Is surgery really the answer?

It never hurts to start off with a few simple truths. If it was easy to lose weight by eating less, there would be no obesity. If exercise burns off unwanted pounds, everyone would get off their couches and lose those potatoes. But life is never straightforward when it comes to losing weight and, more importantly, preventing the pounds from sneaking back when we are not looking. So what's the problem? The Jesuits have a saying, "Give me the boy until the age of seven, and I will give you the man." Put another way, as we grow up, we are surrounded by role models and authority figures who show us and instruct us on how to fit in and live our lives successfully. This so-called socialization process is largely complete by the age of seven. We have absorbed all the social rules for fitting into our culture and it takes a major effort to unlearn all these habits later in life. So what's the problem? Well, here comes another simple truth. The portion sizes sold as suitable for children in the US are the same as the adult portions in Europe. The portion given to adults in the US would feed an entire family in many other parts of the world. But, by the time we are seven, our expectations have been set. The eyes see the amount everyone eats as normal. The stomach is trained to accept this quantity — anything less and hunger pangs make life uncomfortable. So, if as an adult, someone tells you to eat less, you are being advised to act in a way that strikes you as fundamentally abnormal. You will suddenly stand out in social activities as the person who asks for less food when visiting friends for a meal or when ordering food in a fast food outlet. Even if you accept the label of eccentric, then comes the hunger pangs and your morale crumbles. Your mind may be strong, but your body betrays you. Weight loss surgery is increasingly seen as an option by health insurance companies. They recover the cost in between two and four years through avoiding the need to pay for the treatment of high blood pressure, diabetes, heart disease, and so on. The procedures physically limit the amount of food your stomach can hold. No matter what your expectations, you physically cannot eat the same amount of food. The average cost of full surgery is $26,000. Keyhole surgery costs about $17,000. But this is not cosmetic surgery. It is a drastic measure and most doctors refuse it unless you are genuinely overweight and have consistently failed to lose weight any other way. That means you should diet, exercise and use acomplia. In clinical trials, the participants lost an average 10% of their body weight over a 12 month period. This represents a significant reduction but it may still not bring you down to a low BMI. More importantly, maintaining the weight loss is a real challenge. So, if your medical insurance will cover the cost and your doctor agrees, you should consider surgery if your BMI is above 30. Otherwise, buy acomplia and use it as part of a consistent low-calorie diet. Either way, your weight will fall.

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