Bariatric surgery restricts how much food a person can eat, sharply reducing caloric intake.

肥胖外科手术会限制人吃下去的食物的量，从而大大减少卡路里的摄取。

Bariatric surgery is costly. In the United States, insurance companies will not always pay for the surgery.

减肥手术费用高昂。在美国，保险公司并不总是为这类手术买单。

If diabetics have bariatric surgery early on, they can be cured.

如果糖尿病患者早期进行减肥手术，他们是可以被治愈的。

Brethauer added that the rules for who gets bariatric surgery need to be changed.

柏思德补充说，减肥手术适用对象的规定需要作出改变。

If people with diabetes have bariatric surgery early on, their diabetes can be cured.

如果糖尿病患者在早期进行减肥手术，他们的糖尿病是可以治愈的。

For those who have had the disease for 10 years or more, and need insulin, bariatric surgery will not cure their diabetes.

对于那些患有糖尿病10年或10年以上并需要胰岛素治疗的人来说，减肥手术并不能治愈他们的糖尿病。

And weight loss from sustained lifestyle changes, or invasive treatments like bariatric surgery, can improve insulin resistance and decrease inflammation.

通过持续的生活方式改变或减肥手术等侵入性治疗来减轻体重，可以改善胰岛素抵抗并减少炎症。

Muscle is more dense than fat, says Mir Ali, MD, Bariatric Surgeon and Medical Director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center in Fountain Valley, California.

肌肉比脂肪更致密， 医学博士 Mir Ali 说， 他是加州芳泉谷奥兰治海岸医疗中心的减肥外科医生和 MemorialCare 外科减肥中心的医学主任。

But the truth of this, and I've learned this, is that the healthcare system is such a quagmire that people who live with obesity who may want to get a bariatric procedure that very well could save their lives. - Right.

但事实是，我了解到，医疗保健系统有很尴尬的盲点，那些患有肥胖症的人可能想要进行减肥手术，这可以挽救他们的生命。- 对。