Reply to Super morbidly obese. Where do I start?

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[quote=Anonymous][quote=Anonymous]Find a doctor that specializes in obesity to talk about your options. Good meds are available now (semaglutide) but I think weight loss surgery would be the best option for you, likely duodenal switch or roux en y instead of gastric sleeve. [/quote]

It is a great option and doctors should discuss it more often, but may not be the best initial option if the underlying issues that are leading to overeating are not addressed first. To increase the chance of long term success a person needs to work on mental health, commit to dietary changes and incorporate physical activity. It's less severe with the sleeve than with roux en y or duodenal switch, but if you eat a carb-heavy diet post-op you can develop dumping syndrome and/or reactive hypoglycemia - the first line treatment is adhering to a low carb diet. Unfortunately, although the surgery is life changing and often leads to diabetes remission, its possible to eventually put the weight back on if a person continues a non-optimal diet and increases the amount eaten over time.

Most endocrinologists are able to discuss obesity treatment options in detail, or look for a doc who has a certification in obesity medicine. [/quote]

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