Many people will put off gastric bypass surgery for as long as possible and try all sorts of alternatives to solve their weight problem before resorting to surgery. However, a recent study suggests that this may not be such a wise decision.

For many patients gastric bypass surgery is very much a last resort and something to be put off as long a possible while they explore all of their other options. Indeed, in most cases patients are assisted in this by their doctor who, following tradition, will insist on an extended program of diet and exercise before even considering referring a patient for surgery. But is this approach sensible?

Apart from the fact that most people agree that diet and exercise don't work and are a complete waste of time for the vast majority of patients, there is strong evidence to suggest that delaying surgery is actually putting patients at risk.

In a recent study the records of more than 2,000 patients who underwent gastric bypass surgery between 1995 and 2004 in one particular medical center were examined. The team carrying out the study wanted to see whether there were any factors which would have predicted the risks for these patients before they underwent surgery and they identified 5 things which they believe increased a patient's risk of surgery.

The first of the five factors was gender, with men being at higher risk than women. The second was a body mass index (BMI) of more than 50. The third was age, with patients over the age of 45 being at higher risk. The fourth was the presence of hypertension (high blood pressure), often related to cardiovascular disease. The final factor was previous evidence of pulmonary embolus (a blood clot in the lungs) or a propensity for this condition.

The team then awarded one point for the presence of each factor and divided the overall study group into those at low, medium and high risk according to their scores. Next, they examined the death rate for each of these three groups and found that in the low risk group the death rate was 0.31%, in the medium risk group it was 1.9% and in the high risk group it was 7.56%.

Now there's not much you can do about your gender but, as far as the other four factors are concerned, the effects of delaying surgery are obvious. Getting older, continuing to put on weight and developing health problems all increase the risks for surgery. So, if you are morbidly obese, then perhaps you should consider early surgery and balance the risks involved in waiting against the chances of finding a successful alternative.

Article Tags: Gastric Bypass Surgery, Gastric Bypass, Bypass Surgery, Risk Group

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"Just because we break up, it doesn't mean we can't still be friends..."

Is this where you're at right now? Did your ex offer you the olive branch of friendship, right after breaking things off with you? Even more importantly, did you grab onto it?

Like most guys in this situation, you probably took your ex up on her offer to remain friends after the breakup. You couldn't stand the thought of not being in her life, and you figured that just being around her could lead to one day getting back together again.

In staying friends you might still get to see your ex, talk to her, and possibly even hang out (platonically of course), every once in a while. It sure beats losing her completely, and cutting her out of your life for good. Right?

Well, not exactly...

Why Does My Ex Girlfriend Want To Stay Friends?

Before grabbing that brass ring of friendship, you need to explore the REAL reasons why she wants to be friends after the breakup. It's not because she needs another friend, or because she values your opinion, or because she's looking for a buddy to hang out with. No, your ex wants to stay connected with you for one reason alone: to keep you around as her backup plan.

In a real breakup, your ex wouldn't want any additional contact with you. She'd walk away cleanly, and the break would be pretty cut and dry. It would sting, yes, but your ex would walk deliberately out of your life. The fact that she still wants to 'hang around' is a good sign that your ex girlfriend still loves you, but it's also something you need to be very careful of.

What Should I Do When My Exgirlfriend Wants To Be Friends?

In an ideal world, you already refused your ex's offer when she asked to stay friends. You told her that you didn't think it was such a good idea, or that you're not looking for a friend but instead want a real relationship with her. Odds are however, that you agreed to the post-breakup friendship (or maybe you are about to) in an effort to stay in her life and not lose her.

By staying friends with her however, you're only going to extend your breakup and make it more difficult to get your ex back. She'll feel comforted by the friendship, and by knowing where you are (and what you're doing, and who you're with, etc...) at all times. This will enable your ex girlfriend to happily pursue her new single life, while you look on nervously hoping she doesn't hook up with a new guy, or get a new boyfriend.

What you need to do here is rather simple: don't allow your ex to use you as a backup plan. When she breaks up with you but still wants to be friends, you tell her:

"Listen, this isn't a good idea. Being friends doesn't work for me. I love you, and I want to be with you. If that's not what YOU want, then I have to walk away. I can't pretend to be your 'friend' when I still have actual feelings for you. Sorry, and I wish you the best of luck."

This is a radical approach, but it's also the complete opposite of what your girlfriend wants and expects. Instead of getting to hang onto you for a while, you're cutting her off completely. Instead of getting to let go of you gradually, you're taking yourself away from her all at once. For the first time ever, your girlfriend now faces the prospect of actually LOSING you. This isn't what she wanted, which is why she told you she wanted to be friends after breaking up.

The idea of you walking away is NOT very appealing to your ex girlfriend. It will cause her to scramble, and it will definitely make her re-examine her decision to break things off.

What If I'm Already Friends With My Ex Girlfriend?

In some situations, you might already have agreed to stay friends after the break. Maybe your girlfriend calls you when she's bored, sees you once in a while, and even hints at getting back together from time to time. She does this, of course, to keep you hanging on. Take a single step in her direction and try to get her back, and suddenly your ex girlfriend pulls away (sound familiar)?

To fix this situation, you need to create a void in her life. You need to remove yourself from the friendship arrangement, and make it seem as if you're moving on. The second you start having your own agenda will be the very second your ex girlfriend starts reconsidering the breakup. There are methods and techniques you can use to reverse your current situation and regain control over your broken relationship... used correctly, these methods can quickly have your ex girlfriend flying back into your arms.

There are 8 Individual Steps necessary to Winning Your Girlfriend Back, so learn what they are! And for more info on reversing an unwanted breakup, check out Get Back With Your Ex
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