Saturday, November 07, 2015

Weight loss balloon - a good or very bad idea?

The news today, announced a "new" device, for losing weight. Basically, the patient swallows a pill which is attached to a long tiny tube catheter device.  When it gets down to the stomach, the medical provider pumps distilled buffered water into the pill through the catheter, which causes it to swell, not leaving much room in the stomach for food.  This is supposed to make the patient feel full and want to eat less.  The water in the device supposedly, leaks out in about 4 months ("if all goes well") and then the deflated pill passes hopefully, through the digestive tract and out through the bowel. As the article stated:

"If all goes as planned, the resulting grapefruit-sized (19-ounce) ball of water fills the stomach and significantly curbs the amount of food someone can eat before feeling satiated."
     This was tested on 30 some patients, who lost an average of 22 lbs.  And has not been approved by the FDA as yet.
     They are advertising it as "non invasive" and non surgical.
     But (and there always is a "but" right?), from where I sit, I can see lots of problems with it - like for example, a non food item like that could cause an gastric obstruction or other problems,  and... what if it doesn't deflate, what if it doesn't "pass out" through bowel, like it's supposed to etc etc.
     And the idea that a full stomach makes us feel like eating less is thought to be somewhat erroneous as we now are pretty certain, the appetite originates in the brain and NOT the stomach.  And that means, even if you have this device in your stomach, you still can be very hungry (and very frustrated if you cannot eat much or the food you ate isn't going down right... another 'elephant in the room' not discussed in the promo).
     One of the patients on my discussion group, had a type of balloon device and he suffered so much with it that he considered the invasive gastric bypass as far more comfortable.
     This device costs anywhere from $6000 to $10,000 bucks and insurance will not cover it.
     As the old saying goes "buyer beware" (and DH added "If it doesn't work, you can't just bring it back to the store!")

Sunday, September 20, 2015

Gastric bypass patients should consider reversal!

The good news is most surgeons have stopped doing the gastric bypass by now and have switched to the gastric sleeve which is a much safer procedure and just as effective as the bypass with weight loss (not very effective unless the patient diets and exercises which of course, works very well without surgery).

The bad news is many surgeons are not saying anything to bypass patients like telling them to consider getting their procedures reversed (which would effectually give them a gastric sleeve).  The reason they are not saying anything to the thousands of gastric bypass patients is, that would be like admitting the gastric bypass was a bad idea which it was, big time!  Mason who invented the procedure, stopped doing them in the 1970's because he said the repercussions were too great but he only wrote about this in medical literature.

Surgeons are afraid to tell you the gastric bypass is a bad procedure because of the possible lawsuits they might get (most WLS surgeons are facing up to 5 lawsuits at any given time!).  But if you are a bypass patient, consider getting the reversal procedure - you will still have restriction but will be able to digest vitamins again, hopefully...

We need some 100 micronutrients a day (which cannot be supplemented) plus a bunch of macronutrients like B12 etc which cannot be efficiently supplemented.  None of which the gastric bypass patient can digest.

As one WLS surgeon said, he "buries his mistakes".  Literally.  Dead people don't talk and live gastric bypass patients are afraid to detail the gnarley side effects of this surgery.

In the UK, they force a reversal of the gastric bypass after a couple of years - that's because the govt picks up the tab for all the side effects which kick in long term... if you are a gastric bypass patient, consider getting a reversal.  If you lost weight and kept it off, it wasn't the surgery, it was YOUR WORK and you can continue that without the bad side effects of surgery.

I have digestive problems from a lifelong case of GERD - they are very annoying albeit nothing like bypass patients suffer, but trust me, since I was clinically obese until 2010, digestive problems didn't help in the least, to keep my weight off.  (In 2010, I hit my Weight Watchers goal and lifetime membership - and have kept off 106 lbs ever since, being on program)

We did not become overweight because our digestive systems worked.  Just saying

Saturday, July 25, 2015

New old program for WLS patients?

I went to a seminar on Weight Loss this morning - the weight loss surgery surgeon involved, meant well - he wanted to provide his patients with a program to do after surgery - the need of which was witnessed by the fact that most of the folks in the room, either gastric sleeve or lap band post ops,  were still quite overweight (although there were a couple of pre ops in the room also).  The surgeon also, has some problems with midline obesity and this, he says, is the latest thing that is working for him but he'd only lost 15 lbs and still had some 15-20 lbs to lose (which he has all in his waist).  He is a believer in low carbing but like many of my friends, that, alone, had not worked for him.  (Dr Atkins the founder of the low carb diet as we know it, explained in his last book that calories do count and you can gain just as much weight on too much of no carb foods as you can on carbs, a fact which has not been seen much in the media - if at allAlso Dr Atkins had heart disease, which is again, a fact which has not often been seen in the mass media.).

The so called "protocol" seemed to me, a rehash of other low cal diets  - similar to the old "Dr Simeon program from the 1950's... in the first stage, you cut the calories down drastically (which of course, damages the metabolism) - they have some kind of protein drink you buy (and also you can intake your protein in other types of product which they also sell.  They have 3 stages of this program and in the maintenance stage you can again eat carbohydrates in small quantities. Although sugar is portrayed as the demon in this program - the latest thing in diet plans - apparently aspartame - nutrasweet which is somewhat toxic and far more unhealthy than sugar ever thought of being, is "ok".

The new twist is, this company seems to be targeting physicians (many of whom sadly, know little about weight loss science and regard obesity as a medical problem for which a solution - pills or surgery - can solve and be a cash cow at the same time).

I asked the guy hawking this product - what about maintenance... and he said he would talk about it later.  He dismissed it with "well, when you creep up in weight as 'we all do', you go back on the "protocol" for a week or two and take off (crash off?) the weight."  He gained some popularity in the room when he said that people don't have to exercise with this "protocol".  In fact, he went on to say that even if people were working out a lot, it was advised they did not work out while on the low calorie part of the protocol.

As we all know, yo yo syndrome is the best way to really mess up the metabolism and which causes most folks to be more overweight after repeated attempts at crashing off weight.  But they didn't talk about metabolism, of course.  Also if you weight cycle as small an amount as five or ten pounds several times, it not only raises the risk for heart disease but also causes the individual to end up with a higher percentage of body fat.

Here's how it works... when you lose weight on a very low cal diet, you only lose 30% bodyfat - the rest of what you lose is muscle and bone (tissue you do NOT want to lose).  However when you regain even as little as 5 or 10 lbs, it's all bodyfat (no muscle).  The salesperson telling us about this diet, said "everyone's weight creeps up!"

Bottom line is, this diet is quite pricey - according to the physician's website (which is more honest about the cost than the manufacturer's website)... Start up fees are $279 dollars and when you go off the "protocol" and regain and want to go back on "the protocol" for a couple of weeks, it costs $108 dollars a week.

Consider that this "protocol" is being sold to people who have already invested thousands of dollars in weight loss surgery.  Looking around the room at the people who attended this meeting most of whom had had weight loss surgery, and were still very overweight, it was clear that weight loss surgery often is ineffective for permanent weight loss.

Saturday, July 18, 2015

Magic Quick Weight loss? Really?

(Written with tongue firmly held in cheek!

Every so often when I write a blog about weight loss surgery or other types of weight loss, I get comments from folks advertising quick weight loss.  The latest comments I've received came from a couple of people who claim that some individual helped them quickly lose weight! (I looked him up on the web and he, calling himself a doctor (?) goes by a couple of different names apparently), - are you ready for he helped them?  He cast a spell on the individuals and caused a weight loss.  The individuals don't claim large losses, 15 lbs or so but still.

Spells?  Like waving a magic wand or ?  In the 21st century?  Really?  I'm not kidding - these people gave me links to this guy's email (he doesn't have a website) and seemed totally serious.

One individual commented on one of my blogs, the following: 

"All thanks to Dr ---- who helped me loose weight when all effots proved abortive. Am on this blog to help those in need of weight loss get the help you need. Worry no more just contact this great man via (email address on yahoo!) and he will help you with a spell, in less than 1 week after i contacted him i lost 15 pounds and ever since i have been having normal meals no more diets and my shape is perfect. What more can i say than a big thank you "

I left the misspellings in there (emphasis on "spell" is mine). Perhaps English is not this person's first language but I think they could have paid more attention to the built-in spell checker (that's the red line under a word). :)

I frankly didn't believe folks in the 21st century believed in "spells" anymore but I guess I stand corrected.  Someone should tell these folks that the reason they lost weight was all their work and not some web foot muttering some words over them.  Take the credit for your weight loss - it's yours to take.

PS: I'm sure these individuals did not say their "magic" words without a fee.  Makes me think I'm in the wrong business! :)

Thursday, June 18, 2015

Garcinia Cambogia - neither effective nor safe

Weight loss supplements are many and varied.  The idea of just consuming a pill or a drink, appeals more to prospective dieters than counting calories or points and/or exercising.

One supplement I often see advertised, is Garcinia Cambogia, whose advocates are all over blogs like this one.  Whenever I post a blog here, whether about weight loss surgery or some other diet craze, I almost, invaribly, get a comment or two advocating Garcinia Cambogia and so I decided to research it a bit.

In investigating it, I found that there were concerns about how safe it was to use as well as not being effective for what they are pushing it for ... weight loss. The active ingredient in Garcinia Cambogia which supposedly causes weight loss, is hydroxycitric acid, or HCA = this is also included in other weight loss supplements.

In one study, the average weight loss in folks taking Garcinia Cambogia, was 2 lbs and the researchers couldn't really say if it was the lowered calories or the supplement that caused the weight loss, but they concluded it was likely the lower calorie intake of the cohort that caused the weight loss.

Garcinia Cambogia is apparently a tropical fruit which resembles grapefruit - people who have eaten it, say it tastes good but the medical profession does not feel it's a good weight loss supplement. As for the claims of lowering the blood sugar levels in diabetics, this, again, is unproven.

One article advocates a person wishing to lose weight would be better off, buying an exercise DVD than investing in Garcinia Cambogia.  I agree there.  Although convincing people to buy Garcinia Cambogia might be a cash cow for those selling it, it appears to be a waste of time for those wanting to lose weight or control diabetes. 

Friday, May 15, 2015

New Diabetes drugs have gnarly side effects!

New diabetes drugs?  ... they have some gnarly side effects! 

The promos want to make it look like low sugar levels are the worst side effect of the new class of diabetes drugs - however according to drugs dot com, there is a rather long list of gnarly side effects... including .... Anxiety, bladder pain,bloody or cloudy urine, blurred vision. chills, cold sweats, coma, confusion, cool, pale skin, decreased frequency or amount of urine, depression, difficult, burning, or painful urination, dizziness, fast heartbeat, frequent urge to urinate, headache, increased hunger, increased thirst, itching of the vagina or genitals, loss of appetite, lower back or side pain, nausea, nightmares, seizures, shakiness, slurred speech, swelling of the face, fingers, or lower legs, thick, white vaginal discharge with mild or no odor, troubled breathing, unusual tiredness or weakness, vomiting and weight gain.

You might want to skip this class of drugs!  The side effects seem worse than the blood sugar levels it is said to lower...

Saturday, April 11, 2015

A weight loss journey with a lap band can be difficult

Melonie on the Rikki Lake show

 Melonie had a lap band in 2012 (approx) and she lost over 100 lbs in about 6-9 months. She loved her band in 2013 when she posted this video, saying it had given her a lot of restriction and was a great tool.  Would she have it again though? - even at that time she said "Probably not". She described it as "high Maintenance" - she had very tight fills (up to 7 cc) although she said she liked how you could adjust it. She also said that when she had lost her weight, she could feel her port (where a lap bander gets their "fills" to tighten or loosen the band) and that was uncomfortable - apparently she had a revision surgery to move the port but it still bothered her, she said.  

Unable to afford plastic surgery for all the loose skin, Melonie opted out to go to South America - She appeared on the Rikki Lake show, saying this had been a major mistake - they did several procedures including abdominoplasty, lower body lift and lipo suction in one 8 hour session.  And sent her home to the US with several drains and a lot of pain.

In a later video, made approx January 2014, she described a rather horrendous experience with her lap band when it slipped, causing excruciating pain and finally getting to the point where it prevented her from even drinking water.  She finally, went to the ER and they removed the band, saying that her stomach had begun to erode and that she'd made it to removal just in time...  She admitted that during her weight loss process and maintenance, she vomited a lot which is a "no no" with any weight loss surgery and especially with the lap band - vomiting can do a lot of damage including rip out internal stitches or in the case of the lap band, cause slippage.  As my weight loss surgery surgeon friend says "Measure twice, eat once, vomit never!

She did keep most of her weight off without her band although having to have it removed caused her a lot of emotional pain and in an update video, showed a body shot where she looked really good.

What folks don't understand about any weight loss surgery, is that the patient does most of the work (90% of the work, says one weight loss surgery surgeon). And that even the safer procedures can bite in the long run.