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What is good for weight lose? Surgery Or Treatment ?

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What is good for weight lose? Surgery Or Treatment ?

Postby skinmole7 » Wed May 20, 2020 5:59 pm

"You consider surgery when other therapies for obesity fail," said nutritionist Sue Cummings of the Massachusetts General Hospital Weight Center. "The person has gone through everything, and now they have diabetes, hypertension, sleep apnea, arthritis ... At that point is when you would really start thinking about surgery."

Bariatric surgery procedure

Weight loss surgeries performed in the United States include gastric bypass, gastric sleeve, and a procedure called a biliopancreatic diversion with duodenal switch. The latter has the best results in terms of weight loss and remission for many medical conditions associated with obesity, according to Cummings. However, it is also the one that carries more risks.

The adjustable gastric band is another option, although the long-term risks associated with the band have led to a significant decrease in surgeons performing the procedure, Cummings said.

Criteria for bariatric surgery include a body mass index (BMI) of 40 or higher (or more than 45 kilos overweight) or a BMI of 35 or higher with health problems including type 2 diabetes, high blood pressure, heart disease, or Sleep apnea. (A BMI of 30 or higher with a serious health problem is indicated only for gastric banding.)

Surgeries lead to weight loss for two reasons: they reduce the amount of food one can eat and cause changes in the hormones produced in the intestines that help reduce hunger, increase satiety, and regulate blood sugar. In essence, the reason that most bariatric surgeries are so effective in generating long-term weight loss is because they significantly affect the physiological regulation of body weight, Cummings explained. This eventually changes a person's set point, or the level at which weight tends to stabilize.

"Surgery literally changes the way your body regulates body weight," said the expert.

For example, the fundus or upper part of the stomach is the main site where ghrelin, a hormone that stimulates appetite, is produced. After removing the fundus in the gastric sleeve, ghrelin production is significantly reduced. In gastric bypass and, to a lesser extent, in the band, there is an accelerated supply of nutrients in the portion of the small intestine known as the posterior intestine, which causes an increase in the secretion of hormones that inhibit appetite and induce satiety, according to Cummings .

Benefits and risks
An individual's response to weight loss surgery varies, although on average, people who undergo bariatric surgery lose between 15 and 35% of their initial weight. best keto pills Gastric bypass tends to produce more weight loss than gastric banding or sleeve, Cummings said, although "each bariatric procedure studied demonstrates different variations in results between patients." As a consequence of weight loss, bariatric surgery can improve many obesity-related health conditions, including type 2 diabetes, sleep apnea, high blood pressure, high cholesterol levels, acid reflux, and pain. in the joints. In gastric bypass, improvement in diabetes occurs days after surgery and is independent of weight loss. The reason is due to hormonal changes, which improve insulin response to nutrients, Cummings explained.

All in all, the benefits of surgery are not without risk and long-term considerations. "Between 10 and 20% of patients do not lose a significant amount of weight and others experience significant or premature weight recovery," Cummings said.

Complications from surgery can include infection, bleeding, poor nutrient absorption, or dehydration, as well as ulcers and hernias. A side effect of gastric bypass known as "dumping syndrome" can occur shortly after eating and can cause nausea, dizziness, weakness, cold sweats, abdominal pain, and diarrhea.

Long-term results also vary. According to a 12-year study of people who had gastric banding surgery, one in three experienced band erosion, and almost half of the patients needed to have their bands removed.

It is important to recognize that lifestyle changes after surgery are extremely important. That includes avoiding many food temptations around you, such as potato chips and industrial breads.

"Surgery is not going to change your environment, therefore combining lifestyle changes with surgery will produce the best results," Cummings said. Those changes include eating more whole foods, avoiding refined and processed foods, and increasing physical activity every day.

In addition, lifelong vitamin and mineral supplements are required, including iron, calcium, folic acid, vitamins B12 and B1, and vitamin D. “The risk of deficiencies increases as a patient progresses from surgery, so that all patients need to have their nutritional laboratories monitored annually for life, "Cummings said.

The decision to have weight loss surgery is not an easy one. Each patient must be fully informed of the risks and benefits, and must be evaluated by a multidisciplinary team that includes a surgeon, a physician (their primary physician and / or an obesity medicine specialist), a nutritionist, and a healthcare professional. mental health, Cummings explained.

In addition, a full risk-benefit analysis should be performed.

“Do the benefits outweigh the risks? If the answer is yes, surgery is the most effective therapy, "Cummings said, adding that" the data shows a longer life expectancy due to the remission and / or resolution of more than 190 medical conditions associated with obesity, such as type 2 diabetes, heart disease, sleep apnea, high blood pressure, kidney failure, and more. "
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Re: What is good for weight lose? Surgery Or Treatment ?

Postby Dortha » Sat Jan 02, 2021 11:43 am

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Re: What is good for weight lose? Surgery Or Treatment ?

Postby Gynuconi » Thu Feb 18, 2021 7:34 pm

In order to lose weight, the main focus should be on the quality of your diet. In order to lose weight, be sure to stick to a calorie deficit. In addition, regular physical activity at least 3-4 times a week will help you with this. I also advise you to pay attention to nutritional supplements and vitamins. Vitamins can help you support your immune system during strenuous physical activity. Visit https://immunedefence.com/immune-defence-plus/ for information on Immune Support Plus, which supports your immune system by providing you with a daily dose of elderberry, lysine and vitamins C and D.
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Re: What is good for weight lose? Surgery Or Treatment ?

Postby albertsmith » Fri Mar 12, 2021 2:39 pm

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Re: What is good for weight lose? Surgery Or Treatment ?

Postby psychologistdoctors » Thu Jun 10, 2021 4:55 am

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Re: What is good for weight lose? Surgery Or Treatment ?

Postby Frenc8_Br3ad » Thu Jun 17, 2021 9:17 am

I may be old-fashioned, but I think the best way to lose weight is through sports.
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