Apr
2014

Q&A: My doctor doesn't recommend gastric bypass at 368 pounds. What should I do?

Ask A Doctor Question: 

I weigh 368 pounds I have been going to my family doctor for the last year or so trying to lose the weight and he has done a whole lot of test on me but says i am healthly as a horse and says i dont need to lose the weight wont help me with finding a doctor to help me with losing it. I was thinking about having a gastric bypass but he told i didnt need it i was only a little over weight what should i do?

- Stephanie

Answer: 

Keith Norton Marshall, DO - LocateADoc.com

Stephanie,
   Your doctor is wrong. You are much more than morbidly obese and meet the criteria for Bariatric surgery. Obesity is a disease and you need to lose weight. It is unlikely you will lose weight with diet and exercise. You need to see a Bariatric surgeon. You can go online to find one. The Gastric bypass would be a good choice for you because of the extreme amount of obesity. What is your age and height? You can calculate your BMI, or Body Mass Index. There are charts to find this. 
  Try www.Obesityhelp.Com, ASMBS.org is another website to find yourself a Bariatric surgeon. 
 
   I have been doing Bariatric surgery for 20 years and you will be glad you found a Bariatric surgeon when you do. 
 

--Keith Norton Marshall, DO
Warren, MI

Answer: 

Marian Blaesser Kahn, DNP - LocateADoc.com

Thank you for your question. At your current weight, no matter your height, you would be considered in an unhealthy weight range.
 
My suggestion is to find a medical center specializing in medical weight loss. You will need to attempt to lose the weight through a medically supervised program before being approved for surgery.
 
Bypass surgery is an extremely life-changing procedure, but it can confer great health benefits with the weight loss you will experience.
 
Good luck in your weight loss journey.

--Marian Blaesser Kahn, DNP
Royal Oak, MI

Answer: 

Laura L. Machado, M.D., F.A.C.S. - LocateADoc.com

Hello Stephanie,
 
I would recommend that you attend an informational seminar in your area on bariatric surgery.   Most programs offer free seminars to give patients a general overview of surgery.  Your weight is at serious levels and you do not have to wait until you have other medical conditions to treat.  Obesity is a serious disease in and of itself.  Bariatric surgery is a recognized treatment for obesity and has the best outcomes.

--Laura L. Machado, M.D., F.A.C.S.
Sacramento, CA

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