![]() ![]() The only issue I’ve had now is low iron, so I take iron supplements on a regular basis. But the metabolic changes gastric bypass has given me makes me less prone to overeating and having food cravings. The things I used to like I don’t gravitate toward anymore, like sugar. I notice I’ve had a change in my taste buds. Two nights a week, we have fish and vegetables. ![]() Around 3 pm, I’ll have a protein bar or fruit. At noon, I get whatever the healthy choice meal is that day - fish, protein, vegetables. In the morning, I get up and have coffee and whole milk and a granola bar. In a typical day now, I try to eat four to five small meals. The surgeon gave me the gastric bypass for $5,800 to $6,000. I went to Mexico for another weight loss surgery because my insurance wouldn’t cover it here. My highest weight was 300 pounds.īy 2013, I had a gastric sleeve operation, but I had a lot of acid reflux after that and stopped losing weight around 220 pounds. Then I had it out for 14 months and gained five pounds a month. I did pretty well with the band - I had lost 180 pounds. So my band was taken out, and I gained weight. At the hospital, I found out the lower portion of my stomach protruded through the band to the top, so I was basically choking on my stomach. For five days, I wasn’t able to keep food down. Within about three to four years, I got food poisoning from oysters. W eight pre - surgery in 2009: 353 pounds Nanette Adams, a 38 -year-old professional counselor in New Orleans, Louisiana On surprises, harms, and complications of surgery Here’s how surgery changed the lives of 11 Americans. We wanted to capture some of that variation with people’s personal stories, to show how differently the surgery can affect people. Jewel’s story: how one teen battled obesity with medicine’s best - and most underused - tool Some people felt their appetite fade away others simply replaced their food addiction with other addictions or found ways to eat more food. There were patients who experienced no complications following surgery, while others needed additional operations to fix problems or more rounds of weight loss surgery. Some people lost all the weight they had hoped to, but others barely lost any. Over that same year, I talked to a dozen other bariatric surgery patients, and heard about the myriad ways surgery affected their lives - for better and worse. Her mom weighed 224 pounds, bringing her total weight loss to 80 pounds since her surgery in March. ![]() As of December 2017, Jewel weighed 310 pounds, so she lost 76 pounds. Jewel and her mom, Justina, at Jewel’s high school graduation in June 2017, seven weeks after her bariatric surgery. Jewel, on the other hand, remained hungry and struggled to lose weight even after losing 80 percent of her stomach. Justina’s hunger and cravings were dramatically reduced, making her weight loss rapid and somewhat effortless. For nine months, I followed a teenager named Jewel Francis-Aburime, and her mom, Justina, who both got the gastric sleeve, one of the two most popular procedures, around the same time. ![]() Individuals, even in the same family, can respond differently to the surgeries. (To learn more about bariatric surgery, read our explainer.) The trouble is that doctors still can’t predict who will succeed with bariatric surgery and who will be the one in 10 patients for whom the procedure fails. They also have lower rates of obesity-related diseases, such as diabetes and cancer, compared to people with obesity who don’t get the surgery. The argument in favor of the most effective bariatric procedures, the gastric sleeve and gastric bypass, is that on average, they help people lose about 30 percent of their original bodyweight and keep most of it off - a far better outcome than a regimen of diet and exercise. Obesity doctors now consider bariatric surgery to be the most effective and durable treatment for obesity, a disease that’s erupted into a full-blown epidemic in America since the 1970s. ![]()
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