Bariatric surgery, what do you think?

[adin]

I've been thinking about doing a stomach reduction surgery (gastric sleeve) because I can't lose weight. Since I have problems with my thyroid (RAI ablation in 2012) I gained 25 kg(90 kg in the past and now I've 115/1,87 cm)), I have tried all the treatments(ndt, synthetic) that have not yielded results so far. The only viable option seems to be the stomach reduction operation. The analysis looks good, I feel ok (125mcg Tirosint and 20T3 slow rls./daily). It's a vicious circle that creates insulin resistance and metabolism decrease and I can't lose weight.

Are there any other cases in the group that resorted to this operation and had good results?

[Hidden]

You’re quite correct that insulin resistance causes weight gain - but I can’t grasp from your post what you think is causing insulin resistance (if indeed you do have it)

Can you post your latest blood results pls and any other information which could help.

I’m totally against bariatric surgery for weight gain, especially for those with thyroid problems. You need to find out what is causing this weight gain

[greygoose in reply to Hidden]

Totally agree with Everywhere2. And first of all you should ascertain whether your weight-gain is due to fat or water-retention. If it's water (mucin) reducing your stomach size, and thereby your calorie intake, will do nothing to help.

I cannot see bariatric surgery as a definitive solution. I've known quite a few people have it and whilst the intial result has been drastic weight loss (when done on someone with a huge appetite) it doesn't appear to last. Meanwhile, live is pretty miserable with not being able to eat what you want, and a lot of discomfort when you have eaten, plus becoming very deficient in nutrients. It is definitely something I would not consider for myself.

[userotc]

Very high risk eg on TV a few days ago following young lady starving to death afterwards. Similarly high risk effects for slimming drugs over many years. There's no safe quick fix.

Best option imo is to see a qualified Nutritional Therapist specialising in weight loss - if/when thyroid optimized in your case. Likely health benefits too.

[Marz]

I would be thinking ahead and worrying about low B12 and its many symptoms which are often mis-diagnosed resulting in more medications.

Take a look at Sara Gottfried's website and her hormone exclusion eating plan - a three week plan... could be worth a try and certainly better than the surgery. Quick fixes for anything and everything are rarely a solution long term.

[Hidden]

Is your appetite abnormally big? That could be caused by leptin resistance. Leptin signals to your brain that you are full and to stop eating. With leptin resistance, your brain still thinks you need to eat more. The hormone leptin was discovered in 1994 and I don´t think there has been much (if any) research about it in Europe. Everything I´ve read on the subject comes from the US.

I have read in other forums about thyroid patients who lost weight when on drugs reducing/reversing leptin resistance: Victoza, Saxenda, Ozempic and Wegovy. Victoza and Ozempic are diabetes 2 drugs, whereas Saxenda and Wegovy are weight loss drugs with higher doses of the active ingredients. Victoza and Saxenda are daily subcutaneous injections, Ozempic and Wegovy are once weekly SQ injections. They are all made by Danish company Novo Nordisk. They originally produced diabetes 2 drugs Victoza and Ozempic, and then they discovered that people lost weight on them, which is why they developed Saxenda and Wegovy for weight loss. There is a new drug made by US drug company Eli Lilly which is said to work even better: Mounjaro. But it does not seem to be available in Europe yet.

These drugs seem to work when nothing else does, and it is said that reversed leptin resistance could be the reason. I have read several medical articles where it is stated that leptin resistance will make weight loss almost impossible. Of course, one problem is that most doctors have not heard of leptin, just like they have not heard of T3.