Compared to other interventions, gastric bypass surgery is the best approach to treating obesity and diabetes. That’s a rather pathetic statement to our current treatment knowledge of these metabolic disorders. Although the article does mention that most will have a lifetime of malnutrition, it glosses over the fact that 25% of bypass patients regain much of the weight and new addictive disorders arise to replace the lack of dopamine stimulation that previously came with eating food.
“Half my life has been about trying to lose weight,” Henry Roberts said. He was telling me about his decision to have a surgery that would reduce the size of his stomach by seventy-five per cent. Roberts (a pseudonym) is five feet six, and when we met he weighed two hundred and seventy pounds, giving him a body-mass index of forty-four; a B.M.I.