Body mass index (BMI) provides physicians with a quick, rough assessment of adiposity or the amount of fat present on a patient. It is how the world calculates who is normal weight, who is overweight, and the severity of the obesity.
Once obesity exceeds 40 kg/m2 current medical guidelines and recommendations give up on obese patients and jump to recommendations for gastric disfiguring surgical intervention referred to as gastric bypass surgery (bariatric surgery). In fact, gastric bypass surgery is allowed in a lower BMI (35 to 39.9) if patients have at least one serious comorbidity (type 2 diabetes, obstructive sleep apnea, high blood pressure, high cholesterol, and so on). Now, gastric bypass is being offered to patient with BMI between 30 to 34.9 with the presence of a comorbid condition despite there being no long-term evidence of benefit to the surgery. Additionally, the BMI number can be decreased by 2.5 kg/m2 if a higher prevalence of the excess weight is located in the abdomen as visceral fat.
The Metabolism Clinic regards bariatric surgery as the modern-day lobotomy. It is an extreme anatomical disfigurement that has not proven to demonstrate overall benefit to the patient. Weight is not equivalent to health. The loss of weight by a mechanism that promotes life-long sickness is not in the best interest of the patient that is currently struggling with their weight.
In fact, there is significant evidence to support this. One example is the decreasing benefit in mortality for patients undergoing bariatric surgery as the BMI becomes higher. You would expect the mortality benefit to be higher in the more severe cases of obesity; however, this is not true. Once, BMI surpasses 62 kg/m2 the results may cause reduced life expectancy.1
The Metabolism Clinic is setting the standard with the approach to obesity. Excess weight is a symptom of an abnormal metabolism. It is a visible sign that the metabolism is not working properly. At The Metabolism Clinic the metabolism is the focus and not the weight.
The Metabolism Clinic is established as the destination for weight loss and reversal of diabetes. Based in Charlotte, North Carolina. www.themetabolismclinic.com