BBC Documentary on access to bariatric/metabolic surgery in UK

[@shanakhan2084]

She has so much compassion for these people

[@rowenarookes4685]

Wonderful lady. I agree with all the doctor said.

[@josi4251]

I am in the U.S. and had gastric bypass in 1997. While I had insurance, I had to hire an attorney to fight for the right to have the surgery covered. The surgery reversed my borderline diabetes and hypertension, and while it's been no cakewalk, I have no regrets. The surgery gave me my life back. For those who say it's "the easy way out," I can assure you it is not. I had to change absolutely everything about the way I eat and exercise. My sympathies to those who have to fight for this surgery.

[@messivsronaldostudio4643]

that not easy. But if you dont have a surgery, that is harder so much.

[@messivsronaldostudio4643]

if you dont have surgery, you had to change absolutely everything about the way you eat and exercise with a very hungry stomach. you know :D

[@ThePshipley]

I had it also

[@josi4251]

@@messivsronaldostudio4643 I had to do that as well after the surgery. Absolutely everything. Today my weight is appropriate for my height, only fluctuates by 5 lbs., and my health is excellent. It's still a lot of work to keep nutrients at acceptable levels.

[@billmartins5545]

Why could you not change your diet and activity level before/without surgery?!

[@pebbles4715]

What an educational documentary. Prof Rachael B, has such empathy and proves that treating obesity with compassion and well investigated proof, that surgical intervention for those suffers is a better option all round.

[@allycook3926]

Would be interesting if they refused to treat people who were heavy smokers or drinkers. Are not these conditions also self inflicted? This is a way to reduce NHS costs, but the drug companies would be lobbying against it. In Australia you can get this done on Medicare and private health funds in a private hospital. You are still $5000 out of pocket, but you can access part of your superannuation to assist. We should be able to have access via the public hospitals.

[@brilliantbutblue]

22 Public Hospitals do it in Australia free of charge and only about a year on a waiting list, Alfred Hospital and Monash Hospital in Melbourne do them👍

[@thomasnewton8997]

They do if you are still drinking if you are an alcohic and still drinking They will not give you kindney replacement or liver replacement

[@peteglanton9259]

I think it’s a good comparison, with alcoholism and smoking. It’s an addiction, but to junk food and overeating. Surgery won’t deal with the route cause.

[@HxABangin]

I love the Tier 2 program. Unfortunately I have lost3 friends to death due to obesity. All 3 had had gastric bypass and went back to eating and stretched out their stomachs. I have great respect for all who change their lives. This is a great tool, but not a quick fix and people need to understand this.

[@BOO-sy2oz]

@@HxABangin stretching it out wouldn't be the cause. they ate the wrong food.

[@andrewvernon9269]

I waited for 5 years on the NHS . I followed the protocol and met all the criteria . I was rejected by the Welsh Institute Mobility Obesity Institute . An NHS Doctor I saw privately said he would do it for ten thousand pounds . I had heard enough by now and went to Poland and had a gastric sleeve procedure for half the price . I have no regrets and my type 2 diabetes has cleared . Best decision I ever made . My only regret is that I didn't get it done years ago. The NHS just fed me Orlistat ..nasty shit ..or liquid shit .

[@poyellanutrition3400]

As a Clinical Nutritionist, I'm so proud of you for persevering with your health journey. Wishing you a healthy and happy future :)

[@merandareast2552]

Unfortunately there is a very well known lack of access to obesity treatment in the U.K.. Different areas have different levels of accessibility, it’s not standard as it should be.

[@hm4640]

You could have just ate less and excersized instead of being a lazy slob.

[@kimmybee8741]

You could stop being a terrible person and yet you don’t. We all have our weaknesses.

[@RM-lj8bv]

Where in Poland, which hospital, surgeon etc?. I'm thinking about having bariatric surgery there.

[@Jayneyb63]

I went to the doctors several years ago to ask about bariatric surgery and was told unless I had a pre existing condition like diabetes (I have arthritis in both my hips and the bottom of my back, I'm only 47) I could not be refereed unless my BMI was at 40. This I felt was ridiculous and remember thinking I need to put more weight on before I will get any help. I had been overweight most of my life always on a diet, but each time I lost weight I gained it back and more. The only time I maintained my weight was when I was going swimming, boxing and zumba every week as well as looking after my children and working full time. Then since having my second child at 37yrs the weight came back plus more until I was unable to walk very far before being in so much pain with my back, constantly sitting for a rest, constantly out of breath and even struggling to put my socks on. 4 years previous I had climbed to the top of Ben Nevis, I couldn't believe the decline in my health. I was finally referred to bariatrics in March 22 by the orthopaedic consultant as my BMI was over 40 and I was being treated with steroid injections in my hip. My Doctor did not action this even though I had chased them several times, until October 22. I felt devastated with the waiting list and pre operation diet, I knew it would be at least another 2 years before I had hope of gastric sleeve surgery. My health was suffering so much I decided to go to turkey to have the operation, I took a loan to cover it. Since 3rd May 23 I have lost 22lb I have a long way to go, but my health is already improving. People need to understand this is not the easy way out but the risk I feel outweigh the benefits to your health. I already feel 10 years younger. People opinions need to change, think of the money saved on the NHS not having to treat all the obesity related illnesses. People who have suffered like me are not lazy, there are many factors involved with gaining weight.

[@swannee22]

Thank you so much to all involved in this compassion, insightful and informative documentary. Im in the U.S. and am so ashamed of those in the medical and insurance "industries" who have negative prejudices against the obese in any country. I've just made my decision to start the bariatric surgery "journey". I can't imagine all the people in England or anywhere,who continue to suffer from such awful negative attitudes. My heart goes out to each of you and I hope you find ways to fight for what you deserve-a healthy beautiful blessed life. Maybe get petitions going, band together and show the world what you can do. God bless each of you and don't give up-fight!!!!

[@samcaranol4102]

Excuses excuses excuses

[@lindsay27b]

I've just been put forward for a bypass, I have fibromyalgia and arthritis, chronic migraine. It took 15 yrs for them to diagnosis me. I've struggled with my weight since a child. I was amazed when my gp helped me.

[@RM-lj8bv]

THIS IS THE MOST ACCURATE PROGRAMME IN THE STRUGGLES I HAVE HAD TO GET A GASTRIC BYPASS.

[@michellebutterflyrebornbab6585]

A gastric bypass isn’t a magic wand..

[@michellebutterflyrebornbab6585]

I know.. I’ve had one on the NHS

[@mariannemcguff3755]

You are making such a wonderful difference for many people! God bless you!!!!

[@jnicolettebailey]

Because it is far more profitable to treat the symptoms rather than the cause.

[@venus_envy]

but surgery is still more profitable than a wfpb diet that would fix their health problems, but food addicts may need an inpatient treatment centre.

[@csvtvChrist]

@Peter Smith No, genetics aren't the defining factor in obesity. I have been tested and it came back that I just overeat. I'm 420 and I'm still able to get surgery, it's on July 1st, but I'm in the states on state health insurance.

[@csvtvChrist]

@Peter Smith my doctor is a medical weight loss doctor. It's literally his specialty. They have genetic testing for everything from the food you eat to who you sleep with, including obesity. Obesity is caused by certain genetic disorders, but I meant for me in general it's not. It's not always genetics.

[@mobutter2879]

@Peter Smith It’s lifestyle and hormones.

[@peteglanton9259]

@@csvtvChrist So why get the surgery? The surgery restricts how much a person can eat. So it is about how much people eat, not genetics.

[@amandadavies..]

Some of these people don't even look big enough to need surgery. I've lost 5 stone myself in the last year and was a similar size to the lady in black, speaking at 16 minutes in...if not bigger. I'd never have put myself through surgery at my highest weight of 16 stone....fear of it getting to that stage spurred me on to do it myself. The very thought makes me shudder....braver than me.

[@sharonrhoads7704]

Thank you ... excellent video! It not as difficult in the U.S. but still takes 6 to 18 months to be approved with my insurance. I chose to go to Mexico for my gastric bypass on 1/9/22 less than $6,000 out of pocket.

[@daniellesuzanneisitt2210]

Love this. iv just been referred for surgery too!

[@daniellesuzanneisitt2210]

@L S Hey, not sure how to private message on here, but im here if you would like to chat? 😊

[@daniellesuzanneisitt2210]

@L S Im not sure, give it a go 😊

[@ramniranjan7689]

docs.google.com/document/d/1wROrzNc8X718NINDbJiK4kbvPrIHeGcRDdCMepXAoXE/edit?usp=drivesdk

[@smh1072]

Four years I’ve been waiting, saw the consultant once, followed the dietary advice and lost nothing. I’m now going into a private hospital, thankfully I managed to save the money

[@mahmoodrashid3148]

In hong kong i had weight loss surgery at queen mary hospital at cheaper cost but at private hospital is as same as u s a

[@ishouldbesleeping1354]

Great documentary 👍🏻👍

[@LaCarusiella]

Not all cases are down to simply being greedy... I am on antypsychotics and modd stabilizers for Bipolar disorder and also suffer from chronic fatigue which makes it extremely difficult to exercise at the gym. Despite that, I walk and go to dance classes. I still can't lose weight. I am so grateful I am going to have surgery this week, I feel really lucky. I am also diabetic so this is not cosmetic surgery. Bariatric surgery is really necessary in some cases.

[@bums009]

Weight loss has nothing to do with exercise. Weight loss is all about diet, which coincidentally you didn't mention anything about...

[@HerHighnessRoyal]

Hi I’m on the same meds and it causes massive weight gain it’s a common side effect I gained so much weight couldn’t get on NHS so I paid privately. Changed my life for the better. I love working out eating clean and I will never go back. I have gone from a BMI of 52 to 22. It needs to be done more widely

[@teaacustardcream2868]

@@bums009controlling her cravings is difficult if shes mental health conditions. Idiot

[@Eightfathorses]

Changing our food system would be the ultimate prevention. These poor people are set up to fail.

[@kcunlimitedeats]

I don't know much about these kinds of surgeries. I know a few things now.

[@echase416]

Writing from Canada. We’ve covered bariatric surgery under our universal Medicare program for over 20 years now. I’m going through the process now. My BMI is only 38, but I have multiple health issues related to being overweight. A history of heavy Prednisone use and hip injury (can’t walk long, run or sit on a bike seat due to groin pain), which impairs walking and makes regular weight loss strategies very challenging.

[@mobutter2879]

“My BMI is only 38l” 30 is obese..38 is morbidly obese. Try and control your blood glucose/insulin. Don’t starve yourself! However, leave ALL starches alone! No root vegetables either(carrots, potatoes..) feed your body and heal your gut. Once you heal your gut, your autoimmune issues will resolve it’s self. No dairy either. Dark green veggies, chicken, fish and steak…not for ever, just until your body heals.

[@karencaring3356]

I am in Canada as well. Each province has their own protocols, etc as to who will be accepted for the surgery. A big problem in my province is that the surgeons find it very difficult to book surgery rooms for this type of surgery. People are waiting years and some reach the upper age limit and can no longer have the surgery. It is very discouraging.

[@gutmincer2]

everyone thinks its an immediate fix but its not you have to monitor your health every day post surgery it becomes a job day after day year after year you are constantly going throu changes with your body let alone the mental health side of completely changing your life literally overnight

[@rowenarookes4685]

Hi , I felt very let down by the NHS. I have had a lot of operations on knees and hips , due to being told I had hip dysplasia at the age of 25. I am under the NHS for revision, not because I am fat as lost the weight. But I live on slop ice cream , porridge soup. I have had enough now I am tired feeling worthless. My husband is my rock , but it is taking its toll on us both. No one would listen to me which I found very frustrating. So we took photos . I have a fab consultant now just need to get in and hopefully have a bit of life back. I will end up in the wheel chair but I came to terms with that. I need to be healthy and happy and move forward.

[@julieholland9639]

It seems terrible that someone would be ignored just to explore what the issue was just because she was overweight, hence her diagnosis of MS was delayed 4 years, pretty disgusting. Im still amazed at how any weight loss surgery has an immediate effect on diabetes type 2, I remember seeing that happen with a man you just had the lapband operation, two days later the diabetes was gone, if they could figure out what happens there and make a pill it would be amazing

[@ramniranjan7689]

docs.google.com/document/d/1wROrzNc8X718NINDbJiK4kbvPrIHeGcRDdCMepXAoXE/edit?usp=drivesdk

[@alexandriataylor4553]

Type 2 diabetes is weight related hence once the weight starts to come off so the type 2 diabetes disappears. I too have this and am waiting on surgery for weight loss currently a waiting time of around 9mths. I know first hand that as soon as I lose some weight my diabetes improves.

[@jeanmulqueeney6319]

​The diabetes was reversed 18 hours after the man's operation...before he had lost weight. Would be interested to know why. .​@@alexandriataylor4553

[@janettemarkjh]

In Australia I have heard from sooo many GPs that the surgery doesn’t work as they all put the weight back on again

[@TheHillsHousehold]

I have PCOS and metabolic syndrome, which make it very difficult to lose weight, I also have severe asthma which means that I cannot exercise like anybody else. People that are so small minded need to look at it from other angles, if it was your family, your mum who had an addiction that could get help, you wouldn’t leave her in the gutter, you would want her to get any help she could. Food addiction is no different to any other type of addiction, you wouldn’t leave an ex smoker in the lurch who developed lung cancer, you wouldn’t leave a gambling addict with a pile of money in a casino, so why is it okay to leave a food addict without any help in a world where fast food the main thing on every high street.

[@thomasnewton8997]

It makes it more difficult but not impossible

[@TheHillsHousehold]

@@thomasnewton8997 did anybody say it was impossible? No. Grow up.

[@wchas5702]

Youre just lazy and should have to pay for op yourself

[@TheHillsHousehold]

@@wchas5702 do you know the chances of actually losing weight by yourself when you get morbidly obese? It’s extremely low. Maybe you should educate yourself, be a bit more open minded and not be such an arsehole 🤷🏻‍♀️

[@wchas5702]

@@TheHillsHousehold you would easily lose weight at the size you're at. Less cake each day and you'd easily lose a stone a weekm

[@theschnauz2138]

I really do think that many of the negative comments here come from people that quite simply did not watch the video all the way through. The scientific information that comes at around the 50minute Mark thoroughly explains why obese people are unable to lose the wait in a more traditional “lifestyle” change. Biology is quite literally working against them being able to lose the weight. What’s required is a lot more compassion.

[@DonnyDunne]

Yep... those people probably saw the video title, clicked on the video just to leave a nasty comment, and then left.

[@marilynwillett804]

Dr. Now in Texas who's had 9k patients said less than 5 % keep the weight off, long term. I will believe that highly educated, intelligent man..

[@CheeseyBabyLoueNo2]

@@marilynwillett804 because Texas is well known for supporting people and reflecting the views of the people. Yes, I really trust them to conduct un-biased research

[@peteglanton9259]

So what does the surgery do? It restricts how much a person can eat. Doesn’t change genes or biology. Self discipline can also restrict how much you eat. I’m not saying it’s easy, it’s not. But surgery is not the only solution.

[@theschnauz2138]

@@peteglanton9259 actually you are only partially correct. The surgery also changes hormone levels both in the digestive system that also act on the brain as well as other systems. Many people experience reversals in high blood pressure and type 2 diabetes within 24 hours of the surgery. Like I said, watch the video all the way through and do some cursory research.

[@siantowers1243]

An excellent documentary by Prof Rachael Batterham.She was so understanding and compassionate.A very interesting programe and I hope all the people who had the surgery or did the T3 programe are doing well.

[@thomasnewton8997]

Part of the problem is that if you look at the ports hand size of a metal in 1980 and then one in 2020 you can see how much porshen size has increased

[@billmartins5545]

You mean portion size? Yes, that's massively changed, many people overeat daily.

[@racheldemain1940]

What about those who become obese as a result of medication like steroids?

[@triciagribben1773]

I went years with an undiagnosed thyroid problem, by the time I had been seen and got appropriate treatment for it…..well I was already obese 😢

[@loopylou6841]

Or anti depressants anti psychotic meds can make you crave high fat high sugar high everything that’s not really good for you, and it’s unconscious you don’t realise your doing it

[@thomasnewton8997]

My grandmother needed a hip replacement but she never lost enough weight she passed away when I was 16 and I am 35 now

[@TheLifeofBez]

just watched this after doing alot of research as im at the point that waiting for the nhs is going to kill me before i can start getting better. im 6ft and 30 stone dieted and exercised since i was a teenager im now almost 30 so 15 years of trying to lose weight and ive put on roughly a stone and a bit a year no matter how little i eat and how many days im in the gym nothing changes. i will be going private for a bypass but i hope the nhs sort themselves out and give people a chance at life.

[@catz6019]

hope you're doing better, im struggling with weight similarly. you should be given the help, not made to wait and pay thousands

[@NEOVISAGE]

So far was taken me nearly 5 years to finally being seen by bariatric specialist, over the 5 years I started taking high insulin injections twice a day, maximum medication for high blood 🩸 pressure, water retention medc, and my mobility is bare minimum as the pain is excruciate it . Taking morphine on daily base just to be able to do things around myself but still will support of caregivers. Our NHS is amazing but very highly underfunded by Goverment and unfortunately lots of CCG having they private business from big pharmaceutical companies and treating symptoms is much more highly profitable for big fishes in the ocean of life

[@sarahmatsoukis8621]

Insane...I live in Germany and when I wrote to my insurance for a gastric bypass they saw my BMI and where like " holy sh*t yeah , you have all your doctors recommendations too ? yup your appointment is X-day, best wishes ".

[@abbieholyday4813]

I eat the same as normal weight people, probably less. I don't eat take aways, rarely eat junk food, I love to walk, I enjoy fruits and veg and cooking from scratch. Also me, I have 3 autoimmune diseases. Lupus, sarcoidosis and autoimmune liver disease. I have atrial fibrillation and asthma. I have dieted since I was 10 when I was first put in to weight watchers. To be able to stay alive I have to take steroids and immune surpressats and at times I am utterly exhausted (I have 3 immune diseases!) losing weight has been all I've tried to do all my life but I don't ever get any significant success. I think I'm finally going to get help. I spoke to a surgeon who believes me and understands me and my endless struggle to be the healthiest version of me. I've done everything I need to do now, just waiting for a panel to make a final decision. Maybe there's finally going to be help for me. May be there will finally be a future where I'm free of constraint.

[@eveking6289]

Hope you are doing well!

[@abbieholyday4813]

@@eveking6289 extremely so. I'm in the best shape of my life... I finally nailed it with my health and I'm over 100lb down.

[@thomasnewton8997]

The way I stay a healthy weight is I eat healthily and I excersize 4 to 5 times a week sometimes more

[@loulousisi3667]

It's a illness...not so easy to maintain without strict diet and exercise

[@dbentleyto95]

It is important, in my opinion, for a multi-prong solution. Not everyone gains or loses fat in the same way. The nutrition, exercise, and psychological aspects are so important even with surgery. A lot of people are bound to be helped in this way.

[@JuniorSamplesBR549]

Did Nestle pay for this to be made?

[@SuperVendetta9]

51:53, This panel doesn't seem convinced. Far right, yellow socks, arms crossed...all the others striking unconvinced poses... kinda makes you wonder if this was staged. Their body language is something else.

[@ameband5022]

I’ve been referred 😀

[@zannahmartell9813]

Wonder what the situation is now after covid.

[@sassyEmpress24]

I did the same with my winter coat and scarf when it got too small 😢

[@samarigosa]

Al the problems started with the introduction of Ultra Processed Foods. In the UK for most of the people over half of the daily calories come from these foods. This is making people sick, addicted and unable of setting limits on the quantities

[@karencaring3356]

Excellent documentary! Thank you!

[@chantalsscaleisafibber]

I thought it would take a little while after bariatric surgery to bring diabetes into remission not basically under24hrs after surgery. Although bariatric surgery is expensive it's cheaper in the long run of things as it brings down the cost of things like diabetes care, blood pressure medication, joint replacement with things like physio therapy following on from that.

[@teaacustardcream2868]

This doctor is amazing. Just look at the body language of all the other doctors on the panel sitting across from her.

[@riverafamily7]

I'm in the USA. I have medicaid. It took about 6 months and I was approved and am 7 weeks post op. Instantly getting healthier, especially regarding blood pressure and diabetes! To add...it s3ems to have cured my IBS-D!

[@thomasnewton8997]

If you have a heart connection then surgery is more risky and some surgeons are not prepared to take the risk

[@Lady_Mahoney]

I think the food industry has a ton of responsibility for the obesity epidemic with how they produce processed foods. When I was younger there was not the obesity that we have today. When bread can be left out for weeks, as well as other foods, and not mold and rot, it clearly shows our food is different that it was before 1970. Our bodies don't know how to process this processed foods, and I sincerely believe this is a big cause to obesity.

[@ezlow1065]

Yep spot on!

[@flufwix]

I wish all the people prejudiced against people suffering from obesity were proactive about the quantity of cheap, highly processed and unhealthy foods that large corporations fill up supermarket shelves.

[@MizzFortune91]

Im 33 & spent a lifetime struggling with my weight my best loss was 40lbs on keto but I just put it all back on where I had a binge eating problem everything seems to trigger me :( I always end up back at 18 stone I hate it really hoping surgery might be an option for me now even if it’s years on a wait list I feel it’s my only option at this stage .

[@billmartins5545]

You need to change your diet and lifestyle for the rest of your life. Find a way of eating and moving that you can do for years, don't go on diets for weeks or months. Make small changes you can stick to. Move a bit every day even if it's just walking 15 minutes.

[@seyara1]

When I was morbidly obese nobody took my health concerns seriously. Everything was blamed on my weight, by every doctor I saw. So, I had weight loss surgery privately believing it would solve all my heath problems. I lost 170lbs and it helped massively with my overall health and wellbeing, so im glad I did it, but funnily enough it was my bariatric surgeon who sent me for a full health check post surgery as a follow up patient, as he felt I had genuine health problems not related to obesity. Well, it turned out I had 6 tumours (one of which was on the verge of being cancerous) 4 auto immune disorders and a myriad of other health problems, I even had 3 minor strokes (both before and after wls) but it turns out the strokes were due to one of my AI's...long story short, yes I needed to lose weight but most of my health issues were not even caused by obesity (some even contributed to the weight gain) but nobody listened to me when I was fat! Exept for my excellent bariatic surgeon! I have since needed 3 further surgeries, with a 4th scheduled next month, only one of which is linked to my previous obesity 🤨

[@trid3nt749]

Damn, I wish all the best to you. Doctors not diagnosing serious diseases out of laziness is a very big problem. The same happened to my mom, hat multiple sclerosis for almost 20 years until it got so bad that doctors finally diagnosed it, but too late to really slow it down anymore. Before they just said she had a stroke.

[@seyara1]

@@trid3nt749 I'm sorry to hear this about your Mom

[@sandreawhite7534]

It’s the food source.

[@cherylgarrett4455]

I really hope there is extensive research being conducted into how weight loss surgery puts diabetes into remission. Metabolic issues are at the basis of obesity and/or diabetes. Although I am somewhat overweight (not classified as obese), I am diabetic and it is almost impossible for me to lose weight. I eat around 10-15 g carbs (a keto lifestyle) per day and around 1200-1500 calories. Although that controls glucose levels, I really do not lose weight. The only way I lose weight is to cut calories to almost nothing (1,000 or fewer calories). Insulin resistance is almost impossible to reduce.

[@thomasnewton8997]

If you want help you have to be willing to help yourself because weather its addiction or changing a unhealthy lifestyle for a more healthy lifestyle you have to help yourself .with weight loss surgery once the surgeon has done his job its up to you to lose weight

[@lisaeischens2352]

I don’t think that people in the UK could even imagine how bad it is in the United States. 30 million people have no health insurance and about another 1/3 are underinsured. People die from rotten teeth destroying their heart valves, they have heart attacks at a young age..:it goes on and on. 600,000 people lose their homes and file for bankruptcy due to medical bills. Even when you get insurance through your job, it typically takes 1/4 to 1/3 of your monthly income plus you have high deductibles for doctor visits and medications. Insurance frequently excludes dental, vision, and hearing exams and treatments. We are treated like nothing over here with the politicians, especially the Republicans lying to people about everything and getting the lowliest and most needy to actually vote against their own best interests. It’s maddening and beyond depressing to lose everything you’ve worked for due to an injury or illness that is totally beyond your control. On top of that, nearly half of us are obese and our life expectancy has actually gone down for the first time in history. People my age (50) will not live as long as our parents. They pump our food full of additives and sugar which changes our sense of taste and fullness. People are so depressed and hopeless leading so many to suicide and drug addiction. It really is bleak over here and for the people in this story, I’m sorry you got the run around but you still are vastly more fortunate than the average American. We are a joke. No maternity pay for the average worker with 25% of new mothers going back to work 2 weeks after birth. It’s devastating for so many and then they go and vote for the very assholes that make our lives hell.

[@jacobdueholm9855]

24:34 - That micro expression 😳! What a charming human😳🤦🏻‍♂️

[@jackwatsonepic626]

I am 6 ft tall and 17 stone. I used to be 20 stone but I have lost three stones (42llbs) not because of going to the gym but because of eating smaller portions and getting off the bus the stop before and walking to the shops to get a loaf of bread instead of using the car and drinking 6 pints of water a day and if I feel hungry I just brush my teeth and also eat rice instead of chips (fries) or celery chopped up even I have a treat once a month from the takeaway and I would say that if people took these sort of measures they would lose weight as well .🇬🇧

[@Noreen_khan786]

I’ve had surgery and yes it’s changed my life thanks to my referral from my liver team and my endocrine department at QE hospital .my GP had no knowledge of my health condition. I had a gastric band in 2014 that failed me once again just after getting an infection in February 2024 caused a lot of discomfort I was referred back to heartland hospital where the Bactria team are there . Brilliant news I got offered my surgery by a brilliant surgeon who looked after me through out my stay at Solihull hospital. I’m on my way losing weight ❤❤

[@dizzydaydream9647]

We need to start with the producers of processed food and educate the supermarkets that sell all that crap!!! If people can’t buy it, then they can’t eat it. Just get ride of sugar (in all it’s forms) and snacking between meals. No sugar = no insulin spike = no fat stores on the body = no obesity or diabetes. Prevention is always better than cure.

[@merandareast2552]

Get rid of sugar in all its forms? Okay… so no fruit, no veg, no breads, no potatoes, no rice, no dairy products… you literally cannot survive without sugar. That’s what feeds your brain. Sugar and oxygen. Your comment shows a massive lack of education and understanding.

[@echase416]

But that won’t happen.

[@lindsay27b]

That's not right at all

[@jeanlind7540]

I can’t remember last time I ate from fast food restaurant. It must have been years ago & then only on rare occasions. If I fancy a burger I make one & couldn’t manage chips, only salad. I’m now 69 years old & have increased from size 10 to size 12, probably because I don’t do as extensive sport every day as I did. However, I’ve always been aware that if one takes in more calories than body can burn off it will lead to putting on weight. I understand that those people now extremely obese can only resort to surgery but this should be a lesson for those who have just started on the path to learn to eat healthily or this will be your life.

[@MrDreadsecond]

Im 45 living in Holland been overweight since i was 16 up and down with weight trying to get a gastric bypass since i was 40 with no medical issues but was ignored..now finnaly after i got diabetes,to high blood pressure high cholesterol and sleepabneu....finnaly getting accepted for the operation so rather getting help early i needed to get sick first😢.

[@billmartins5545]

Je had ook zelf je dieet en leefstijl aan kunnen passen...

[@mahmoodrashid3148]

So how much it cost for a weight loss surgery any body reply me as soon as possible

[@mahmoodrashid3148]

Thanks very much for your information darling

[@mahmoodrashid3148]

Have you had a weight loss surgery how much it cost in your city

[@riririri8535]

Canada the same between 16,000 to 23,000$ depending on the surgery in private but with the public system it is free but the wait is 5 to 10 years.

[@twinmumagain]

Between £6500-£12000 in the UK. Fly somewhere like Turkey, you’re looking at £3000

[@mavali529]

This is insane on how England, NZ, and Europe looks at obesity. This is insane to me because here in USA I m going for surgery in 6 months and honestly I m not lazy. I don’t sit and stuff my face and etc. I work 7 days a week, go to gym and eat vegan as much as I can but most of the time I eat 2 times a day so my body the way it works it turns everything into fat :( but you can’t say I m lazy because I work my butt off everyday. And honestly I believe surgery is only option for me and it will save my life & help me have a child!

[@wchas5702]

Liar

[@coolcaz198]

My daughter is having surgery next week she is paying almost 11K to get on the nhs she would need to GAIN another 5 stone she is already 20 stone + and would have to jump through hoops!

[@jojofc88]

I studied health and fitness journalism at university, and as well as learning about the biochemistry and physiology of health and fitness, I learned about the history, culture, industry and economics of obesity, nutrition, malnutrition, diet and fitness. And I’ve continued studying it at leisure since I graduated 11 years ago. Those comments by journalist Amanda Player at about 25:00 make me absolutely FURIOUS! I don’t mean to sound like a know-it-all but she clearly knows absolutely NOTHING about nutrition! I can’t deny that she’s entitled to an opinion, but her opinion is so painfully uninformed and yet her tone is one of total self righteous judgement!

[@lettyguerra371]

For the lady that said that she doesn't know what foods are good or bad, my first thought was yeah right, but then I thought about my own weight loss journey, I did at one point have to look at all foods , and their are foods that seem healthy, but aren't. Foods that are marketed to be healthy actually hurt more than help. I think the re-education program is the first thing they should do, and that schools should teach nutrition to children so that they will not repeat the errors of their parents. Also, if the HHS needs money, maybe they should take in less refugees, and illegals that drain resources.

[@teaacustardcream2868]

She meant as a child

[@MrBlaxjax]

Dietary advice changed back in the 80s and ever since the average bmi has grown with each passing year. So the advice was to cut out fat and eat starch/carbohydrates instead. Using a combination of probability and Occam’s razor surely that advice needs to be examined. I doubt that we need a complete return to a 1970s diet. But back in those days most people were as thin as rakes.

[@diamondsparkle9967]

Is sciatica a result of being overweight???

[@lindsay27b]

No, anyone can get sciatica. I have it, mine is off caring for my disabled child.

[@jp80a68]

Yet those of us who are not overweight, do not smoke, drink or take drugs, also get left.I have an auto immune codition which has affected my spinal cord, my kudneys and now my lungs, yet I have not seen a rhumatologist for 20 years.

[@missmoth2588]

After I gave birth to my daughter I had trouble with my weight too the bad choices of birth control. My Doctor told me I just needed to lose weight for 4 years he said I could live on one piece of cheese a day, and all the while I felt worse and worse. I then became very ill as we moved to a new area and the new Doctor did a test and found out I had an underactive thyroid that had been not working for a very long time. The NSH doesn't do preventive medicine. They had me on thousands of pounds of painkillers and painkillers for years when a visit to a pain clinic and me buying a £30 tens machine, swimming a few times a week, and some physiotherapy, and CBD oil would do a much better and much less harmful to my body. I was only offered that once I was sick at night because my stomach lining was damaged.

[@thomasnewton8997]

Weight loss is a personal responsibility

[@loulousisi3667]

Are you a doctor? No

[@gillwaller9923]

Please educate yourself. You are not qualified in anyway to make that statement. The science is out there.

[@lettyguerra371]

Philippa needs to get a Go Fund Me page started!

[@micheladonofrio2285]

Well I can see then that our health system in Canada is not the only one that doesn't work for the patients.

[@DebArmstrong-lz5gv]

People who deliberately eat too much should deal with the consequenses. I realise this can stem from a bad childhood but when you realise you have a problem, then is the time to start eating healthily.

[@finestjewels]

Had surgery a week ago. Sleeve. Its not the easy way out. You may not be losing the weight with running on a treadmill. Its your brain running on the treadmill on double time. Took a year for approval. I took Fridays off for a year for all the appointments, labs, psychology evals, nutritionist meeting. Classes. Sleep studies, Stomach scopes. Quit smoking. It was a lot and im no where near done by a long shot. Not one person has been supportive in this decision. There is most definitely a prejudice. I dont care, I did this for me. I live in this body. Started at 5 foot 5 at 247. Check back with me in a few months. If I could heal a drug addict with medicine I would. Not much difference hear. I was an addict. Of food..

[@BOO-sy2oz]

u doing ok

[@loopylou6841]

And we wonder why ppl are going abroad to get treatment if they can!

[@thomasnewton8997]

The first thing that should happen when someone wants weight loss is they should be given a healthy eating plan and a free gym membership pass and a therapy course because food can be additive

[@irisgallati]

Believe it or not, this is actually exactly what happens. Where I live, you need to have a certain BMI, you need to do a liver-shrinking diet first, you need to go to psychotherapy and to a recognised dietist, if you state you are an emotional eater, and you need to prove that you have tried the conservative options, all supervised and prescribed by a doctor for at least 2 years. Only then, an operation might even come on the table as an option. And if they agree to operate on you, you put your signature down to exercise, show up to regular follow-up checks, you exercise and you continue psychotherapy. So as long as it is done in a public hospital by public funded doctors, it is in no way lightly that you are provided the help that an operation can bring you. And even then, it isn't a decision to be taken lightly. Operation methods are safe nowadays, but after the operation,it is the hardest eating regime on the world. Despite them saying it is not good to diet (jojo-effect and so on), they have to put people on the hardest regime on the planet. So an operstion is really onmy the last option, because there currently is no other solution with similar benefits. Not following meal instructions can kill you and the partial removal of the small intestine can have a tremendous impact on your immune system aswell.

[@thomasnewton8997]

Children should be educated at school about health and nutrition and exercise and exercise in schools should be mandatory

[@BOO-sy2oz]

PE in schools already IS mandatory

[@munam2246]

Never ceases to amaze me how despite having a free healthcare system, people love to moan it's the healthcare systems fault I'm so ill. People have little incentive to take care of themselves anymore because the NHS will fund to make me better (one guy actually said in another documentary that it is the NHS footing the bill not me, why should I care how much they're spending on me). People must realise that the NHS has a finite amount to spend and there are conditions which people simply cannot do anything about to treat it. That is what the NHS was for, not to that food/pharmaceutical/weight loss companies can profit from it, which is sadly what's happening now. We need to start taking responsibility for our own health. People moan about a nanny state but with people expecting the government to take care of simple things, it's no wonder we're getting the state to start issuing things we don't like, like food manufacturers must control the calories in food now. What should be done is telling people it's okay not to have a second helping. Also, the number of people who are pre-disposed to obesity are a minority. People need to address the fact that people are overweight due to lifestyle. There are some exceptions (lack of mobility due to accident or illness) and those should (in my humble opinion) get priority. There is no way everyone can be given expensive 'treatment' (obesity causes diseases I don't think it is an illness itself) like surgery. It's just financially not viable. If you go to mainland Europe, there are hardly any fast food restaurants. The UK almost every corner (especially in the deprived areas) has cheap fast food shops. That needs to stop

[@niamhcourt4984]

It's not free! We put money into it via our national insursnce. I can tell you now that I've put in much more that I've taken out. The government is to blame for obesity. The WHO adjusted their recommended level of sugar to suit the sugar industry, it's all about miney for them and not about people.

[@merandareast2552]

So let me get this straight… the DOCTORS say obesity is an illness and requires a medical treatment (obesity, not simply overweight) but YOU say it’s not… where did you get your medical/gastric medicine degree?

[@CheeseyBabyLoueNo2]

what happens is that you get passed from person to person because no one cares enough to actually look into what the problem is or even believe the patient. Every patient is treated as a hypercondriac. You're constantly told to come back in over 2 weeks time, to wait until the problem goes away, even though you waited a month before going in in the first place. Then 2 weeks later they tell you to come back in 2 weeks times, because they cba. All that money wasted from going into all those appointments could be put towards actually treating the issues you have, but none of the GPs care to take your issues seriously unless you kick off or have the balls to demand a referral.

[@happydreamer79]

There's no free healthcare - we, tax payers pay a huge chunk out of our wages each month. Don't make yourself sound idiot

[@Chirpingcherub]

It’s not just over weight people I have been let down by the NHS (I know it’s not technically their fault it’s funding) but they need to check doctors and nurses knowledge and actually take complaints seriously I was in pain was gaslight by doctors for 5 years turned out I had NF1 and hyper mobility

[@abbiesianlouise]

And it got worse to get treatment now

[@thomasnewton8997]

It's not fair who ever said that life was fair It's not you just got to get on with it

[@laurabilling3561]

Me - doctor, help my hips hurt so much I cant walk without pain and I'm struggling to loose weight. My doctor - you have hip dysplasia, you need to loose weight to have the preservation surgery... To loose weight eat less and exercise like walking Me - riiiiiight?

[@TheAcdcnz]

You could lose weight just eat healthy. No need to exercise

[@laurabilling3561]

@@TheAcdcnz yeah, that's what I'm working on now, it was more the point that my doctor prescribed exercise to someone who can barely walk some days due to pain/joints stiffening/joints giving way/popping/grinding etc :D

[@ixopo6715]

Having worked in the NHS for over 35 years, I have heard some very unkind comments made by a variety of colleagues when encountering bariatric patients. Simple things like having suitable gowns makes a huge difference, as most very overweight people want to be covered up and they have that right, similar to someone who is underweight. Morbid obesity is an addiction, just as alcoholism, smoking and illegal drug use. Are we going to stop treating this whole demographic and who is going to play God. I think early nutritional education is really important and especially portion sizes. It’s quite telling that this problem seems to be endemic amongst quite wealthy countries and the fast food industry needs to be looked at. US companies are deliberately keeping the prices down, so increasing the volume sold and therefore people dine off a pile of burgers rather than a properly balanced homemade meal. Again people need to know what the latter is and a healthy average daily calorific intake I can see this branch of medicine almost taking over from psychiatric care for lack of funding, as governments have never seen that as a vote winner either.

[@ChristHell91]

In my view, I've always seen modern medicine, and consequently surgery, as a means of fixing rather than curing diseases. Unfortunately, many chronic diseases can only be alleviated with medications, and so forth. However, in the case of bariatric surgery, it's observed that numerous obesity-related health issues decrease, or even disappear, as the weight decreases. In my humble opinion, bariatric surgery should be reserved for individuals with severe obesity, of a certain age and who already have notable health problems. It's worth noting that having part of your stomach removed is no walk in the park. Nonetheless, for other individuals with moderate obesity, myself included, with a maximum weight of 222 pounds (101 kg) for 5 feet 4 inches (1.64 m), the encouragement should be to change one's lifestyle gradually to regain a healthy weight. Sometimes, I see people getting surgery at barely 243 pounds (110 kg), young people, and so on. It's not worth it considering all the potential complications that can arise alongside. Otherwise, I would appreciate if reconstructive surgery were offered free of charge as part of a healthcare journey for all obese individuals who have managed to lose weight naturally.

[@RosiBed3650]

I am convinced that this is not the way to treat obesity in general. The Health Care Systyem has lots more ways open to it and does not embrace it. It is called "prevention and education". But keep on selling crappy food everywhere so everybody has its profits except the average person who ends up eating it.

[@ezlow1065]

Education on nutrition and awareness of all the contaminates in foods and water etc would also go a long way to help in this epidemic.

[@itsmerosieoh]

I hope Philippa sued her gp or the nhs.. if she had the surgery 5 yrs before this interview, she wouldn’t have developed AF.. the doctor/interviewer even said so herself.. barriatric surgery is immensely beneficial..

[@Ghostdmz]

Just go turkey 3000£ and you back to Uk in 5 days better that rubbish NHS wait list 5 years

[@thomasnewton8997]

Some peoples geins make it easier for them to put on weight but it is not inevitable

[@dawntaylor3338]

Why is it that the people with these negative attitudes towards fat people are ugly and not attractive in the least? On another note: This is incredibly frustrating! I'm somewhat in this situation myself and I'm going to Mexico for surgery. I have no options left and I'm absolutely terrified of dying. But with my pain issues, I can't exercise enough to get the weight off. My insurance doesn't cover wls so Mexico or is. I hope these people get the help they need. I totally feel their pain.

[@NGHTNGLHS88]

NHS is all for mental health & services for addiction but they fail that for some Food is an addiction in regards to a traumatic experience affecting their mental health. Whom are on a viscous cycle where they diet via joining pro diet companies. Where weight may be a loss but then gain due to personal circumstances mentally. Is for some, obesity an eating disorder. I have a family member whom athletic most of his life until a traumatic experience, where food was the comfort not alcohol not drugs because they knew of the repercussions in regards to his children. In 4 years gained 8 stone and yo-yo in dieting which resulted in gaining another 2 stone. Where visits to the GP was ignored, plight for help and emotionally destroyed him. Until he joined a well known weight loss business by this time he was 24stone and when he got to 18stone he found it difficult. He moved away, new drs where they put him on tier 3 weight loss. He loves his GP, the psychology team were amazing. 18mths he has lost 6 stones and mentally in such a happy place regards to his weight but still in therapy regards to his past trauma. ❤️. GP's need to understand the bigger picture. Funding into this service on NHS is important.

[@lindsay27b]

I completely agree, I have the gene, but also I had trauma as a child I have eupd due to this, I've struggled with my weight and mental health issues, and my new gp understands their connected. And she suggested the operation. I'm not lazy I've cared for my quadriplegic son for 18 yrs and have a 4 Yr old autistic son who has serve behaviour issues. So people who call me are basically stupid. X

[@PetsNPatients]

Sugar industry

[@rhondaklak5973]

Beware of transfer addiction!! It ruined my life

[@thomasnewton6277]

the NHS is a brilliant service

[@polly9054]

I met all the criteria, including type 2 diabetes and they STILL rejected me

[@4my4blessings]

(((Hug)))

[@vjc2270]

I'm really interested in the extent to which obesity is a class/poverty issue. It's all very well for the wealthy social commentator who identifies herself as a 'fattist' to say, essentially, that overweight, ill people don't 'deserve' life-saving surgery on the NHS, but I'm assuming that she's enjoyed all the benefits that come with money. Many don't have access to an expensive education and can't afford healthier foods. If you have a family to feed, chips and sausages are a whole lot more affordable and filling than exotic fruits, fresh vegetables and small portions of fat-trimmed meats!! She's basically pushing the old 'blame the victim'/ 'kill the poor' argument.

[@josephinepalfreyman6665]

Why are we pandering to these people. I have a few serious health problems all caused by an autoimmune disease, I have never been overweight, despite restrictions on my mobility. I am so tired of people saying you are lucky not to be fat, it's not LUCK it's hundreds if thousands of decisions not to eat crap , if I have a starter I don't have a pudding. Your stomach is stretchy if you eat too much you stretch it, if you stop filling it it shrinks that controls your hunger.

[@nicolewalker5502]

We assume we inow why people get fat but we do not. Yes stomach amputation is effective as is the pharma equivalent I.e. Ozempic but merely starving people will cause malnutrition and there are side effects I.e malnutrition. Can we change the fat loss paradigm,treat carb addiction via high protein and high fat diets so that this brutal method and ozempic are reserved for the severely obese? Please break the Eatwell plate too. Failed paradigm.