Excess belly fat is extremely unhealthy. Most obesity surgery programs have a protocol where their patients have to see a psychiatrist, cardiologist and a sleep specialist. These programs are very strict on this, there is no bypassing any of the work up. If patients have sleep apnea that is another motive or indication to receive bypass surgery, and more importantly, they have to be treated and monitored after the surgery. We follow them before, during and after surgery. Patients have to be very disciplined and be followed under close medical supervision. It's usually not just one surgery. More than likely there will be subsequent surgeries to remove excessive tissue, it is a very dramatic, and intense period.
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