![]() ![]() It exerts a less visible but equally powerful effect on the many different hormones that control hunger. In another common procedure, surgeons sculpt the stomach into a banana- size “sleeve” and toss the rest another common type involves rerouting the intestines in a way that minimizes the area where calories can be absorbed.īut bariatric surgery does more than shrink gastrointestinal real estate. This gastric bypass lets food circumvent most of the stomach, leaving fewer opportunities for the body to harvest nutrients. These days, the most commonly performed surgery is called a Roux-en-Y, which shrinks the stomach to the size of a walnut-so people need less food to feel satisfied-and then reconnects it to the small intestine in a Y shape, rather than linearly. The term bariatric surgery refers to several different procedures that reshape the gastrointestinal tract so that it absorbs fewer nutrients, holds less food, or both. Initial attempts made people so sick that, at times, the surgery had to be reversed. Unlike semaglutide, bariatric surgery, first introduced in the 1950s, took several decades to become accepted by the medical community. The new drugs, however potent, may be less a revolutionary fix for obesity and more a powerful tool for treating it-one of many that already exist. People may seek out treatment with the new drugs because they’re so popular, but “long term, there will be an increase in surgery,” Shauna Levy, a professor specializing in bariatric surgery at Tulane University School of Medicine, told me. Most people experience weight loss of 50 percent and, with one procedure, up to 80 percent, according to the Cleveland Clinic.ĭespite the impressive abilities of the new crop of weight-loss drugs-and bold assertions that such drugs could someday replace surgery outright-several doctors told me that surgery will likely continue to be the top-line treatment for obesity, even as the medications improve. This class of procedures, which, broadly speaking, reconfigure the digestive system so people feel less hungry and more full, is considered to be the “gold standard” for treating obesity, Holly Lofton, an obesity-medicine physician at NYU, told me. Bariatric surgery, which has existed for many decades, is still significantly more potent. All signs suggest that America is on the verge of a weight-loss revolution.īut for people with obesity, semaglutide isn’t even the most effective weight-loss treatment around-not even close. An even more powerful drug, known as tirzepatide, or Mounjaro, may soon be approved for weight loss, and a host of new medications are coming down the pipeline. Ozempic itself is technically a diabetes drug, but its active ingredient, semaglutide, has been approved by the FDA for weight loss under the brand name Wegovy, and can reduce a person’s body weight by up to 20 percent through a weekly injection. ![]() Never before has a weight-loss treatment been hyped this way and been able to deliver on its promise. A highly public ad campaign from one start-up, Ro, banks on the drug’s simple premise: “A weekly shot to lose weight.” Demand for the drug, popularly used for weight loss, is so monumental that it is already changing the diet industry and spurring a “marketing bonanza” among the dozens of telehealth start-ups that now prescribe it. The Ozempic craze shows no signs of slowing. ![]()
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