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Category Archives: Expectations

Staying Positive During Weight Plateaus

September 28, 2022

Woman smiling on a scale with arms raised looking at her weight

If you’ve never tried to lose weight, you might not understand the dreaded “weight plateau.” And it works both ways – people trying to gain weight, bulk up and add muscle, also face weight plateaus. But, today, we are focused on the weight loss plateau, a hurdle virtually every bariatric patient will experience along their journey.

The biggest issue with hitting a weight plateau is frustration. You become frustrated that you’re not losing weight fast enough though you continue to do the right things – the things your bariatric surgeon and nutritionist have advised you to do. You’re doing everything RIGHT! Why is the scale not moving down faster?

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Gastric Sleeve Scars – Are They Big and Will They Go Away?

September 14, 2022

Man posting to a small scar on his abdomen after bariatric surgery

Scarring after any surgery is a concern. If you are considering a bariatric procedure or gastric sleeve, you may be wondering how big the scars will be after surgery and whether they will be visible longer-term. In this blog, Dr. Abbas will walk you through what scarring looks like, who is more prone to scarring, and tips and tricks to minimize them.

Hi everyone, it’s Dr. Abbas, and I wanted to talk to you a little bit about scarring. It’s a good topic to discuss and probably on your mind now that you are considering bariatric surgery. First, I want to mention that scarring is a natural part of the body’s healing process, and it is inevitable even in modern-day surgery. There have been techniques and technologies created to address scarring, but we don’t yet have a totally reliable scarless option for bariatric surgery. That said, we perform virtually all our bariatric procedures using minimally invasive techniques with or without robotic surgery. These techniques use tiny incisions and small medical devices to access the abdomen. Using these technologies has reduced scarring along with the risk of incisional hernias.

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Why We Regain Weight Following Gastric Sleeve

July 13, 2022

Woman notices her pants are getting tighter as she struggles with weight gain after the gastric sleeve

Weight Loss Surgery is nearing 70 years of use, and most of those years involved malabsorptive or intestinal bypass surgeries. On the other hand, the gastric sleeve relies on restriction, a weight loss procedure with approximately half that history. Recent data has shown that sleeve gastrectomies account for more than 60% of all weight loss surgeries despite slightly less excess weight loss potential versus a bypass. 75-80% of Excess Weight Loss is typically maintained for at least five years with a bypass procedure, while 60-65% of EWL is associated with the sleeve. A relatively small number of bypass procedures may require revision for inadequate weight loss or regain of weight. In contrast, a slightly greater number of sleeve procedures may require modification or conversion.

Weight loss following a gastric sleeve is multi-factorial, and weight regain can be too.

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To Wait or Not To Wait – Buying Clothes After Bariatric Surgery

August 27, 2021

It is exciting to see results after bariatric surgery. You start to shed pound after pound and your clothes do not fit quite like they used to. The first place your mind may jump to is going shopping and investing in an entire new wardrobe. You have come a long way and worked so hard to get to where you are now – you are deserving of a little reward. However, buying a whole new wardrobe after the first signs of weight loss may be premature, and may end up costing you more money than necessary.

Woman stands in front of mirror holding up a dress as she debates if it is the right time to buy clothes after weight loss surgery at MASJax.

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Is Weight Loss Surgery the Easy Way Out?

March 6, 2020

By Hussain Abbas, MD, FACS, Minimally Invasive Surgeon at MASJax

One of the very common question that I hear from my patients when I ask what delayed them in coming in and seeing me for their excess weight is: “Everybody’s telling me surgery is the easy route out.”

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Is There Evidence for a Set Point That Regulates Human Body Weight?

December 4, 2019

Weight loss is hard. Even harder is keeping the weight off. There is a theory, known as the Set Point Theory, that some believe explain why our bodies fight weight loss and so easily regain weight after we have worked hard to lose it. While traditional thinking about how our bodies regulate weight have long said calories in versus calories out equals the balance of weight gain or loss, this very simplistic view does not account for many factors that contribute to how our body works. These factors include intricate systems and feedback mechanisms that allow for our body and brain to communicate.

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Can Thinning the Waist Help Prevent Thinning in the Brain?

September 19, 2019

On July 31st, 2019, Dr. Husain Abbas of MASJax appeared in an interview for local station News4Jax to discuss recent study findings tying increased body mass index, a common measure for obesity, to increased risk of dementia.

We know that obesity has many health consequences including cardiovascular problems and diabetes, but a new study in the Journal of Neurology1 also indicates your excess weight may also affect your mental health including your cognitive function and diseases like dementia.

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Will I Lose Weight after Bariatric Surgery?

May 23, 2019

In the forefront of virtually every patient’s mind, when they are about to undergo bariatric surgery, is whether it will be successful and they will lose a significant amount of weight. The short answer is that the vast majority of patients do very well and approximately 80% of patients will meet their long-term weight loss goals. While this success rate is far greater than the 5-or-so percent success rate of diet and exercise alone, many patients are still concerned about whether they will become one of the 20% who do not succeed. But let’s explore what success actually means.

First and foremost, the name “weight loss surgery” is not fully accurate or reflective of success after the procedure. Bariatric surgery is not about weight loss – losing weight is simply a very tangible and wonderful side effect. Our main goal is to improve or eliminate the diseases associated with morbid obesity. These are ultimately the causes of early death, significant lifestyle impairment, and serious emotional problems. And while most patients see and feel some of these downsides, there are many more that silently exist in the background. Type II diabetes, certain forms of cancer, heart disease, an increased risk of stroke, joint degradation, and many, many more may not be readily seen or felt on a day-to-day basis.

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Jacksonville, FL 32216
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