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People who want to lose weight have more options than ever before. However, deciding which one to pursue can be a challenge. Should you go for lifestyle changes alone? Consider weight loss surgery? Or look into injectable weight loss drugs like Ozempic and Wegovy?

We asked two Wellstar physicians to weigh in on this popular topic—and their answers might surprise you. Dr. Lisa Hilton is director of minimally invasive and bariatric surgery at Wellstar MCG Health Medical Center and director of the Center of Obesity and Metabolism at Augusta University. Dr. Mitzi Rubin is a family medicine physician and director of the Wellstar Center for Best Health. Here’s what these two experts have to say about obesity, treatment options and the importance of a comprehensive approach to weight loss.

Let’s cut to the chase: What is the best way to lose weight?

Dr. Rubin: There is no magic fix that works for everyone. Many people have tried every fad diet out there. They’ve tried being more active. Maybe they’ve even had bariatric surgery or used injectable weight loss drugs—but nothing works. If this sounds like you, schedule an appointment at a comprehensive weight loss center. Find one that offers medical and surgical treatment options and personalized recommendations. And make sure they provide ongoing support to help you meet and maintain your weight loss goals.

Dr. Hilton: Both of our centers take this comprehensive approach. We use every tool available to treat obesity. You may be successful with lifestyle changes alone, or perhaps you need to meet with a behavioral therapist or consider surgery, medicine or a combination of therapies. Everyone is unique, and their treatment plan has to be unique too.

What’s your take on weight loss injectables—are you a fan?

Dr. Rubin: I’m excited about drugs like Wegovy and Ozempic, which people sometimes refer to as GLP-1s. They work because they control your appetite and reduce ‘food noise,’ a persistent, unwanted focus on food.

However, not everyone can tolerate the side effects, which include nausea, constipation and diarrhea. If you want to lose more than 20% of your body weight, using one of those drugs alone probably won’t get you there. Another consideration is that many people need to continue taking these drugs for life—even after they reach their weight loss goals.

What are some misconceptions about bariatric surgery?

Dr. Hilton: Two big misconceptions are that bariatric surgery is dangerous and it doesn’t work. Here’s what I’d say: First, bariatric surgery is as safe as a routine procedure like gallbladder removal. Second, bariatric surgery is the most long-lasting and effective treatment for obesity available. Most people who have bariatric surgery maintain their weight loss at the 10-year mark.

With weight loss drugs dominating the headlines, have you noticed a shift away from surgery?

Dr. Hilton: Yes, but I think that’s temporary. The drugs are sparking conversations about obesity and weight loss, which is a good thing. Patients who have never considered bringing up obesity to their primary care provider are asking about the injectables. They’re making appointments at a comprehensive weight loss center, and they are discovering they have a lot of choices. It isn’t ‘medicine or surgery’ or ‘medicine versus surgery.’ Sometimes the best answer is both.

Can you share a weight loss success story with us?

Dr. Rubin: We’ve had so many success stories. One of our rock star patients has lost 250 pounds under our care. Now, she’s living her life again. Her diabetes is in remission, and her cholesterol has improved. She’s no longer depressed and isolated. My whole team is so proud of her—she has completely changed her lifestyle, sees our dietitian regularly and attends our support group. Another patient has lost 135 pounds. He and his wife are losing weight together, and it’s fantastic.

Dr. Hilton: We ask our patients at their first visit, ‘What does success look like to you?’ Most have a number in mind, but non-scale victories are important too. Some want to get off their diabetes medicine or shop in a regular store instead of a big and tall store. Others want to take their kids to Disney World or a water park and have fun on the rides—not just watch.

What is the No. 1 key to weight loss success?

Dr. Rubin: The key is to make lasting lifestyle changes. Medication and bariatric surgery can only get you so far. If you are ready to make these changes, consider finding a team who offers personalized, long-term support. Dr. Hilton, myself and others at Wellstar are here to help!

Ready to take your first step? If you’re considering lifestyle changes, medication or surgery for weight loss, it all starts with a conversation. Schedule a visit with your primary care clinician to discuss your goals, health history and next steps.

John Elliott was a builder who enjoyed meeting with clients and planning their future homes. But the effects of Parkinson’s disease made it hard for him to meet with clients and live his life. Then he found a new sense of hope thanks to the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS). His experience is a powerful testament to the value of comprehensive care and how his neurologists, functional neurosurgeon and nurse navigator helped him rebuild his life. 

Symptoms that were hard to shake

John has been building custom homes in Marietta for 45 years—a career defined by personal relationships with his clients. He loves spending time with his family, hunting, fishing and bushhogging the multi-generational family farm.

But in 2015, John’s hands began to shake. A former client and friend who was a retired neurologist recommended he see Dr. Thomas Holmes, a Wellstar neurologist. 

A DaTscan, a type of nuclear imaging test that takes images of the brain, helped Dr. Holmes see a loss in John’s dopamine-producing neurons, which indicates Parkinson’s disease. The progressive neurological disorder affects a person’s motor functions and movements. 

At first, medication helped. But years after his diagnosis, John’s medications were barely effective.

“A big part of custom home building is your interaction with your client,” John said. “Meeting with the customer became somewhat of a problem.”

His tremors and involuntary mouth movements left him feeling embarrassed.

“I kind of went into a shell and didn't want to see people because they would make comments, particularly about the mouth movement,” he said. “You want to hide.”