{"id":3236,"date":"2018-04-25T15:32:10","date_gmt":"2018-04-25T15:32:10","guid":{"rendered":"https:\/\/utahbariatrics.com\/?p=3236"},"modified":"2019-11-14T19:06:11","modified_gmt":"2019-11-14T19:06:11","slug":"the-real-deal-on-obesity-part-2","status":"publish","type":"post","link":"https:\/\/utahbariatrics.com\/the-real-deal-on-obesity-part-2\/","title":{"rendered":"The Real Deal on Obesity, Part 2"},"content":{"rendered":"<div id=\"attachment_3240\" style=\"width: 1010px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3240\" class=\"wp-image-3240 size-full\" src=\"https:\/\/utahbariatrics.com\/wp-content\/uploads\/2018\/04\/The-Real-Deal-on-Obesity-Part-2.jpg\" alt=\"\" width=\"1000\" height=\"721\" srcset=\"https:\/\/utahbariatrics.com\/wp-content\/uploads\/2018\/04\/The-Real-Deal-on-Obesity-Part-2.jpg 1000w, https:\/\/utahbariatrics.com\/wp-content\/uploads\/2018\/04\/The-Real-Deal-on-Obesity-Part-2-300x216.jpg 300w, https:\/\/utahbariatrics.com\/wp-content\/uploads\/2018\/04\/The-Real-Deal-on-Obesity-Part-2-768x554.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><p id=\"caption-attachment-3240\" class=\"wp-caption-text\"><span style=\"font-size: 10pt; font-family: terminal, monaco, monospace;\"><em><strong>Learn more about weight loss surgery at Rocky Mountain Associated Physicians www.RMAP.com (801) 268-3800<\/strong><\/em><\/span><\/p><\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">The Traditional Diet:<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">You have probably experienced the stress and frustration associated with unsuccessful diets and weight loss programs. The traditional diet is a short sighted food selection program that has an end date. It is not a comprehensive lifelong protocol aimed at long term effects.<\/span><\/p>\n<h2><span style=\"font-family: terminal, monaco, monospace;\"><strong>You are not a failure, the traditional diet is.<\/strong><\/span><\/h2>\n<p><span style=\"font-family: terminal, monaco, monospace;\">Most methods of weight control are usually ineffective in providing long-term weight loss in the Morbidly Obese patient. The end result of diet attempts is the regaining of the lost weight, and the person experiencing an increase in their pre-diet weight.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">A traditional diet in which a person achieves a 10% weight loss is deemed successful. In a morbidly obese person a 10% weight loss will not return them to healthy weight or provide the quality of life that is desired.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>Why Surgery?<\/strong><\/span><\/p>\n<ul>\n<li><span style=\"font-family: terminal, monaco, monospace;\">Diet &amp; exercise only works for 1 in 20 people who are morbidly obese<\/span><\/li>\n<li><span style=\"font-family: terminal, monaco, monospace;\">Surgery is safe &amp; effective when the benefits outweigh the continued risks of weight and weight gain.<\/span><\/li>\n<li><span style=\"font-family: terminal, monaco, monospace;\">Improves co-morbidities<\/span><\/li>\n<li><span style=\"font-family: terminal, monaco, monospace;\">Provides for a longer and greater quality of life<\/span><\/li>\n<li><span style=\"font-family: terminal, monaco, monospace;\">Benefits of surgery outweigh the risks for the morbidly obese<\/span><\/li>\n<li><span style=\"font-family: terminal, monaco, monospace;\">Individuals experience emotional and social benefits with improved health<\/span><\/li>\n<\/ul>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>What about Diabetes?<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">The International Diabetes Federation (IDF) released a position statement in March 2011 calling for bariatric surgery as an appropriate treatment for people with type 2 diabetes who are obese.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><em>\u201cIn addition to behavioral and medical approaches, various types of surgery on the gastrointestinal tract, originally developed to treat morbid obesity (\u201cbariatric surgery\u201d), constitute powerful options to ameliorate diabetes in severely obese patients, often normalizing blood glucose levels, reducing or avoiding the need for medications and providing a potentially cost-effective approach to treating the disease.\u201d<\/em><\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">The IDF puts the lifetime cost of diabetes in the United States at $172,000 for a person diagnosed at age 50 years and $305,000 at age 30 years. More than 60% of this amount is incurred in the first 10 years after diagnosis. Futhermore\u2026<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">The American Diabetes Associated has stated:<\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">\u201cBariatric surgery should be considered for adults with BMI &gt;35 kg\/m<sup>2<\/sup> and type 2 diabetes, especially if the diabetes or associated co-morbidities are difficult to control with lifestyle and pharmacologic therapy.\u201d<\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">Standards of Medical Care in Diabetes: 2010<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><em>Diabetes Care January 2010 vol. 33 no. Supplement 1 S11-S61<\/em><\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>History of Bariatric Surgery<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">The most popular procedure in the United States is the gastric bypass surgery. This procedure grew out of results of operations for cancer or severe ulcers in which large portions of the stomach or small intestine were removed. Because patients undergoing these procedures tended to lose weight after surgery, some physicians began to use such operations to treat severe obesity. The first operation that was widely used for severe obesity was the intestinal bypass. This operation, first used 50+ years ago, produced weight loss by causing malabsorption.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">The side effect of this surgery was that it caused a loss of essential nutrients and its effects were unpredictable and sometimes fatal. The original form of the intestinal bypass operation is no longer used. Over the years several different procedures have been developed that are either restrictive or malabsorptive in nature.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>Restrictive Procedures<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">A restrictive procedure is one that limits the amount of food intake but does not impact the way the food is absorbed or digested. Restrictive procedures focus on the stomach alone and not the intestines. The laparoscopic adjustable gastric bands (LAP-BAND\u00ae or Realize\u00ae Band) and the sleeve gastrectomy are examples of restrictive procedures.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">The gastric band cinches the upper portion of the stomach, slowing the passage of food through the lower esophagus and upper stomach. The slower passage in turn creates a sense of satiety or fullness with less food than would otherwise be consumed.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">The sleeve gastrectomy is also a purely restrictive procedure creating a smaller stomach or \u201csleeve\u201d. The residual stomach is removed therefore making this procedure non-reversible. The curvature as well as the size of the \u201csleeve\u201d slow the passage of food and limit the amount consumed at any one time. Patients who choose purely restrictive operations typically lose weight more gradually and at a slower rate than gastric bypass, duodenal switch or other procedures that involve the intestine. Restrictive procedures rely on patients\u2019 compliance with dietary recommendations, exercise and general lifestyle changes.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>Restrictive\/Malabsorptive Procedures<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">Restrictive\/Malabsorptive operations produce quicker weight loss than restrictive operations, and can be more effective in reversing certain health problems associated with severe obesity such as diabetes. These types of procedures combine restriction of food by reducing the size of the stomach as well as bypassing parts of the intestinal tract which causes some nutrients to not be absorbed. Because some nutrients are being \u201cmalabsorbed\u201d these procedures also carry greater risk for nutritional deficiencies.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">Malabsorptive\/restrictive operations include Roux en Y Gastric Bypass, Biliopancreatic Diversion, and Duodenal Switch. The gastric bypass procedure bypasses about only 1\/3 of the intestine whereas the Duodenal Switch procedure typically bypasses roughly 2\/3 or more of the intestine making this a truly malabsorptive procedure.<\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\">To learn more about <a href=\"http:\/\/www.RMAP.com\">Weight Loss Surgery<\/a>\u00a0and see if it is right for you, sign up to attend our FREE informational seminar that is taught by one of our Bariatric Surgeons. He will go over all of the Risks and Benefits of each procedure and answer any questions or concerns you might have. To sign up, click <a href=\"http:\/\/www.RMAP.com\"><strong>HERE<\/strong><\/a>\u00a0or go to <a href=\"http:\/\/www.RMAP.com\">www.RMAP.com<\/a> or call (801) 268-3800.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>For The Real Deal on Obesity, Part 1, go <a href=\"https:\/\/utahbariatrics.com\/the-real-deal-on-obesity-part-1\/\">HERE<\/a>.<\/strong><\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>For more information on <a href=\"https:\/\/utahbariatrics.com\/services\/laparoscopic-adjustable-gastric-banding\/\">Adjustable Gastric Band<\/a>, go <a href=\"https:\/\/utahbariatrics.com\/services\/laparoscopic-adjustable-gastric-banding\/\"><em>here<\/em><\/a>.<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\"><strong>For more information on <a href=\"https:\/\/utahbariatrics.com\/services\/sleeve-gastrectomy\/\">Sleeve Gastrectomy<\/a>, go <a href=\"https:\/\/utahbariatrics.com\/services\/sleeve-gastrectomy\/\"><em>here<\/em><\/a>.<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\"><strong>For more information on <a href=\"https:\/\/utahbariatrics.com\/services\/gastric-bypass\/\">Roux-en-Y Gastric Bypass<\/a>, go <a href=\"https:\/\/utahbariatrics.com\/services\/gastric-bypass\/\"><em>here<\/em><\/a>.<\/strong><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\"><strong>For more information on <a href=\"https:\/\/utahbariatrics.com\/services\/biliopancreatic-diversion-with-duodenal-switch-ds\/\">Biliopancreatic Diversion with Duodenal Switch (DS)<\/a>, go <a href=\"https:\/\/utahbariatrics.com\/services\/biliopancreatic-diversion-with-duodenal-switch-ds\/\"><em>here<\/em><\/a>.<\/strong><\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><strong>Find more answers to Frequently Answered Questions <a href=\"https:\/\/utahbariatrics.com\/category\/faq\/\"><em>here<\/em><\/a>.<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><a href=\"https:\/\/utahbariatrics.com\/wp-content\/uploads\/2016\/11\/RMAP-Maountain-logo.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-1783\" src=\"https:\/\/utahbariatrics.com\/wp-content\/uploads\/2016\/11\/RMAP-Maountain-logo-300x148.jpg\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/utahbariatrics.com\/wp-content\/uploads\/2016\/11\/RMAP-Maountain-logo-300x148.jpg 300w, https:\/\/utahbariatrics.com\/wp-content\/uploads\/2016\/11\/RMAP-Maountain-logo.jpg 683w\" alt=\"rmap-maountain-logo\" width=\"300\" height=\"148\" \/><\/a><\/span><\/p>\n<p><span style=\"font-family: terminal, monaco, monospace;\"><a href=\"http:\/\/www.rmap.com\/\">www.RMAP.com<\/a><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\"><a href=\"https:\/\/utahbariatrics.com\/getting-started\/\">Rocky Mountain Associated Physicians<\/a><\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">801-268-3800<\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">1160 East 3900 South, Suite 4100<\/span><br \/>\n<span style=\"font-family: terminal, monaco, monospace;\">SLC, UT 84124<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; The Traditional Diet: You have probably experienced the stress and frustration associated with unsuccessful diets and weight loss programs. The traditional diet is a short sighted food selection program [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3240,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[77,81,78,94,82,80],"tags":[],"_links":{"self":[{"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/posts\/3236"}],"collection":[{"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/comments?post=3236"}],"version-history":[{"count":0,"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/posts\/3236\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/media\/3240"}],"wp:attachment":[{"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/media?parent=3236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/categories?post=3236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/utahbariatrics.com\/wp-json\/wp\/v2\/tags?post=3236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}