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Frequently Asked Questions About Obesity and Weightloss Surgery
Is Bariatric Surgery Right for Me?

Because each person is unique, deciding if bariatric surgery is right for you is best determined by meeting one-on-one with a bariatric specialist.  For this reason we encourage you to attend one of our free educational seminars. However, according to the National Institute of Health (NIH), the following criteria are a strong indicator of whether bariatric surgery is right for you :

• You have tried and failed with dieting.
• Your Body Mass Index (BMI) is 40 or greater.
• You have a BMI of 35 or greater and have serious health conditions associated with your obesity, such as diabetes, hypertension, depression, heart disease, sleep apnea.
• You are more than 100 lbs over “ideal” weight.

*Information adapted from NIH Consensus Development Conference Panel. Gastrointestinal surgery for severe obesity. Ann Intern Med 1991; 115:956-61.Do I qualify?)

What is BMI?

BMI stands for Body Mass Index. Your BMI is a number calculated from your weight and height that approximates the percentage of your total weight that comes from fat, as opposed to muscle, bone or organ.

The higher your BMI, the higher the percentage of fat in your body and risk of weight related disease and illness such as diabetes, high blood pressure and heart disease.

A BMI between 20 and 25 is generally considered a healthy weight for height; over 25 is considered overweight, and over 35 is considered obese. A BMI of 40 or greater makes you a candidate for weight loss surgery, or 35 with other health-related conditions.


Click here to calculate your BMI Calculate your BMI here.
Does Insurance Cover Bariatric Procedures?

In most cases, bariatric surgery is covered by insurance for qualified patients. However, because insurance coverage can vary per person and per plan, our team of specialists will gladly contact your insurance company on your behalf to coordinate eligibility.

What Type of Procedure is Best?

Our surgeons will work with you to determine your best option based on your individual needs and goals.

This is where the free information seminar is helpful because you'll hear detailed information about all procedures and have the opportunity to ask questions.

You can also check out our
surgical options page to find out more about the types of procedures performed at U.S. Bariatric.

About the Bariatric Surgery Center

Bariatric surgery or weight loss surgery is designed to help you lose weight quickly and safely. At U.S. Bariatric, you can rest assured that you will benefit from the expertise of one of the world's most recognized bariatric surgeons Dr. Robert T. Marema.

If your coming from Central Florida, only your sugery will be performed at our St. Augustine location at Flagler Hospital. Your education classes, preoperative visits and post operative follow up care can all happen at our Central Florida location.

At U.S. Bariatric we're committed to seeing you overcome obesity and restore your emotional and physical well-being. That's why in addition to helping you determine which surgery is best for you; we also guide you through your preparation and recovery phases.

Our comprehensive bariatric program includes a team of nutritionists, exercise physiologists, psychologists, GI specialists, pulmonologists, cardiologists, endocrinologists, plastic surgeons plus support groups which all add to your post-operative success.

How Did I Get Like This?

Obesity is generally defined as a progressive and life-threatening disease with a strong genetic component. Presently, there are over 300 genes that have been identified that are associated with an increased risk for obesity. However, these are not 'bad' genes but ones that once enabled us to survive when food was not plentiful, such as during the winter months or when there were droughts or crop failures. Individuals not having these genes would not have survived during periods of famine and, therefore, their gene pool would not have been passed along to the next generation. So, our ancestors are the 'survivors' of yesteryear and, therefore, most of us today have these 'survival' genes, along with the increased risk for obesity.

Why Can't I Keep the Weight Off?

How much weight do you estimate that you have lost from diets, obesity medications, and behavioral therapy over the course of your lifetime? A hundred pounds? More? How much weight do you estimate that you have regained? Did you know that most people who go on a diet will regain all of their weight back over time and many people will regain all of their weight loss plus even more?

Why is it so hard to keep from regaining weight following a diet or any other weight loss regimen? Most people believe that a loss of willpower or a return to old eating and exercise habits are solely responsible for weight regain. Such a belief causes extreme feelings of guilt and failure when weight regain happens.

How does Obesity Affect My Health?

The general consensus among medical professionals today is that obesity is NOT a cosmetic problem but IS a life-threatening disease. Obesity is the one of the leading causes for preventable death in this country, responsible for the lives of hundreds of thousands of individuals each year. Obesity not only shortens our lifespan but may increase the our risk for death from any cause by as much as 12-fold.

Why is obesity life-threatening? Obesity causes organ and tissue damage from lipid (fat) toxicity, chronic inflammation, high levels of oxidative stress, DNA damage, and numerous other conditions that are responsible for most of today’s common diseases. And, these diseases, in turn, are the major causes for death in this country.


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