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I think we've been told we're a victim of our own self control so many times we believe it. You use words like "self Control" and "Denial". These are conscious decisions, weight control isn't supposed to be conscious. Normal weight people don't think about what they eat, they automatically eat...

It would be difficult to hold together a conspiracy on a global scale. There are indeed some who will lose a lot of money if obesity is cured, but this won't deter those who stand to make millions

That is indeed correct, bariatric surgery doesn't correct the fundamental problem. Like most medications It's the treatment of the symptom. I've never suggested it was anything other. I must point out that as a trainee doctor my main focus is on treatment not on cause. My research looks at the...

Yes, very common. But the blame is neither with your wife nor the diet. She is driven by the metabolic process of homeostasis to over-consume. The reason people fail is because hunger nags them to eat. People trivialise the power of this, they shouldn't. It's why 95% of diets fail. there is no...

This doesn't appear to be the case, of all the post bariatric patients I have seen all were extremely happy and glad they had the surgery. The only moan I ever came across was that they hadn't lost all their excess weight (55% - 75% is usual). Many have some adverse effects like feeling sick...

This what depend on what you call being offered surgery. Being offered it by your GP is not being offered it, it merely means you are referred to a surgeon who will give you a medical and prioritise you. If you are fit enough, and high on the priority list you will be offered councelling and...

Indeed, this is because the opinion and success of one person is meaningless. Medicine is evidence based. The evidence has shown from case studies of thousands of people that dieting is over 10 times less successful. To have you stand up and talk would be like my Grandad lecturing about the 40...

Wow, this thread has come alive. I'll make a few comments while I drink my morning green tea. The risk of surgery is often used as a reason to not consider it. I've come across many similar comments like "I want to be lose weight but I'm not risking my life in surgery to do so". What is not...

If you look hard enough you can usually find a study to show most things. This is why systematic reviews and meta-analysis are important. These are independent reviews of all available evidence drawing conclusions based on many papers. There are two in the above links. Next in the order of...

http://www.nice.org.uk/usingguidance/commissioningguides/bariatric/determininglocalservicelevels/Assumptions.jsp This is a quick paragraph from my own work with references Disclaimer: - Please feel free to read the obove references and draw your own opinions, but note that I'm still only a...

That would make perfect sense I think. Bariatric surgery is supposed to work by supressing appetite, not by causing malabsorption. the idea is to reduce the set point (i.e. the point at which the patient feels content with the food they have eaten). Losing weight is theoretically easy. All one...

I haven't done any research, but I've been taught about it. It is related to the theory of 'Set Point'. I haven't mentioned it yet but I'll quickly run through the details then rush back to my write up. In biology we have a concept known as homeostasis. This refers to the body's ability to...

I think I should clarify that I don't for one minute advocate that anyone should abandon their efforts to loose weight provided they have a sensible diet. Every minute you spend at a lower weight means you are healthier. There is good evidence that in the short term dietary modification works...

Please don't not fill in the form because you disagree with bariatric surgery. ALL opinions are wanted. Indeed, bariatric surgery is not a miracle cure. It also has a failure rate (as well as a mortality rate). There are many people who have not lost weight after surgery. Banding is one of the...

Soory if I don't respond to each comment in a timely fashion, I'm trying to write up my findings and don't get as much time to visit this thread as I'd like In response to this comment, unfortunately the evidence doesn't back up what you are saying. It has been shown that in the long term most...

This I find amazing. I attended an obesity clinic recently and was amazed that every post bariatric patient I saw who had formerly been diabetic was completely cured. I only became aware of this due to your post, so thank you. What astounded me the most was that the cure is independent of...

Hi again all I'm just popping in to say I'm going to go quiet on this forum for a while, I've found I've really enjoyed the debate but I must get some other work done. When my professor asks me for evidence of how I've spent my week I'm sure my posts here won't suffice. I really have enjoyed...

I can imagine, however, I do have my own motivators too, I have hypertension, an enlarged heart, and fatty liver disease, all caused by obesity. Just for clarity I'm speaking about the problem of obesity in general. I'm not suggesting the best treatment for people with diabetes is surgery. I...

This is definitely a major contributing factor, but there are other variables too, such as lifestyle, abundance of food, psychological issue, infirmity, metabolic disorders, genetics etc. Eating what you want when you want is very sustainable. Having to say no to food will always be more...

Thank you for helping with the questionnaire. I can see myself getting drawn into the debate here :-) I think I should declare firstly that I have been a keen advocate of the low carb approach for many years, and am now on year 7 and starting to fail after initially good results. I have read...