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Rare surgery helps weight loss but has risks


maccaz

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http://www.stuff.co.nz/national/health/9928993/Rare-surgery-helps-weight-loss-but-has-risks

 

this kind of shit boggles my mind

long term would it not be safer to lock these people up inpatient and give them  calorie restricted diet and exercise?

cheaper too surely (wouldnt cost much food lol)

 

 

i dont understand how they can think that the surgery "saved their life"- no. the surgery lead to you being unable to eat as much, and the eating less saved your life, or is there more to it than just eating less?

 

discuss

 

 

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I think it's great. Most people underestimate the impact of genetics on fat gain but the majority of the human race has been at risk of famines and starving to death for the last 99, 900 years out of it's 100,000 year existence. So we're genetically wired to eat as much as we can while we are able to, in order to survive during the "winter" or famines.

 

In an environment where food is scarce, it's a disadvantage to have a fast metabolism. I'd hypothesise that the ancestors of people who are obese were likely to have lived in an environment where natural selection killed off all the people with fast metabolisms.

 

I strongly doubt that even the laziest person in the world could become morbidly obese simply due to laziness. Even feeling lazy is a genetic predisposition, to prevent wasting calories on useless activites. Some of the gym population who have been blessed with fast metabolisms and good genetics seem to be unjustifiably harsh on the obese population. They seem to automatically equate being fat with being lazy.

 

If there is a surgery available to help these people that are morbidly obese, I'd encourage it as a last resort. Every other avenue should be explored first, of course.

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I think it's great. Most people underestimate the impact of genetics on fat gain but the majority of the human race has been at risk of famines and starving to death for the last 99, 900 years out of it's 100,000 year existence. So we're genetically wired to eat as much as we can while we are able to, in order to survive during the "winter" or famines.

 

In an environment where food is scarce, it's a disadvantage to have a fast metabolism. I'd hypothesise that the ancestors of people who are obese were likely to have lived in an environment where natural selection killed off all the people with fast metabolisms.

 

I strongly doubt that even the laziest person in the world could become morbidly obese simply due to laziness. Even feeling lazy is a genetic predisposition, to prevent wasting calories on useless activites. Some of the gym population who have been blessed with fast metabolisms and good genetics seem to be unjustifiably harsh on the obese population. They seem to automatically equate being fat with being lazy.

 

If there is a surgery available to help these people that are morbidly obese, I'd encourage it as a last resort. Every other avenue should be explored first, of course.

 

That is an interesting way to look at it, and probably very accurate. 

The problem I have is that, im paying for this essetially. I mean wouldnt eat be easier to, i dont know maybe, just limit what you eat. 

Part of living is adapting to the lifestyle of today. I can sit around and blame my genetics all day for making me 6ft, 60kg and as weak as balsa wood. But i dont, I do something about it, and i think we should all take steps to acheive having a body we are happy with. Or the alternative is live with the conquences like most other aspects of life.

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Can't quote on phones.

"Wouldn't it br easier to, I don't know maybe, just limit what you eat?"

Yeah and gay people should just stop being gay.

I'm not making an excuse for most of the population that are fat simply because of the poor lifestyle choices they make. But people should realise that for some people it isn't that easy.

After I finished cutting for my bodybuilding contest, I developed an obsession with food. I had insatiable cravings for food, especially sugar and high fat foods. Once i started eating, i couldn't stop eating until I could barely breathe even though I knew I was supposed to stop eating. It was crazy, I've never felt like it before. I ended up gaining 10kgs in 2 weeks post contest. I had always regarded fat people as having weak willpower but I thought, maybe those people felt like I did about food post contest since they were born. Maybe they feel like that everyday. Maybe they are evolutionarily wired to have a strong attachment to food due to generations of conditioning.

I don't know. But now I am careful before simply correlating obesity with laziness

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The average patient came into surgery weighing 150kg and within a year had dropped to 52kg.

In addition, the North Shore Hospital research found nine out of 10 patients no longer had diabetes, and most were rid of sleep apnoea and hypertension.

You've got to admit, a 90% success rate on curing diabetes is damn impressive!

So is this different to gastric bypass surgery?

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The average patient came into surgery weighing 150kg and within a year had dropped to 52kg.

In addition, the North Shore Hospital research found nine out of 10 patients no longer had diabetes, and most were rid of sleep apnoea and hypertension.

You've got to admit, a 90% success rate on curing diabetes is damn impressive!

So is this different to gastric bypass surgery?

its similar, Roux en Y gastric by pass bypasses the duodenum altogether and they leave the bile ducts. 

This one i think they join the stomach onto small intestine and re route the bile ducts too. Not sure if it bypasses all of the duodenum. Sounds crazy though. 

Makes you wonder whats going on in there thats causing/curing the diabetes. 

diversione-biliopancreatica-con-switch-d

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