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ESG can safely be combined with weight loss medications to improve weight loss or prevent weight regain after the procedure. The daily injectable medication liraglutide showed greater total body weight loss when combined with ESG compared to ESG alone at 7 months (approximately 25% vs 20% respectively). [14]
About 30% of those who undergo VBG achieve normal weight, and about 80% achieve some degree of weight loss. Most studies have suggested that 10 years after surgery, only 10% of patients maintain a minimum weight loss of at least 50% of their total excess weight at the time of their initial surgery. Some patients regain weight.
The procedure is irreversible, [4] though in some uncommon cases, patients can regain the lost weight, via resumption of poor dietary habits, or dilation of the stomach over time, which can require gastric sleeve revision surgery to either repair the sleeve or convert it to another type of weight loss method that may produce better results ...
Finding may lead to improved strategies for weight management
That same study, funded by Novo Nordisk, showed participants lost about 15% of their body weight after taking semaglutide for 16 months, compared to a 2.4% weight loss for those taking a placebo.
Rapid weight loss after obesity surgery can contribute to the development of gallstones, especially at 6 and 18 months. [ 27 ] [ 29 ] Estimates for prevalence of symptomatic gallstones after Roux-En-Y gastric bypass range from 3–13%. [ 18 ]
A 2021 review notes that diets with higher protein intake can provide significant benefits to prevent weight regain. For Kirkpatrick, making every bite count is key when you’re taking a GLP-1 drug.
All patients lose weight after gastrectomy, although the extent of weight loss is dependent on the extent of surgery (total gastrectomy vs partial gastrectomy) and the pre-operative BMI. Maximum weight loss occurs by 12 months and many patients regain weight afterwards. [6]