Semaglutide Earlier than Bariatric Surgical procedure: Is It a Good Thought?

When final 12 months, my physician first advisable bariatric surgical procedure, I used to be stuffed with hope and, on the similar time, dread. I hoped that maybe there would lastly be a way to take care of my decade-long battle in opposition to weight problems. Dread, as a result of, fairly frankly, surgical procedure is frightening. From there onward, he mentioned a couple of phrases that struck a chord with me: “Would you like to try semaglutide first?”

My Weight Loss Journey

Included on this chat was analysis from varied sources and getting appointments from docs adopted by many sleepless nights speaking to others who suffered the identical destiny. As we speak, I’ll share what I’ve discovered about this more and more frequent method of utilizing semaglutide pre-operatively for bariatric surgical procedure, not as a medical skilled however as an individual who has walked this highway and spoken with numerous others who’ve additionally.

What’s Occurring with Preoperative Semaglutide?

Semaglutide (model names: Wegovy for weight administration, Ozempic for diabetes), so far as the weight problems therapy world is worried, has not too long ago been touted nearly like a miracle drug. Being a GLP-1 receptor agonist, it acts like a sure hormone that targets mind facilities affecting urge for food and meals consumption; therefore, it’s efficient in shedding these further kilos.

For many years, bariatric surgical procedure has remained the golden customary for the therapy of sufferers with very extreme weight problems. So why would one wish to mix the 2?

Principle of Coaching Wheels

“Like training wheels in the post-surgical lifestyle,” Maria advised me over espresso final month. At age 41, she took semaglutide for 4 months earlier than present process gastric sleeve surgical procedure.

“I had learned to be satisfied with fractionated portions, with an emphasis on my protein,” she continued, stirring her latte slowly. “By the time surgery came around, my relationship with food had already changed. It made the transition after surgery much easier.”

Her surgeon advisable this method particularly as a result of Maria struggled with controlling parts for her complete life. The treatment allowed her to start acclimating to the change in consuming conduct earlier than the surgical procedure had a extra extreme restriction.

The Technical Causes

Along with conduct modifications, there are strong technical causes surgeons would possibly select this route. “The difference between operating on someone who has been on semaglutide for three months versus one who has not can be night-and-day,” mentioned Dr. Chen. “As a bariatric surgeon having performed over 1,000 procedures, I can speak from my own experience.”

“As many patients with obesity come in with enlarged fatty livers, this can complicate the surgery,” she elaborated. “The liver obstructs the sight during the procedure. Semaglutide can quickly cut down that liver fat in a matter of months, helping to make the surgery safer and to allow me a better view of the surgical field.”

Actual Discuss: The Downsides

Irrespective of the way it appears like a marvel drug, it could by no means be with out glitches. Michael, an internet assist group buddy, shares his combined expertise:

“I lost about 40 pounds on Wegovy before my bypass surgery, which was amazing. But honestly? The side effects knocked me flat for the first two months — constant nausea, fatigue, and some pretty embarrassing bathroom emergencies.”

He paused earlier than including, “And my insurance covered the surgery but not the Wegovy, so I paid about $6,000 out-of-pocket for those six months of medication. That’s a lot of money when you’re already preparing financially for surgery.”

These experiences relate to the 2 principal destructive points: attainable negative effects and excessive monetary constraints.

What Does the Science Say?

Particular person experiences fluctuate vastly, however I wished to know the analysis. Current research combining semaglutide with bariatric surgical procedure are restricted, however an rising quantity are being revealed.

In a 2023 evaluation of 150 sufferers, it was discovered that these handled with semaglutide for 3 or extra months earlier than surgical procedure:

Had shorter surgical time

Have been discharged from the hospital sooner

Had fewer minor issues

Had a comparable one-year weight reduction to that within the non-semaglutide group

However, the researchers stress the necessity for bigger trials earlier than issuing unequivocal suggestions. Lengthy-term information usually are not but obtainable to ascertain whether or not this technique really prolongs sustained weight reduction years after surgical procedure.

Is This Proper for You?

Based mostly on interplay with sufferers and MDs, potential candidates may be categorized as:

Folks with large fatty liver: The treatment can shrink liver volumes for safer and extra simple surgical procedures.

Very excessive BMI: If weight reduction is required to offset surgical dangers, then drugs might be able to help you in reaching that time.

Portion management points: When you have by no means felt glad with smaller meals, semaglutide urge for food suppression might assist rewire your post-surgical consuming expectations.

Diabetes or different metabolic problems: These may benefit from a right away intervention with treatment, maybe making the surgical procedure safer.

Issues to Assume About

In contemplating this methodology, listed here are questions for your self and your healthcare staff:

What potential dangers do I’ve with surgical procedure, and would pre-treatment scale back these dangers?

Is my insurance coverage paying for each the treatment and the operation?

Am I prepared to carry off on surgical procedure for a number of months whereas making an attempt the treatment?

Can I address the attainable negative effects of semaglutide?

Are there another well being circumstances of mine that is perhaps in instant want of treatment therapy?

Once more, that is my perspective.

After a number of months of analysis and conversations, I’ve determined to attempt semaglutide previous to my deliberate sleeve gastrectomy. Three months into the journey, I’ve misplaced 35 kilos, and my relationship with meals has modified. The primary month was actually tough, with nausea and complications as negative effects, however, general, I’m lots higher now.

The largest profit has been the psychological notion change. I’ve proven myself I can reduce weight on a program and follow it. I’ve recognized actual starvation from emotional starvation. Additionally, I’ve carried out the protein-first, small-portion method to have quite a lot of observe with it main as much as after my surgical procedure.

Is it value $1,200 a month out of my pocket with no insurance coverage protection? Completely, for me, me-it’s value it. However I do acknowledge that it’s a privilege many choices don’t have.

The Evolution of Weight problems Therapy

It’s undoubtedly evident that the way forward for weight problems therapy is centered extra on personalization. In actual fact, the visionary direct imaginative and prescient perspective by superior healthcare suppliers is such that drugs and surgical procedure usually are not aptly thought of to be opposed however extra complementary in such intervention strategies.

Bariatric program director Dr. Wilson, whom I had the unique privilege of interviewing, acknowledged that “In ten years, I’m positive we will have quite considerable standards regarding the indications for medication-first versus surgery-first versus combination therapy. We’re really just on the frontiers of understanding how these really powerful tools could best be used”.

key takeway

The deserves of taking semaglutide earlier than coming into into bariatric surgical procedure completely rely upon the person’s circumstance. No reply is appropriate for everybody.

Above all that ought to matter, whether or not you propose to pursue therapy, surgical procedure, or each, is growing sustainable methods that might work greatest along with your physique, life, and well being in the long term. Such are tools-not magic fixes-and, better of all, they’ll work together with way of life modifications you possibly can maintain for a few years.

Have you ever tried semaglutide earlier than bariatric surgical procedure? Or do you think about this feature? Would love to listen to your experiences within the feedback under.

…

I hope you loved studying. This weblog put up comes from what i’ve discovered, what I believe, and what I consider.

—

This put up was beforehand revealed on medium.com.

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The put up Semaglutide Earlier than Bariatric Surgical procedure: Is It a Good Thought? appeared first on The Good Males Venture.

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