Derek Tiller

Teaming up for Success

Derek Tiller spent most of his life classified as overweight. And, for much of his life – even as an elite athlete – he’d been fine with that.

Until he wasn’t. But, by then, he felt like there was nothing he could do about it – until he met Longstreet Clinic Center for Weight Management surgeon Dr. Robert Richard, MD, FACS.

It was then that Derek began a journey that led the former collegiate football standout and state champion wrestler to a life that, just months prior, felt almost impossible.

“How I feel now is more of a relief than anything. It’s also extremely rewarding,” said Derek, 39, a teacher and coach at Cherokee Bluff High School in Flowery Branch who underwent bariatric surgery with Dr. Richard – surgery that helped him drop from almost 340 pounds to less than 225 pounds in just under a year. “This is the longest I’ve ever maintained a healthy weight, ever. I’m finally in total control of my health. And I give Dr. Richard and the staff at Longstreet Clinic all the praise for that. I’m eternally grateful.”

Benefits of weight loss surgery

  • Normalized Blood Pressure
  • Normalized Blood Cholesterol
  • Type II Diabetes Disappears
  • Asthma Relief
  • Lowered Risk of Heart Disease
  • And More.

To learn more about the benefits of weight loss surgery, click here or call 770-691-6962.

Contact Us

Play Video

Inspiring Others

Now, Derek uses his story to make others – including some of the kids he coaches – to be aware.

“I tell my players you want to stay on top of your health,” Derek said. “You don’t want to end up like I did – even though I was in good shape; I just could not get my weight under control, and it was starting to scare me.”

Weight wasn’t anything to be nervous about for much of Derek’s life. Sure, he was bigger than other kids, but it didn’t stop him from excelling at football and wrestling at Collins Hill High School in Suwanee, where the lineman was All-Gwinnett County in football in 2002 and ’03 and a state heavyweight champion wrestler in ’02.

“The funny thing is that neither of my parents were overweight, and both of them are even health teachers,” Derek chuckled. “But even though I was overweight, I could run ten 100-yard sprints, and I could bench press 400 pounds. I carried that weight well.”

Derek’s size helped him earn a scholarship to Wofford College, where he was a standout offensive lineman for the Terriers. And after his final collegiate season in 2007, Derek, who played at about 285 pounds, immediately began losing weight. In fact, by the time he got married in April ’08, Derek weighed just 225.

“I thought it would be easy to stay there – but it was anything but,” Derek said.

And so began an exhausting cycle of weight gain and weight loss. In his late 20s and through his 30s, Derek yo-yoed between weight gain and then a determined fight to lose it. But with each gain, Derek felt control of his own health slipping from his grasp.

“I would gain weight and then lose 50-70 pounds,” Derek said. “I must have done that eight to ten times. But every time I did it, it got harder, and I would gain a bit more back when I did gain weight.”

Time For a Change

Eventually, Derek crossed the 300-pound barrier. And that’s when he realized he needed to do something drastic.

“My energy levels weren’t great. I needed a seat belt extender on airplanes – and my wife and I travel a lot. I snapped a chair at the beach one summer – and that ticked me off. And, because I was constantly gaining and losing weight, I really needed two sets of clothes,” said Derek, who felt trapped in a cycle that, despite occasional success, only had one conclusion.

“I couldn’t get out from under it. And I started having high blood pressure. It was scary, and I wanted to do something about it. But I wanted to make sure I did something drastic, something that would make a difference that would last. So, I started researching weight loss surgery. I have a cousin who was successful with weight loss surgery, so that got me interested.”

As he was conducting his research, he canvassed more than the just the internet, asking others he knew that had undergone bariatric surgery. And one of those friends recommended he see Dr. Richard. Not long after, that, Derek’s health insurance, under the State Health Benefit Plan, also started to cover weight loss surgery. And so it was that in January 2022, Derek had his first meeting with Dr. Richard.

“After meeting with him and learning more, I was an instant believer,” Derek said. “He is an incredible physician, and he has an impressive track record. You can also tell he cares, and that he’s going to be there for you, for life.”

Derek was on the fast track, opting for a Gastric Bypass procedure in March of 2022. In a Roux-en-Y Gastric Bypass, a golf ball-sized part of the patient’s stomach is surgically divided from the rest of the stomach. The golf ball-sized pouched is the only part of the stomach that receives food (the larger lower portion of the stomach never holds food again but does help with digestion). This new structure severely restricts the amount of food a patient can ingest, making them feel full much sooner than with their previous, regular-sized stomach. The procedure also changes the patient’s gut hormones, helping them to you feel full longer.

After gastric bypass surgery, the patient’s body also changes how it digests carbohydrates. Called “dumping syndrome,” consuming carbohydrates can cause nausea, cramping, and diarrhea for about 20 to 30 minutes.

This aggressive outcome was exactly why Derek chose the Gastric Bypass.

Celebrating the Win

“I wanted something with strict parameters that would force me to be disciplined. I didn’t fully trust myself,” Derek said.

Instead, he put his trust into the providers at the Center for Weight Management. And, two years later, he calls it one of the best decisions he’s ever made.

“I had no complications and feel pretty blessed with how things have gone since the surgery,” Derek said. “My blood pressure is back to normal. It was 110 over 62 with a resting pulse of 64 the other day at the doctor’s office. It’s crazy how healthy I feel now – and I’m eternally grateful to Dr. Richard for that.”

Derek’s success even encouraged others to make a serious change – including fellow former football player and friend Des Williams – who used Derek’s story as inspiration to have his own bariatric surgery with Longstreet Clinic.

And now that he’s finally free from the yo-yo results of weight gain and loss – and fully in control of his health – Derek believes that his struggles helped ensure his current success.

“It’s not a magic pill; You have to follow instructions and listen to what they tell you,” Derek said. “But if you do, you can change your life. I feel like everything happened the way it did with me for a reason. I had to try and fail first to make it work for good.

“I also know this will be a daily struggle until I die. But I know that Dr. Richard and Longstreet Clinic will be there for me.”

No surgery is without risks. To learn of all the potential risks with weight loss surgery, click here.

More Patient Stories

The decision to have weight loss surgery is more than just a quick fix – it’s a lifelong journey. But for many who make the decision to change their lives, the long-term effects mean more than just a smaller number on the scale. We invite you to explore just a few of the many tremendous stories we witness each day.

Read More

Contact Us

Our specialized bariatric care team is here to answer your questions and help you achieve your weight loss goals.

770-691-6962

Get Started

Locations We Serve

Longstreet Clinic Center for Weight Management has three convenient locations across Northeast Georgia plus telehealth options making appointments available across the U.S.