Most medical research is only done to support a disastrous medical system and it’s not so strange that most of that research doesn’t make much sense. But sometimes studies are done to just push treatments, which are known to be useless, but highly profitable. This study shows that gastric banding should be done on a lot of more people who have overweight or type 2 diabetes. This is not because gastric banding has been shown to be so useful. It has shown to be almost completely useless. Nevertheless surgeons push constantly for more funding to operate on more people. Obviously that doesn’t work well enough and they need a study to support their efforts.
“study found the procedure had major benefits to moderately overweight people with type-two diabetes.” This is a very large group of people, so imagine how many surgeries you can do if you convince these people that a permanently low-calorie diet will help them. For that’s what gastric banding is: an invasive way to stick with a low-calorie diet. Anyone who has done weight loss diets knows that these diets don’t work at the long term. So there is no reason whatsoever to think that at once this will be different when a surgeon has messed with your stomach. The only difference is that it’s harder to cheat. So if low-calorie diets don’t cure diabetes, neither will gastric banding surgery. It’s not so hard to see.
“involving 45 people” That’s hardly enough to say anything about the results of the study. “another that only received medical care.” I would really like to know what “medical care” means. It’s not like doctors know anything about weight loss, the causes of weight gain and the causes of diabetes. Many doctors tell their patients to eat less and that’s it. The patients usually know a lot more about diets and weight loss than the doctor. So this medical care doesn’t seem to mean much.
“Both groups also received help with exercise and healthy eating.” It has been known for a long time that exercise makes you fit, but has very little influence on your weight. Exercise only works (and only in some people) when you spend several hours in the gym, every day, for the rest of your life. Not a lot of people do that. And of course you should resist the natural urge to make up for the lost calories with extra food. Then the “healthy eating” part. It doesn’t say what they mean with this. But considering the advice most dieticians provide “healthy eating” in this study probably meant to eat a lot of grains and stay away from natural fats. Maybe the people were even advised to eat little fat, as the absurd story that “fat makes fat” is still going strong. But we don’t know what was said.
“average of 12.2 per cent of their body weight, compared with 1.8 per cent in the medical care-only group.” Percentages sound so good, but we don’t know much overweight these people were. The tables that are used to determine whether someone is overweight are completely absurd. So it’s quite likely that these people were not more than 10kg overweight, on an average. That word “average” is another red flag. Maybe one person was highly determined and lost a lot of weight, while others didn’t lose any weight. Before advising invasive surgery doctors should first determine which patient will likely lose a lot of weight. But of course that’s not done. That is the reason why many people after gastric banding surgery don’t lose any weight at all. Most of these people lose some weight, but few lose the amount of weight they had hoped for. But you don’t read about these people in the magazines and you don’t see them on television. You only read about the “success stories” (which usually appear later to be not successful at all.)
“quarter of the gastric band group showed diabetes remission at five years” That means that for 3/4 of the patients it didn’t work. It’s amazing how this can be presented as a good result. It’s a very bad result. And it’s not even difficult to explain. When you get invasive surgery you are more likely to pay more attention to what you eat than if you only get advise and you can do what you want. When cheating is not possible you are more likely to have some effect. But it’s still a very poor result.
“whereas those involved in this study had a BMI of 25-30” A BMI of 25 is officially not even considered overweight! That means that these people only had to lose 5-10 kg to reach those 12% of lost weight. Every dieter knows that that’s simple. So my question is why these people had diabetes. It was obviously not caused by their weight. It’s highly questionable anyway whether overweight causes diabetes. It’s more like that that whatever causes the overweight also causes the diabetes. A diet free of junk food often doesn’t solve the weight problem, but is likely to cure the diabetes.
“at the moment the most effective strategy for weight loss was surgery.” So invasive surgery with a 75% failure rate is considered effective? Then you can wonder how bad other types of surgeries are. But there is a much bigger problem. The study’s cut-off point seems to be at five years. That’s not a coincidence. Whatever method people use to lose a lot of weight, after five years it usually starts to come back, no matter what you do. Yes, some people can keep off their weight for much longer, but they are a small minority. Happy stories about weight loss usually become sad stories after ten years, when all the weight is back in spite of exercise and a junk-free diet. There is simply a lot more to the weight problem than just calories. If calories were the only thing that mattered then there would be many successful weight loss diets. But I still need to find the diet that is highly effective in the majority of the people who follow it.
“I think this study contributes to a very large and very compelling field of research” Of course, dr. Wentworth, this is a large field, because there are a lot of overweight people and lot of diabetes patients. That doesn’t mean that your study has any quality whatsoever. It just means that this is a very profitable medical field.
“gastric band surgery and aftercare costs about $13,910 per patient” I don’t know how they calculate that. It seems a bit low. “savings made from the improvements to long-term quality of life” Now you are lying, doctor. For you admitted yourself that there is only an effect in 25% of the patients. That means you need to operate on four people to get the savings for one. Then at once it only costs money and it reduces the quality of life for many people. Oops!
There is just one conclusion possible: this study is a fraud and the results are intentionally described as good, when the researchers know very well that the results are very bad. It’s not even hard to see the flaws. Gastric banding should be forbidden, as it’s too dangerous and only benefits a tiny percentage of the patients.