Eligible and approved for sleeve gastrectomy as primary bariatric treatment (eligibility and approval for sleeve gastrectomy will be determined from a surgical standpoint by the surgeon)
Able and willing to sign an Informed Consent document
You may not be if
Qualified for Roux-en-Y gastric bypass
On FDA-approved weight loss medications at time of consult
Are lactose intolerant
History of Type 1 diabetes
Have had lap band or other prior bariatric surgery
Global functioning score (GFR) ≤45 mL/min/1.73 m² (this is assessed as a part of the routine procedure for all patients)
\>70 years old (our program does surgery on very few patients over this age)
Weight is above 300 kgs (\~660 lbs.). (The weight limit for SECA scales is 300 kgs maximum).
Have been diagnosed with end stage renal disease (CKD stage 3-5) and on dialysis
Severe depression measured by Beck Depression Inventory (BDI) (BDI score greater than or equal to 30)
History of severe psychiatric disorder (schizophrenia, schizoaffective, or bipolar disorder)
Clareo Health | Acceptability and Feasibility of a Preoperative Very Low Calorie Diet Intervention on Surgical Weight Loss Outcomes (SAFETY)