Bariatric Surgery vs. Semaglutide: Which is Right for You?

Obesity is a prevalent health issue affecting millions worldwide. While diet and exercise are the first line of treatment, they may not be sufficient for some individuals. Bariatric surgery and semaglutide (Ozempic, Wegovy) are two options that can help with weight loss. If you are interested to learn about more options check out the The Obesity Action Coalition (OAC) website which has resources on weight loss treatments, including semaglutide.

Bariatric surgery involves making changes to the digestive system to reduce food consumption and absorption. There are various options like the gastric sleeve, gastric bypass, and adjustable gastric band. It’s typically recommended for individuals with a BMI of 40 or above, or a BMI of 35 or above with obesity-related health conditions. Semaglutide is a medication that mimics the effects of the hormone GLP-1 to regulate appetite and blood sugar levels. It’s administered as a weekly injection and is approved for individuals with a BMI of 30 or above.

One difference between the two options is that bariatric surgery is a more invasive procedure that physically alters the digestive system, while semaglutide works by targeting hormones and is an injectable medicaiton. Bariatric surgery has a longer recovery time and higher risk of complications, while semaglutide may cause side effects such as nausea and diarrhea. Check out the The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) website for information on bariatric surgery, including risks and benefits.

Bariatric surgery can result in significant weight loss of ~60-80% of excess body weight, while semaglutide typically results in an average total body weight loss of ~15%. Ultimately, the choice between the two options will depend on the individual’s health status, preferences, and goals. Consultation with a healthcare provider is recommended to determine which is the best choice for you.

In summary, bariatric surgery and semaglutide are two options for weight loss. Bariatric surgery physically changes the digestive system, while semaglutide targets hormones that regulate appetite and blood sugar levels. The choice between the two options depends on individual factors.

Highlights – Pros and Cons Bariatric surgery vs. semaglutide

Bariatric Surgery

Pros

Associated with significant weight loss

Durable long term weight loss

Does not require weekly injections

May resolve numerous obesity related medical conditions

Cons

Higher risk associated with surgery and anesthesia like bleeding, infection and blood clots.

Longer recovery time from surgery

Long term complications such as bowel obstrution and hernias

Semaglutide

Pros

Once weekly injections

No associated recovery time

Less potential complications

Modest weight loss without need for surgery

Lower up front cost

Cons

May cause side effects, such as nausea, diarrhea, and vomiting

Requires ongoing use to maintain weight loss results

May not be effective for individuals with severe obesity or certain health conditions

Alex Ramos

00:45 02 Dec 22

The doctor was extremely friendly and knowledgeable and kept me cool and collective when talking about the surgery ..surgery went well. I healed pretty fast …He is a great doctor and knows what he’s doing. I trust this doctor with my life.

Angel Guillermo

19:56 21 Jul 22

Thank you lalezari and his team for taking care of me when getting the surgery they’re very professional and actually take care of you since the beginning of your new journey! It’s been a week and already lost 24 pounds! In and out surgery and I feel like a brand new person! Thank you so much for everything and helping me with this new journey of mine

Michael Ortega

17:49 23 Oct 21

I met Dr. Lalezari over a year when started having acid reflux and a lot of discomfort in my abdominal and chest. I was referred by a family member and they explain how Dr. Lalezari was the best in Los Angeles and helped with their same pain.After reaching out to Dr. Lalezari’s office, his team immediately got me scheduled for a in person consultation. I met his friendly staff at the front desk as they checked me in and took my insurance information.During my consultation with Dr. Lalezari, he was extremely knowledgeable and patient with explaining why I might be having these symptoms. He recommended to schedule an endoscopy and/or barium swallow so he can identify why I was having this discomfort and reflux.Overall, it was a great pleasure being Dr. Lalezari’s patient and I feel sooo much better after my procedure. I definitely recommend him to all my family and friend.Thank you Dr. Lalezari and team!

Joubin M.

04:26 07 Jul 21

If you are looking for a compassionate and knowledgeable surgeon, look no further. I had a nagging cyst for the past few years which was super painful. I had it treated by different dermatologist, but it kept coming back. This time I decided I would have it evaluated by surgeon. I found Dr. Lalezari, and he explained why it kept coming back. He was able to excise the whole cyst. He did it all while making me feel comfortable and virtually painless. I cannot recommend him enough! Thanks Dr. Lalezari!