Would you consider private bariatric surgery with a BMI of 30?

[Miababe]

I've been recently diagnosed with severe sleep apnoea and have a CPAP machine. This has been a big shock to me and scary. I also have high BP which is controlled with medication and osteoarthritis in my hips/hands though mildly, but does feel uncomfortable every day. I know I need to lose 3 stone in order to have a chance of coming off of CPAP for good. I have a BMI of 30.

I find it really difficult to stick to any diet because I have complex needs kids and get tired etc. I know I should persevere and lose the weight with will power but it would need to be lifelong.
I understand that private hospitals/clinics do not have to stick to the NICE guidelines when it comes to BMI eligibility for bariatric surgery so with my BMI at 30 but with co-morbidities I could be accepted for the band or sleeve. Do you know anyone who has gone private and had these done with a BMI of 30? Would you if you were in my position?

Can you focus on changing what you eat op rather than calories etc? Something like Zoe programme? That would give you more energy. It's not a quick fix but it would be the most sustainable and most likely to keep the weight off in the long run. It does cost but much cheaper than WLI.

Your dietician wants sacking, that is such terrible advice. I cannot believe a medical professional would advise surgery over trying the injections/ pills first. With GLP-1s, you are totally in control of what you eat so it’s actually pretty easy to make sure you get the nutrition you need. Of course there are those who don’t do that and end up sick but that’s a small number of users. Also, if the GLP-1s don’t agree with you and the side effects are too much, you can just go off them. Not so with surgery, you’re stuck with it for life and even when it stops working, may cause you issues.

Would a surgeon even operate on someone with such a relatively low BMI?

All surgery carries risks and I know someone who died because of his bariatric surgery.

Bariatric surgery also has a 60 percent regain rate.

imagine being so ill informed and bad at your job as a dietician you advise someone for risky surgery v very safe drugs, them talk absolute shite about malnutrition, which is even logically a higher risk with surgery.

I thought you had to have qualifications to be a dietician.

your dieticians view is probably party personal/biased based on people referred to her because they've developed nutritional problems, she may have a more negative impression than obesity doctors who see hundreds of patients many who have more positive success stories.

Did she talk about pro and cons of surgey vs injections for your specific circumstances, what she would recommend and why? What type of nutritional deficiencies she has seen? The positive benefits from reduced inflammation etc. Unless she has specialist training in the area it is likely she is speaking outside her role and expertise.

I wouldn’t dismiss the injections from her ‘opinion’, speak to someone more qualified.

@KitcheKitcheyayaI’m sorry you’ve had such struggles. My experience has not been quite so bad, and I’m not malnourished. But I certainly hear you about wishing the jabs had come along a few years earlier.

My doctor’s practice is usIng wli at lower doses. Instead of going up as fast as possible, we stay at the lowest dose until we plateau and only then do we increase. It keeps side effects low and forces you to make lifestyle changes along the way. This is something they started based upon some studies that were done on effective ways to use the medications.

its not the fast weight loss some people get, but it works. I highly recommend it.

The catch is that it costs more to be on the drugs longer. Not everyone has that flexibility.

My friend had her sleeve three years ago and is still very overweight. She eats high fat foods and then feels sick.
Wli didn't suit me but I've lost 6+ stone using nutricheck. I had sleep apnea but it's gone now. I'm bmi 27 from 43.

Same with my friend. I lost 3 stone on Wegovy.

Gonna be a hell of a lot easier to eat a nutritious diet on weight loss jabs than it would be after bariatric surgery. I genuinely had no idea it was even possible to obtain bariatric surgery at a BMI of 30.