Research Summary
Analyzed using Evidence Intelligence™

VLCD shows similar weight loss to gastric bypass in obesity treatment

Last updated July 14, 2026

Key finding

Total weight loss was -17.6 ± 6.0 kg for RYGB vs. -15.6 ± 5.1 kg for VLCD (p = 0.335).

This study compared the effectiveness of Roux-en-Y gastric bypass (RYGB) and a very low-calorie diet (VLCD) in individuals with obesity, finding no significant differences in weight loss outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study compared the effectiveness of Roux-en-Y gastric bypass (RYGB) and a very low-calorie diet (VLCD) in individuals with obesity, finding no significant differences in weight loss outcomes.

Clinical relevance

Understanding the comparative effectiveness of RYGB and VLCD is crucial for clinicians and patients when considering treatment options for obesity. The findings suggest that both interventions can lead to significant weight loss and health improvements, allowing for informed decision-making based on patient preferences and individual circumstances.

Keep in mind

The study design was non-randomized, which may introduce bias. Sample size and demographic characteristics were not specified. Results may not be generalizable to all populations with obesity.

Published in

Journal Reference

Publication details and source links for this paper.

Chanawit S, Prapimporn CS, Supphamat C, et al. A Very Low-Calorie Diet Compared with Roux-en-Y Gastric Bypass Surgery in Individuals with Obesity. Nutrients. 2024;16(15):2407. doi:10.3390/nu16152407

Main Effects

Total weight loss was -17.6 ± 6.0 kg for RYGB vs. -15.6 ± 5.1 kg for VLCD (p = 0.335).

Percentage weight loss was -16.2% ± 4.3% for RYGB vs. -14.1% ± 3.6% for VLCD (p = 0.147).

Changes in body composition and resolution of comorbidities were similar between groups at 12 weeks.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Gastric bypass, Very-low-calorie ketogenic diet and Change in body composition after 12 weeks of treatment, Percentage weight loss after 12 weeks, Resolution of comorbidities after 12 weeks, and 1 more.

Primary intervention

Gastric bypass

Primary outcomes

  • Change in body composition after 12 weeks of treatment
  • Percentage weight loss after 12 weeks
  • Resolution of comorbidities after 12 weeks

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 64

2

Related topics

8

Evidence pairs

14

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Bariatric Procedures

matched_intervention

Related evidence

Evidence topic

Ketogenic Diets

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Change in body composition after 12 weeks of treatment

Gastric bypass → Change in body composition after 12 weeks of treatment

Gastric bypass → Change in body composition after 12 weeks of treatment

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage weight loss after 12 weeks

Gastric bypass → Percentage weight loss after 12 weeks

Gastric bypass → Percentage weight loss after 12 weeks

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Resolution of comorbidities after 12 weeks

Gastric bypass → Resolution of comorbidities after 12 weeks

Gastric bypass → Resolution of comorbidities after 12 weeks

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Total weight loss after 12 weeks

Gastric bypass → Total weight loss after 12 weeks

Gastric bypass → Total weight loss after 12 weeks

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Change in body composition after 12 weeks of treatment

Very-low-calorie ketogenic diet → Change in body composition after 12 weeks of treatment

Very-low-calorie ketogenic diet → Change in body composition after 12 weeks of treatment

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Percentage weight loss after 12 weeks

Very-low-calorie ketogenic diet → Percentage weight loss after 12 weeks

Very-low-calorie ketogenic diet → Percentage weight loss after 12 weeks

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Resolution of comorbidities after 12 weeks

Very-low-calorie ketogenic diet → Resolution of comorbidities after 12 weeks

Very-low-calorie ketogenic diet → Resolution of comorbidities after 12 weeks

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Total weight loss after 12 weeks

Very-low-calorie ketogenic diet → Total weight loss after 12 weeks

Very-low-calorie ketogenic diet → Total weight loss after 12 weeks

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • RYGB led to a total weight loss of -17.6 kg, while VLCD resulted in -15.6 kg.
  • Percentage weight loss was -16.2% for RYGB compared to -14.1% for VLCD.
  • Both interventions showed similar changes in body composition and comorbidity resolution.
who this applies

Who this applies to

  • Adults with obesity seeking weight loss interventions.
  • Individuals considering surgical vs. dietary weight loss options.
keep in mind

Keep in Mind

  • The study did not randomize participants, which may affect the validity of comparisons.
  • Findings may not apply to individuals with different obesity-related health conditions.
  • Long-term outcomes beyond 12 weeks were not assessed.
between the lines

Between the Lines

  • The study design was non-randomized, which may introduce bias.
  • Sample size and demographic characteristics were not specified.
  • Results may not be generalizable to all populations with obesity.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Bariatric Procedures and Change in body composition after 12 weeks of treatment, Bariatric Procedures and Percentage weight loss after 12 weeks.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Gastric bypass improve change in body composition after 12 weeks of treatment?

Emerging Evidence

Current evidence does not show a clear benefit of Gastric bypass for Change in body composition after 12 weeks of treatment.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in body composition after 12 weeks of treatment

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Gastric bypass affect percentage weight loss after 12 weeks?

Emerging Evidence

Current evidence does not show a clear benefit of Gastric bypass for Percentage weight loss after 12 weeks.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Percentage weight loss after 12 weeks

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Gastric bypass improve resolution of comorbidities after 12 weeks?

Emerging Evidence

Current evidence does not show a clear benefit of Gastric bypass for Resolution of comorbidities after 12 weeks.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Resolution of comorbidities after 12 weeks

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Gastric bypass affect total weight loss after 12 weeks?

Emerging Evidence

Current evidence does not show a clear benefit of Gastric bypass for Total weight loss after 12 weeks.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Total weight loss after 12 weeks

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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