Many clinicians are not adequately aware of the reasons that individuals with obesity struggle to achieve and maintain weight loss, and this poor awareness precludes the provision of effective intervention. Irrespective of starting weight, caloric restriction triggers several biological adaptations designed to prevent starvation. These adaptations might be potent enough to undermine the long-term effectiveness of lifestyle modification in most individuals with obesity,
Sleeve Gastrectomy update 2016 by Gregg Jossart, MD, FACS, FASMBS
The sleeve gastrectomy is appealing to many individuals considering weight loss surgery, but have been hesitant to proceed due to concerns about banding and bypass problems. In 2015, the sleeve gastrectomy became the most common weight loss procedure worldwide. It is over 50% of operation in the United States.