Best Way to Achieve Massive Weight Loss? Lose 100lbs

My husband is 30 years old and needs to lose over 100lbs (5'10" ~300lbs) in order to be healthy (i.e. high blood pressure, sleep apnea, high cholesterol, etc.). He used to be in excellent shape (pro-soccer player, and later an amateur fighter) but due to injuries from his playing careers, a motorcycle accident (ankle, knee, and shoulder injuries and surgeries) and the subsequent weight gain (severe back pain when on his feet for more than 30 min) he can do very little exercise (esp cardiovascular).

He has tried to lose weight by cutting down on caloric intake, but that is no longer resulting in weight loss and overall the situation is becoming extremely frustrating for both of us. I am in good condition (5'7" 135lbs ~20% body fat) and prepare healthy meals as much as possible but neither I nor he know what else to do. Thank you for your help and suggestions.

Doctor Answers 3

Which weight loss surgery is best for you?

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There are now a spectrum of surgeries for the treatment of morbid obesity and obesity related complications such as high blood pressure, high cholesterol, sleep apnea and acid reflux.

A formal decision about your sugery should be made in conjunction with a surgeon who is highly trained in these procedures. But there are some basic guidelines that apply. Patients with a high BMI or very overweight  typically do better in terms of overall weight loss and satidfaction with a bypass or sleeve gastrectomy. Although these are considered "more agressive" they are well tolerated and safe procedures. It is also important to consider other factors such as diabetes and reflux in which one procedure may be better suited to correct these issues as compared to another. The Lap band can be an acceptable operation in the highly motivated patient who can exercise regularly and maintain a healthy eating pattern. Lap Band is typically better for lower BMI patients- up to 100 lbs overweight.

Again decision about weight loss surgery should not be sporadic but well researched and discussed with a surgical specialist.

Houston General Surgeon

Best way to lose 100 lbs...

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Unfortunately there is no such a thing as "Best Way"! There are options and each has its own risks and benefits.

When it comes to loosing weight, diet & exercise is the best way. But in long term, this has a highly failure rate (over 90%) in obese people that need to lose 100 lbs.

So surgery is the only option that has shown to have long term result to lose weight and maintain it.

At this time Weight Loss Surgery particularly, Gastric Sleeve, is thought to have the best profile in term of good weight loss and low risks.

How to choose the right weight loss surgery procedure

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There are many options for surgical weight loss including the Lap-band, gastric bypass, and sleeve gastrectomy.  The Lap-band is the least invasive of the three operations and results in the lowest complication rates and mortality rates.  The long term success rate of all three surgeries are pretty similar.  Gastric bypass patients will lose weight faster and lose more but the regain 10 - 20 % of there excess weight  If you look 3 - 5 years after surgery all three procedures average about 60% excess weight loss.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.