Frequently Asked Questions

We understand that paying for weight loss surgery is a big consideration, and so we make the process as smooth as possible for you, whether you're using insurance, a payment plan, or other financing options. Our team at Iowa Weight Loss Specialists is here to help you explore your options and find the best way to finance your surgery, so you can focus on your health and well-being.

Insurance Coverage

The first step in paying for weight loss surgery is to check if your health insurance provider covers the procedure. Many major insurance providers, especially Preferred Provider Organization (PPO) plans, will cover weight loss surgery if you meet certain criteria.

Here’s a list of some common requirements for insurance coverage:

• Body Mass Index (BMI) over 40, or over 35 with a pre-existing condition (like hypertension, Type 2 diabetes, and sleep apnea.)
• A documented history of previous weight loss attempts
• Participation in a weight loss program (required by some insurance providers)
• No smoking before surgery
• No substance abuse
• You are 18 years of age or older
• Psychological testing may be required
• A diagnosis of class III obesity

Medicare plans may also cover weight loss surgery if you simply meet the conditions related to class III obesity. If you are unsure about what your insurance covers, our financial counselor will help you review your policy and guide you through the process.

Cash Pay Option

For those who do not have insurance coverage or prefer not to use their insurance, we offer a cash-pay option. This gives you the flexibility to pay for your surgery directly without going through an insurance company. If you choose this route, we will work with you to make sure the payment process is clear and manageable. 

If you’re able to plan ahead, you can set aside money over time to pay for your surgery without using credit or loans. Saving for your procedure can provide peace of mind, as you won’t need to take on debt or worry about interest rates. If you can wait a year or two before having surgery, creating a savings plan might be a great option. 

Financing Options

If paying for surgery upfront is difficult, there are several financing options available to help make weight loss surgery more affordable.

Medical Loans

A medical loan is a personal loan specifically for medical expenses. Medical loans typically work best for those with good or excellent credit. The loan amount and repayment terms will vary, but they can range from $1,000 to $100,000, with terms from 12 to 144 months. Some lenders may offer loans with annual percentage rates (APRs) as low as 6%, while others may go up to 36%, depending on your credit score and other factors.

Secured Personal Loans

If you have collateral, such as a car, house, or savings account, you may qualify for a secured personal loan. This option can offer better interest rates and terms than unsecured loans. However, it’s important to understand the risks, as you could lose your collateral if you are unable to repay the loan.

No-Interest or Low-Interest Credit Cards

Some people choose to use a credit card with a low introductory APR or even 0% interest for a certain period. This can be a good option if you’re able to pay off the balance before the introductory period ends. However, it’s important to be aware that after the introductory rate expires, the interest rate can increase dramatically. As of 2024, the average credit card interest rate in the U.S. is 24.59%.

Medicare Coverage

Does Medicare pay for weight loss surgery? Yes, Medicare may cover some bariatric surgeries for those who meet specific conditions related to class III obesity. However, Medicare doesn’t cover certain costs, such as transportation to a bariatric surgery center. Your costs may vary depending on whether you’re an inpatient or outpatient, and it’s always a good idea to check with your Medicare plan to understand the details of your coverage.

Our Financial Counselor is Here to Help

Understanding how to pay for weight loss surgery can be overwhelming, but you don’t have to navigate it alone. Our financial counselor will work closely with you to explore all options and help you find the most affordable solution. Whether you’re using insurance, a financing plan, or paying out of pocket, we’re here to support you every step of the way. 

We accept most insurances and have a cash pay option available for those who may not have coverage through their insurance company. We’ll review your insurance policy to identify what we need to do to get your weight loss surgery financed in the most efficient way possible.

Ready to get started? Reach out today, and let’s work together to help you achieve your weight loss goals!

Request for Surgical Weight Loss Consultation

Gastric sleeve surgery, also known as sleeve gastrectomy or bariatric surgery, is a procedure aimed at helping individuals with severe obesity achieve sustainable weight loss. However, like any major surgery, there are important requirements and considerations to ensure that it is a safe and effective option for you. If you're contemplating this surgery, you must undergo a comprehensive evaluation. This evaluation is crucial for determining whether gastric sleeve surgery is suitable for your situation, given the potential risks involved.

General Eligibility Criteria

While insurance requirements may vary, to be considered for gastric sleeve surgery, you generally need to meet the following criteria:

1. Severe Obesity: You must have a Body Mass Index (BMI) of 40 or higher, indicating Class III obesity. Alternatively, you may qualify if your BMI is between 35 and 40 and you have related health conditions, such as type 2 diabetes, high blood pressure, or severe sleep apnea. In some cases, individuals with a BMI of 30 to 34 may also qualify if they have serious weight-related medical conditions.
2. Previous Weight Loss Attempts: You must have made genuine efforts to lose weight before considering surgery. This typically involves having participated in medically supervised weight loss programs. You may need to complete three to six months of such a program as a prerequisite for insurance coverage.
3. Age Requirements: Candidates must usually be between 18 and 65 years of age. This age range is considered optimal for the risks and benefits associated with the surgery.
4. Mental and Physical Preparedness: Being mentally and physically prepared for surgery is critical. This means you should be ready to make significant lifestyle changes, including alterations in diet and exercise habits. Before surgery, you'll consult with a team of healthcare professionals, including dietitians and psychologists, who will evaluate your readiness and provide necessary counseling.
5. Commitment to Lifestyle Changes: Gastric sleeve surgery is not a standalone solution; it requires a commitment to lifelong lifestyle changes. You must be willing to engage in ongoing follow-up care that focuses on monitoring nutrition and medical conditions.
6. Absence of High-Risk Medical Conditions: You must not have medical conditions that would increase the risks associated with anesthesia or surgery. Common conditions that could pose a risk include uncontrolled diabetes or severe cardiovascular issues.

Specific Requirements

To provide a more detailed picture, here are specific requirements you may need to fulfill:

• Nicotine and Substance Use: You must be nicotine-free and free from substance abuse. Some insurance companies require testing for drugs and alcohol as part of their approval process.
• Psychosocial Evaluation: You will undergo a psychosocial-behavioral evaluation within 12 months before the surgery. This evaluation will assess your mental health history, eating behaviors, and readiness to change.
• Medical History and Examination: A comprehensive medical history and physical examination must be completed within six months of your approval request. This includes documentation of any prior weight loss attempts, current medications, and any obesity-related conditions.
• Commitment to Avoid Pregnancy: You must avoid pregnancy before the surgery and for at least 18 months afterward to ensure both your health and the health of your baby.
• Comorbid Conditions: If you have obesity-related medical conditions, such as sleep apnea or high blood pressure, these must be documented, and their management should be optimized before surgery. This could involve consultations with specialists, such as cardiologists or pulmonologists.

Gastric sleeve surgery can be a life-changing option for those struggling with Class III obesity. However, it's essential to understand the extensive requirements and commit to the necessary lifestyle changes. A successful outcome depends not just on the surgery itself but also on your willingness to embrace a healthier way of living. Always consult your healthcare provider for personalized advice and guidance tailored to your unique circumstances.

Weight loss surgery, also known as bariatric surgery, offers a life-changing solution for individuals struggling with severe obesity and obesity-related health conditions. But who exactly qualifies for weight loss surgery? The answer is that nearly 30 million people in the U.S. meet the weight loss surgery criteria, but only about .5% of them end up having the surgery. 

To understand whether weight loss surgery might be an option, it's important to know the eligibility guidelines, the benefits, and the factors that can influence your decision. 

Eligibility for Weight Loss Surgery

The main factor determining eligibility for weight loss surgery is body mass index (BMI), a measure of body fat based on height and weight.

• BMI of 40 or greater: This indicates severe obesity, typically considered to be at least 100 pounds over a healthy weight for your height.
• BMI of 35 or greater with obesity-related health issues: This includes conditions such as diabetes, high blood pressure, heart disease, sleep apnea, arthritis, and more. If you have a BMI in this range, along with one or more serious health conditions, surgery may be considered.

In addition to BMI, there are other factors to consider:

• Age: Adults in good overall health and have reached their full adult height are generally eligible. In some cases, teenagers who have completed puberty and meet certain criteria may also qualify for surgery.
• Health Conditions: Conditions like diabetes, high blood pressure, and joint pain related to obesity increase the likelihood of qualifying for surgery. The goal is not just to lose weight but to reduce or eliminate these health risks.
• Failed Weight Loss Attempts: If you've tried other weight loss methods (like dieting or exercising) without long-term success, weight loss surgery may be an option to help you achieve sustainable results.

Factors That May Limit Access to Weight Loss Surgery

While many people qualify for weight loss surgery, some factors can make it more challenging to access this treatment:

• Misconceptions about the Risks: Some people hesitate because they fear the risks of surgery. While bariatric weight loss surgery can carry risks, the benefits often outweigh them for individuals with severe obesity and related health conditions.
• Insurance Coverage: Not all insurance plans cover bariatric surgery, and each policy has its own guidelines and requirements.
• Substance Abuse or Severe Psychiatric Disorders: Individuals with uncontrolled substance abuse problems or severe mental health conditions may not be eligible for surgery until these issues are addressed. Mental health is a key component of a successful recovery after surgery.

The Screening Process

Before surgery, a comprehensive screening process ensures that you're a good candidate. This process includes:

• Nutritional Evaluation: A dietitian will assess your current eating habits and offer guidance on how your diet may need to change after surgery.
• Social Service Evaluation: Support systems are important for long-term success, and this evaluation helps assess your social and family support.
• Psychological Evaluation: Understanding your mental health, motivation, and readiness for the lifestyle changes that accompany surgery is critical for success.
• Medical and Surgical Screening: A complete medical evaluation helps identify conditions that could complicate surgery or recovery.

How to Know if You're Ready for Surgery

If you're considering weight loss surgery, your medical team will help you determine if you're ready. This will involve assessing:

• Your Medical History: This includes conditions like sleep apnea, heart disease, and joint pain, which may require additional treatments before surgery.
• Your Mental Health: The surgery requires significant behavioral changes, so being in good mental health is essential for long-term success.
• Commitment to Change: Weight loss surgery isn't a quick fix; it requires a long-term commitment to changing your eating habits, increasing physical activity, and attending follow-up appointments.

Achieve a Healthier, More Fulfilling Life

In short, many people qualify for weight loss surgery, especially those who are significantly overweight and dealing with health problems as a result. If you meet the medical guidelines and are motivated to make lasting lifestyle changes, surgery may be an effective tool to help you achieve a healthier, more fulfilling life. However, the decision should not be taken lightly. It’s important to thoroughly assess whether you’re ready for the physical, emotional, and lifestyle changes that come with surgery. 

At Iowa Weight Loss Specialists, we offer a range of services—from medical weight management and behavioral health support to patient support groups and community resources—to help you reach and sustain your weight loss goals.
 

Choosing the right weight loss surgeon is one of the most important steps in your journey toward better health. The decision may feel overwhelming, but it’s crucial to feel confident, comfortable, and well-informed before moving forward. At Iowa Weight Loss Specialists, we understand how important this decision is, and we are here to guide you every step of the way.

Request for Surgical Weight Loss Consultation

Below, we’ve outlined key considerations to help you choose the best weight loss surgeon for you.

1. Training and Experience

When selecting a surgeon, always prioritize those who specialize in bariatric surgery. Look for surgeons who have additional fellowship training in this field and are recognized as leaders in bariatric surgery and scientific research. Surgeons with years of experience, such as our team at Iowa Weight Loss Specialists, are familiar with the various challenges that come with weight loss surgery and are equipped to provide the highest quality care.

2. Insurance Coverage

Before choosing a surgeon, check if they are part of your insurance provider's network. This will help you avoid unexpected costs and ensure that your surgery is covered. At Iowa Weight Loss Specialists, we work with a variety of insurance providers to help you navigate the financial aspect of your surgery, ensuring that your insurance plan covers the procedure.

3. Team Approach

Weight loss surgery is not just about the surgeon—it's about the whole team. When choosing a bariatric surgeon, ensure they are part of a larger team of specialists who work together to provide comprehensive care before, during, and after surgery.

At Iowa Weight Loss Specialists, our team is always available to address your concerns and assist you, even in emergencies. This ensures you receive the best medical care at every stage of your journey.

4. Meeting Your Surgeon

A personal connection with your surgeon is essential for a successful weight loss surgery experience. You want to feel comfortable asking questions, expressing concerns, and trusting your surgeon throughout the process.

At Iowa Weight Loss Specialists, you’ll meet your surgeon at the very first consultation. We believe in getting to know you as a person, not just as a patient, so we can provide personalized care tailored to your specific needs. Dr. Todd Eibes, a key member of our surgical team, takes a personal approach with every patient to ensure that all questions are answered and that you feel confident about your decision.

5. Minimally Invasive Techniques

Minimally invasive surgeries are often preferred because they involve smaller incisions, which can lead to less pain, quicker recovery, and fewer complications. Be sure to ask your surgeon if they offer these techniques for bariatric procedures.

6. Credentials of the Surgeon and Team

Look for a board-certified, fellowship-trained bariatric surgeon. These credentials show that the surgeon has received extensive training and education specifically in weight loss surgery. Also, ensure the team supporting the surgeon is well-trained, including specialists in bariatric care who can provide comprehensive support during your journey.

7. Pre- and Post-Surgery Education & Support

The best weight loss surgeons provide ongoing support throughout your weight loss journey. Ask about the pre-surgery education, post-surgery follow-up, and long-term weight management plans that the surgeon and their team offer. A strong support system is key to long-term success.

Meet Dr. Todd Eibes: Experienced and Dedicated

Our surgeon at Iowa Weight Loss Specialists is Dr. Todd Eibes, who has over 20 years of experience in bariatric surgery. Dr. Eibes received his medical degree from the University of Iowa Carver College of Medicine, where he trained under the guidance of Dr. Ed Mason, a pioneer in bariatric surgery.

Since starting his practice in 2001, Dr. Eibes has performed over 500 gastric bypass surgeries, 650 lap-band procedures, and 2,800 sleeve gastrectomies. His patients typically lose 60-70% of their excess weight after surgery, thanks to Dr. Eibes' expert surgical skills and the ongoing support of our dedicated weight management team. Dr. Eibes has a complication rate within the national average of 1-2%, demonstrating his skill in performing safe and effective surgeries.

Dr. Eibes is passionate about his patients' success and is committed to providing high-quality care, both before and after surgery. His extensive experience and excellent track record make him a trusted and reliable surgeon for those looking to make a life-changing transformation.

Choosing the Right Weight Loss Surgeon

When it comes to selecting a weight loss surgeon, there are several factors to consider: the surgeon's experience, the types of surgeries offered, the support team, and the care available before and after surgery. Choosing a surgeon like Dr. Todd Eibes, who has years of experience, specialized training, and a strong commitment to your success, can set you on the right path to achieving your weight loss goals.

At Iowa Weight Loss Specialists, we are here to answer all of your questions and help you make an informed decision. We understand how important this step is in your journey to better health, and we are here to support you every step of the way.

Ready to take the next step? Contact us today to schedule your consultation and meet our dedicated team!

Request for Surgical Weight Loss Consultation

When considering bariatric surgery, it’s important to understand the different types of procedures available and how each can help you reach your weight loss goals. At Iowa Weight Loss Specialists, we are committed to providing personalized care and guiding you through the decision-making process. Bariatric surgery options vary, and the best choice for you depends on your health, goals, and lifestyle. Here’s a simple breakdown of the main types of bariatric surgery to help you make an informed decision.

Request for Surgical Weight Loss Consultation

1. Gastric Sleeve

Gastric sleeve surgery, or sleeve gastrectomy, is one of the most common weight loss surgeries. This procedure permanently removes about 75% of your stomach, leaving a small, banana-shaped pouch. This reduced stomach size helps you feel full faster and for longer periods after eating.

Benefits:

• Significant weight loss, with patients typically losing 60% of their excess weight.
• Reduces hunger by removing the part of your stomach that produces the appetite-stimulating hormone (ghrelin).
• No malabsorption issues, so you can still eat a variety of foods in smaller portions without nutrient deficiencies.

Who’s it for? If you have a BMI of 40 or above and are looking for a permanent solution with substantial weight loss, the gastric sleeve procedure may be the right option for you. It’s ideal if you’re ready for a lifestyle change and want to lose weight while still enjoying a variety of foods.

2. Gastric Bypass

Gastric bypass surgery is another highly effective option for weight loss. It involves dividing your stomach into two sections and rerouting part of your small intestine to create a smaller stomach pouch. As a result, you consume fewer calories because part of the food you eat bypasses digestion.

Benefits:

• Rapid weight loss, with patients often losing 70% of their excess weight.
• Effective for individuals with a BMI of 35 and above, especially those with medical conditions like type 2 diabetes.
• Long-term weight loss success with significant improvements in health.

Who’s it for? This surgery may be appropriate if you have a BMI of 35+ with obesity-related health issues or a BMI of 40+. However, be prepared for potential nutritional deficiencies and the need for lifelong supplements. It’s also important to be aware of possible side effects, such as “dumping syndrome,” where you might experience nausea after eating certain foods.

3. Gastric Band

A gastric band surgery involves placing an inflatable silicone band around the upper part of your stomach to create a small pouch. This reduces the amount of food you can consume and makes you feel fuller more quickly.

Benefits:

• It’s the least invasive option with a low risk of complications.
• Completely reversible, meaning you can choose to remove the band if necessary.
• Gradual weight loss of about 50-60% of your excess weight.

Who’s it for? The gastric band procedure is ideal if you’re looking for a non-permanent solution with minimal recovery time. If you're not ready for permanent surgery and prefer gradual weight loss with fewer risks, this might be the best option. It’s also suitable for those who prefer to avoid more invasive procedures.

Which Surgery is Right for You?

The best type of bariatric surgery depends on your circumstances. Factors such as your BMI, health history, and weight loss goals all play a role in determining the right procedure. At Iowa Weight Loss Specialists, we work with you to explore each option and help you choose the surgery that fits your lifestyle.

Why We Recommend the Gastric Sleeve

At Iowa Weight Loss Specialists, we perform the Gastric Sleeve procedure on our patients. This type of weight loss procedure offers several advantages:

• ●    Lower risk of complications compared to other procedures like gastric bypass.
• ●    A permanent solution to obesity with significant and sustained weight loss.
• ●    Fewer dietary restrictions and better nutrient absorption than the gastric bypass.

We believe the gastric sleeve provides the best balance of benefits and risks, helping you achieve long-term success in your weight loss journey.

Ready to Start Your Weight Loss Journey?

Choosing bariatric surgery is a big decision, and it’s important to feel confident in your choice. Our team at Iowa Weight Loss Specialists is here to support you every step of the way. A consultation with our bariatric surgeon, Dr. Todd Eibes, can help you better understand your options and find the procedure that’s best for your health and lifestyle.

Contact us today to schedule your consultation and take the first step toward a healthier future!

Request for Surgical Weight Loss Consultation

Please click on each link below to review the list of pros and cons of each procedure.

Laparoscopic Sleeve Gastrectomy (Gastric Sleeve)

Laparoscopic Adjustable Gastric Band (Lap-Band)

Roux-en-Y Gastric Bypass

How Does Weight Loss Surgery Help With Diabetes?

For many people with type 2 diabetes, weight loss surgery can dramatically improve blood sugar control. Here’s how:

Significant Weight Loss

Most patients lose a large amount of weight after surgery, which can improve insulin sensitivity and help manage blood sugar levels.

Hormonal Changes

The surgery alters gut hormones, increasing hormones like GLP-1 that help with insulin production and improving how your body uses glucose.

Rapid Improvement

Patients often notice better blood sugar control soon after surgery, sometimes even before losing significant weight.

Diabetes Remission

Many individuals can achieve remission, meaning they no longer need diabetes medications after surgery.

How Does Weight Loss Surgery Work?

Weight loss surgery is typically recommended for individuals who are severely overweight and have not had success with lifestyle changes like diet and exercise. If you have type 2 diabetes and your weight is affecting your health, you may be a candidate. It’s essential to discuss your situation with a healthcare professional to determine the best option for you.

The surgery works by:

• Reducing stomach size: This limits food intake, making your stomach feel full more quickly.
• Changing how nutrients are absorbed: It decreases the number of calories your body can absorb.
• Altering gut hormones: This leads to better insulin sensitivity and more stable blood sugar levels.

Is Weight Loss Surgery a Permanent Cure for Diabetes?

While weight loss surgery can lead to significant improvements and even diabetes remission, it’s not always a permanent cure. Patients must maintain a healthy lifestyle after surgery. If weight is regained, diabetes symptoms may return, and medication might be needed again. However, many patients experience long-term success by making lifestyle changes.

How Quickly Can I Expect to See Blood Sugar Level Improvements?

Many patients notice improvements in their blood sugar levels soon after surgery. In fact, some see changes within days or weeks, even before losing a lot of weight. This can lead to a reduced need for diabetes medications shortly after the procedure.

Or you can read more about this topic in Dr. Eibes’ blog, “Can Weight Loss Surgery Reduce or Eliminate the Impact of Diabetes?”

For more information, watch the YouTube video below.

Many people know that obesity can lead to chronic health issues like heart disease and diabetes, but fewer realize it can significantly affect fertility. Maintaining a healthy weight is crucial for women looking to conceive. Being overweight or obese can disrupt hormonal balance and interfere with ovulation, making it harder to get pregnant.

Excess weight affects hormones

Excess weight can lead to hormonal imbalances, particularly in women. Fat cells produce estrogen, and as body weight increases, so does estrogen production. An excess of estrogen can disrupt the hormonal signals that regulate the menstrual cycle, which may lead to irregular ovulation or even prevent ovulation entirely. This means that even if you are ovulating, the quality of your eggs might be affected.

The Effects of Being Overweight During Ovulation

Ovulation is crucial for conception. Studies show that women with a Body Mass Index (BMI) above 27 are three times more likely to experience anovulation, where no egg is released. If you are overweight, your chances of conceiving can significantly decrease. Weight loss has been shown to improve fertility in obese women.

Additional Benefits of Weight Loss Before Pregnancy

Significant weight loss before pregnancy can reduce the risk of serious complications, such as gestational diabetes and hypertensive disorders like preeclampsia. For women with conditions like Polycystic Ovary Syndrome (PCOS), weight loss can also alleviate symptoms and improve fertility.

How Does Obesity Affect Pregnancy Loss Rates?

Being overweight not only makes it harder to conceive but also increases the risk of miscarriage. Studies have shown that obese women face higher rates of pregnancy loss, which can be emotionally devastating for couples trying to start a family.

Weight and IVF Fertility Treatments

If you are considering fertility treatments such as in-vitro fertilization (IVF), it’s important to know that excess weight can lower success rates. Research indicates that women with a higher BMI may have lower chances of achieving a live birth through IVF.

How Does Insulin Resistance Affect Fertility?

Excess weight can lead to insulin resistance, where the body struggles to manage blood sugar levels. This condition can further disrupt hormone levels and lead to issues like PCOS, which is a common cause of infertility characterized by irregular periods, obesity, and elevated male hormones.

How Much Weight Loss is Needed to Improve Fertility?

Even a modest amount of weight loss can enhance fertility. Losing 5-10% of your body weight can help restore hormonal balance, regulate ovulation, and improve egg quality.

For more information watch the YouTube video below.

Many women elect to have a Gastric Sleeve, because their obesity is preventing them from getting pregnant. You may become more fertile as you lose weight. Often, your obesity causes abnormal estrogen levels that can return to normal as you lose weight.  

It’s important that you wait until it’s safe for you to be pregnant after your surgery. Your birth control pills may not work around the time of your surgery due to the medication you receive with surgery. Remember to use other methods of birth control (barrier contraceptive) and talk with your family physician about this.

You should avoid pregnancy for the first 12 months after surgery due to your rapid weight loss. A pregnancy that occurs soon after weight loss surgery can have severe consequences for both the mother and the baby. Once you are over a year, your risks during pregnancy fall to significantly less than when you were morbidly obese. Your risk of gestational diabetes and preeclampsia are much lower than when you were morbidly obese. If you require a C-section during the delivery, the surgical risk is significantly less once you lose your excess weight.

An advantage of the Gastric Sleeve is that you continue to absorb nutrients normally, so your risk of vitamin deficiency is much less than with a gastric bypass. When all factors are considered, once you have your Sleeve and you have time to get your weight under control, your fertility increases and pregnancy becomes much safer for both mother and baby.

However, please do take the following precautions:

• Correct vitamin deficiencies before conception
• Add prenatal supplements (calcium citrate, iron, vitamin D)
• Pay attention to overall nutrition during first trimester
• Talk to high-risk OB/GYN for monitoring during pregnancy
• Check homocystein levels (Neural tube defects can occur from folic acid deficiency)
• Limit daily intake of Vitamin A to no more than 10,000 IU/day (Fetal malformations have been linked to daily exposure of 20,000 IU of Vitamin A from supplements)

If you struggle with sleep apnea and are overweight, you are not alone. Morbid obesity can cause sleep apnea and other respiratory problems that may result in chronic fatigue.

Obesity is one of the most important factors for the development of sleep apnea, which is when breathing suddenly stops because soft tissue in the back of the throat collapses and closes during sleep.

Studies have shown that weight loss surgery is an effective tool for treating obesity, and for preventing, treating and even resolving sleep apnea.

By losing just 10% of your body weight, you can decrease your risk of developing sleep apnea by over 25%.

Successful bariatric surgery is associated with the improvement or complete resolution of obstructive sleep apnea. Individuals that have had weight loss surgery report significant reductions in snoring and daytime sleepiness. Many individuals who had to use a CPAP before surgery do not require it months after their weight loss procedure.

Depression and anxiety are common among morbidly obese patients who have weight loss surgery. In a 2011 study, Jonathan Finks, an assistant professor of surgery of University Michigan and his co-authors observed that 46% of the patients receiving weight loss surgery had a psychiatric disorder.

They examined data from the Michigan Bariatric Surgery Collaborative that contains data of more than 26,000 patients who have undergone weight loss surgery since 2006. The surgeries included gastric bypass, gastric sleeve, gastric banding, and the duodenal switch (similar to gastric bypass, but keeps some stomach and passes most of the intestine).

Before the surgery, 72% of patients with depression used antidepressants. A year after bariatric surgery, the percentage of people taking antidepressants dropped to 60%. Finks added that the percentage of people responding to the surveys a year later dropped to just 31%.

While weight loss alone can’t cure clinical depression, most post-surgical patients do report a significant improvement in their mood and outlook on life.

Yes, losing weight can help ease the pain and reduce the severity of arthritis, especially if you are overweight or obese. Whether you have osteoarthritis (OA), rheumatoid arthritis (RA), or other forms of arthritis, shedding extra pounds will positively impact your joints. Here’s how:

1. Less Pressure on Your Joints

When you're overweight, the added weight puts extra pressure on your joints, particularly those in the knees, hips, and lower back. Even a modest amount of weight loss can make a big difference. Studies have demonstrated that for every pound of weight lost, there is a corresponding reduction of four pounds of pressure on the knees. So, losing just 10 pounds can relieve 40 pounds of pressure from your knees, which helps reduce pain and improve mobility.

2. Joint Pain Relief

Losing weight can reduce arthritis pain, especially in cases of knee osteoarthritis. Research shows that weight loss improves pain, function, and quality of life for people with arthritis. In one study, people who lost 10-20% of their body weight experienced more significant pain relief than those who lost only a small amount. So, greater weight loss can lead to better outcomes, including less back, hip, and knee joint pain and improved ability to move around.

3. Reduced Joint Inflammation

Fat tissue in the body isn’t just a passive store of energy—it can produce chemicals that cause inflammation. This inflammation can worsen arthritis symptoms and make autoimmune diseases like rheumatoid arthritis or psoriatic arthritis worse. By losing weight, you can lower the amount of fat in your body and, in turn, reduce overall inflammation. This can help decrease pain and swelling in your joints.

4. Better Disease Activity Control

For people with rheumatoid arthritis (RA) and psoriatic arthritis (PsA), losing weight can improve disease activity. Studies have shown that people with RA who lost just 10 pounds (about 5 kg) were three times as likely to experience less disease activity compared to those who didn’t lose weight. This means that losing even a small amount of weight could help you manage your arthritis more effectively.

5. Improved Chance of Remission

If you have rheumatoid arthritis or psoriatic arthritis, being overweight can make it harder to achieve remission, which is when symptoms are minimal or absent. Research has shown that obese people with RA have lower chances of reaching and maintaining remission, even with the help of medications. Losing weight can improve your chances of achieving remission and reduce the severity of your arthritis symptoms.

6. Lower Uric Acid Levels and Fewer Acute Gout Attacks

If you have gout, weight loss can also be beneficial. Gout is caused by high levels of uric acid in the blood, which can lead to painful joint flare-ups. Studies show that people with gout who lose weight have lower levels of uric acid, leading to fewer gout attacks.

7. Slower Cartilage Damage in Osteoarthritis

In osteoarthritis (OA), the cartilage cushioning the joints can break down over time, causing pain and stiffness. Research has shown that weight loss can slow down this process. A study of people with knee OA found that those who lost weight had less cartilage deterioration over time. The more weight they lost, the slower the progression of the disease.

Less Weight Means Less Discomfort

Losing weight can significantly improve your arthritis symptoms by reducing pressure on your joints, easing pain, or lowering inflammation. Even modest weight loss can make a real difference in managing arthritis, and the benefits go beyond just feeling better. If you’re living with arthritis, losing weight could be a key part of managing your condition and improving your overall quality of life.

If you are overweight and have arthritis, consider talking to a healthcare provider or weight loss expert for personalized advice and support. At Iowa Weight Loss Specialists, we can help you develop a safe and effective plan to achieve your weight loss goals and improve your arthritis symptoms.

Class III obesity is a serious medical condition where a person's weight is significantly higher than normal. Healthcare providers use Body Mass Index (BMI) to determine obesity levels. A BMI of 40 or higher indicates morbid obesity, while a BMI of 35 or higher can also qualify if there are related health complications.

Understanding BMI

Body Mass Index (BMI) is a calculation based on your height and weight. It helps categorize individuals into different weight classes. A BMI of 40 or more is classified as Class III obese, meaning that the individual has an increased risk of serious health issues. BMI is a useful tool, but it's important to remember that it doesn't capture all aspects of health.

Health Risks Associated with Class III Obesity

Class III obesity may significantly raise the risk of several serious health problems, including:

Impact on Life Expectancy

Individuals who are Class III obese may have a reduced life expectancy. Studies suggest that they can live up to 14 years less than those who are at a normal weight. This reduction in life span highlights the critical nature of addressing morbid obesity.

Physical Limitations

Class III obesity can severely limit mobility. Everyday activities, such as walking, climbing stairs, or even playing with children, can become challenging. This physical limitation can lead to a more sedentary lifestyle, which causes additional health issues.

Additional Assessment Tools

Healthcare providers often use other measurements to assess obesity. One such tool is waist circumference. For women, a waist size greater than 35 inches and for men, a waist size over 40 inches indicates a higher risk for health problems related to obesity. This measurement complements BMI and provides additional insight into an individual’s health.

Managing Morbid Obesity

The good news is that Class III obesity is manageable and treatable. Along with lifestyle changes, bariatric surgery has emerged as a safe and effective method for meaningful weight loss. Many patients experience improvement or even resolution of obesity-related medical conditions after undergoing surgery.

Take the First Step, Seek Treatment

Understanding Class III obesity is crucial for addressing this significant health issue. It’s essential to recognize that Class III obesity is not just a personal failing; it is a complex medical condition that requires comprehensive treatment, lifestyle changes, and support. Overcoming the stigma and adopting effective management strategies will improve health outcomes and quality of life.

• Type 2 Diabetes: Excess weight can lead to insulin resistance, a key factor in developing type 2 diabetes.
• Heart Disease: Obesity can increase the likelihood of heart conditions, including heart attacks, congestive heart failure, and strokes.
• Sleep Apnea: This condition, often associated with obesity, causes breathing to stop and start during sleep.
• Certain Types of Cancer: Being Class III obese is linked to an increased risk of various cancers, including breast, colon, and uterine cancer.
• High Blood Pressure: Extra weight strains the heart, leading to hypertension.
• Osteoarthritis: Excess weight can lead to joint pain and deterioration, particularly in weight-bearing joints like the knees and hips.
• Gastroesophageal Reflux Disease (GERD): Obesity can worsen acid reflux and heartburn.
• Infertility: Obesity can impact hormonal balance, affecting fertility in both men and women.

Your timeline for surgery will all depend on your insurance requirements, as well as your compliance with program requirements. The number of required supervised diet visits varies based on individual insurance policy. Your participation in supervised diet visits and progress toward goals set by our providers is critical to moving forward in the surgery process.

On average, most patients return to work in 2-3 weeks. You may need more time off if you have a strenuous, physical job like a firefighter or construction worker.

How long you will be off work after surgery is mostly determined by how weak and tired you feel. Your calories will be limited, plus you will be healing from a big surgery. The patients who don’t push their recovery find they have the fewest issues and challenges and actually get back to work the quickest.

Patients absolutely cannot return to work if still requiring medications that impact alertness and decision making.

Gastric sleeve surgery involves surgically reducing the size of the stomach, which can lead to significant weight loss by limiting food intake and altering digestion. While these procedures can lead to improved health and a better quality of life, it’s essential to understand the risks involved. 

Over the last 20 years, we have found that weight loss surgery has become increasingly safe. When you look at the diseases that most patients live with such as diabetes, heart disease, renal problems, and sleep apnea, it’s by far safer now to have surgery than to live with these medical problems.

General Risks Associated With Weight Loss Surgery

Like any surgery, bariatric surgery carries both immediate and long-term risks. Here are some, but not all, potential risks:

Specific Risks With Gastric Sleeve Surgery

Sleeve gastrectomy, one of the most common weight loss surgeries, has unique risks, including:

Potential Long-Term Complications

Long-term complications can arise after weight loss surgery, including:

Can These Risks Lead to Serious Outcomes?

While most complications can be managed, some can lead to serious health issues, including:

Weight loss surgery can be life-changing for many, leading to significant health improvements. However, it’s vital to understand the risks involved and to work closely with your healthcare team to ensure the best possible outcomes. If you have further questions or concerns, schedule an appointment with Iowa Weight Loss Specialists for more personalized information and support.

• Bleeding: Hemorrhage can happen either inside the abdomen or within the stomach, with an occurrence rate of about 6%.
• Infection: As with any surgical procedure, infections can develop post-surgery.
• Blood Clots: There is an increased risk of blood clots in the legs (deep vein thrombosis), which can travel to the lungs.
• Leaks: Leaks may occur at the staple line in the stomach, potentially leading to severe infections.
• Gallbladder Problems: Rapid weight loss can lead to gallstones in some patients.
• Lung Problems: Conditions like atelectasis, or partial lung collapse, are possible after surgery.
• Dehiscence:  If the stitched or stapled areas of the incision separate, it can lead to complications such as infection or delayed healing.
• Anesthesia Complications: Issues related to anesthesia and medications can also arise during and after surgery.
• Pulmonary problems: There is a risk of heart complications, including heart attacks.
• Bowel Blockage: Blockages in the intestines can occur, requiring further treatment.
• Poor Wound Healing: Some patients may experience issues with healing after the surgery.
• Gastroesophageal Reflux Disease (GERD): This surgery can increase the risk of reflux or worsen pre-existing conditions.
• Stricture: Some patients may develop a narrowing of the stomach sleeve, affecting food passage.
• Nutrient Deficiencies: Patients may need ongoing monitoring and supplements to prevent deficiencies in vitamins and minerals.
• Weight Regain: Weight gain is possible if patients do not follow their healthcare provider's recommendations.
• Death: Though rare, it’s important to acknowledge that any surgical procedure carries this risk.
• Spleen Injury: Accidental injury to the spleen during surgery can occur, requiring further intervention.

Reconstructive surgery, also known as body contouring, is a procedure aimed at removing excess skin and fat after significant weight loss. Many bariatric surgery patients find that after losing weight, they have loose skin that can affect their appearance and quality of life.

Why do people need reconstructive surgery after weight loss?

Determining the need for reconstructive surgery is a personal decision. When people lose significant amounts of weight, especially after bariatric surgery, they may be left with excess skin. This can happen because the skin stretches to accommodate the increased weight and may not fully bounce back after the weight is lost. This loose skin can lead to issues like:

Will everyone need reconstructive surgery?

Not everyone who loses weight will need reconstructive surgery. Whether or not you require this procedure depends on several factors, including:

When should I consider reconstructive surgery?

It's usually recommended to wait at least 12-18 months after your weight loss surgery before considering reconstructive surgery. This allows your body time to stabilize after weight loss and helps determine whether the skin will retract.

Will insurance cover reconstructive surgery?

Insurance coverage for reconstructive surgery can vary. Some plans may cover some costs if the excess skin causes medical issues. Still, many insurance companies consider it a cosmetic procedure and may not cover it fully. Be sure to check with your insurance provider for specifics.

What factors affect skin elasticity and recovery?

Several factors influence how well your skin will rebound after weight loss:

Is reconstructive surgery the final step in my weight loss journey?

For many, reconstructive surgery can be the final step in completing their weight loss journey. It can help eliminate excess skin and fat, leading to a more contoured appearance and boosting confidence.

Reconstructive surgery after significant weight loss is a personal choice. It can help enhance your quality of life and address physical and emotional concerns related to excess skin. If you have further questions about this or other weight loss issues, schedule an appointment with Iowa Weight Loss Specialists for more personalized guidance and support.

• Hygiene problems: Excess skin can make it difficult to keep certain areas clean, increasing the risk of skin infections.
• Clothing fit: Finding clothes that fit comfortably can be challenging with excess skin.
• Emotional impact: If loose skin affects your self-esteem or body image.
• Amount of weight lost: Generally, the more weight you lose, the more likely you will have excess skin that may need surgical removal.
• Skin elasticity: Some people have skin that bounces back better than others. Factors like age and genetics play a role in skin elasticity.
• Areas affected: Common areas for extra skin after weight loss include the abdomen, arms, thighs, and breasts. Depending on the location of the excess skin, different procedures such as tummy tucks, arm lifts, thigh lifts, or breast lifts may be recommended.
• Amount of stretch: More significant weight loss typically results in more excess skin.
• Age: Younger skin tends to be more elastic and has a better chance of bouncing back.
• Lifestyle factors: Sun exposure, smoking, nutrition, and hydration can all affect skin health and elasticity. Maintaining a healthy lifestyle can help improve skin condition.

The weight you can expect to lose after weight loss surgery varies depending on several factors, including the type of surgery, your starting weight, age, health, and your commitment to post-surgical lifestyle changes. On average, patients lose 60% of their excess weight. 

Bariatric surgery promotes weight loss by significantly reducing the size of the stomach. This reduction in stomach size helps curb hunger and limit the amount of food an individual can consume at one time. It's crucial to understand that weight loss surgery is not a quick fix, but rather a valuable tool that can assist individuals battling obesity in achieving significant and sustainable weight reduction.

In the initial 1-2 years following this procedure, most patients experience substantial weight loss, often losing around 70% of their excess weight. Subsequently, the rate of weight loss typically slows down. However, long-term results demonstrate that individuals can maintain a weight loss of approximately 50% of their excess weight.

Factors Affecting Weight Loss

• Body Mass Index (BMI): The higher your BMI, the more weight you will lose, especially in the first few years after surgery.
• Health and Age: Overall health and age can impact how quickly and effectively you lose weight.
• Lifestyle Adjustments: To successfully lose weight and keep it off, it's essential to make lasting changes to your diet, exercise routine, and daily habits.

Weight Loss Timeline

In the first 6 months after surgery, most patients experience rapid weight loss. Over the next 12-18 months, the weight loss continues, but at a slower, more steady pace. After 1-2 years, most patients stabilize at their final weight, with long-term weight loss around 50-70% of excess weight.

Example:

If you weigh 250 lbs and your ideal weight is 145 lbs, your excess weight is 105 lbs. If you lose 60% of that excess weight, you will lose approximately 61 lbs. Similarly, if you weigh 400 lbs and your ideal weight is 195 lbs, your excess weight is 205 lbs. A 60% loss would result in approximately 125 lbs. of weight loss.

Motivation and Support

Your success in losing weight largely depends on your motivation and how well you follow your doctor's advice. Access to support groups, nutritional counseling, and regular follow-up care are important for long-term weight maintenance.

Find Out How We Can Help

The exact amount of weight you lose after surgery depends on several factors, but most patients can expect to lose 60% of their excess weight. Staying committed to a healthy lifestyle and following your doctor’s advice will help you achieve lasting success.

Deciding on weight loss surgery is a huge step, and as a leading weight loss clinic in Iowa, Iowa Weight Loss Specialists aim to ensure the entire process is clear and supportive. From our introductory free weight loss class through surgery to continuous support and resources, we are committed to assisting you at every stage of your healthy weight loss journey!

Ready To Take The First Step?

Request for Surgical Weight Loss Consultation
 

While some patients regain weight after weight loss surgery, it is not inevitable. Many factors contribute to weight regain, but with the right approach, it can be managed and prevented. After bariatric surgery, patients typically lose 60% of their excess weight in the first 1-2 years. However, some may experience a gradual regain, usually around 20-25% of the weight lost over a ten year period.

Weight regain can happen for several reasons, including changes in diet and exercise habits, as well as the natural expansion of the stomach pouch over time. Additionally, psychological factors such as stress eating or emotional eating, or physical changes like hormonal fluctuations can also contribute to weight gain.

Who is at risk for weight regain? 

Certain groups may be more likely to experience weight regain, including younger patients, those with physical conditions that limit activity, or individuals who experience emotional challenges after surgery.

How can weight regain be prevented? 

To prevent weight regain, it’s essential to maintain healthy eating habits and a consistent exercise routine. Follow-up care with your bariatric team and participation in support groups can also provide vital guidance and motivation. Here are some key strategies:

• Eat smaller, regular meals and avoid overeating or snacking.
• Exercise consistently to maintain muscle mass and keep metabolism active.
• Join a support group to stay connected with others on a similar journey.

How much weight is regained? 

While weight regain after bariatric surgery is common, the amount of weight regained tends to vary over time. On average, patients may experience a gradual increase in weight in the years following surgery. On average patients may be expected to regain 20-25% of the weight lost in the first two years after surgery over a ten-year period. However, a lot of our surgery patients follow up with the clinic over the long term and transition into a medical weight loss program. Since the availability of and growing research about maintaining weight loss with medication like GLP-1’s, more patients have been successful at keeping off unwanted weight after surgery.

Let Us Help You Keep the Weight Off

With continued support and lifestyle changes, weight regain can be minimized, and long-term success is achievable. Weight loss surgery provides an important tool, but maintaining progress requires an ongoing commitment to healthy habits. From medical weight management (such as behavioral health support) to patient support groups and community resources, Iowa Weight Loss Specialists is here to ensure you achieve and maintain your weight loss goals.

During the Gastric Sleeve procedure, a bariatric surgeon removes approximately 75% of the stomach laparoscopically, so that the stomach takes the shape of a sleeve. This helps with weight loss by restricting food intake and reducing hunger.

Ideally, with proper diet, exercise, and support, bariatric surgery patients will not need medications for weight loss. However, in some cases due to lifestyle choices in the years after weight loss surgery, patients may be prescribed medications for weight loss.