I have performed over 20 thousand weight loss procedures in the past 25 years and have experienced first hand the profound effects that surgery has on obesity and metabolic syndrome. I myself experienced increasing blood sugars, blood pressure, and other biomarkers that led me to try a therapeutic carb restriction program. After 6 weeks of carb restriction, my numbers were better than ever and I even lost 40 pounds. Now all our surgical patients are put on a therapeutic carb restriction regimen 2-3 weeks before surgery. The weight loss and metabolic impact is nothing short of amazing.