Hope starts here: A weight-loss program for patients who need more than a diet

Obesity is one of the most serious chronic conditions in the U.S.

And for some, it’s even more challenging than most realize. While national headlines often focus on general obesity rates, there’s a growing population facing something far more severe: super-morbid obesity.

Trinity Health Mid-Atlantic general and bariatric surgeon, Aley Tohamy, MD, shares insights on the risks of super-morbid obesity and how the bariatric team at Mercy Fitzgerald is helping patients reclaim their health.

According to the Centers for Disease Control (CDC), the prevalence of obesity in the U.S. has increased from 30.5 percent in 2000 to 41.9 percent in 2020. During this time, the occurrence of severe obesity has nearly doubled, rising from 4.9 percent to 9.2 percent.

“Within the Philadelphia region, three in 10 residents are considered obese, severely obese or super-morbidly obese,” Dr. Tohamy says. “Super-morbid obesity typically refers to individuals with a body mass index (BMI) over 50, and some patients coming to Mercy Fitzgerald have a BMI greater than 70.”

“Many patients considered super-morbid obese suffer from conditions like sleep apnea, diabetes, high blood pressure, heart disease, and even blood clots. These complications can make even the simplest tasks—like walking or sleeping—painful and dangerous.” – Aley Tohamy, MD

These patients aren’t just battling the number on the scale—they’re fighting for their lives.

While losing weight can be a powerful motivator, the benefits of bariatric surgery go much further. Patients often experience a reduced need for medication, better sleep, decreased joint pain and improved mobility.

“Many patients considered super-morbid obese suffer from conditions like sleep apnea, diabetes, high blood pressure, heart disease, and even blood clots,” Dr. Tohamy explains. “These complications can make even the simplest tasks—like walking or sleeping—painful and dangerous.”

The path to surgery starts with support

At Mercy Fitzgerald, patients are never expected to face their journey alone. From the first consultation, each patient is enrolled in a comprehensive, multidisciplinary program tailored to their individual needs. This includes regular meetings with a dietitian, behavioral support with a dedicated nurse practitioner, and structured exercise support—even group fitness classes designed just for them.

“Our goal is to meet patients where they are,” Dr. Tohamy says. “Before surgery, we focus on nutrition, exercise, and weight-loss strategies to reduce the risks of complications and set them up for long-term success.”

On average, patients work with the care team for three to six months before surgery is scheduled—but the process is about more than hitting a weight goal.

“What tells us a patient is ready for surgery is their understanding of the lifestyle changes ahead,” Dr. Tohamy says. “If they’ve shown commitment, met initial goals, and completed their preoperative consultation, that’s when we move forward.”

It’s never too late to take the first step! Take our bariatric surgery eligibility quiz to see if you could be a candidate—and start your journey today.