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GLP-1 medications vs bariatric surgery sequencing

April 3, 2026r/medicine, r/FamilyMedicine

In r/medicine and r/FamilyMedicine, clinicians debate whether GLP-1s should be tried before bariatric surgery and whether GLP-1 adoption is changing bariatric case volumes, with some citing emerging data and others sharing complications and edge-case benefits.

I don't know how you can justify bariatric surgery at this point until a patient has failed GLP-1 medications.
Just curious as to any anecdotes or data on how case rates for bariatric procedures are looking now that so many people take GLP-1 medications.
I’m actually bariatric surgery patient myself. I had a sleeve and afterwards dealt with pretty severe postbariatric hypoglycemia.
“I don't know how you can justify bariatric surgery at this point until a patient has failed GLP-1 medications.”
“did rates of bariatric surgery go down after glp1 became popular?”
“All the programs I know of are pretty busy still.”
“afterwards dealt with pretty severe postbariatric hypoglycemia.”
“we tried that and it worked perfectly.”
A JAMA Network Open
I think I saw a JACS article that showed bariatric surgery was more effective for weight loss overall, presumably because not all patients lose weight on GLP-1s.
All the programs I know of are pretty busy still.
I’d read a couple case reports of using GLP1a to treat this and so we tried that and it worked perfectly.
r/medicine
r/FamilyMedicine
GLP-1bariatric surgerytreatment sequencing

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