Can't have weight loss surgery

Wdym its not as easy as that? It is. The human body is not exempt from the laws of thermodynamics.

Any time someone makes a comment like this what they are really saying is 'I literally think humans can be reduced to thermodynamics, I don't understand anything that happens in the world at all'.

Care to elaborate?

Not really? You think dieting is about thermodynamics, so clearly believe that no one should every be overweight ever, showing you know nothing about this topic at all.

What? No thats not what I mean at all. What I meant to say is that to gain weight, you have to eat more kcals than you burn and to lose weight, you have to burn more kcals than you eat. Do you disagree with that?

Of course not but it adds nothing to the topic at all, thinking it does just demonstrates ignorance.

Problem is: diets don't work. Yes there are exceptions, but the vast majority of the time, you tell a patient to lose weight, and they either don't, or they do for like 6 months then put it all back on. Doesn't matter if its just eating less, or wt loss groups, or cutting carbs, or some other fad diet - doesn't work. Then they go to on get diabetes, heart disease, need expensive medical treatment, and sign on for disability benefit. Bariatric surgery is safe, its effective, and compared to the medical treatments they'd need otherwise: cheap. Maybe even cost-saving. And life saving? Certainly.

I do believe the current guidelines do still say that you need to try NHS dieting services first though - to pick up those rare cases where people not only lose weight, but are still thin years later.

Hi all, I am a little depressed. I have been told by my GP that I don't qualify for the NHS weight loss surgery, as my BMI is under 40. However, I weigh 17 stone and feel as though the surgery would help me immensely. The GP said I could only have it done if I paid for it myself.

Any advice?

Problem is: diets don't work. Yes there are exceptions, but the vast majority of the time, you tell a patient to lose weight, and they either don't, or they do for like 6 months then put it all back on. Doesn't matter if its just eating less, or wt loss groups, or cutting carbs, or some other fad diet - doesn't work. Then they go to on get diabetes, heart disease, need expensive medical treatment, and sign on for disability benefit. Bariatric surgery is safe, its effective, and compared to the medical treatments they'd need otherwise: cheap. Maybe even cost-saving. And life saving? Certainly.

I do believe the current guidelines do still say that you need to try NHS dieting services first though - to pick up those rare cases where people not only lose weight, but are still thin years later.

Hi all, I am a little depressed. I have been told by my GP that I don't qualify for the NHS weight loss surgery, as my BMI is under 40. However, I weigh 17 stone and feel as though the surgery would help me immensely. The GP said I could only have it done if I paid for it myself.

Any advice?

I went from 17 stones to 12st just by halving my portions and walking more often. Now I’m having to use the gym more often though because weight is harder to lose when you’re skinnier

Surely, you are aware of the risks of executing weight loss surgery and the lack of risks when in a caloric deficit. If OP wants to lose weight risk free then they should go into a ~500kcal deficit.

There's also plenty of cases of patients attempting to cheat their surgery by liquidising food, or going for 'melting' foods like ice-cream. I appreciate that bariatric surgery is really the only intervention which consistently shows a 'result', but it's a bit 'biomedical', rather than 'biopsychosocial' for me. Surgery does nothing to change the patients mindset about food and eating, or improve a (usually) dysfunctional relationship with food unless it's part of a multidisciplinary approach.

Diets don’t work, but adopting a healthier and sustainable diet (in the true sense of the word) can work. I know a man who went from 15 stone to 12 stone just by cutting out a few things and doing more exercise. Walking can be very effective and you don’t have to make that many sacrifices. I don’t think potentially dangerous surgery should ever be the first line of action.

Use the gym more often that rich, coming from Ms. PUB'S are more critical than gym. Though funnily enough pubs and bars have had to be shutdown in dramatic scenes to stop the spread in the US and will likely also have a short self life with the UKs drinking culture discipline.

Use the gym more often that rich, coming from Ms. PUB'S are more critical than gym. Though funnily enough pubs and bars have had to be shutdown in dramatic scenes to stop the spread in the US and will likely also have a short self life with the UKs drinking culture discipline.

Very very unlikely to be successful. Like <5%.


Where something is life-threatening, I'd rather go for results.

Bariatric surgery is very good at curing diabetes etc too, not just weight loss.


Also doesn't work. They relapse, they have heart attacks, you and I pay their rehab bills and disability benefit.

At least, the way the population adopts these techniques anyway. Its one thing to tell people what they should be doing, its completely another to actually successfully and sustainably change their behaviour.

BS fake fitness people like you are bare annoying. Don't claim the journey or the cause if your not fully with it. I'll gladly leave you alone now, said my peace.

What? No thats not what I mean at all. What I meant to say is that to gain weight, you have to eat more kcals than you burn and to lose weight, you have to burn more kcals than you eat. Do you disagree with that?

Also doesn't work. They relapse, they have heart attacks, you and I pay their rehab bills and disability benefit.

At least, the way the population adopts these techniques anyway. Its one thing to tell people what they should be doing, its completely another to actually successfully and sustainably change their behaviour.

Where something is life-threatening, I'd rather go for results.

Bariatric surgery is very good at curing diabetes etc too, not just weight loss.