The morbidly obese have a strong genetic predisposition toward obesity, and most have been overweight since early childhood.
  • Weight gain during childhood, or adult onset obesity, causes physical and behavioral disturbances that promote further weight gain. Such disturbances include:
  • Hormonal changes that encourage fat accumulation, such as increased levels of insulin and cortisol, low-growth hormones, low DHEA and defects in sex-hormone production.
  • Increased numbers of fat cells, along with larger fat cells, that make weight loss difficult.
  • Defects in various regulators of appetite and satiety.
  • Joint or back pain, loss of endurance and loss of mobility, which means fewer calories burned.
  • Low self-esteem, depression or anxiety, which can lead to binge eating, emotional overeating and carbohydrate cravings.