Bariatric surgeons (surgeons who do weight loss surgery) consider it a success...
...when patients to lose 65 percent of their excess body weight. If you have 100 pounds to lose and have weight loss surgery, we surgeons consider it a success if you lose 65 pounds even though you still have 35 pounds to lose before getting to your ideal body weight. The goal of many patients, however, is a far greater weight loss than 65 per cent of their excess weight. Most patients want to lose over 90 percent of their excess weight, if not 100 percent.
We have learned many things from weight loss surgery patients who have made it to their goal, losing all their excess body weight (reaching a BMI between 20 and 24) and maintained that goal for at least three years.
Then we tried these principles on patients who had surgery a few years ago and they started to lose weight again. Throwing caution to the wind (which is not like spitting in the wind or tugging on Superman’s cape), we enrolled people who wanted to lose thirty pounds. They began to lose weight.
In summary, here is the plan we discovered from our weight loss surgery patients:
To get to a goal, they declared what that goal was and charted a course to that goal—a course that was reasonable and attainable.
These patients all developed a sense of personal accountability. They saw weight gain or loss as in their control, not in the hands of their biology or external sources such as friends, family, co-workers, medications, significantothers, or space aliens. This sense of accountability was not present in many of them prior to surgery or this study.
They learned to measure things: weekly weight, calorie counts, intake of fluids, and amounts of exercise. To put this simply, “you cannot manage what you do not measure.” You will see this theme throughout my writings.
Every person was involved in some form of physical activity above and beyond what his or her day required. They exercised.
They learned about nutrition and went to the basics—no strange diets. They learned and made quality choices. Carbohydrates were not avoided, but processed foods were kept to a minimum. Protein intake was adequate but not excessive; it was a key feature of their diets. Protein sources were not filled with fat, and their fish intake was more than for the normal population.
Books by Terry Simpson M.D. that will help you lose weight
Our workbook, "Getting to Goal and Staying There," will take you through the exercises to help you chart your way to your goal.
For those who wish to learn more about the surgery they have had, read “Weight Loss Surgery: A lighter look at a heavy subject.” The book is a 390-page guide to all weight loss operations. It describes how they work, the differences between the types of surgery, how to get to the operating room, and what to do afterwards. (Okay, there is a home surgery program there, but we recommend you use a licensed qualified professional).