Desperate to qualify for weight loss surgery, some pile on the pounds
Courtesy Steffany Sears
Steffany Sears, 34, of Gold Bar, Wash., lost nearly 70 pounds after receiving the Lap-Band stomach-shrinking device as part of a clinical trial in 2008. The trial led the food and Drug Administration to lower the limit for obese patients eligible for the device last spring.
By JoNel AlecciaAt 202 pounds, Steffany Sears knew she was fat, but not fat enough to qualify for traditional weight-loss surgery.
Desperate for help, the Gold Bar, Wash., woman did what seemed the only logical thing: She gorged herself on chips and Cookies, pizza and fried chicken so she’d gain at least eight pounds more.
“I would have eaten myself stupid,” recalled Sears, 34, who was turned down by her insurance company for the $20,000 procedure. “I know friends who would have done that, too.”
In the end, she actually qualified to participate in a clinical trial that led the federal Food and Drug Administration this spring to lower the bar for obesity in people eligible for one form of weight-loss surgery, Allergan’s Lap-Band stomach-shrinking device. Because she had a body mass index, or BMI, of between 30 and 35, the target range of the new rule, she even got the treatment for free, instead of having to take out a second mortgage on her house.
Today, at 5-foot-6, she weighs 143 pounds. "I felt like I'd won the lottery, really, with my life," said Sears, a native of England.
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“That happens all the time,” said Dr. Robert Michaelson of Northwest Weight Loss Surgery in Everett, Wash., who was a clinical investigator for the FDA trial. “I’ve seen people come in with ankle weights on.”
Sometimes, it works. Elizabeth Marks, 32, of San Diego, Calif., was turned down for surgery once by her insurance company for being less than 100 pounds overweight, but accepted after she gained more.
“I just had two weeks of eating all the junk I could,” Mark said.
In general, a person who is 5-foot-6 and weighs 220 pounds has a BMI of 35. At 250, the BMI climbs to 40.