Bariatric weight loss surgery is performed on the stomach in a way that effectively induces weight loss and controls type 2 diabetes. We’ve known for years that it works.  Dr. Jason Fung and others have written a good deal on the subject.  

Gradually, over the years, several forms of sugery have gained and lost favour. Immediately after surgery the patient is pretty well unable to eat for a few weeks. That helps diabetes straight away.  The patient is physically intolerant of quantities of food as well as having a curtailed appetite unless the benefits of surgery wear off.

Results after five years are generally good but, thereafter, many patients either experience side effects, require further surgery, or simply regain weight.

A program I heard on ABC radio recently prompted me to write this blog.  It described how, for many overweight teenagers, removal of the majority of their stomach is now considered the only way to help them.  The operation was described as lifesaving.  The doctors on the program were sincere and clearly very concerned for their patients’ wellbeing. 

Converting to a well formulated ketogenic diet works just as effectively, just as quickly, without cost, without immediate or long term side-effects and, very importantly, enables the patient to stay in control.

I have to agree, in my experience, teenagers would be the least likely group to agree to such a change of diet.  But they are agreeing to permanently damaging a perfectly normal organ in their body.

If society as a whole were able to revert to eating what everyone was eating just a few decades ago there would be no problem.  We are not talking about caveman diets or seriously weird ways of eating.  

It seems a shame.

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