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October 24.2025

2 Minutes Read

Unlocking the Secrets of Surgical Weight Loss: Insights from Dr. Todd Eibes

Podcast cover art on surgical weight loss by Todd Eibes, MD.

Understanding Surgical Weight Loss with Dr. Todd Eibes

When considering weight loss options, the conversation can often feel overwhelming. Recently, Dr. Todd Eibes, a leading bariatric surgeon with more than two decades of experience, shared valuable insights on surgical weight loss during an interview on the ISH Dish Podcast. Based at Iowa Weight Loss Specialists, Dr. Eibes is well-known for his expertise in performing over 5,000 bariatric procedures.

Why Diet Alone May Fail

For many, weight loss through diet alone may seem like an uphill battle. Dr. Eibes highlights the biological factors that come into play, such as hunger-regulating hormones like ghrelin and GLP-1. When individuals significantly reduce caloric intake, their bodies can instinctively ramp up hunger signals, which makes weight maintenance challenging after initial loss.

Bariatric Surgery: A Proven Solution

What sets bariatric surgery apart as a viable long-term weight loss solution? Dr. Eibes explains that procedures such as sleeve gastrectomy and gastric bypass not only diminish hunger but also alter how the body manages weight. With an impressive success rate, about 90% of postoperative patients lose at least half of their excess weight, which can lead to improvements in conditions like type 2 diabetes and sleep apnea.

Unique Considerations for Surgical Candidates

Dr. Eibes notes that while surgical procedures are generally safe, patients must also consider the potential risks. For instance, the major complication rate for modern bariatric surgery is relatively low, around 1-1.5%. However, each surgery carries its unique risks and benefits, which must be thoroughly discussed with a qualified team.

GLP-1 Medications: A Complementary Option

For those considering a non-surgical approach, GLP-1 medications have gained attention for their efficacy in reducing appetite by mimicking natural fullness signals. While some patients achieve substantial weight loss with these medications alone, combining them with surgery may enhance results. However, it’s crucial to recognize that stopping the medication often leads to weight regain, similar to how blood pressure medicines work.

Concluding Thoughts

Ultimately, the journey to weight loss is highly personal and should be approached with comprehensive support and understanding. Whether opting for surgical solutions or medications, partnering with experienced healthcare professionals like Dr. Eibes is essential to navigate these choices effectively. Seeking expert advice not only informs decisions but also aids in achieving lasting health transformations.

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