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From Shakesville, Paul McAleer of Big Fat Blog posting...This horrid TV commercial on the Realize Gastric Band site equates the controversial stomach reduction surgery known as gastric banding with happiness, success and fulfillment. It does so with dramatized examples of 1) a fat man playing with his karate-learning kidsy and 2) a fat woman slow-dancing with her [also fat] romantic partner. The fat man in 1) says, "I want to watch my little warrior do karate" or something very similar. The fat woman in 2) says, "I want to kiss him [romantic partner] under the Eiffel Tower." 

The commercial goes on to tell viewers how the Realize Band can help them get what they want. "Ask your doctor if bariatric surgery is right for you," the voiceover encourages. The commercial concludes with how wonderful the Realize Band is, especially since you can track your success and have a support group. Incidentally, "tracking your success" is accompanied by a picture on a user's computer screen of a line graph showing a steady trend downward. We also see an animated female morphing from fat to less fat.

This ad is offensive for so many reasons. Where do I start?


1. The fat man and fat woman who have exciting goals in life do NOT have to undergo bariatric surgery in order to achieve them. In fact, bariatric surgery has nothing to do with their goals, which are about the people they love. Being fat does not impede one's ability to love, support and show affection for one's loved ones. Being less fat is not necessary in order to truly prove one's devotion to another person.

However, the commercial for the Realize Band obviously wants to encourage potential consumers that, if they really loved their families, they would undergo controversial, risky and damaging surgery. In this way, the Realize Band perpetuates the old chestnut that a person's weight/physicality/shape/size represents a moral issue. According to this commercial's subtext, being fat is a deep personal failing and horrible vice.

2. I object to ads for medical procedures that motivate the consumer to say, "I want this product. Doctor, give it to me!" While I'm all for being an aggressive, assertive, inquisitive consumer and searching out a range of treatment options for any condition, I do not think that people who suggest treatments they have seen on TV are truly being informed consumers. As I illustrate in point 1, TV ads such as this one for the Realize Band work in impressions, rather than information. Realize Band's commercial here exploits feelings of guilt, inadequacy and shame to motivate people to use its product. Feelings of personal worthlessness stemming from emotional manipulation never make a good basis for choosing a particular medical treatment.

3. The concept of "tracking your success" gives the false impression that the Realize Band will have a wholly beneficial effect on one's life, which could not be further from the truth. Gastric reduction or bypass surgery creates a host of health effects in those who have it. 

--For example, since one's stomach has been drastically reduced and/or routed around, one loses the ability to easily absorb nutrients and minerals. One can't just take supplements to combat these deficiencies. Anemia may result from iron deficiency. You may need intravenous iron infusions for the rest of your life.

--One's stomach often becomes much more sensitive to spicy, hard or dense foods. One may get bad heartburn or what the business likes to call "productive burping."  Actually, "productive burping" isn't just about embarrassing noises emanating from your gut; it's about throwing up. Gastric bypass or banding surgery increases the chances of the survivor throwing up a whole lot. 

--If a survivor of gastric surgery throws up a lot, stomach acid flows frequently across the teeth. Like people with bulimia, survivors of gastric bypass or banding may suffer rapid degradation of their dental enamel. This is not the picture of an unqualified success.

4. While the Realize Band commercial shows a picture of "success," i.e., steady weight loss, in the form of the downward trending line graph and the shrinking woman, the story is rarely this straightforward. Gastric bypass or banding surgery often results in an initial weight loss. However, very few people keep off all of the weight that they shed. In fact, they may slowly gain it back. For example, one study associates laparoscopic bands, like the Realize Band, with "inadequate weight loss" and "uncontrollable weight regain" in some patients.  Another recent long-term study of people who have had gastric bypass surgery found that about half of participants regained weight within 2 years after their surgery. A study with a 10-year perspective on gastric-bypass survivors notes, "Significant weight gain occurs continuously in patients after reaching the nadir weight." It is very rare for a person who has had gastric surgery to go from size 22 to size 12, which it looks like what is happening in the commercial's illustration. 

5. The fat man and the fat woman look perfectly happy as they are. Maybe if they stopped internalizing the medical community's hatred of their shapes and realized that their size does not limit their capacity for humane, compassionate, joyful existence, they truly would reach their stated goals.

Stupid, insulting ad.

Uneducated

Date: Jun. 12th, 2009 05:12 pm (UTC)
From: (Anonymous)
It's sad when people who are uneducated on a procedure preach what they truly know nothing about. Obesity doesn't mean you can't love others and others love you. It does effect your life though. I don't care who you are or how happy you act like you are, if you are 100+ pounds OVER weight, you are unhappy. Your just scared to let your real vulnerable feelings out there. It might not be because you care what others think, it may be. It doesn't matter. I have lived at 280 for the past 3 years. No, I couldn't do karate with my daughter. I couldn't run with them and play soccer or do family bike rides that I know they wanted. I dreaded going to the beach because of how much energy it consumes just to get ON TO the beach, packing, carrying, unpacking. I too would love to kiss my loving, supportive husband under the eiffel tower, but I wouldn't dream of taking a 7-8 hour non-stop plane ride because I would be in pain and uncomfortable the whole time in that seat. I dreaded taking my kids to Disney World because I know my energy is not what it needs to be to give them that dream trip. I was embarrased taking her to school and her having the big fat mom instead of a healthy one. Beinging morbidly and super morbidly (which is who this surgery is for by the way, that means atleast 100 pounds over weight) is not about love, it is debilitating. Some people give in to the weight. The food, the weight, the hormones, the sedentary lifestyle win, they even come to terms with it and bash others who DON'T WANT TO GIVE UP!!! Some of us don't want that lifestyle, some of us want to get healthy and have the energy to keep up with our kids. To not break out into an embarrassing sweat because we walked 50 feet. Do you know how hard and expensive it can be when you need to buy clothes, or god forbid a dress for a wedding and your options are flowered mu-mu's or overpriced clothes at Lane Bryant, as if because we're huge we don't want to look nice and wear a nice outfit.

Honestly, your post is so blatently rude and offensive it makes me sick. Also, Gastric Banding is showing AWESOME success rates, you seem to be confusing numbers and wrong stats of banding with bypass, which are two MAJORLY different surgeries.

So, before you judge that commercial which gives people a future that they dreamed of while sitting on the couch too tired to even get up, you should truly research and talk to people who have lived it and gone through it. Go to any hospital program's support group and you will see a room of people that used to be couch bound and now you see a light and sense of pride shining from them because they can do the things they've been watching others do.

Trust me, that commercial isn't about telling fat people they can't love and kiss, it's so MUCH MORE than that and a small mind like you apparently doesn't understand. I hope that commercial shows people stuck on the couch to get up and go learn, get informed, because you CAN DO IT, there truly is help out there and you can gain control of your life back!!!!!!!

Shame on you and the poster that said "if you they did some karate they might lose". What you don't know is the people who get banded have beeing dieting and fighting weight their whole life. Obesity is a real disease and many people are prone to it, read up on it and become informed before becoming over opinionated.

Adios!

Re: Uneducated

Date: Mar. 22nd, 2010 04:17 am (UTC)
From: (Anonymous)
first off you are misinformed about gastric banding. it does not alter your existing stomach and does not prevent vitamins and minerals from being properly absorbed by the body. this is the difference between gastric banding(realize band) and the gastric bypass surgery. i was motivated by the realize commercial and have a realize band implant. i have had it for 7 months and have NEVER had heartburn. this is awesome considering before surgery i had been treated for acid reflux since i was 11 yrs. old. the surgery corrected it. i have never thrown up anything since my surgery except when i had the flu. it has been a wonderful tool and changed my life in the way that i no longer have to take high blood pressure meds as i no longer have it!!! your info is incorrect and you should be accountable.k an

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