August 16, 2023 — “If you thought that GLP-1 agonists would replace bariatric surgery you are wrong.” Neil Floch is not alone in saying this and new research adds to the reasons we suspect that he is right. In JAMA Surgery, Jessica Mok and colleagues tell us that one plus one equals three with the combination of bariatric surgery […]
August 5, 2023 — Often in scientific research we find a tension between answering a question and telling a story. A recent study of cognitive behavioral therapy (CBT) after metabolic surgery offers a case in point. The scientists who designed this study wanted to answer a simple question. Does CBT improve the the clinical outcome of weight reduction? Or […]
June 30, 2023 — At the ASMBS Annual Meeting this week, a new study of major bad outcomes in people with both obesity and sleep apnea reminds us why metabolic surgery remains an important option for comprehensive obesity care. The risk of death, heart attacks, strokes, and other major bad cardiovascular outcomes is 37 percent lower if a person […]
June 21, 2023 — We’re packing our bag for San Diego and the 83rd Scientific Sessions of the American Diabetes Association, which starts on Friday. This is not a meeting that has been a regular habit for ConscienHealth. But this year it seems ADA2023 will be another milestone in the ongoing diabesity merger. That almost too clever term first […]
May 31, 2023 — Plenty of people have strong feelings about metabolic and bariatric surgery (MBS) for young persons. The idea that it might even be an option for youth can inflame the passions of people who are happy to dictate what medical care should and should not be available to other people. This response drew a lot of […]
May 25, 2023 — Are we ready for a re-think of obesity and metabolic health? Ready to change the conversation about obesity medicines and bariatric surgery? Sergio Santoro, Scott Shikora, and Ricardo Cohen certainly think so. Writing in Obesity Surgery, they say it’s time to say goodbye to bariatric surgery and move on to the framework of metabolic surgery. […]
January 23, 2021 — Time ticks by. Millions of people live with obesity and its complications. Meanwhile, a steady stream of new studies offers compelling data on metabolic surgery outcomes. This week, it was a ten-year study in Lancet. This study provides the first data for an RCT of surgery versus medical therapy for type 2 diabetes beyond five […]
August 20, 2020 — This is unfolding today in the New England Journal of Medicine. A fascinating little study of 22 patients is offering up a comparison of apples and scalpels today. The researchers compared metabolic effects of weight loss from very low calorie diets and from bariatric surgery. They found similar effects for similar amounts of weight loss. […]
April 9, 2019 — The logic is inescapable. Type 2 diabetes is a cruel, progressive disease that slowly, but surely destroys a body from the inside out.Strokes, heart disease, amputations, organ failure – they’re all part of a bleak picture. Intensive medical care can slow it down. But metabolic surgery can put it into remission. Three years ago, a […]
