Adherence
Mandatory structured lifestyle modification programs prior to metabolic surgery do not improve post-operative outcomes and may cause harm by delaying access to surgery.
If you are being told you must complete a mandatory weight loss program before surgery, understand that this is likely a bureaucratic or insurance barrier, not a medical necessity. The evidence shows these programs do not improve surgical outcomes and may delay life-saving treatment. Seek a second opinion from a surgeon who follows modern guidelines that do not mandate pre-surgical weight loss.
the scientific evidence from randomised controlled trails and meta-analyses seems clear that benefits from mandatory structured lifestyle modification prior to metabolic surgery simply do not exist.
Why this rating
Based on multiple RCTs, meta-analyses, and large cohort studies cited in the text.
Source
Addressing uncertainty about the role of structured lifestyle modification for metabolic surgery patients
Enda Murphy et al. · Metabolism · 2023
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