Body Surgical Weight Loss Post-Webinar Questionnaire Webform Thank you for watching this educational webinar about weight loss surgery. It is very important you understand the content in the webinar. After you have viewed the entire video, please complete this questionnaire and attend an educational seminar in person. Please indicate below if you are interested in meeting with us and we will follow up with you and answer any questions you have. Name Email Telephone Besides the different types of obesity surgery, there are other forms of weight loss programs such as prescription medications, diet and exercise, and medically supervised diets that can help a person lose weight. True False Diabetes, high blood pressure, back pain, and similar ailments are guaranteed to get better after obesity surgery. True False Staple or suture lines may leak, resulting in infection involving the stomach or the skin. True False Behavior modification is an important part of obesity surgery and will enhance the success of weight loss. True False Re-operation is sometimes necessary due to bleeding, ulceration, bursting of stitches or staples, leakage, blockage of the intestines, or other causes. True False Obesity surgery will commit me to periodic physician follow-up visits for the rest of my life. True False Weight loss is guaranteed after obesity surgery. True False After gastric bypass, sugars can cause dumping syndrome. Symptoms may include bloating, cramps, lightheadedness, sweating, and fast heart rate. It is recommended after this type of surgery to avoid sodas, candy, sweet fruit, milk shakes, and sweetened cereals. True False After obesity surgery, the patient is committed to taking vitamins and undergoing nutritional assessments/studies for life. True False After obesity surgery, you will be required to take B12 sublingual (under the tongue) for the rest of your life to prevent long term anemia. True False Regular exercise is not recommended after obesity surgery and does not affect one's weight loss outcome. False True To be successful with obesity surgery, one must make lifestyle changes, such as establishing an exercise routine and choosing appropriate nutritional foods and liquids daily. True False Monthly group support meeting are a crucial part to the success of obesity surgery. True False Patients never feel nauseated or vomit after obesity surgery. True False Anti-inflammatory medications such as Aleve, Bayer, Aspirin, Ibuprofen, Motrin, and Naprosyn can cause stomach ulcers with gastric bypass. It is important to avoid these medications for life. True False Changes in bowel habits may occur and could include diarrhea, constipation, gas, and/or foul smelling stool. True False One cannot gain the weight back after obesity surgery. True False Obesity surgery is an easy operation and not a very risky one. True False Complications are always infrequent and minor after obesity surgery, so it is important not to bother the doctor after hours. True False In order to have obesity surgery, one must be a non-smoker for 8 weeks prior to surgery and be committed to avoiding alcohol for at least one year after surgery. True False Are you interested in having a representative from Grand Traverse Surgery, PC contact you? Yes No If yes, please be sure you included your email address and phone number above and provide the name of your health insurance carrier here. By submitting this form, I verify that I have watched the entire bariatric surgery webinar. Traverse General Surgery and Trauma Care 701 W. Front St., Ste. 200 Traverse City, MI 49684 231-935-2400 voice 231-935-2424 fax This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
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