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“The Biggest Loser:” Irresponsible Weight Loss Surgery Comments?

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One of the barriers to getting weight loss surgery is the fear of telling others about it. People are quick to make you feel ashamed about your choice. They accuse you of cheating or of making a dangerous decision.

But it’s not just uninformed people who can make you feel bad. What about the media, which you trust to get its facts straight, and which influences millions of Americans’ beliefs and opinions? Sadly, the media spreads its share of misinformation about weight loss surgery.

One striking example occurred on the final episode of this season of NBC’s “The Biggest Loser.” For the record, this was not the first time this show publicly aired negative comments about weight loss surgery. On this occasion, Dr. Robert Huizenga clearly stated that weight loss surgery is an unhealthy choice. The implication was that it is a mistake in all cases, and far inferior to the weight loss methods used by “The Biggest Loser” contestants.

There was no mention of the fact that the weight loss methods used by the contestants are the exact same as the most effective weight loss methods used by weight loss surgery patients. That is, both use a low-calorie diet that dramatically reduces junk foods, and both encourage physical activity. The problem with weight loss surgery? Dr. Huizenga did not explain. Viewers can only guess at the horrors he was thinking of.

I’m certainly not the only one to notice such snubs on national television. The BariatricPal community had a thing or two to say about this particular episode of “The Biggest Loser,” and I invite you to check out the comments and add to the discussion if you haven’t already.

The Biggest Loser

Nobody’s dream in life is to get weight loss surgery. Unfortunately, nobody’s dream in life is to struggle with obesity, but many of us do. What options do we have? Those of us who have chosen weight loss surgery chose it because we exhausted our other options. Those options – regular diets – just didn’t work for us.

So, what would Dr. Huizenga have recommended in my case? A 16-week stay at the Biggest Loser Ranch, just like the contestants who made it to the season finale? Full dietary, medical, and physical activity support, just like the contestants? Sure, I would have been happy to try that option. Unfortunately, it costs about $3,000 per week to stay at the resort. That’s a value of $48,000, not including the longer-term support contestants receive.

Could I have lost the weight without surgery if I had had $48,000 to spend and the promise of lifetime support? I don’t know. What I do know is I did not have the chance to try. I did, however, have the chance to get weight loss surgery, and I made the most of it.

Don’t get me wrong. I really respect what I see on television of the Biggest Loser trainers and health staff that I see on television. Dr. Huizenga seems genuinely distressed about contestants’ poor health at the beginning of the show, and just as genuinely satisfied about their improved prognoses by the end. This season, trainer Jen’s tears were representative of the sincere stake the trainers have in the contestants’ lives. And, like many in America, I’d be on the first plane to Los Angeles if Bob or Dolvett offered to train me. But I do wish they did not feel the need to bash weight loss surgery without explanation.

The Truth of the Matter

Even if you have the choice between losing weight the Biggest Loser way or through weight loss surgery, which is better? There’s no question that you need to decide for yourself, but let’s take a look at each of these weight loss methods.

Losing weight Biggest Loser style means spending hours a day in the gym. The show doesn’t air nearly as much material on food as it does on exercise, although terrible eating habits got contestants to where they were, and good nutrition is clearly a part of their new lifestyles. It seems doubtful that Biggest Loser contestants can continue to exercise so many hours per day for the rest of their lives after the show, and I am certain that many other individuals just do not have this kind of time.

Weight loss surgery is…well…surgery. It involves going under the knife and changing something about your insides. There are inherent risks that are unavoidable when you undergo weight loss surgery. Aside from that, bariatric surgery requires a controlled, high-protein, nutritious diet, and exercise is recommended. Many patients can average about 100 pounds, or a respectable and reasonable 2 pounds per week, during their first year after surgery.

How do the results of losing weight Biggest Loser style versus with bariatric surgery? Initial weight loss seems comparable, according to a study discussed in US News and World Reports. But the study found Biggest Loser contestants ending up with a lower metabolic rate – making them potentially more likely to regain their weight. Granted, this study did not follow participants long-term, so we do not know what will happen in 10 or 20 years. What does seem clear, though, is that it is not yet justifiable for the “Biggest Loser” to state matter-of-factly that all weight loss surgery is bad.

Why Does It Matter?

Does it really matter what a reality television show says in passing about weight loss surgery? I believe it does. For one thing, the country already has a culture that largely views bariatric surgery negatively. We don’t need to increase the negative feelings with these vague statements proclaiming that the show helps contestants lose weight the “right” way, and other methods of weight loss are “wrong.”

Second, the show has millions of loyal viewers, including many who may be eligible for weight loss surgery. In my opinion, the show is doing them a disservice by stating unequivocally that bariatric surgery is a bad option. For some of these viewers, bariatric surgery may be the only option that would allow them to lose the weight that has plagued them their entire lives.

I don’t know what the solution is to this problem of negativity towards weight loss surgery and weight loss surgery patients. Education and patience come to mind – spread the word, when you can, about how weight loss surgery works and why some people get it. And, grow a thick skin. No matter where you are in your weight loss journey, you’re bound to get some negative comments about your decisions. Just know that you are doing the right thing for yourself.



I think it's sad that a doctor would make such a statement. I think it is in direct violation of the

Hippocratic Oath (do no harm). Every patient is an individual and each medical decision should be made with that in mind. There is no size fits all for anybody. For a doctor to be engaging in generalizations is cavalier and harmful.

This was my objection as well. He is allegedly a medical doctor and WLS is medically accepted as a viable treatment for obesity, so for him to disparage it they way he did seems medically unethical.

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and most of the biggest losers regain most of there weight.my neighbor did.

They used to do "where are they now" type episodes every couple of seasons and you would see that many of them did regain some, if not all of the weight. I've noticed they've stopped doing those altogether now and instead just have some of the "veterans" who have managed to keep off most of the weight show up at the season finales.

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I would love to see their statistics on all the past season participants on Biggest Loser They will not do this as it defeats what they promote: products and WL camps ($$$)

Truly. Must be over 100+ ex participants around. Could there be a contract clause that they cannot tell about saunas or dehydration etc before weigh ins?or talk about regain?

Wish a legit company would do a true expose on their methods....

FYI I am 8 1/2 year out successful bander I really tried diet and exercise for about 20+ years and feel the up and down dieting contributed to higher weight and feeling defeated every year????very healthy and happy now... And with diet and exercise AND my band... right where I like to be. May we all be so lucky.

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I remember reading an article several years back from a former contestant where she talked about some of the strategies for weigh-ins: Water loading, saunas, caffeine, etc. She said they actually weigh-in the morning of on a normal scale in an office with minimal/no clothes.... the big fancy scale on the show is just for show. And then one of the things that really surprised me was learning that a "week" on the show wasn't necessarily a week in real time. Like from the arrival at the ranch to the first weigh-in is more like 2-3 weeks. And then depending on what they have going on for that "week's" challenges and special events, the "weeks" could be more or fewer than 7 actual days between weigh-ins.

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I have a lap band and had lost past my goal weight. I started having problems with the band. I found out it was too tight and always had been. I couldn't get most foods down despite following all the rules and having had the band completely unfilled. Despite a band that never functioned properly, I had lost all my weight and kept it off for 6 years. I had exercised much of that time. Eventually, I had gotten too thin and I felt tired all the time. I started eating popcorn, cheetos and other Snacks because that is what I could reliably get down. My weight stopped dropping and started to climb a bit. I retired from a very physically active job and stopped exercising due to some depression because I missed work. That is when I really started to gain some weight back. I gained back to my original goal weight and then another 40 pounds.

I had past success at weight loss but I felt I needed a jump start. I needed to get out of the house and into a new routine. I researched weight loss resorts and found the Biggest Loser Resort in Malibu. There was a sale going on so I pulled out some retirement funds and scheduled a month at the resort at $1900 per week. I lost 14 pounds during the month I was there. I think they had us on a 1600 calorie per day diet. I couldn't eat even half the food because of my band. We literally exercised all day. There was a morning hike of 5-7 miles. You dashed from one workout class to the next. They had really good classes on nutrition too. The program was great. I loved it and really benefited from it. I came home and lost an additional 30 pounds on my own. You have to keep in mind though that I went in at 172 pounds, which isn't that big, so I was able to really work hard and burn a lot of calories there. I noticed that people that were much larger had a hard time keeping up during the workouts and they had a greater tendency to skip out on classes and hide in their rooms. I think the resort was great (the Malibu location closed down in January but there is a non-BLR affiliated resort in the same spot that just opened), if you could afford it, BUT it involves extremely rigorous exercise that isn't sustainable after leaving there. I'm single and retired and I didn't manage to keep it up. I've gained back 20 pounds. I did love it though and would go back there in a heartbeat (to the new place that opened). None of the staff where I went ever criticized or even mentioned WLS. I don't remember whether I had to tell them in the medical history. I didn't tell my fellow guests.

In my opinion, somebody with a lot of weight to lose that has a job and a family to take care of just might need a more permanent solution or a combination of solutions. I can definitely see having WLS and once you find you have good mobility and can do hikes (they have varying levels of difficult including a level hike for those with injured knees) and exercise...go to a fitness resort for motivation, exercise training and fellowship. I made some good friends during my stay. It's a good option if you need a jump start, like I did. Also to add...I'm an introvert and have avoided support groups. The fact that I paid a small fortune to go to the resort made me come out of my shell and talk to the other guests and the trainers.

Edited by Want2surf

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It offended me as a newly banded patient, and Your statement about this being such a widely aired show is right on point. A Dr. with this opinion is entitled to it, but voicing it on this show, he can expect debate and criticism, If his statement and the backlash it caused makes people at least do some research and educate themselves about WLS it was worth getting my panties in a bunch over.

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Well, Dr. Huizenga's motivations to critisize WLS may lie in his investment and celebrity on Biggest Loser. Biggest Loser is a brand, and right now it's a lucrative brand to be associated with and Dr. Huizenga is profiting from it, even to the extent of opening his own resort style fat ranch, which I'm certain is aimed at a particular wealthy demographic. His views are very single dimensional and ignores the many complexities of mental and physical reasons for weight loss. He has been quoted as citing a study comprised of just 35 subjects, hardly a statistically accurate sampling, for many of his conclusions. Although we might expect him, as an MD, to proffesionally consider other medically accepted options, he chooses to select publications that support his business. I believe Dr Oz has been critisized for questionable claims, seems to be a Hollywood weakness.

In the end, Dr Huizenga can make all the claims he likes, it's a free country, but results speak louder than words. In actuality, he has not found the "magic pill", I therefore suspect his program, or Biggest Loser, is not likely to produce results unlike many studies with thousands of data points, which say diet and exercise has a low statistical success rate vs. WLS. As far as the damage he might do to discourage obese viewers of the show from WLS, I don't think he has the credibility as a TV personality verses a patient having a serious conversation wth their primary doctor or their surgeon.

Edited by vincereautmori

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ASMBS (American Society for Metabolic and Bariatric Surgery) posted a really nicely done video that I believe provides some awareness to the use of bariatric surgery. I am a Registered Nurse who, in late October had Lap RNY done.

Best thing I could have done for myself. Six weeks after my surgery, I became a Bariatric Program Coordinator to help others on their journey and to quite honestly live and work this journey myself. I've also become a health coach for the same reason.

This video is one of the better ones that I've seen. Please share it:

http://asmbs.org/video-it-starts-today-obesity-surgery-helps-people-reclaim-their-lives

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Not only an excellent article but some great additions by people here. Why is it a judgement? Stars get plastic surgery done all the time. That's ok but people helping themselves get healthier isn't?

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Not only an excellent article but some great additions by people here. Why is it a judgement? Stars get plastic surgery done all the time. That's ok but people helping themselves get healthier isn't?

That's a great question! I only told family and a few coworkers when i I got banded. They were all very supportive and happy for me. I got "outed" to friends and acquaintences by my ex boyfriend at a party. It's been 8 years but I still get this when I run into neighbors and old friends: "hey you look really good...still got that thing on your stomach keeping you skinny?"

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I've yet to figure out why it makes a difference. If they are curious about WLS, fine, ask someones' experiences. Otherwise, its like whether a kid is adopted or not. It doesn't matter. That child is still as much a child of his/her parents as if they were born physically of their parents.

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This moron works for a company that sells products to fat people. The only reason it (surgery) is distasteful is because you no longer have the need for their product. I grew up a fat kid with glasses.. this pelican head wants me to be ashamed for doing something to better my health.. please.. If his comments hurt your feeling worse than someone else's, you need to get a grip.

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