Will metabolic surgery help with being overweight?

Question

Hi doctor,

Please advise considering metabolic surgery after a diabetes diagnosis last year, despite lifestyle changes. I am 36, and my current weight is 317 lbs at 5 feet 10 inches. My A1C improved from 9.2 % to 7.8 % with Metformin and dietary changes, but I still required increasing medication. Endocrinologists suggest that sleeve gastrectomy might achieve diabetes remission while benefiting from surgical benefits. Family history concerning - father and two uncles died from diabetes complications before 60. However, the psychiatrist worried about a history of depression and alcohol use disorder. Could surgery trigger addiction transfer or depression relapse? How would surgical recovery affect mental health medications? I need realistic expectations about diabetes improvement versus mental health risks.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Compounded Semaglutide can be a more affordable option, but its safety and efficacy are not guaranteed. Compounded medications are not regulated by the FDA (Food and Drug Administration), which means their quality and effectiveness can vary. It is essential to consult with your healthcare provider before considering this option. There are other affordable alternatives for weight management, such as lifestyle changes including diet and exercise, and medications like Metformin, which can help with weight loss. Additionally, support groups and counselling can provide emotional support and practical advice. Please book a consultation if you would like more detailed information on any of these points or if you have other questions.

I hope this information will help you.

Thanks.