How today's bariatric teams work with patients to help them lose weight through minimally invasive surgery and lifestyle changes.
The Path to Health: Insights into Weight Loss Surgery with Dr. Muhammad Ghanem
On the latest episode of Let’s Talk Health, host Dr. Dan Pavlik Jr. explored the transformative potential of weight loss surgery with Dr. Muhammad Ghanem from the Orlando Health Weight Loss and Bariatric Institute. The conversation delved into Dr. Ghanem's journey into bariatric surgery, the evolving science of weight loss treatments, and the life-changing effects they can have on patients.
Discovering a Career in Bariatric Surgery
Dr. Ghanem, born and raised in Jerusalem, always knew he wanted to be a surgeon. During his early medical career, while specializing in general surgery, he was struck by the metabolic impacts of bariatric procedures.
“What amazed me most was the ability to cure diseases like diabetes through surgery,” he shared, recalling conversations with his father about the groundbreaking effects of these techniques. This revelation led Dr. Ghanem to pursue advanced training in bariatrics, blending his passion for innovation with his desire to make a profound impact on patient lives.
Obesity as a Disease, Not a Failure
One of the recurring themes Dr. Ghanem emphasized was the importance of viewing obesity as a biological disease rather than a personal failure.
“Many patients come in feeling defeated, believing they’ve failed because they couldn’t lose weight through diet and exercise,” he explained. “I tell them, ‘It’s not you—it’s your biology.’ Obesity is a disease, just like hypertension or diabetes, and it requires tailored treatment.”
This perspective helps reduce the stigma many patients face, empowering them to seek solutions without judgment or shame.
Options Beyond Surgery
Dr. Ghanem’s practice isn’t solely about surgical interventions. The clinic also provides medical weight loss options, including the widely discussed semaglutide (part of the GLP-1 class of medications).
“This medication is a revolutionary step forward for weight loss,” he said. “It’s not perfect and doesn’t work for everyone, but it represents the beginning of a much better understanding of obesity and its treatment. We’re finally on the right path.”
While semaglutide offers hope to some, surgery remains the only proven option for patients with a higher body mass index (BMI) or severe weight-related medical conditions.
Understanding Bariatric Surgery: Procedures and Outcomes
Dr. Ghanem broke down the three most common weight loss procedures performed at his clinic:
Gastric Sleeve:
Involves reducing the size of the stomach to limit food intake.
Alters hormones to aid in weight loss.
Often chosen for its simplicity and efficacy.
Gastric Bypass:
Creates a small stomach pouch and reroutes part of the small intestine.
Particularly effective for diabetes and acid reflux patients.
Produces immediate hormonal changes that can normalize blood sugar levels within days.
Duodenal Switch (DS):
Combines a gastric sleeve with intestinal rerouting for greater weight loss.
Ideal for heavier patients or those with complex metabolic conditions like severe diabetes.
Dr. Ghanem highlighted the role of robotics in these surgeries, which allows for minimally invasive procedures and faster recovery times. “Robots don’t perform the surgery—surgeons do. It’s like operating a drone: precise, controlled, and safer than ever,” he said.
Life After Surgery: A New Chapter
The success of weight loss surgery extends beyond numbers on a scale. Dr. Ghanem shared the story of a 600-pound patient who regained her independence after undergoing a phased duodenal switch.
"She went from being immobile and oxygen-dependent to walking with a walker and eventually enjoying a new lease on life," he recounted.
Patients typically return to normal activities within weeks after surgery. A strict post-surgery diet helps them transition back to solids within seven weeks, and follow-ups include guidance from dietitians to support sustainable habits.
The Role of Personalization and Professional Guidance
No single procedure fits all patients. Dr. Ghanem emphasized that his recommendations are carefully tailored to each individual’s health history and goals.
“Every patient is different,” he said. “Some might think the gastric sleeve is right for them because of a friend’s experience, but what works for one person may not be best for another. As professionals, it’s our job to explain why certain options are safer or more effective.”
Challenges and Success Rates
While weight loss surgeries are generally safe and highly effective, challenges like weight regain can occur in about 20% of cases. Even so, most patients maintain significant improvements in metabolic conditions like diabetes, sleep apnea, and hypertension.
“Weight regain doesn’t mean failure,” Dr. Ghanem reassured. “Patients often keep many of the health benefits they gained from the surgery, even if some weight comes back.”
Transforming Lives Through Innovation
For patients considering their next steps, Dr. Ghanem offers reassurance. With advancements in medications and surgical techniques, the future of obesity treatment looks brighter than ever.
“We’ve only scratched the surface of what’s possible in this field,” he said. “But every day, we’re moving closer to offering more effective, personalized solutions for everyone.”
Dr. Ghanem’s passion for patient care and his dedication to advancing weight loss treatments stand as a beacon of hope for those struggling with obesity. For individuals seeking transformative solutions, he provides the expertise and compassion necessary to start a healthier chapter.
To learn more or schedule a consultation, visit the Orlando Health Weight Loss and Bariatric Institute.
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