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SURGERY AND WEIGHT LOSS


Because of the operative mortality (about 1 percent), surgical treatment for obesity should be undertaken only for emergency medical reasons (e.g., hypertension, uncontrolled diabetes, severe arthritis), and when the person is at least 100 pounds over ideal weight. Only under circumstances such as these can the risk of surgery be justified, since the risk of operating would then be less than that of not losing a lot of weight almost immediately.

Dramatic weight loss after an operation that reduces the size of the stomach sometimes also severely disturbs the emotions. This side effect of the surgery, the American Journal of Gastroenterology (78:321) reports, is sometimes caused by deficiency of vitamins of the B group which, like other foods, are no longer so well absorbed following the operation. Nervous system and brain functions depend upon absorption of normal amounts of the vitamin B complex.

With this in mind, the Journal suggests, anyone rapidly losing weight, whether because of dieting or surgery, must take a vitamin supplement that includes the B complex. No megadoses, please!

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