Tag Archives: obese

Weight-Loss Surgery Linked to Lasting Gastro Issues

Although weight-loss surgery can help obese people reduce extra pounds, a new study says the procedure may also cause long-lasting stomach issues for a lot of patients.

Gastric Bypass

A Dutch research study found that individuals who underwent the most common type of weight-loss surgery – known as laparoscopic Roux-en-Y gastric bypass – suffered gastrointestinal issues and food intolerance up to two years after the surgery. Photo by Lourdes.com

A Dutch research study found that individuals who underwent the most common type of weight-loss surgery – known as laparoscopic Roux-en-Y gastric bypass – suffered gastrointestinal issues and food intolerance up to two years after the surgery.

The procedure involves stapling the tummy and re-routing the intestines, so what is consumed bypasses the majority of the stomach and caloric consumption is decreased.

However, these issues are not likely to be restricted to this type of weight-loss surgery alone, said study author Dr. Thomas Boerlage. He is a researcher in the department of internal medicine at MC Slotervaart, in Amsterdam, in the Netherlands.

“I would very much expect other bariatric [weight-loss] procedures to [cause] gastrointestinal complaints, too,” Boerlage cautioned. He said that gastric banding, along with newer types of weight-loss options, are “fairly certain” to spark long-term gastrointestinal complications. This gives me reason to believe that any procedure that deals with the stomach will most certainly cause lasting gastro issues.

Boerlage also mentioned that “it was already known from previous studies that patients can develop gastrointestinal complaints after a Roux-en-Y gastric bypass. However, most of those studies concerned only the first year after surgery, and you can imagine that people might have complaints shortly after surgery, whatever kind of surgery it is.”

To exam the risk of long-term gastrointestinal issues, Boerlage’s team focused on the experience of almost 250 patients who had the surgery in 2012. They all completed a food tolerance and gastrointestinal survey two years after having the operation. The patients’ answers were compared to 295 obese patients who did not have the procedure.

For the most part, the weight-loss surgery patients were found to be battling with significantly more gastrointestinal problems at the two-year mark that those who had not undergone the operation, the investigators found.

For instance, surgery patients were found to be struggling with more indigestion, abdominal pain, diarrhea and constipation, compared with the non-surgical group. Surgery patients did, however report lesser levels of both acid regurgitation and hunger pain, compared with non-surgical patients. This is a surprise to me because usually patients who undergo surgery would seem to have higher levels of hunger pains and acid problems than non-surgical patients.

In relation to food intolerance, 70 percent of surgery patients said they experienced some form of intolerance to an average of four different foods, and more than 90 percent said the problem emerged only after the procedure.

According to the report, problematic foods included red meats and items that contained high amounts of fat or sugar, such as cakes, pies, sodas, fried foods and pastries

With that being said, only about 14 percent of those having ongoing lasting food intolerance said the problem bothered them “much” or “very much”

However, less than 17 percent of the non-surgical group reported experiencing any comparable form of eating issue.

These findings were reported in the December issue of British Journal of Surgery.

So what can bypass patients do?

“In general, it is advisable for patients to stick tightly to the dietary guidelines that are given after surgery,” said Boerlage. “This will surely help to alleviate symptoms, although not all symptoms can be prevented,” he added.

“We do advise our patients to avoid certain foods with a high sugar or fat content. And, indeed, these are the types of food that are a problem in obese patients in the first place. So, in a way you could say that these complaints are also useful because they remind patients to avoid certain foods,” Boerlage suggested.

I agree with Boerlage and the problem can be easily fixed if patients stick to the recommended dietary guidelines. I believe weight-loss surgery is a lifesaver for many and the benefits clearly outweigh any dietary issues.

Source: Thomas Boerlage, M.D., doctoral candidate, resident and researcher, department of internal medicine, MC Slotervaart, Amsterdam, The Netherlands; Dec. 19, 2016, British Journal of Surgery

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Obesity Gene Does Not Affect Weight Loss

The so-called “obesity gene” does not affect people’s ability to lose weight through diet, exercise and weight-loss medications, a new study says.

Obesity Gene

You can still lose weight even you carry the FTO gene. Photo by Newsmax

I know this is shocking to many individuals who are overweight because losing weight can be very difficult so you would think that an obesity related gene would slow down your weight loss.

British researchers reported that individuals with the FTO gene respond to these weight-loss strategies as well as those who do not have the gene. According to the study authors, the FTO gene is related to increased body weight and the study mentions that a person’s environment may play a bigger part in their weight management than DNA.

This means that regardless of the obesity related gene, you can still lose weight just like the individuals who do not have the gene. This is great news for all the overweight individuals who had doubts about weight loss because of carrying the FTO gene.

The trial included nearly 10,000 individuals who were analyzed by researchers to find the relationship between the FTO gene and weight loss plans.

At the beginning of the study, the ones who had the FTO gene were about 2 pounds heavier than those who did not carry the gene. However, there was no relation between FTO gene and the individuals’ ability to lose weight.

These findings were true despite the participants’ gender, age, the weight loss strategies they followed and other variables, said researchers.

These findings were published Sept. 20 in BMJ.

According to the National Institutes of Health, approximately 70 percent of adults in America are overweight or obese. This is definitely a global health crisis and researchers say the only way to stop this epidemic is to help people find ways to live healthier.

It seems that improving your eating habits and getting regular physical activity is the most common strategy of long term weight loss, regardless if you have obesity related genes or not.

Source: BMJ, news release, Sept. 20, 2016

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Weight-Loss Surgery May Boost Survival

Weight loss surgery may greatly reduce obese people’s risk of premature death, a new study says.

Gastric Bypass Weight Loss Surgery

Weight loss surgery may boost survival for obese, says study. Photo by Healthy Hippie

Nearly five years after surgery, the death rate was over one percent for the individuals who had weight loss surgery and four percent for those in the non-surgical group, according to researchers.

The study was led by Christina Persson from the University of Gothenburg in Sweden, who analyzed data from almost 49,000 obese people in Sweden. They were between 18 and 74 years of age.

Over 22,000 people had weight-loss surgery between 2000 and 2011. About 93 percent of the people in the surgery group had the procedure known as gastric bypass. The study compared them with approximately 26,000 people who did not have surgery.

According to the research, the overall death rate was reduced by 57 percent in the surgery group, compared to the non-surgery group. This number remained consistent after researchers adjusted for age and other previous diseases such as diabetes, cancer and heart disease.

Heart disease, cancer, suicide and accidents were the most common causes of death among those who did not have the surgery.

Cancer and heart disease accounted for most of the major difference in mortality rates between obese people who underwent weight-loss surgery and those who did not, says researchers.

Losing weight is not easy for anyone overweight so undergoing weight loss surgery should be recommended by doctors or health care providers. A death rate that is decreased by about 60 percent is amazing and I believe more obese people should consider having gastric bypass surgery to increase his or her survival.

According to the CDC, over one-third of adults in the U.S. are obese, so this is a very serious issue. There is no overnight success or magic pill that will make you lose weight so it really does take hard work and dedication.

The study was set to be presented Thursday at the European Obesity Summit. Findings presented at meetings are usually viewed as preliminary until they have been published in peer-reviewed journals.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer
Source: European Obesity Summit, news release, June 2, 2016

Small Weight Loss Has Big Health Benefits

Obese people who lose just 5 percent of their body weight can reduce the risk of heart disease and Type 2 diabetes and increase their metabolic function, says a new study.

Small Weight Loss

Losing 5 percent of your body weight has reasonable health benefits, study says. Photo by New Pittsburgh Courier

There are many current treatment guidelines that recommend patients lose about 5 to 10 percent of their body weight in order to receive health benefits, but the recommendations were focused on prior studies that did not differentiate between individuals who lost only 5 percent of their body weight and those who lost more weight.

In this study, 40 obese individuals with signs of insulin resistance were randomized to either go on a low calorie diet to lose 5, 10 or 15 percent of their body weight or just maintain their body weight. According to the journal Cell Metabolism, the study found that 5 percent weight loss was enough to lower multiple risk factors for heart disease and type 2 diabetes. To put this in perspective, a 200-pound individual could lose just 10 pounds to improve their health profile. This is more encouraging in my opinion because it’s a realistic goal and it is much easier to achieve than losing 10 percent of that 200 pounds.

“Even though five percent weight loss may not have dramatic cosmetic benefits, it does have significant health benefits,” said the study’s author, Dr. Samuel Klein, director of the Center for Human Nutrition at Washington University School of Medicine. “You’re much healthier on the inside, and it’s a really reasonable and legitimate target for people with obesity.”

This study should be a reminder to obese people that a 5 percent weight loss is really a success and not a failure. Diet and exercise can be difficult for any individual overweight and when you do not see any immediate physical changes, you may feel discouraged. This study is a good example to remind you that you are actually fighting diseases and improving your overall health by losing a little weight.

Obesity is a major risk factor for chronic health conditions, such as diabetes, cancer and heart disease. Taking short walks and making small changes to your diet is a good way to start weight loss to improve your health today.

“Our findings show that even a small amount of weight loss has important health benefits for multiple organ systems,” Klein said. “We hope that these findings will encourage obese people to take reasonable steps to watch what they eat and increase their physical activity, because this will translate into a lower risk for diabetes and heart disease.”

To say the least, some weight loss is better than no weight loss at all or even making an honest effort. Just because you don’t see instant physical results it does not mean you are not becoming healthier inside. Losing just 5 percent of your body weight is really a success so this should be encouragement to keep losing weight and receiving the nice health benefits that come along with it.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: Magkos, Faidon et al. “Effects of Moderate and Subsequent Progressive Weight Loss on Metabolic Function and Adipose Tissue Biology in Humans with Obesity” Cell Metabolism 22 February 2016

Weight Loss Surgery Will Fight Type 2 Diabetes

Research has showed that weight loss surgery may eliminate type-2 diabetes in patients, and a new study discovers that the surgery may be long term. According to the diabetes, bariatric surgery is more effective than standard treatment for the short-term control of type-2 diabetes.

Gastric Bypass Weight Loss Surgery

Weight loss surgery is better than medications for fighting type-2 diabetes, according to study. Photo by Healthy Hippie

“This is a very important study because it’s the first randomized trial comparing diabetes to medical treatment of diabetes with five years of follow-up,” said Dr. Philip Schauer, who directs the Bariatric and Metabolic Institute at the Cleveland Clinic.

The study led by Dr. Francesco Rubino of King’s College London tracked 5-year outcomes of 60 obese patients who had type 2 diabetes. The patients were chosen at random to undergo either one of two weight loss surgery, or continue with traditional drug therapy to help manage their diabetes.

The results discovered that 50% of the 38 weight-loss surgery patients kept diabetes from reoccurring, compared to none of the 15 patients who were in the drug treatment group. It seems that bariatric surgery is a much better choice for fat loss and disease control than treatment programs in this case.

The researchers added that patients who had surgery also had lower blood sugar levels than those treated with drugs, despite of whether their diabetes went into full remission. “What really is causing the remission of diabetes after surgery remains unknown,” Dr. Rubino said. What is known, he added, is that the intestines produce a host of hormones involved in regulating metabolism. Reconstructing the gastrointestinal tract so that food bypasses the stomach and small intestine may help restore normal metabolic control, he explained.

Gastric bypass or biliopancreatic diversion was the only methods of weight loss surgery that was used during the trial and they both had their weaknesses. Patients who got gastric bypass had lesser nutritional side effects with a better quality of life overall while more people witnessed their diabetes go into remission with biliopancreatic diversion. With that being said, gastric bypass is probably the better choice for fighting type-2 diabetes.

Although this was a small trial, it seems that surgery is quite stable in the long run, at least for five years. The procedure seems to be safe with fairly low complication rates. The downside is that any weight loss surgery can be expensive and comes with risks. Insurance companies do not seem to favor covering costs for weight loss surgery and rather save money with medications. With this study, I believe insurance companies may reconsider and pay for more patients to have weight loss surgery to fight type-2 diabetes.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: Mingrone, Geltrude et al.” Bariatric–metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial” The Lancet, Volume 386 , Issue 9997 , 964 – 973 August 2015

Doctor’s Support Helps Weight Loss, Says Study

Doctor’s play a major role in helping patients with weight loss, says study.

Doctor With Obese Patient

Doctor’s support can help patients boost weight loss, says study. Photo by 123RF

Fat loss was double on average for people overweight who believed they had the most support from their physicians, compared to those who believed their physicians were not as helpful, researchers said. My parents always follow the advice from their doctors and I believe that is why they were so successful with weight loss. Cutting out the fried foods, processed foods and going on daily walks is what really improved their health.

According to the study, about 350 people participated in a U.S. government funded clinical trial on fat loss. Participants filled out two surveys at the end of the study which included questions about their relationships with their primary physicians.

Patients lost an average of 11 pounds that gave their doctors the highest ratings on helpfulness. However, the ones who gave their physicians the lowest ratings on helpfulness only lost 5 pounds. This means that doctors really have a big impact on a patient’s success with fat loss and having a close relationship with them is very important.

This study can be found in the Journal of Patient Education and Counseling. I believe these findings can inspire weight loss programs to give primary physicians a big role to ensure the success of obese patients struggling to lose weight. Weight loss programs make billions of dollars each year and over 34 percent of U.S adults are currently overweight, according the National Institutes of Health statistics. For women who are struggling to lose weight, there is a program called the Venus Factor that focuses on the leptin hormone. The leptin hormone sends signals to the brain telling your body when to stop eating and control your appetite. The Venus Factor shows you ways to control it plus it comes with a 12 weeks diet plan to help women lose a few pounds.

“This trial supports other evidence that providers are very important in their patients’ weight-loss efforts,” Dr. Wendy Bennett, an assistant professor of medicine in the School of Medicine, said in a university news release. If patients follow their primary doctor’s advice I am sure they will stay motivated and have a better chance at improving their health. Dr. Bennett agrees by saying, “Incorporating physicians into future programs might lead patients to more successful weight loss.”

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: Bennett W, et al. Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial. Patient Education & Counseling. 2015.

Obesity Gene Discovery May Aid Fat Loss

Losing weight without diet or exercise may seem impossible but new genetic research about the causes of obesity makes it possible. According to a report in the New England Journal of Medicine, researchers have discovered a genetic “switch” inside fat cells that can increase your metabolism and help you burn fat as heat energy.

Obesity Gene & Weight Loss

According to new study, researchers have discovered a genetic “switch” inside fat cells that can speed up your metabolism and burn fat, preventing obesity. Photo by 123R

In the study, mice in the lab lost 50 percent of their body weight when researchers turned that genetic switch on. By examining human fat cells, it has been indicated that this may also work for humans, said senior author Manolis Kellis, a professor of computer science and computational biology at the Massachusetts Institute of Technology in Cambridge, Mass. This sounds like a cool idea, eat as much as you want, then flip on a genetic switch to help you burn calories and lose weight.

The mice were eating the same amount but were not exercising more. The energy burned was in the form of heat so this means that researchers switched their metabolism from energy storage to energy dissipation.

The focus on this research was a gene region known as “FTO,” which has been in the spotlight since its discovery in 2007. Prior research tried to pair the FTO region with brain circuits that control hunger, but researchers now believe the action happens in fat cells and affects how much food is kept, independently of the brain. Hopefully there may be a way to trigger that gene with future medications to turn on that switch and fight obesity.

The researchers also discovered a higher occurrence of two distant genes, IRX3 and IRX5, which meant more fat storage. By changings the pathways of these genes, scientists can reverse the traces of obesity. The scientists specifically looked at “beige fat,” which is closely related to “white fat.” On the other hand, “brown fat” is usually found in newborn babies and burns faster. The mutations in the cells were manipulated so the white fat turned into beige fat. The amounts of early fat cells were increased so that they turned into beige fat instead of white fat.

According to the www.nejm.org (CDC), more than one-third of U.S. adults are obese, costing about $200 billion dollars each year for medical costs. Obesity is steadily rising and people face serious health conditions such as type-2 diabetes, heart diseases and certain types of cancer. This type of research is very important for finding another method for weight loss and preventing obesity to say the least.

With this new discovery of manipulating fat cells to fight obesity in mice, the next step will be finding out how this works with humans. Although diet and exercise is not required for this obesity gene manipulation, it is still important that you do these things for long term fat loss.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: www.nejm.org Melina Claussnitzer, Simon N. Dankel, Kyoung-Han Kim, et al “FTO Obesity Variant Circuitry and Adipocyte Browning in Humans” The New England Journal of Medicine 19 August 2015

Coca-Cola’s Funded Research Says Exercise is Better for Fat Loss

Eating less has always been more important than exercising for weight loss, but according to Coca-Cola’s new funded research, dieting is not the answer.

Coca-Cola

Coca-Cola funds research group that says exercise is better for weight loss. Photo by Red Garage Ventures

Coca-Cola has funded over a million dollars to a new research organization claiming that exercise is the key factor to preventing obesity rather than reducing calories. However, research says cutting calories is the key player in fat loss and physical activity burns fewer calories and takes more time. Through my experience, eating less helps me lose weight faster but exercising keeps the weight off and tones me up.

“Diet is far more important for losing weight but in the long run, regular workouts are critical to keeping the weight off and staying fit”, says Philip Stanforth, a professor of exercise science at the University of Texas and the executive director of the Fitness Institute of Texas.

According to the New York Times, Steven Blair, a member of Global Energy Balance Network (GEBN), says that “blaming fast food” and sugary drinks as the cause of the obesity crisis is not the answer. This research group says that maintaining an active lifestyle and eating more calories is the key to preventing weight gain. Now that is absolutely ridiculous! Coke has just paid GEBN 1.5 million dollars to promote foolishness about weight loss!

I do agree that people who have lost weight and kept if off do exercise on a regular basis so it does make sense in that matter. However, research shows that diet plays a bigger role than exercise when you look at the bigger picture. Even if you are physically active on a daily basis but eat unhealthy, you can still develop serious health conditions such as type 2 diabetes or high blood pressure. In reality I think this entire Coca-Cola research campaign is just a front for the declining soda sales. They want to confuse the media and people struggling with weight loss with unreliable science.

Although exercise has its benefits such as muscle growth, stress relief and a faster metabolism, you will need a proper diet to lose weight effectively. From experience, I know sodas and other sugary drinks are not the answer to fat loss but reducing calories works much better and it’s easier. Ignore Coca-Cola’s new research group claims about just exercising to shed pounds and find a diet plan that works for you to lose weight properly and keep it off.

Leeman Taylor
Bachelor’s Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: O’Connor, A. “Coca-Cola Funds Scientists Who Shift Blame for Obesity Away from Diets” The New York Times 9 Aug. 2015 http://well.blogs.nytimes.com

Weight Loss Surgery Benefits May Diminish Over Time

Weight-loss surgeries for obesity are very popular, often producing dramatic fat loss and reducing type-2 diabetes, according a new study. The problem is that patients regain weight and health problems return in the long run.

Laparoscopic Sleeve Gastrectomy

Weight loss surgery benefits for obesity fade over time, according to new study. Photo by Daryl S. Marx M.D.

Diet and exercise are essential for any long term weight loss from my experience but I understand this is very difficult for anyone who is already obese.

A new study published in JAMA Surgery reviewed patients’ files between one and five years who underwent laparoscopic sleeve gastrectomy (LSG). It discovered that patients who had that kind of surgery encountered significant weight gain and a return of type 2 diabetes years later.

A sleeve gastrectomy is basically the removal of part of the stomach and creating a long, slim sleeve, or pouch, from the remaining section of the stomach, according to the U.S. National Institute of Diabetes and Digestive and Kidney Disease (NIDDK). When the size of the stomach is reduced it limits the amount of food you can consume. Also, it suppresses appetite, lowers blood sugar and changes gut hormones.

“Weight-loss surgery is not a panacea for weight loss over the long run,” said lead researcher Dr. Andrei Keidar, of the Beilinson Hospital in Petah Tikva, Israel.

Keidar says the main reason for weight regain is that the stomach dilates, which means you can eat more. The appetite returns so individuals can consume more and they desire to eat more (JAMA Surg.).

Data was collected on nearly 450 patients between April 2006 and February 2013. However, only 39 patients had a full follow-up by the fifth year after surgery. It seems patients either were ashamed or just became discouraged and did not want to report which could have ended in a biased study.

Patients lost 77 percent of their excess weight in the first year of surgery. Shockingly, they regained weight by the fifth year, resulting in only a 56 percent fat loss. Also, 51 percent of people eliminated type 2 diabetes in the first year. In the fifth year, only 20 percent were still clear of the disease, said researchers (JAMA Surg.).

I agree with Keidar that weight loss surgery is a “behavioral surgery”. If you do not switch up your lifestyle you will regain weight.

Even though patients may regain weight and develop diabetes again, I still believe weight-loss surgery is the best option for obese patients.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: Golomb I, Ben David M, Glass A, Kolitz T, Keidar A. “Long-term Metabolic Effects of Laparoscopic Sleeve Gastrectomy” JAMA Surg. Published online August 05, 2015. doi:10.1001/jamasurg.2015.2202.

FDA Approves Weight Loss Balloon

Obese people seeking to lose weight now have a new option: a weight loss balloon that has been recently approved by the Food and Drug Administration (FDA). With more than a third of the U.S. population overweight or obese, this new device will be a very powerful tool for fat loss in my opinion.

ReShape Weight Loss Balloon

FDA approves new weight loss balloon to help patients lose weight by making them feel full. WebMD photo

The ReShape Dual Balloon is inserted through the mouth, into the stomach, and inflated with a sterile solution. The procedure only takes about 30 thirty minutes while the patient is mildly sedated.  It fills the space in the stomach to give you a feeling of fullness and it can be left there for up to six months (FDA). I believe this will be a better solution for patients who want to lose weight in a non-surgical manner instead of going through LAP band or gastric bypass surgery.

The approval of this weight loss device was based on a study of 326 obese individuals, with ages between 22 and 60, who had at least one obesity-related health issue. There were 187 people who lost an average of 14.3 pounds by the time the device was removed. Members who did not receive the weight loss balloon only lost 7.3 pounds on average. Six months later, patients who lost the initial 14.3 pounds kept about 10 pounds of that weight off (FDA). This is good news for those individuals who struggle with weight management after one year of reaching their fat loss goals.

“For those with obesity, significant weight loss and maintenance of that weight loss often requires a combination of solutions including efforts to improve diet and exercise habits,” said William Maisel, M.D., M.P.H., acting director of the Office of Device Evaluation at the FDA’s Center for Devices and Radiological Health. “This new balloon device provides doctors and patients with a new non-surgical option that can be quickly implanted, is non-permanent, and can be easily removed.”

I personally love natural weight loss which is physical activity and healthy eating. This was also recommended for patients who wish to keep the lost weight off after the balloon was removed according to the FDA press release. With this new weight loss balloon, patients have another option to fight obesity but like any other procedure, it comes with its side effects.

Some of the complications included discomfort during the procedure, rare cases of allergic reaction, infection and breathing difficulties, heart attack and esophageal tear, says the FDA. Also, patients may experience vomiting, abdominal pain, nausea, feelings of indigestion and gastric ulcers, adds the FDA.

I believe this new fat loss balloon by ReShape Medical Inc. is what obese or overweight people really need to help them lose weight and keep it off for good.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: www.fda.gov “FDA approves non-surgical temporary balloon device to treat obesity” 28 July 2015 U.S. Food and Drug Administration