Dr. Eva Orsmond:

One must also consider the type of dietary advice patients have been given before reaching the point of bariatric surgery. Even the diet they are put on after surgery is such that they are starving. There are nutritionally debalanced because the appropriate system is not in place. All our nutritional guidelines are outdated by at least 50 years. We are still following the food pyramid, which is only good for somebody who is farming with horses. The only way of eating according to the food pyramid is if one is physically active, or if one is a personal trainer from morning to evening. We need to examine what we are teaching people. Doctors are sending patients to dieticians who are following the guidelines. Doctors are not monitoring what advice they are giving. I know a number of endocrinologists who would back me up in stating the guidelines we provide to patients at present are wrong.