Monthly Archives: September 2008

Coming Soon: Interview with Dr. J. Vaughan Weight Loss Surgeon


In two weeks metabolism.com will be posting my interview with Dr. Jefferson Vaughan who heads the bariatric (weight loss) surgery program at Jupiter Hospital, Florida.  If you have questions about weight loss surgery now is the time to get your questions answered! Click on the “Health and Nutrition Forum” button on the home page of metabolism.com. Put your question in a bulletin board post and title it “To Dr. Vaughan” and I will have Dr. Vaughan answer the best questions from our members.

I look forward to reading your questions.

Dr. Gary Pepper

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Weight Loss Surgeons Have Something Up Their Sleeve


No where is weight loss more essential to health than in those with obesity related Type 2 diabetes and Metabolic Syndrome. Metabolic Syndrome can be thought of as Type 2 Diabetes before the blood sugar levels become elevated. Experts are now turning more often to surgery when convential treatment with diet, exercise and medication fails to control these diseases. Different forms of surgery are available to cause rapid weight loss which frequently results in a “cure” or at least substantial improvement in diabetes.

One type of surgery often done laparoscopically aims to reduce the size of the stomach. By reducing the stomach size less food is consumed and hunger reduced. In another type of surgery much of the small bowel is “by-passed” so less of the food is absorbed and more is passed out of the body through the large intestine.

In Brazil a new procedure is being pioneered by Dr. Aureo DePaula and colleagues which utilizes both techniques. This procedure involves making a “sleeve gastrectomy” as well as by-pass. Dr. DePaula removes a part of the stomach and sews the remaining piece to the end portion of the small intestine called the ileum.

According to Dr. DePaula the benefit of this procedure extends beyond the mere mechanical reduction of the size of the stomach and bowel. The piece of the stomach and bowel eliminated by the sleeve procedure are responsible for making hormones that stimulate appetite and interfering with the function of insulin and cause insulin resistance. So far the Brazilian team has demonstrated great success to reverse the metabolic problems of diabetics and those with metabolic syndrome. Almost 90% of men and women in their recent study were able to discontinue taking diabetic medication after undergoing the surgery.

The procedure is still considered experimental

Surgical teams around the world are now preparing to try to duplicate the success of Dr. DePaula. According to reports, in the United States one team is being established at Mt Sinai Hospital in New York.

Those interested in this procedure may learn more in November when there is a meeting of the International Congress of Endocrinology in Rio de Janeiro, Brazil. Here experts are expected to analyze available information on the sleeve procedure and make recommendations for its use.

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Weight Loss Surgery for Diabetes Management


Recent studies are confirming that weight loss surgery can provide dramatic improvements in treatment of people with Type 2 Diabetes.  One such recent study compared the results of many other studies of weight loss surgery and was published in the JAMA.  Type 2 diabetes, or adult onset diabetes,  is generally seen in over-weight adults. When an individual gains weight the body must produce more and more insulin to compensate for the additional fat. Once the pancreas has reached maximum porduction and cannot produce enough to keep the blood sugar normal, the result is called Type 2 diabetes.  By causing rapid weight loss via gastric by-pass or gastric banding surgery the body declines in size to a point where the pancreas is now again able to supply the proper amounts of insulin and the diabetes is “cured”.   If the person regains the weight the diabetes will return.  Some experts believe that gastric surgery also improves other hormones that effect blood sugar and that weight loss itself is not even necessary to see better blood sugar levels.

Weight loss surgery is not like cosmetic surgery. The risks are seen as relatively greater than cosmetic surgery and there are frequent complications involving the digestive system.  Costs of surgery are high and are generally not covered by insurance. For this reason many people travel outside of the US to obtain the surgery and wind up saving money.

Currently in the US the guideline for consideration for surgical treatment of diabetes is a BMI (search this term in metabolism.com) of greater than 40 or a BMI of 35 or more associated with some complication of diabetes such as leg ulceration.  Doctors are now struggling to decide if these guidelines should be relaxed so more people with diabetes would qualify for weight loss surgery.

Gary Pepper, M.D.

Editor-in-chief, metabolism.com

Terms of Service apply to this post  http://www.metabolism.com/2008/09/06/terms-conditions-service-agreement/

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Weight Gain Program


Gaining weight can seem as daunting as trying to lose weight. Hard training at the gym, numerous meals per day, all yielding no results. Help is on the way! There is a formula for successful weight gain.

The “Getting Buff” program was designed by our Senior Nutritionist, Robert Pastore, Ph.D., CNC, CN. Dr. Pastore’s program consist of 4 basic steps:

  • Calculating unique caloric needs
  • Analyzing macronutrient needs
  • Designing an individualized comprehensive supplementation program
  • Personal training schedule

If you are trying hard to “bulk up” without results, we can help! Please take a moment and visit our companion site, The Ultimate Weight Gain Program. If you would like to ask Dr. Pastore a question about this program, please visit our Weight Gain community.

SORRY THIS PROGRAM IS TEMPORARILY UNAVAILABLE

Please visit http://www.gainingweight.info/ for valuable information about weight gain.

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5 Keys to Fat Loss Success


By Wendy Chant,
Author of Crack the Fat Loss Code

When it comes to losing fat, success doesn’t happen overnight.
Sometimes it doesn’t even happen over a few weeks, a few months or a
few years. Don’t rush it, don’t crash and don’t expect too much of
yourself too soon. Life is for the living; for the making of mistakes
and learning from them. Below I have outlined my5 Keys to Fat Loss
Success so that you can not only lose fat but keep it off — forever:

1. Set realistic short-term goals: The best way to think of these is
as “mini-goals.” When I was actively training in road racing I didn’t
start out running a marathon. I first started with smaller mileage
races and each time I would try to better my time — and better my
distance — until I was running a competitive marathon. There is no
way to reach such a huge long-term goal without a few mini-goals along
the way. What are your mini-goals?

2. Short-term goals should lead you to long-term goals: Allow for
occasional setbacks along the way, but regard them as learning
experiences. That’s the beauty of short-term, or mini, goals. You can
make a few missteps along the way and still reach your ultimate goal,
as long as you simply learn from your misstep and get back on track.

3. Set a training schedule and stick to it: It helps to have a
contract with yourself; how formal a “contract” is up to you. Some
clients put the schedule in writing; others tack it to their fridge or
keep a sticky-note in their wallets. Some keep it in their heads, but
all do one thing in common: stick to it.

4. Listen to Your Body: If I’ve taught you one thing in this book it’s
to listen to your body. We talked about not eating too much, stuffing,
and not eating too little, starving. Your body sends you signals when
it’s too full or too empty; listening to them is one way to stay in
balance. Your exercise should be the same. Fatigue is a sign to take a
break, and it’s OK to do so. The old adage of “no pain, no gain” has
gone by the wayside.

5. Constantly challenge yourself: Life is meant to be a challenge. We
strive to meet challenges and move beyond them. If we don’t learn, we
can’t grow. Success is like a muscle; it doesn’t grow if it isn’t
stretched. How far can you stretch today?

©2008 Wendy Chant

Author Bio
Wendy Chant, MPT, SPN, is a certified personal trainer and a
specialist in performance nutrition. She holds a bachelor of science
degree in medical sciences and nutrition science. A champion body
builder, she opened her own training center, ForeverFit®, in 1998.
Her book, Crack the Fat Loss Code, is available now from McGraw-Hill.

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Terms and Conditions & SERVICE AGREEMENT


Policy Statement of Metabolism.com, and Metabolink, Inc. / Revised May 2009

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Privacy Policy


We absolutely do not sell consumer information to any outside business or organization.

For each visitor to our Web page, our Web server automatically recognizes only the visitors domain name (e.g., your IP address), but not your e-mail address.

We use third-party advertising companies to serve ads when you visit our website. These companies may use information (not including your name, address, email address, or telephone number) about your visits to this and other websites in order to provide advertisements about goods and services of interest to you. If you would like more information about this practice and to know your choices about not having this information used by these companies, click here.

We collect the names and e-mail addresses of all those who communicate with us via e-mail and/or online submission forms. The information we collect is used to improve the content of Metabolism.com and will not be sold to any other organization.

Members who have subscribed will be added to the Metabolism.com mailing list and receive occasional communication and other valueable offers. Any member may unsubscribe at any point.

If you have any questions about this document, please contact Dr. Gary Pepper at marketing@metabolism.com.

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