Thursday, April 11, 2024

Why Am I Losing Weight After Surgery

Is There Any Difficulty In Taking Medications

Why Am I Not Losing Weight After Gastric Bypass Surgery?

During the first few months after surgery we recommend patients crush their medications or take them in a liquid form. Medications that cannot be crushed are long acting medications usually designated by “XR” or “CR” after the name of the medication. These will be converted to the shorter released medication which can be crushed. There are some psychiatric medications that cannot be crushed and are too big to take in the immediate post operative period. Before surgery, please check with your PCP and mental health provider, and/or your pharmacist, to see which medications can and cannot be crushed.

Watch Out For Lactose Intolerance

Be aware that many weight-loss surgery patients develop lactose intolerance after surgery, even if they didnt have it before. Go easy on the dairy products until you know how your body will tolerate lactose. Also consider low-fat dairy products to increase the protein you get without too much fat.

What Are The Possible Side Effects

There are potential short-term and long-term complications from having weight loss surgery. Long-term risks vary depending on the type of surgery. Approximately 40% of people experience some sort of complication. Less than 5% have serious complications. If you do have any problems that concern you, check in with your doctor.

Some common side effects include:

  • Constipation is common after weight loss surgery. Your doctor can let you know how to handle it. Avoid granular fiber , which can cause obstructions.
  • Dumping syndrome happens after eating high-sugar meals after weight loss surgery. Sodas or fruit juices are often to blame. The sugary food rushes through the stomach and can cause nausea, vomiting, and weakness.
  • Gallstones are common when you lose a lot of weight quickly. Up to 50% of patients will develop gallstones after gastric bypass surgery, and these are usually harmless. Sometimes, gallstones can cause nausea, vomiting, and abdominal pain. About 15% to 25% of people need surgery to remove their gallbladder after gastric bypass surgery.
  • Wound infections can happen up to 3 weeks after surgery. Symptoms include redness and warmth, pain, or thick drainage from the surgical wound. Wound infections require antibiotics and sometimes further surgery.

Serious side effects include:

Also, you may notice that your skin is sagging. You may choose to get surgery to remove it.

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Diabetes As Cause To Not Lose Weight After Bariatric Surgery

Obese and morbidly obese patients commonly develop comorbidities, which are other medical conditions associated with obesity. Bariatric surgery is expected to help them lose weight, which can also result in improvements in overall health, including these conditions. However, there are other problems related to the existence of comorbidities, which occur when patients need to take medication that can influence weight loss. Among these conditions is diabetes, one of the most common obesity comorbidities.

According to the study Factors associated with suboptimal weight loss after gastric bypass surgery, patients with diabetes may need to take insulin or other drugs that stimulate the production of fat and cholesterol, making it more difficult for them to lose weight. Other factors that may lead to weight gain in patients with diabetes include a protective increase in caloric intake to treat episodes of hypoglycemia , reduction of urinary glucose losses and sodium and water retention that are a direct effect of insulin on the distal tubule in the kidney, explained the authors.

Reason #: I Dont Like To Lift Weights

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Although I tell people you can never out-exercise a bad diet, and that diet is at least 80% and exercises being 20% it still impacts the efficiency and the rate at which you burn fat. This does not mean just running on the treadmill. Building lean muscle increases your metabolism because it takes more calories to maintain muscle.

The more lean muscle you have, the faster you burn calories. If you are six to eight weeks out and you are eating a proper amount of calories resistance training may be the thing you are missing to take you to that next level of fat loss.

If you do not know anything about resistance training to build muscle it may be beneficial to hire a personal trainer for a few sessions to create a plan for you. If you do not like going to the gym, you can create a home workout. If you are reading this and thinking, I dont want to get bulky trust me, you wont. It takes a lot of work and a consistently balanced meal plan to build muscle.

Overall you want to be patient with the process. You did not gain the weight overnight and although for many this is rapid weight loss it will not come off overnight either. Stalls or plateaus are a normal part of the process.

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Why Am I Losing Weight After Thyroidectomy

People who have a thyroidectomy are well-acquainted with having a hyperactive thyroid. But, once you wake up from surgery, you immediately have the opposite problemâa hypoactive thyroid. The treatment options are entirely different in both conditions, as are the symptoms. And when it comes to changes in your weight, you may be surprised at what can happen once you start taking thyroid medication. Suppose you are losing weight after thyroidectomy. In that case, you are not alone, and there is usually an underlying reason why you are having this experience.

Obestatin: The Anti Ghrelin

Obestatin, a 23 amino acid peptide, is derived from the preproghrelin precursor. Obestatin is present in many tissues, including the gastrointestinal tract . Initially identified as a product of the ghrelin gene with opposite effects to those of ghrelin, obestatin is now believed to have many more actions, some of them similar to those of ghrelin. Fasting significantly reduces obestatin levels, and postprandial concentrations are inversely correlated with BMI.126,147 The actions of obestatin in humans, as well as its role in regulation of food intake and energy homeostasis, are still controversial. Obestatin was reported to decrease food and water intake and body weight and to decrease intestinal motility in rodents 147 however, later studies could not replicate these effects.148 Little is known about obestatin’s involvement in post-bariatric surgery weight loss. Haider and colleagues149 showed that obestatin is lower in obese patients compared with lean controls and is increased 6 months after AGB. In contrast, Roth and associates126 found that obestatin levels did not change 2 years after RYGB in spite of the massive weight loss of 62.5% EWL.

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Gastrointestinal Hormone Changes After Bariatric Surgery

The gastrointestinal tract, the largest endocrine organ in the body, is a complex neuroendocrine system. More than 30 known peptide hormone genes are expressed in the digestive tract, with more than 100 different hormonally active peptides produced.40 Because they may play important roles in weight loss following surgery, it is of interest to review changes in hormones that have been investigated in relation to bariatric surgery. For each signal, it is important to examine the effects of bariatric surgery on changes in hormone levels at basal and after meals and compare these changes with changes induced by food restriction weight loss to ferret out the role of surgery. Additionally, it is important to show that either reversal of observed changes or simulation of such changes can reiterate the effects of surgery. It is extremely difficult to accomplish the latter goals because of the different types of surgery involved, the many possible candidates promoting weight loss, and the effects on food intake and energy utilization. A summary of what we know so far follows.

Failing To Follow Your Doctors Recommendations

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While bariatric surgeries, including gastric sleeve or gastric bypass surgery, are commonly recognised as very safe and effective procedures, its important to keep in mind that all surgical interventions carry a risk of complications. Luckily, you can limit it significantly by following your doctors orders and suggestions before and after surgery.

  • Take medications, vitamins, and supplements for as long as recommended, and dont go off them before consulting a medical specialist first.
  • Follow your surgeons and dietitians advice on the type and amount of food you should eat to lose weight following surgery.
  • Exercising and being physically active is a great option if youre looking for significant weight loss, but introducing a challenging and strenuous exercise routine too soon after surgery can be detrimental to your health. Ask your doctor about the type of activities appropriate for each stage of your recovery.

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You Need An Exercise Routine

Once you have acclimated to your gastric sleeve post-op diet, your weight loss will stabilize. You can only reduce your caloric intake so much before it starts to be bad for your health. The best way to counter the effects of this is to start a moderate-intensity exercise regimen.

Exercise is one of the closest things we have to a panacea. It can help your heart health, your lung capacity, your strength, bone density, joint health, and so much more.

However, youre not going to be able to exercise right away after surgery. After about a month post-op, your doctor will allow you to do certain moderate-intensity exercises such as brisk walking, swimming, and some light resistance work.

Located in the Mesilla Valley of southern New Mexico between the stunning Organ Mountains and the rambling Rio Grande Memorial Weight Loss Center serves the 300,000 residents of Las Cruces New Mexico and Doña Ana County by performing bariatric procedures including Gastric Bypass surgery, Gastric Sleeve surgery and LAP-Band surgery. We offer the latest minimally invasive laparoscopic weight loss procedures available in the nation today. Our comprehensive weight loss surgery procedures include comprehensive pre-operative and post-operative care for our patients. Our weight loss surgery clinic in Las Cruces New Mexico provides the latest in diagnostic, therapeutic and rehabilitative services , all for the inpatient and outpatient.

Gastric Sleeve Surgery: Benefits And Weight Loss Projections

Gastric sleeve surgery is a popular surgical technique used to achieve significant weight loss in a short amount of time. It is a safe and minimally invasive surgery that removes 80% of the stomach.

No foreign objects are implanted, and no bypass is required. Because the stomachs gut hormones play a strong role in appetite regulation, gastric sleeve surgery helps decrease appetite and supports weight loss by restricting the amount of food the stomach can hold.

While weight loss is an obvious physical benefit, other gastric sleeve benefits include weight maintenance and a reduction in hunger. According to the American Society for Metabolic and Bariatric Surgery, gastric sleeve surgery impacts the gut hormones and causes desirable changes in the stomach, leading to hunger suppression and increased satisfaction when eating.

So how much weight can you expect to lose after gastric sleeve surgery? Gastric sleeve surgery generally results in about 60% of excess weight loss.

The important number to be aware of is excess weight loss or EWL. EWL is calculated by taking your current weight and subtracting your ideal weight. A great resource to estimate your weight loss after surgery is a calculator that uses your gender, height, and weight to generate an estimated excess weight loss number. Check out the calculator here.

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Reason #: Lack Of Balanced Meal Planning

If you are four or more weeks out, it is important to slowly incorporate more solid proteins and healthy fats into your meal plan. The first step is to make sure you are getting enough protein. You can determine your baseline protein needs by taking your ideal healthy weight and dividing it by 2.2.

For example, if you aim to weigh 150 pounds, you would take 150 divided by 2.2, and your optimum protein would be 68 grams. Remember, this is a general baseline recommendation for best fat loss results, you may need a higher percentage of protein.

After determining protein needs, look at the overall balance of macronutrients. A common question many people ask is how many grams of protein, fat, and carbohydrates should I have for optimally fat loss. There is no exact number that will work for everyone, so it is important to take these general guidelines and play with the percentages until you find what works best for you.

Daily Macronutrient Goal

Macronutrients make up most of the calories we eat. These major food categories include protein, carbohydrates, and fats. Balancing macros after gastric sleeve could very well fix your weight loss problem and get you back on track with a more balanced diet.

After gastric sleeve, we recommend a high-protein macronutrient distribution of 10-35% Carbohydrates, 30-40% Fat, and 35-50% Protein. Also, be sure that your overall total sugar intake is less than 25 grams per day.

Gastric Bypass And Intestinal Transposition

Pin on Bariatic surgery recipes

In this group of procedures, stomach restriction is combined with rearrangement of various portions of the gastrointestinal tract such that nutrients are diverted toward the lower intestine while the upper intestine is bypassed.

Gastric bypass was first introduced in the 1960s.22 Since then, there have been numerous advances in the technique, access, surgical equipment, and short-term and long-term outcomes. The most common version, laparoscopic RYGB, is the second most frequently performed bariatric surgery procedure, accounting for 39.7% of the 344,221 bariatric surgeries performed worldwide in 2008.16

In RYGB, the gastric volume is restricted by creating a 1530 ml gastric pouch, while nutrient flow is rerouted from the stomach directly into the proximal jejunum through a gastrojejunal anastomosis, resulting in three limbs: a biliopancreatic limb , an alimentary limb , and a common channel . In a meta-analysis of weight loss post-bariatric surgery, Buchwald and colleagues11 showed that GB resulted in an average weight loss of 43.5 kg, or approximately 61.6% EWL. Assessment was made at the time of changes in comorbidities , usually less than 2 years. However, in most studies included in the meta-analysis, weight loss outcome was not statistically different between assessments made at 2 years or less or more than 2 years. Another meta-analysis by Garb and associates12 shows an average of 62.6% EWL for laparoscopic GB.

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Other Health Or Emotional Reasons Behind A Weight

If youre following the doctors recommendations to the letter, but youre still experiencing a weight loss plateau, its possible that there are other physical or mental health factors affecting your results. In such a situation, its best to consult your doctor and look for potential causes such as hormonal issues, stress, sleep problems and post-gastric sleeve surgery complications.

At KCM Clinic we provide patients with comprehensive care and support throughout their weight loss process and post-gastric sleeve surgery convalescence. You can count not only on our professionalism and expertise but also on the latest surgical techniques for optimal effectiveness and minimal risks.

What Are The Possible Reasons For Losing Weight After Hernia Surgery

There are a few reasons that may result in weight loss after surgery for a hiatal hernia. The first possibility is that the surgery itself may have caused some weight loss. This is typically due to the fact that the surgery requires the surgeon to make an incision in the abdominal area. This can result in a loss of muscle mass and a small amount of fat. The second possibility is that the weight loss may be related to the fact that the surgery typically requires a period of rest and recovery. This means that patients may not be able to eat as much as they normally would, which can lead to weight loss. Finally, it is also possible that the weight loss may be due to the fact that the surgery may have caused damage to the stomach or intestines. This can lead to a decrease in the amount of food that the body is able to absorb, which can also lead to weight loss.

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Not Giving Your Body Enough Time To Heal

You cannot expect to lose all the excess weight overnight simply because your stomach was surgically reduced. In order to get reliable information on how much weight you can lose and how fast, you should talk with your doctor before the operation. Give your body time to adapt and heal. Its important because by putting too much strain on your organism and trying to speed up the weight loss process by eating less than recommended or exercising harder, you can actually achieve the opposite results and end up not losing weight after gastric sleeve surgery.

Reasons For Not Losing Weight After Bariatric Surgery

Pregnant AFTER Gastric Bypass and LOSING 150LBS!

Home» Reasons for Not Losing Weight After Bariatric Surgery

Bariatric surgery includes a series of surgical weight loss procedures designed to help obese or morbidly obese patients who have failed to lose weight using other methods. Despite the fact that there are proven non-surgical, medically supervised weight loss programs, for some patients, losing weight is an almost impossible task. However, there are specific reasons for not losing weight after bariatric surgery, and understanding these reasons can help patients avoid them.

There are currently four types of bariatric surgery performed in the United States, which are adjustable gastric banding, Roux-en-Y gastric bypass, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch. All of them are performed and work differently, which is why physicians evaluate the patient prior to deciding which one is more appropriate. Despite the fact that bariatric surgical procedures have been meticulously studied and are proven to beboth safe and effective, patients can not always lose the amount of weight expected after weight loss surgery, due to several

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