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Bariatric Surgery/1 month post op rny

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Expert: - 7/21/2008


Question
QUESTION: i am following all orders, but i am losing weight very slowly. 2 lbs. a wk. is this 'normal'.  i am very discouraged. i thought the weight would fall off

ANSWER: Jennifer,
It is not typical in my experience to have a weight loss this small.  You will need fairly detailed follow up to trouble shoot this issue, and this can only be done well in person, with your surgeon and the program.

Best of luck to you!

Dr JP

---------- FOLLOW-UP ----------

QUESTION: i spoke to my doc he said it is normal.  now i am really concerned

Answer
Jennifer,
In my experience, 2 pounds per week is a really good pace in the long run, but it is a bit slow at the beginning (in the first month).  I suggest you ask your surgeon to map out in greater detail how much weight you may lose, on what time course, assuming you are an average patient in his/her practice.

I hope this provides some reassurance.

Dr JP

Bariatric Surgery

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Volunteer

John Pilcher, MD

Expertise

I can answer medically oriented questions about bariatric surgery including: patient selection, preparation for surgery, differences between types of bariatric surgery, aftercare following bariatric surgery. I can answer detailed questions about gastric bypass, Lap-Band, gastric sleeve, and revision bariatric surgery. I am only somewhat familiar with Biliopancreatic diversion. I am not prepared to answer insurance or other financial questions related to bariatric surgery.

Experience

I have been a practicing bariatric surgeon since 1995. About 85% of my current practice consists of bariatric surgery, including all of the above procedures except biliopancreatic diversion. I am the senior surgeon of a 5-surgeon group. I am recognized among surgeons and other medical professionals as the most experienced bariatric surgeon in my region.

Organizations
Fellow of American College of Surgeons Member, American Society for Bariatric Surgery

Education/Credentials
BA in Biochemistry - University of Virginia Medical Degree - University of Virginia Surgical Residency - University of Virginia

Awards and Honors
Alpha Omega Alpha

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