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There are no shortcuts in life… and certainly not in medicine. 

This is especially true when it comes to weight loss. 

Surgeons (who only get paid when they perform surgeries) will tell you that bariatric surgery could solve your weight loss woes. 

But not all weight loss surgeries are the same.  

And there’s one in particular that can dramatically increase your risk of a major cause of disability and death in older individuals. 

If you’re considering bariatric surgery, you have your choice of surgeries.  

The most popular option is the gastric bypass, which involves creating a small pouch from the stomach and connecting it directly to the small intestine. 

Another option is called adjustable gastric banding, more commonly called a “lap band.” This involves placing a band around the top part of the stomach, which is supposed to make you feel fuller sooner. 

Both are radical methods for weight loss… but one has a major complication that the other doesn’t. 

Researchers examined the Medicare claims of 42,000 people over an eight-year period who had undergone bariatric surgery, and then followed them for about 3.5 years. 

When they examined the data, one thing became crystal clear: 

The people who had gastric bypass surgery had a 73% increased risk of having a nonvertebral fracture than those who had the lap band. 

  • Specifically, the risk of having a hip fracture was threefold higher. 
  • The risk of having a wrist fracture was 70% higher. 
  • And the risk of having a pelvic fracture was 50% higher. 

This increased risk remained even after the researchers took into account factors like age, sex, and race. 

You might think a broken bone is a small price to pay to be able to fit into those pants that have been gathering dust in the back of your closet for decades.  

But let me tell you why this is such a big deal. 

Any fracture – but hip fractures in particular – not only risks your independence but increases your risk of death. 

Of course, the researchers don’t recommend skipping the surgery. They recommend aggressively managing your bone health with things like bone scans, vitamin D, and calcium supplementation. 

I say skip the surgery, follow my advice for healthy weight loss (like ditching processed foods), and still, focus on bone health by increasing vitamin D levels and staying active. 

Then you’ll be able to fit into those old jeans… and be healthy enough to actually enjoy it. 


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