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Understanding the options for weight loss

Rebecca Rice

By REBECCA RICE, Published: September 1, 2024

Weight loss can be a challenging journey, and understanding the available options is essential.

There has been a lot of conversation in the mainstream media about weight loss drugs like Ozempic and how it can be a “quick-fix” option to help you drop those extra pounds. While semaglutide medications like Ozempic are an effective weight loss option, there’s much more to consider when you are deciding to make a lifestyle change.

While semaglutides are a helpful tool for weight loss management, bariatric surgery may be a better option, depending on your goals and lifestyle. Both have unique benefits and considerations and deciding the best path often requires a thorough discussion with a healthcare provider.

Semaglutide: A Medical Approach to Weight Loss

Semaglutide, such as Ozempic and Wevogy, are medications primarily used to manage Type 2 diabetes but have significant benefits for weight loss. These medications are GLP-1 receptor agonists, which help regulate blood sugar levels and slow down digestion, leading to reduced appetite and calorie intake. They also help regulate metabolism and nutrient absorption. Patients often experience significant weight loss as a secondary benefit while using these medications to manage their diabetes.

Administered as a once-weekly injection, a semaglutide is most effective when combined with a healthy meal plan and regular exercise. However, they are not without potential side effects, including nausea, vomiting, and diarrhea. Going this route means committing to long-term use of the medication because discontinuing use can result in weight regain. Additionally, insurance coverage for these medications can be limited, and their popularity may make them difficult to find in pharmacies.

A surgical approach to weight loss

Bariatric surgery involves procedures that alter the digestive system to promote weight loss. Common types include gastric sleeve, gastric bypass, and duodenal switch. Surgery limits food intake and changes calorie absorption, leading to significant and long-lasting weight loss. Research has found that surgery resulted in twice as much weight loss on average as a semaglutide, and a 2½ times higher chance of losing at least 20 percent of initial body weight. It can also resolve underlying conditions like Type 2 diabetes and hypertension. However, it carries risks like infection and bleeding and requires lifelong nutritional monitoring.

Making the right choice

Choosing between a semaglutide medication and bariatric surgery depends on the patient's medical history, weight loss goals and commitment to lifestyle changes. Both options are effective tools but need careful consideration and consultation with a healthcare provider.

At Pardee Bariatrics and Surgery, we offer consultations to help patients determine the best weight-loss strategy for their unique situation. Our goal is to support patients through their weight loss journey, whether they choose medication like Ozempic or a surgical option like bariatric surgery. Achieving and maintaining a healthy weight is a collaborative effort, and we are here to guide patients every step of the way.

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Rebecca Rice, a bariatric surgeon, practices at Pardee Bariatrics and General Surgery. For more information about weight loss options, visit pardeebariatrics.org.