Weight Loss/Metabolic Surgery

Weight loss (bariatric) and metabolic surgeries are procedures that alter the digestive system to help patients with severe obesity lose weight and improve metabolism-related health conditions such as type 2 diabetes, high blood pressure, and high cholesterol. These surgeries work by restricting how much food the stomach can hold, limiting nutrient absorption, or a combination of both. At Blume Health, our multidisciplinary team offers comprehensive care and support before, during, and after metabolic surgery.

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What Causes It?

Severe obesity (typically defined as a Body Mass Index (BMI) of 40 or higher, or a BMI of 35-39.9 with obesity-related health conditions)

Type 2 diabetes that is difficult to control with lifestyle changes and medication

Obstructive sleep apnea

Nonalcoholic fatty liver disease or nonalcoholic steatohepatitis

Heart disease or high blood pressure related to obesity

High cholesterol or triglycerides

Failure to achieve sustainable weight loss with diet and exercise programs

Genetic factors contributing to obesity

Hormonal imbalances affecting metabolism

Certain medications that contribute to weight gain

Signs & Symptoms

Obesity (BMI of 30 or higher)

Excess weight around the abdomen

Difficulty with physical activities due to weight

Weight-related joint pain

Shortness of breath with minimal exertion

Elevated blood sugar levels or type 2 diabetes

High blood pressure

High cholesterol

Sleep apnea or other sleep disturbances

Gastroesophageal reflux disease (GERD)

Nonalcoholic fatty liver disease

Polycystic ovary syndrome in women

Depression or anxiety related to weight issues

Reduced quality of life due to obesity-related limitations

How We Diagnose

Our specialists use advanced diagnostic methods to accurately identify and assess your condition

Comprehensive Medical Evaluation

A thorough assessment of medical history, weight history, eating habits, physical activity, and psychological factors to determine if metabolic surgery is appropriate.

Body Mass Index (BMI) Calculation

A measurement that uses height and weight to estimate body fat and determine eligibility for surgery (typically BMI ≥40, or ≥35 with obesity-related conditions).

Laboratory Tests

Blood tests to evaluate overall health, nutrient levels, and check for obesity-related conditions like diabetes, high cholesterol, or liver disease.

Psychological Evaluation

Assessment of mental health status, eating behaviors, and readiness for lifestyle changes required after surgery.

Sleep Study

To diagnose sleep apnea, which is common in people with obesity and can affect surgical risk.

Gastrointestinal Evaluation

May include endoscopy to check for conditions like GERD or H. pylori infection that could impact surgical options.

Cardiovascular Assessment

Tests to evaluate heart health, which may include ECG, echocardiogram, or stress testing.

Treatment Options

Personalized treatment plans tailored to your specific needs and condition

1

Pre-Surgery Preparation

A supervised weight management program, nutrition counseling, psychological support, and education about the surgery and required lifestyle changes.

2

Surgical Procedures

Various surgical options including gastric bypass, sleeve gastrectomy, adjustable gastric banding, and biliopancreatic diversion with duodenal switch. The most appropriate procedure depends on individual factors and goals.

3

Post-Surgery Care

Close monitoring, nutritional counseling, supplementation, gradual diet progression, regular exercise program, and psychological support.

4

Long-Term Management

Ongoing medical monitoring, nutritional follow-up, support groups, and management of any complications or nutritional deficiencies.

Home Remedies

Important Note

While these supportive measures can help optimize outcomes after weight loss surgery, they are not alternatives to proper medical care. Always follow your healthcare team's specific instructions.

Follow the Post-Surgical Diet Plan

Adhering strictly to the diet progression plan provided by your healthcare team is crucial for successful recovery and weight loss.

Stay Hydrated

Drink plenty of water between meals (not during meals) to prevent dehydration, but follow guidelines on timing and amount.

Take Prescribed Supplements

After metabolic surgery, your body may not absorb nutrients as effectively, making vitamin and mineral supplements essential for preventing deficiencies.

Monitor Portion Sizes

Use small plates and utensils, eat slowly, and stop eating when you feel full to prevent overstretching your stomach pouch.

Regular Physical Activity

Gradually increase physical activity as recommended by your healthcare team to support weight loss and improve overall health.

Prevention Tips

Regular follow-up appointments with your surgical team and primary care provider

Lifelong vitamin and mineral supplementation as directed by your healthcare team

Regular blood tests to monitor for nutritional deficiencies

Maintain a high-protein, low-carbohydrate diet

Avoid grazing or constant snacking

Engage in regular physical activity

Join support groups to help maintain motivation and healthy habits

Monitor for and promptly report symptoms of potential complications

Practice stress management techniques

Avoid alcohol, especially in the first year after surgery and limit consumption thereafter

Surgical Solutions

Advanced surgical procedures performed by our expert specialists

Roux-en-Y Gastric Bypass

A procedure that creates a small pouch from the stomach and connects it directly to the small intestine, bypassing most of the stomach and the first section of the small intestine. This reduces the amount of food you can eat and the calories your body absorbs. It also causes beneficial hormonal changes that help control blood sugar.

Sleeve Gastrectomy

A procedure that removes approximately 80% of the stomach, leaving a tube-shaped stomach about the size of a banana. This limits the amount of food you can eat and helps reduce hunger by removing the portion of stomach that produces the hunger-stimulating hormone ghrelin.

Adjustable Gastric Banding

A procedure where an inflatable band is placed around the upper portion of the stomach, creating a small pouch above the band with a narrow opening to the rest of the stomach. The band can be tightened or loosened over time to change the size of the opening.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

A more complex procedure that combines a sleeve gastrectomy with an intestinal bypass. This significantly reduces the stomach size and reroutes food to bypass most of the small intestine, limiting both food intake and absorption of calories and nutrients.

Minimally Invasive Approaches

Most weight loss surgeries today are performed laparoscopically (using small incisions, a camera, and specialized instruments) or robotically, resulting in less pain, shorter hospital stays, faster recovery, and fewer complications compared to traditional open surgery.

Ready to Take the Next Step?

Our specialists are here to provide expert care for weight loss/metabolic surgery. Schedule your consultation today.

📞 Available Hours

Monday - Saturday: 9:00 AM - 9:00 PM

Sunday: 9:00 AM - 2:00 PM