Common Nutritional Deficiencies After Bariatric Surgery
In a practice that has treated thousands of bariatric patients, we have seen it all. However, one of the most problematic complications we see after bariatric surgery is when patients don’t stay abreast of their nutritional requirements. Patients lose weight because of a significantly restricted caloric intake, meaning they will consume fewer vitamins and minerals. Some vitamins and minerals are more affected than others. As such, we work with our patients to create a supplementation plan based on the procedure performed and the results of their blood panels taken periodically after surgery.
Three Critical Factors to Maximize Weight Loss
Any patient considering or having had bariatric surgery or who starts on GLP-1 agonists like Wegovy or Zepbound wants to know how to maximize their weight loss. And there certainly are ways. But before diving deeper, remember that no matter what weight loss modality is used, there is no substitute for hard work to achieve and maintain weight loss results. Bearing that in mind, answering this question is difficult, but many factors influence weight loss. Further, each of us is different, and the reasons for gaining weight and the best way to lose it may differ slightly between us. However, there are some tried and true ways to help ensure you lose the most weight, three of which we will discuss in this article.
Getting Off GLP-1s – Having a Game Plan
If you’ve been using GLP-1 medications like semaglutide (Ozempic, Wegovy, Mounjaro, or Zepbound), you might be wondering what it looks like to stop taking them. Maybe you’ve reached your health goals or are dealing with side effects that make you want to reconsider your options. Whatever the reason, getting off GLP-1 medications is a big decision that requires careful planning.
These medications are often prescribed to help manage type 2 diabetes or assist with weight loss. They mimic a hormone in your body that helps regulate blood sugar levels and appetite. But just like starting the medication was a big step, stopping it should be done thoughtfully and with guidance from your healthcare provider.
Stress and The Vicious Cycle of Obesity
In a world where stress is as common as the air we breathe, the impact on obese individuals is undeniable. The vicious cycle of obesity often starts with stress, triggering unhealthy eating habits. The added weight leads to a sedentary lifestyle and further worsening physical limitations. The person living with obesity begins to feel overwhelmed by even more stress. The cycle often continues until patients hit rock bottom or decide to address it comprehensively and aggressively through diet and exercise, weight loss medications, or bariatric surgery.
How Often Do I Have to Exercise to Lose Weight?
How and how often do we need to exercise? These are age-old questions that nobody seems to have a definitive answer to, as evidenced by the thousands of social media influencers that have their take. If you go online, you’ll find many so-called experts contradicting each other and even themselves. Unfortunately, the Internet is rife with misinformation, and we must extract the truth and use it to our advantage.
Your Expectations: What Bariatric Surgery Is and Isn’t
As you have probably inferred from the above, bariatric surgery is an option for patients living with obesity and who may not be able to lose enough weight with diet and exercise or weight loss medications alone. While surgery may seem extreme, bariatric surgery isalso very safe, with complication rates right around those of a routine gallbladder removal.
How The Small Intestine Can Start Producing Ghrelin and What To Do
Several bariatric surgeries, especially the gastric sleeve, offer benefits in addition to the mechanical shrinking of the gastric pouch/stomach. These secondary benefits often excite patients the most and represent an additional layer of weight loss potential. In the case of the gastric sleeve, when the outer portion of the stomach is removed from the body, the central hunger hormone production center, known as the fundus, comes out with it. The lack of ghrelin reduces appetite and cravings, which helps patients feel less hungry and ultimately lose weight.
When You Need a Conversion or Revision to Your Bariatric Procedure
Dr. Chang believes in a 100% commitment from his patients, just as he gives 100% of his passion and dedication to them. For most, this works well because weight struggles are lifelong. Without accountability, it’s easy to lose focus and motivation and gain back significant weight. Fortunately, good patient selection, education, and working on your habits keeps most of our patients on the right track. We rarely have to worry about bariatric revisions or conversions among our patients.
Does Long-Term PPI Use Increase the Risk of Dementia?
A recent study has shed more light on the potential risks and complications of long-term proton pump inhibitor or PPI use, showing that long-term use may increase the risk of dementia by over 30%. The study followed patients over 45 who took PPIs for more than four years. The results add to the list of potential side effects of using these drugs past the amount of time indicated.
Will I Regain Weight After a Gastric Sleeve?
When considering bariatric surgery, weight regain is at the top of many patients’ minds. After all, the whole point of surgery is to drop the pounds, get back to a more normal weight, and improve or eliminate the diseases associated with obesity; there are horror stories on the Internet discussing significant regain and reversal of the benefit achieved through surgery. It is one of the issues that stops most common issues stopping patients from getting surgery.
Let’s discuss weight gain and whether you should be worried about it now that you are considering bariatric surgery.
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