Weight Loss Surgery Works

Brittony got the gastric sleeve surgery and it changed her life permanently.

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Dr. Beck and her staff always have a smile and are in a good mood. When I talk to her she listens, and she gives me good advice… The surgery … has really changed my life.Thanks again Dr. Beck, you and your staff are awesome!

0/5 (0 Reviews)
5
Joanna Castro
GASTRIC SLEEVE SURGERY PATIENT SALT LAKE CITY, UTAH
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I love Dr. Beck and her staff. They have all been so supportive during my gastric sleeve! And Becca was with me through all of the insurance paperwork. And thanks to Dr. Beck for making changing my life possible! Thanks!!!

0/5 (0 Reviews)
5
Yoselline Rincon
GASTRIC SLEEVE SURGERY PATIENT SALT LAKE CITY, UTAH

Do you qualify for surgery, and does your insurance cover surgery?

What happens on the phone consult?

  • Kami will call you. Kami is our patient navigator for our weight loss surgery program.
  • She will ask you about your height, weight and your medical history.
  • Finally, she will obtain your insurance information, so she can call and see if your insurance covers weight  loss surgery.

Schedule Phone Consultation

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Do you have Insurance?*

What will you learn?

  1. You will learn if you qualify for surgery
  2. If your insurance covers weight loss surgery
  3.  The different types of surgeries we offer

Not Your Typical Bariatric Surgeons

Dr. Katie Beck

Dr. Katie Beck

Director

Dr. Beck is the Director of weight loss surgery at Jordan Valley Medical Center’s center of excellence. She completed her General Surgery Training at the Ohio State University, and she did a fellowship in weight loss surgery at the University of California in San Diego. 

Dr. Jeff Eakin

Dr. Jeff Eakin

Co-Director

Dr. Eakin is the co-Director of weight loss surgery at Jordan Valley Medical Center’s center of excellence. He completed his General Surgery Training at the Ohio State University, and he did a fellowship in weight loss surgery at the Ohio State University.

Kami

Kami

Program Manager

Kami is an R.N. who has years of experience with direct patient care. Now, Kami is the bariatric surgery program coordinator. She helps improve quality in the program and she helps patients navigate our medical and surgical weight loss systems.

Our Treatments

Medically Supervised Weight Loss

(nutrition and exercise)

Sleeve Gastrectomy

Roux-en-y Gastric Bypass

Adjustable Lap Band

Revisional Surgery

About Us

At Jordan Valley Medical Center our providers, Dr. Beck and Dr. Eakin are BLIS-approved surgeons. This means that our surgeons and program meet very high standards for bariatric surgery outcomes in both the short and long term.

As a result of our participation as a BLIS provider, we are able to participate in innovative new insurance coverage which allows us to make a commitment to our self-pay patients that should a covered complication occur within certain time frames following surgery, the costs associated with the care of that complication will be covered by BLIS alleviating the patient of financial obligation for costs associated with an unexpected event.

Your weight loss journey begins with our team of dedicated surgeons, nurses, dieticians, and personalized patient coordination.

Two Surgeons

Who perform weight loss surgeries including the gastric bypass and the gastric sleeve surgery. 

Fellowship Trained

Both are fellowship trained in weight loss surgery and they are passionate about treating obesity.
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Dr. Beck and her staff always have a smile and are in a good mood. When I talk to her she listens, and she gives me good advice… The surgery … has really changed my life.Thanks again Dr. Beck, you and your staff are awesome!

0/5 (0 Reviews)
5
Joanna Castro
GASTRIC SLEEVE SURGERY PATIENT SALT LAKE CITY, UTAH
{

I love Dr. Beck and her staff. They have all been so supportive during my gastric sleeve! And Becca was with me through all of the insurance paperwork. And thanks to Dr. Beck for making changing my life possible! Thanks!!!

0/5 (0 Reviews)
5
Yoselline Rincon
GASTRIC SLEEVE SURGERY PATIENT SALT LAKE CITY, UTAH

Pre-Bariatric Operation Questions.

How much is Bariatric Surgery?
When you are considering weight loss surgery, cost can be an important factor. The more you understand about the costs associated with weight loss surgery, the better position you will be to make a confident decision. Our team can help walk you through the costs and contact your insurance to see if they cover weight loss surgery. Contact us today to start this process.
What do I need to do before gastric sleeve surgery?
Prior to gastric sleeve surgery, you will be required to follow a low-calorie pre-operative diet. The length of time that you will follow the pre-op diet will depend on your starting BMI. The diet could range from a minimum of 5 days for lower BMIs, up to a maximum of 6 weeks for higher BMIs.
What is revisional weight loss surgery?
If a patient has experienced complications from initial surgery or poor weight loss results, revisional weight loss surgery may be the ideal solution. Revisional weight loss surgery aims to modify or correct issues from the previous surgery, helping patients to achieve their weight loss goals and improve overall health outcomes. The decision to undergo revisional surgery is made on a case-by-case basis, and it is essential to consult with a qualified bariatric surgeon to determine the most appropriate course of action based on individual circumstances.
Will weight loss surgery be successful for me?

Although weight loss surgery can be a beneficial tool, it is important to note that it will only be successful if you are motivated to make long-term lifestyle changes. If you are committed to making these changes, bariatric surgery can be a successful long-term solution. To determine if weight loss surgery is right for you, it is essential to schedule a consultation with a bariatric surgeon. During this consultation, your medical history, current health status, and weight loss goals will be assessed to determine the most suitable treatment plan for your individual needs. Remember, weight loss surgery is a life-changing decision, and proper evaluation and commitment are crucial to its success.

How long does gastric sleeve surgery take?
Gastric sleeve surgery is performed laparoscopically and takes approximately 45-60 minutes to complete.
Will there be any pain after gastric sleeve surgery?
It is common to experience some discomfort after gastric sleeve surgery. The pain will mainly tend to be from the abdomen. However, whatever discomfort you experience is usually quickly taken care of by simple painkillers. Your medical team will provide you with appropriate pain management strategies to help make your recovery as comfortable as possible. It’s essential to follow their instructions and communicate any concerns you may have during the recovery process.
Will my health insurance pay for bariatric surgery?
There are an increasing number of insurance companies that are now providing coverage for bariatric surgery. Although there are still some that have exclusions in their policies. We will contact your insurance to help you determine what your benefits are so that you know exactly what your surgery will cost right from the beginning. Our experienced team will work closely with you to navigate the insurance process, maximizing your chances of getting the coverage you need for your bariatric surgery. Feel free to reach out to us to discuss your insurance options and start the process toward a healthier future

Post-Bariatric Operation Questions

What does an adjustment involve with my Lap-Band?
An adjustment with your Lap-Band involves fine-tuning the band to achieve optimal results. During the first year after surgery, most patients will typically need around 5 adjustments to find the right balance. If you find that you are constantly feeling hungry, not losing weight as expected, unable to eat much without feeling uncomfortable, or vomiting, an adjustment may be necessary to alleviate these symptoms. We encourage you to reach out to one of our bariatric specialists if you experience any issues or concerns after your bariatric surgery.
Can I get pregnant following weight loss surgery and is it safe?
Yes, pregnancy can be very safe following weight loss surgery. However, it is recommended that a woman wait until she is 1 year to 18 months post-operative before getting pregnant. This waiting period allows her weight to stabilize and ensures that her body has adequately healed from the surgery. If a bariatric surgery patient does become pregnant, it is crucial to monitor labs regularly to check for any vitamin or mineral deficiencies that may occur due to the surgery’s impact on nutrient absorption. Working closely with healthcare professionals and following their guidance during pregnancy can help ensure a healthy and successful pregnancy after weight loss surgery.
When can I start exercising after surgery?
Immediately! After surgery, it is essential to start with gentle exercises and gradually increase the intensity as you recover. While you are in the hospital, you can begin with short walks to promote blood circulation and prevent complications like blood clots. Listen to your body and follow your surgeon’s recommendations on when to start exercising and what types of activities are suitable for you. If you enjoy weightlifting or participating in sports, it is best to focus on “low-impact” exercises during the first month to avoid strain on your healing body. Remember, every individual’s recovery process is unique, so consult with your healthcare team for personalized exercise guidelines based on your specific condition and progress.
What is the typical duration of time that I will need to take off work after weight loss surgery?
After weight loss surgery, most patients can typically return to work within one to two weeks. However, the exact time may vary depending on the type of surgery performed, the nature of your job, and how well you recover. It is essential to follow your surgeon’s post-operative instructions and listen to your body during the recovery process. Some individuals may require a slightly longer time off work to ensure a smooth and successful recovery. Always consult with your healthcare team to determine the most appropriate timeline for returning to work based on your specific condition and needs.
Can I dine out while adhering to the dietary guidelines after bariatric surgery?
Following your bariatric surgery, it is important to be very careful about dining out. However, if eating out cannot be avoided, we can and will provide plenty of tips and advice on how to successfully “dine out” without compromising weight loss. With the right approach and choices, it is possible to enjoy social gatherings and restaurants while still adhering to your post-surgery dietary guidelines. Our team is here to support you in making informed decisions and maintaining a healthy lifestyle after bariatric surgery. Feel free to reach out to us for guidance and assistance on dining out while staying on track with your weight loss goals.
How long is the medical weight loss trial period?

The duration of the medical weight loss trial period before weight loss surgery varies based on factors, including insurance provider requirements. Some insurers may have specific trial period requirements, while others may not.

Typically, trial periods can range from weeks to months, involving supervised weight loss efforts to demonstrate commitment to long-term weight management.

Our program does not require a trial period for individuals paying out of pocket. For accurate information on trial period duration and other requirements, consult with a qualified healthcare professional or insurance representative.

Can I have another doctor do my endoscopy?

Some patients who are paying cash for weight loss surgery can get their endoscopy done and covered by their insurance at in0network facilities. We do allow patients who are self pay to go to physicians in their network for this part of their work up for weight loss surgery.

How recent must my endoscopy be for the surgeon to use it?

If a patient has had an upper endoscopy to evaluate their stomach within 6 months of their initial bariatric surgery consult then they do not need a repeat endoscopy.

Do we send patients home on blood thinners after weight loss surgery?

After weight loss surgery, blood thinners may be prescribed to prevent blood clots and pulmonary embolism, depending on factors such as medical history, surgery type, and clinical judgment.

Weight loss surgery increases the risk of deep vein thrombosis (DVT) and blood thinners can help prevent clot formation. However, blood thinners also have potential risks and should be carefully considered by the physician.

Patients should follow post-surgical instructions, including blood thinner use if prescribed, and be aware of signs of blood clots, seeking immediate medical attention if suspected.

We send patients home on blood thinners for two weeks if your BMI is greater than 60.

When can I travel after surgery?

fter bariatric surgery, it is recommended to wait 2 weeks before traveling due to potential risks.

The specific duration depends on factors like surgery type, patient health, and physician recommendations.

Traveling immediately after surgery can pose risks like blood clots and wound healing issues. Adhere to recommended travel guidelines to ensure a safe recovery.

Note: Some of our patients come from other states and even other countries. These travel plans will be individualized to accommodate for this.

What should I do if I have to get on an airplane soon after weight loss surgery?

If you need to fly immediately after surgery, there are several measures you can take to protect yourself from blood clots in your legs, also known as deep vein thrombosis (DVT). Here are some recommendations.

  1. Move and stretch regularly: Avoid prolonged sitting, do leg exercises during the flight.
  2. Wear compression stockings: Follow healthcare team’s recommendations.
  3. Stay hydrated: Drink water, avoid excessive caffeine/alcohol.
  4. Take breaks: Walk around the cabin if possible.
  5. Follow medication instructions: Take prescribed blood thinners as instructed.
  6. Inform airline staff: Share recent surgery and mobility limitations.
  7. Consult healthcare team: Seek personalized advice before flying after surgery.
What labs will I have to have checked before weight loss surgery?

You will meet with a medical weight loss provider after you meet with the surgeon for your initial consult.

The medical weight loss doctor will do an evaluation and they will check the following lab:

  1. Vitamin B12 + folate, which can be measured in serum or plasma to evaluate B-vitamin status, important for nerve function, red blood cell production, and DNA synthesis.
  2. TSH (thyroid-stimulating hormone), which is measured in serum or plasma to assess thyroid function and screen for thyroid disorders.
  3. CBC (complete blood count) with auto diff, a blood test that provides information about red and white blood cell counts, hemoglobin, hematocrit, and other measures of overall health and blood cell function.
  4. CMP (comprehensive metabolic panel), a panel of blood tests that evaluates various aspects of liver, kidney, and metabolic function, including electrolyte levels, liver enzymes, and kidney function.
  5. HbA1C (hemoglobin A1C), measured in blood to assess long-term blood sugar control and monitor diabetes management.
  6. Lipid panel, a blood test that measures various types of cholesterol and triglycerides to assess cardiovascular health and risk of heart disease.
  7. Iron + total iron-binding capacity (TIBC), measured in serum to assess iron status, important for red blood cell production, energy production, and cognitive function.
  8. Hepatic function panel, a blood test that evaluates liver function, including liver enzymes, bilirubin, and other markers of liver health.
How long is the preoperative liquid diet?

The liquid diet before weight loss surgery typically aims to shrink the liver and reduce its fat content, making the surgery safer and more accessible. It will involve consuming clear liquids or high-protein liquids, such as broth, water, protein shakes, and sugar-free gelatin.

The duration of the liquid diet before weight loss surgery can vary depending on the specific surgical procedure, the healthcare provider’s recommendations, and the individual patient’s health status.

In some cases, patients will be required to follow a liquid diet for a period of 2 weeks. In other cases patients, patients will be required to complete a preoperative liquid diet for 4 weeks. The length of the liquid diet can vary and will be determined by the Surgeon overseeing the patient’s weight loss surgery preparation.

Can I take weight loss medications after surgery?

Common weight loss medications before weight loss surgery may include appetite suppressants, lipase inhibitors, GLP-1 agonists, and metformin. However, the specific medications prescribed may vary depending on the patient’s health condition and the recommendations of the medical weight loss doctors.

It is important to rely on your medical weight loss doctors (e.g. Dr. Marvin Rios and Dr. Miriam Padilla) for prescriptions after weight loss surgery. They are familiar with your unique health condition and can provide personalized recommendations for medications that are safe and appropriate for you.

Do we do gastric bypass revisions for weight regain?

If a patient has gained weight after a gastric bypass surgery the next steps will be:

  1. A consultation with the physician assistant
  2. A consultation with a medical weight loss physician
  3. A dietary consultation
  4. Sleep apnea assessment if necessary
  5. Behavioral health assessment
  6. All other necessary testing and consults for bariatric surgery patients
  7. An upper endoscopy to evaluate the gastric anatomy and surgical changes

This evaluation may include a thorough review of the patient’s medical history, dietary habits, physical activity levels, and other relevant factors. Based on the findings, the healthcare team may recommend various interventions, which could include lifestyle modifications, dietary adjustments, behavioral changes, and increased physical activity. In some cases, revision surgery may be considered as an option to address weight regain after gastric bypass surgery.

The surgeons will conduct an endoscopy to evaluate the anatomy of patients with weight regain after a previous gastric bypass surgery.

This procedure allows the surgeon assess the condition of the gastric pouch, stoma, and other relevant anatomical structures

If your surgeon finds normal gastric bypass anatomy there will no be anything they can do surgically to attempt further bariatric surgery.

Do we do gastric sleeve revisions for weight regain?

If a patient has gained weight after a gastric sleeve surgery, the next step would typically will include:

  1. A consultation with the surgeon
  2. A consultation with a medical weight loss physician
  3. A dietary consultation
  4. Sleep apnea assessment if necessary
  5. Behavioral health assessment
  6. All other necessary testing and consults for bariatric surgery patients
  7. An upper endoscopy to evaluate the gastric anatomy and surgical changes

If patients regain weight after a gastric sleeve, and they have gone through the metabolic surgery program then we typically convert these patients to a gastric bypass surgery.

Do we have any special requirements for patients undergoing bariatric surgery revisions?

We require patients to be committed to 6-months of mental health counseling after their bariatric surgery revision.

Do I have to stop my oral birth control before surgery?

Birth control can increase the risk of blood clots, which can have serious consequences, including death.

Bariatric surgery also increases the risk of blood clots. Therefore, it’s important to minimize this risk by taking appropriate measures.

  1. Birth Control Types to Stop Before Bariatric Surgery (at least one month prior):
  • Hormonal oral contraceptive pills (specifically those containing any amount of estrogen)
  • Birth control rings
  • Birth control patches
  • Nexplanon (will need to be removed by your OBGYN)
  • Depo Provera shots should not be used within 3 months of surgery
  1. Safe Birth Control Types to Use:
  • Condoms or other barrier protection
  • IUDs (non-hormonal or progesterone-only)
  • Progesterone-only oral pills (keep in mind these may be less effective AFTER surgery)

To minimize the risk of blood clots, it’s important to consult with your healthcare team about the appropriate timing and types of birth control to use before and after bariatric surgery.

When can I restart my birth control?

If you normally take a birth control that needed to be stopped before surgery, you can restart it one month after surgery.   In the meantime, use barrier protection or another type of birth control that is safe to use around the time of bariatric surgery.  Keep in mind, if you are using oral birth control pills, they may be less effective after a bypass due to lack of absorption.

Will it be harder to get pregnant after bariatric surgery?

No, it will not be harder – it will likely be easier! 

It will be much easier to get pregnant after bariatric surgery.  In fact, many women get bariatric surgery because they have previously been unable to get pregnant and weight loss is recommended by their OBGYN. 

This is specifically true for women with Polycystic Ovarian Syndrome.  Because of this, it is imperative to be extra careful with birth control to prevent pregnancy after bariatric surgery. 

After surgery, women of child bearing age should use birth control, even if they have previously been unable to get pregnant.  Oral contraceptive pills may be less effective after bariatric surgery due to malabsorption so other types of birth control are recommended.

When can I get pregnant after bariatric surgery?

We recommend waiting at least 18 months after bariatric surgery before getting pregnant.  This is for several reasons. 

We want you to have reached your goal weight and be stable at that weight for at least 3 – 6 months prior to getting pregnant.  Women typically gain weight during pregnancy so we want you to be stable at your goal weight so you can get back to that goal weight after delivery. 

Women who get pregnant shortly after bariatric surgery are less likely to get to a healthy weight and stay there for the rest of their life.  It is very helpful to keep a food and activity journal at your goal weight for several months.  This will help you return to that weight after delivery.  

In addition, your baby will be getting its nutrients from you.  We want to make sure you are able to get all needed protein and nutrients.  Talk to your OBGYN to find out what a healthy weight gain would be for you during pregnancy. 

You may not need to gain any weight at all to have a healthy pregnancy depending on your weight before pregnancy.  You should have labs every trimester to ensure normal levels of iron, folate, B 12 , calcium, and fat soluble vitamins during pregnancy.

Is it safe to get pregnant after bariatric surgery?

Yes!  In fact, studies have shown babies born to women after bariatric surgery are healthier than babies born to women with obesity.  These babies are less likely to struggle with obesity themselves as an adult and less likely to get diabetes as an adult.  

What is the best timing if I have to have another surgery before my weight loss surgery?

The specific duration of waiting time may vary depending on factors such as the type of weight loss surgery performed, the patient’s overall health, the reason for surgery, and the recommendations of the treating physician.

In general we will not perform a weight loss surgery until after 6 weeks from the previous surgery, because we want to try and reduce the risk of blood clots.

What is the follow up appointment schedule like after surgery?

You will need to see at the following times:

  1. 2 weeks after surgery
    • Surgical Physician Assistant
    • Telemedicine or in Person Post-operative appointment
  2. 10 weeks after surgery
    • Surgical Physician Assistant
    • Telemedicine or in Person for dietary check up and supplement check up
  3. 6 months after surgery
    • Surgical Physician Assistant
    • Telemedicine or in Person for dietary check up and supplement check up
    • 6 month labs ordered
  4. 9 months after surgery
    • Surgeon
    • Telemedicine or in Person for dietary check up and supplement check up evaluation of weight loss
  5. 12 months after surgery
    • Medical Weight Loss Provider (e.g. Dr. Marvin Rios or Dr. Miriam Padilla)
    • Telemedicine or in Person for dietary check up and supplement check up
    • 12 month labs ordered
  6. Annual Follow Up For Remainder of Program
    • Medical Weight Loss Provider (e.g. Dr. Marvin Rios or Dr. Miriam Padilla)
    • Telemedicine or in Person for dietary check up and supplement check up
    • 12 month labs ordered
Can my family doctor check my labs?

Yes. You can get your annual lab checks with your primary care provider.

Here is a list of the labs we typically check and why we check them:

  1. Vitamin A (retinol) is measured in serum to evaluate vitamin A status, which is important for vision, immune function, and cell growth.
  2. TSH (thyroid-stimulating hormone) is measured in serum or plasma to assess thyroid function and screen for thyroid disorders.
  3. Vitamin D (25-hydroxy, total serum) is measured to evaluate vitamin D status, which is important for bone health, immune function, and overall health.
  4. Copper is measured in serum or plasma to assess copper status, which is important for metabolism, brain function, and immune system function.
  5. HbA1C (hemoglobin A1C) is measured in blood to assess long-term blood sugar control and monitor diabetes management.
  6. Zinc is measured in serum or plasma to assess zinc status, which is important for immune function, wound healing, and growth.
  7. Vitamin B12 and folate are measured in serum or plasma to evaluate B-vitamin status, which is important for nerve function, red blood cell production, and DNA synthesis.
  8. Phosphorus is measured in serum or plasma to assess phosphorus levels, which are important for bone health, energy production, and acid-base balance.
  9. Lipid panel is a blood test that measures various types of cholesterol and triglycerides to assess cardiovascular health and risk of heart disease.
  10. Selenium is measured in serum or plasma to assess selenium status, which is important for antioxidant activity, immune function, and thyroid function.
  11. CMP (comprehensive metabolic panel) is a panel of blood tests that evaluates various aspects of liver, kidney, and metabolic function, including electrolyte levels, liver enzymes, and kidney function.
  12. Uric acid is measured in serum or plasma to assess uric acid levels, which can indicate gout, kidney function, and risk of kidney stones.
  13. Iron and total iron-binding capacity (TIBC) are measured in serum to assess iron status, which is important for red blood cell production, energy production, and cognitive function.
  14. Vitamin B1 (thiamine) is measured in blood to assess thiamine status, which is important for nervous system function and energy metabolism.
  15. PTH (parathyroid hormone, intact) is measured in serum or plasma to evaluate parathyroid gland function and calcium metabolism.
  16. CBC (complete blood count) with auto diff is a blood test that provides information about red and white blood cell counts, hemoglobin, hematocrit, and other measures of overall health and blood cell function.
What is the post-operative diet after bariatric surgery?

DAY ZERO (DAY OF SURGERY):

  • No food or drinks allowed before surgery
  • Follow pre-op instructions from healthcare provider

POST-OP DAY ONE:

  • Begin with clear liquids only
  • Clear liquids should not contain bits and pieces of meat, tofu, noodles, or vegetables and should not exceed 140mg sodium
  • Tips for meeting daily fluid needs: carry a water bottle, drink preferred clear liquids, make slushies with ice.

POST-OP DAY TWO:

  • Continue with clear liquids
  • Minimally invasive post-op diet for bariatric surgery patients

POST-OP DAY THREE AND FOUR:

  • Continue with clear liquids and add liquids that contain protein and vitamins
  • Acceptable liquids include milk, yogurt, non-fat Greek yogurt, and approved protein shakes

POST-OP DAY FIVE TO 13:

  • Continue with clear liquids and protein-containing liquids
  • Pureed and blended foods can be added
  • Keep a food journal to track daily protein and carbohydrate intake

POST-OP DAY 14-28:

  • Continue with pureed and blended foods
  • Foods that can be blended or pureed include cooked, canned, or steamed vegetables, oatmeal, smoothies, and beans
  • Avoid drinking liquids with meals to prevent hunger and snacking

POST-OP DAY 29 AND BEYOND:

  • Soft foods can be reintroduced
  • Soft foods should be easy to tolerate and not necessarily blended or pureed
  • Choose from appropriate soft foods such as eggs, beans, cooked vegetables, fruit without skin, and yogurt
  • Watch calorie intake and exercise regularly

FOOD INTOLERANCES:

Some foods may cause problems such as dry or overcooked meats, certain fruit and vegetable skins, doughy or sticky foods, and undercooked rice or pasta.

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