Jay Michael Snow, MD

Weight Loss Medications vs Surgical Options

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Average weight loss with the Gastric sleeve is 65% of someone’s EXCESS body weight at 2 years. Average weight loss with anti-Obesity medication is anywhere from 5-15% of someone’s TOTAL body weight at 1 year.
 

  • Oral anti-obesity medications have an average weight loss of about 5-10% of TOTAL body weight at 1 year
  • Injectables such as Semaglutide have an average weight loss of up to 15% of TOTAL body weight at 1 year.

Averages provided above and sample weights below are reported when intervention is accompanied by diet and exercise.
 
Example patient:

Jan is a 45 y.o. Female with a BMI of 42. Her weight is 237 lbs at 5’3”. She has elected Gastric Sleeve.

  • Her EXCESS body weight is 109 lbs. (Current weight minus ideal body weight)
  • 65% weight loss of her EXCESS body weight is a total of 70 lbs.
  • So her average weight at 2 years post gastric sleeve, when following diet and exercise, is 167 lbs.

Jan is a 45 y.o. Female with a BMI of 42. Her weight is 237 lbs at 5’3”. She has elected Semaglutide.

  • Average weight loss at 1 year based on a 15% loss of TOTAL body weight would be 35lbs.
  • Her average weight at 1 year would be 201 lbs.

Jan is a 45 y.o. Female with a BMI of 42. Her weight is 237 lbs at 5’3”. She has elected Phentermine.

  • Average weight loss at 1 year based on a 10% loss of TOTAL body weight would be 23lbs.
  • Her average weight at 1 year would be 214 lbs.

As you can see from this example, the weight loss benefits from surgery are superior to those from medications alone. If you are considering surgery versus medications and would like to further discuss your individual situation, contact St. Louis Bariatrics to schedule a virtual or in person consultation appointment.

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