Gastric Bypass- A not-so-quick solution.

Hi,  just wanted to open up the discussion about gastric bypass from the perspective of a nutritionist.  Maintenance of a healthy weight, and HEALTHY LEAN BODY MASS is absolutely essential to our overall health and well being.  That goes for our biological, biochemical, social and psychological health.  Many people strive to achieve a healthy weight but is weight loss at any cost worth it?  There are cases where the weight loss becomes necessary to control blood pressure and blood glucose.  There are cases when gastric bypass may be a last option but it should be considered a last option after a 6 month trial of HEALTHY NUTRITION INTERVENTION and a reasonable activity schedule has been tried.  It can take at least 6 months to reprogram good habits into a person’s life when nutritionally poor habits have been dominant for most of their lives.

The main issues with gastric bypass revolve around the fact that one can easily return to eating unhealthy foods, just in small portions and the fact that normal digestion and assimilation is disrupted.  Without adequate hydrochloric acid (HCl) in the stomach proteins won’t get digested properly and can putrefy and cause discomfort and reflux.  Without adequate HCl bad bacteria like H.Pylori won’t be killed off, minerals won’t be extracted from food and the small intestine won’t receive the proper signal to produce digestive enzymes.  Also, following gastric bypass the carrier for vitamin B12 is not produced efficiently and absorption is compromised.  Sublingual methylcobalamin should then be taken on a regular basis along with a full spectrum multivitamin/mineral supplement.

SO, maybe this isn’t such a quick note but it is an important one!  A HEALTHY DIET and REGULAR EXERCISE can’t be beat!

And as always,

Consider having an individualized nutrition consultation!

Beth Ellen DiLuglio, MS, RD, CNSD, CCN, LD/N

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  • Sharon

    I have a friend that did have the Gastric Bypass procedure a few years back. She lost lots of weight AFTER she had the procedure by cutting back on her food intake and by exercising daily. If you think that once you have this procedure you’ll be on easy street, you’re sadly mistaken. As Ms. DiLuglio stated earlier, this should only be used as a LAST resort after at least 6 months of healthy nurtritinal intervention. BTW, some people who’ve had this procedure discovered that after they’ve had this procedure (GB), they were unable to properly digest the broccoli family of veggies. So buyer/patient beware, and consult your family physician before deciding to have this procedure done.

    GOD bless you all & happy weight loss!

    Sharon/AKA Christiangirl177

  • CC

    Thank you for posting this but you havent posted all the information just parts of it.

    Most people who have bariatric surgery really DO it as a last resort.

    While you are right about that the one sole gastric bypass surgery is NOT a quick solution to the problem, however there are other bariatric procedures that are available to consider. One of them being the latest one called vertical sleeve which just cuts your stomach smaller and does not do all the plumbing that the drastic gastric bypass does. Another form is the popular lapband which is just a band thats inserted over your abdominal to restrict the food.

    Any of the bariatric doctors do WARN the patient that with the gastric bypass that you run the risk of malabsorption and that can be detrimental in the long run.

    As far as bariatric procedures are concerned I know TEN people who had various bariatric surgeries. I know 8 of them that are doing great! I know my cousin had the gastric bypass and she didnt do well. She has to go back in and get it removed because it was dangerous for her. But this was when gastric bypass first started out as a new procedure. The other person i dont know what procedure she had done but her situation is that she stopped taking the vitamins that she was supposed to take so she became ill. Shes doing better now that she is taking her supplements.

    I”ve been to many bariatric seminars and i strongly recommend the vertical sleeve. Out of the ten i mentioned I know two of them had that done and are doing fantastic. They do not get malabsorption and just mainly control what they eat. If people are concerned then i suggest they opt for the lapband and if its not for them they can have it removed.

    I personally cannot have ANY of these procedures even if i had the money for it. In 1996 I had acute pancreatitis(which left me diabetic) and they did abdominal surgery on me therefore the bariatric doctors will not touch anyone who had any kind of abdominal surgery due to that it might cause complications. How i dont know though. I’m hoping to find out.

    Do know this that you can have any surgery and STILL gain the weight back. You can still eat tons of milk shakes with the lapband or constantly eat small portions with the vertical sleeve and re-stretch out your stomach. So they aren’t a cure all.

  • ll

    Gastric Bypass saved my life. It has been 4 years now and I have kept the weight off and I would do it again tomorrow if need be. I understand that not all have my view but for me it was truly a GOD send. I do not have any problems with malabsorption and I exercise and count calories. I make myself think about the days of not being able to walk from my car into the mall or my childs school or any distance at all. Now I walk 3 miles everyday day at least. I understand the problems that some may have as mentioned by the nutrtionist but I also would like to add that the mind is a very powerful thing. It is important to have the proper mind set. When you can wake up each day without having the mask on your face from the sleep apnea machine, bend over to tie your own tennis shoes, and then walk outside in the cool morning air and know that you can walk until you WANT to stop…….that is a pure miracle to me and my mind thanks GOD every morning. My point is that to exercise and count calories after GBS is a really minimal thing in comparison to the gift given by the gastric bypass. Thank you.

  • Starla Meissner

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