We live in a society that makes weight gain very easy

Will you continue to gain weight?

The odds continue to stack against you.

Our society makes it easy to gain weight, makes it difficult to lose.

People do not have the time, money, or resources to educate themselves on weight loss and the necessary skills to maintain weight loss.

If you are younger and in the lower ranges of obesity, you must understand that the older you get, and the more weight you gain. The probability for a person who has been long term obese to maintain weight loss is 1%. The time for action is often now.

If you have health issues, or repeated bouts of gain and loss, please see your options below, and strongly consider what life will be like if you don’t make a change.

“Quality of life is key. If you have bad knees, bad hips, poor sleep or constant hunger, you may need assistance in your weight loss journey, there is absolutely no shame in that.”

BMI over 40 and age over 40

You have to change for your health

  • BMI over 40 and age over 40

  • Comorbidities (high blood pressure, Type 2 diabetes, Obstructive sleep apnea, Gout, Mental Health Conditions)

  • No successful history of change of lifestyle

You should strongly consider Gastric Sleeve Surgery if:

  • The other health issues make weightloss even harder again, and in the interim, those health issues are causing long term effects

  • Your trends make it highly likely the weight issue will only get worse, and that it will affect you and your family more and more over time

  • GLP1RA’s may have had little or no long-term effect, and in fact a weight gain

It is natural to enter a shame cycle, choosing isolation, avoiding photos, avoiding mirrors, and believing you are at fault. There should be absolutely no shame in being subject to a medical condition - one that requires help

You should strongly consider Gastric Bypass Surgery, if your health is in rapid decline or BMI is far above 40.


BMI over 35 and age over 35 - You should change

  • GLP1-RA user, who has gained weight after each use

  • BMI over 35 and age over 35

  • Comorbidities (high blood pressure, Type 2 diabetes, Obstructive sleep apnea, Gout, Mental Health Conditions)

  • History of weight loss, then gain, but trends overall upward

A consistent trend for obese users of GLP1-RA’s is that weight loss is only whilst on the drug, and the long term effects and cost make a lifetime choice.

Its normal to have issues if the long term effects of the drug are affecting you otherwise (Nausea, vomiting, diarrhea, headaches, needle fatigue, loss of muscle tissue)

You should consider surgical intervention along with GLP1-RAs, given IF the following:

  • The other health issues make weight loss even harder again, and in the interim, those health issues are causing long term effects

  • The ability to lose weight is there, but the maintenance proves too challenging - here surgical intervention has the highest ability to maintain results

Change is possible

It's accurate to say that many modern societies create environments that contribute to increased rates of obesity.

This isn't simply a matter of individual choices. but a complex interplay of various factors

Modern life often involves high levels of stress, which can lead to increased cortisol levels and cravings for comfort foods,

Insufficient sleep can disrupt hormones that regulate appetite, leading to overeating.

We live in a world of an abundance of calorie-dense, nutrient-poor foods. A lack of opportunities for physical activity. Social and economic disparities that limit access to healthy choices.

The majority of people we see simply did not have a fundamental knowledge of nutrition at a young age, and made decisions in their 20s that gained a large amount of weight.