Posted on 07/05/2015 1:17:04 PM PDT by Brad from Tennessee
Dr. Michael Kaplan looked across his desk at a woman who had sought out his Long Island Weight Loss Institute and asked the question he often poses to new patients: “Where do you think you go wrong with food?”
The 38-year-old patient was about 20 pounds overweight and, as she described it, desperate. Weight Watchers, nutritionists — she had tried them all in vain. A physician like Dr. Kaplan, she reasoned, might be the only one left who could help her. “I’m really tired of it,” the woman said one recent afternoon, declining to give her name to a reporter. “I feel like something is off with me.”
Dr. Kaplan, a leader in the medical weight-loss industry, nodded sympathetically, interjecting questions that ranged from what she typically ate for breakfast (protein shake) to whether she felt depressed (sometimes). By the end of the 50-minute session, the woman had chosen Dr. Kaplan’s most expensive weight-loss plan: $1,199 for six weeks’ worth of meal-replacement products, counseling and vitamin supplements. . .
(Excerpt) Read more at nytimes.com ...
Yes. The MOST imortant area of Obamacare is making sure that there are no overweight Americans. He simply cannot have people finding pleasure in eating. Never mind the cancer patients or those wih other chronic problems. If we just get rid of all the overweight people, our country will be in much better financial shape! /s
If we get rid of all the overweight people it will be easier for the government to get rid of most of the population.
Those who survived the Nazi death camps went in carrying some extra weight. To be an optimal weight is healthier in times of plenty, but in large-scale famines those carrying some extra weight are nature’s human larder to maintain the species.
This week in Medscape Physician Newsletter:
Call to Make Bariatric Surgery as Common as Coronary Bypass
Marlene Busko
July 02, 2015
tors’
A single-center study that randomized 61 obese patients with type 2 diabetes to Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, or an intensive, 1-year lifestyle intervention found that up to 40% of patients who underwent the bariatric surgery had at least partial remission of diabetes at 3 years, compared with no one in the nonsurgical arm.
These results, published online July 1 in JAMA Surgery, extend 1-year findings reported previously by Anita P Courcoulas, MD, from the University of Pittsburgh Medical Center, Pennsylvania, and colleagues.
“This study provides further important evidence that at a longer-term follow-up of 3 years, surgical treatments including Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding are superior to a lifestyle intervention alone for the remission of type 2 diabetes in individuals with obesity, including those with a body mass index [BMI] between 30 and 35 [class 1 obesity],” Dr Courcoulas told Medscape Medical News.
Indeed, she and her colleague say the latter point is one of the most important aspects of this study, as more than 40% of their sample had BMIs of 30 to < 35, “for whom data in the literature are largely lacking.”
Bariatric surgery should therefore be considered for the obese patient with type 2 diabetes, especially those who have difficulty attaining glycemic control, Dr Courcoulas said.
In an accompanying editorial, Michel Gagner, MD, from Florida International University, in Miami, and Hôpital du Sacré-Coeur de Montréal, Quebec, goes even further.
The time has come for bariatric surgery to be as common as coronary artery bypass surgery, he urges. “We should consider the use of bariatric (metabolic) surgery in all severely obese patients with type 2 diabetes mellitus and start a mass treatment, similar to what was done with coronary artery bypass graft more than 50 years ago,” he writes.
F.R.s own “Texas Flower” died from complications following bariatric surgery.
Bariatric surgery is no walk in the park. I found it interesting that as obesity is covered by Obamacare as a disease medical thought evolves.
Maybe they should be encouraged to smoke. Pig out less often, less diabetes issues, die younger of an incurable disease....
I have found the gut bacteria studies to be very interesting and their role in driving hunger. It seems to make sense. Antibiotics are given routinely to farm animals and it seems nearly all children are given antibiotics at sometime during their childhood.
Sounds like there could be a dieters’ probiotic.
There are very promising results coming from studies on mice.
No crap? (PUN, PUN, PUN)
When I read that; I thought perhaps you had made a typo. Turd transplants? So I looked it up.
Medical science can be absolutely amazing. And sometimes bizarre.
The gross history of the science of this stuff is, well, weird sh*t.
Germans developed a probiotic after learning from Arabs that eating fresh, warm camel dung would often abort an incipient case of dysentery. It had to be fresh. Eating the cold dry stuff did not work. The reason it worked was that the bacteria thereby gained would out-compete the dysentery bacteria.
Anyhow, the science for some of this is still in a crude state (to put it in a multi-meaning way).
It looks like I am likely right. The massive amounts of antibiotics that Americans take over their lives and the antibiotics given to farm animals have likely been a factor.
Please do a Google search on the words:
Ted talk bacteria in the gut obesity”
One more thing:
Our community college was once the area's high school. They currently have an exhibit of photos of the former high school showing scenes from the early 1930s through the 1950s. There is not even one slightly overweight student shown in any of the photos. I carefully searched.
My guess it that the students in these photos were not exposed to as many antibiotics.
Ted talk bacteria in the gut obesity”
Ted? TED??
Another obvious difference, though, is the prevalence of physical activity as a norm.
Our wonderful modern technology has made it possible to earn a day’s wage while burning next to no calories.
You are correct.
A lot of it too is their eating foods that make them both hungry and fat. It may be gut bacteria, such as candida, as well as ignorance due to government misinformation campaigns, causing them to do so.
To me, it is a very promising discovery.
1) Perhaps the obese will be able to change their gut bacteria by changing their choices of foods.
2) Or....Changing the gut bacteria will be the reason that the hunger hormones in the obese are lessened. That is what is happening in the obese and thin mice studies.
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