Medical experts say obesity is America's biggest health threat.
If someone can't control their weight surgery might be an option.
More than 67% of Americans are overweight and one-third are obese.
"The numbers are staggering Economic implications, ER visits, chronic health problems, hypertension diabetes and other health problems", said Dr. Adi Gupta with Tri-State Specialists.
Dr. Gupta says if people don't control the number on the scale they face serious medical complications.
"Being a surgeon I would still advocate diet and exercise.. as a first step and support groups can sometimes help a lot," said Dr. Gupta.
But, if someone can't control their weight, there may be another option, surgery.
"There's no one size fits all whatever works is good. But, I would not delay seeking help," said Dr. Gupta.
The three surgical options include the less-invasive lap-banding. That's when a gastric band is placed across the stomach through a laproscopic procedure.
"During my fellowship training we actually took out more bands then we put in. Banding is a smaller surgery, it doesn't do as well in the long term and there's more complications with it," said Dr. Gupta.
The other options are more invasive and include gastric bypass and sleeve gastrectomy.
That's when the stomach is reduced to about 25% of its original size by removing a large portion of it.
"For someone with a BMI over 45 I would definitely try and council them about the sleeve or the bypass because it would give them a more sustained weight loss," said Dr. Gupta.
Dr. Gupta says surgery does give patients a push to take the pounds off.
"It gives a kick start and they'll lose 60 to 80% of their excess weight in the first year. and, it the rest depends on the folks and the choices they make," said Dr. Gupta.
Dr. Gupta says even with surgery patients can still regain the weight if they don't follow strict diet and exercise guidelines. Statistics
show over five to ten years 80 to 90% of people do regain the weight they lost immediately after gastric bypass surgery.
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