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Sleeve gastrectomy has been shown to have positive effects on type 2 diabetes in many cases, and for some individuals, it can result in the remission or improvement of diabetes. However, it's important to note that the impact on diabetes can vary among individuals, and the outcome cannot be guaranteed for everyone. Here are some key points to consider: Improvement and remission: Sleeve gastrectomy can lead to significant improvements in glycemic control, often resulting in a reduction or elimination of the need for diabetes medications. Some individuals may even experience a complete remission of their diabetes, meaning their blood sugar levels return to normal without the need for ongoing medication. [...]

MBSAQIP stands for Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. It is a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). An MBSAQIP accredited center is a facility that has met rigorous criteria and standards set by the program for bariatric surgery. These standards include requirements for the qualifications and training of surgeons, the use of state-of-the-art equipment and technology, and a commitment to continuous quality improvement. By choosing an MBSAQIP accredited center for bariatric surgery, patients can be confident that they are receiving care from a facility that has been recognized for its commitment to excellence [...]

My colleagues and I have recently been consulted to see a patient in an emergency room. The patient had traveled south of the border for a weight loss procedure. Following the procedure, they returned to the US the same day and a few hours later ended up in an emergency room. Luckily we were able to attend to the patient and render necessary care. After further investigation, I noted the patient was treated as a one time encounter, without adequate preoperative or postoperative education. The medications prescribed for the patient were inadequate to address the anticipated recovery process. I had a long discussion with the patient. They informed me that [...]

While diet and exercise are essential components of a healthy lifestyle, they may not be enough to sustain long-term weight loss on their own. Here are some reasons why:Limited calorie deficit: The basic principle of weight loss is to create a calorie deficit, meaning that you consume fewer calories than you burn. However, if you rely solely on diet and exercise, your calorie deficit may not be large enough to produce significant weight loss. To lose one pound of fat, you need to create a deficit of 3,500 calories, which can be difficult to achieve through diet and exercise alone.Slow metabolism: When you lose weight, your body’s metabolism may slow down [...]

Temporary hair loss is a common side effect following weight loss surgery, also known as bariatric surgery. This condition is known as telogen effluvium, and it usually occurs within the first six months after the surgery.During bariatric surgery, the body undergoes significant changes, including a drastic reduction in calorie intake, changes in hormonal levels, and changes in the absorption of nutrients. These changes can result in hair follicles entering the resting phase of their growth cycle (known as the telogen phase), which can lead to hair shedding.While telogen effluvium can be distressing, it is usually temporary and hair growth typically resumes within a few months. To help reduce the risk of [...]

Sleeve gastrectomy is a weight loss surgery that involves the removal of a large portion of the stomach to reduce its capacity. The procedure works by limiting the amount of food that can be consumed at one time and also by reducing the production of the hunger hormone ghrelin. When the stomach is reduced in size, it can only hold a small amount of food. This means that the individual will feel full more quickly, and they will eat smaller portions. Additionally, the smaller stomach size causes the food to be processed more slowly, which means that the individual will feel fuller for longer periods of time. The removal of [...]

Wegovy (semaglutide) and Ozempic (semaglutide) are medications that are FDA-approved for the treatment of obesity and can lead to significant weight loss. However, while these medications can be effective for weight management, they are not substitutes for weight loss surgery in certain cases. Here are some reasons why: Degree of weight loss: Weight loss surgery, such as gastric bypass or sleeve gastrectomy, typically results in more significant and sustained weight loss compared to medications like Wegovy or Ozempic. Bariatric surgery can result in an average weight loss of 60-80% of excess body weight, whereas these medications may lead to an average weight loss of 10-15% of total body weight. Mechanism [...]

Sleeve gastrectomy is a bariatric surgery that involves removing a portion of the stomach, resulting in a smaller stomach size and reduced food intake. This surgery has been shown to have a significant effect on hunger hormones, leading to changes in appetite and food intake. One of the primary hunger hormones affected by sleeve gastrectomy is ghrelin, also known as the "hunger hormone." Ghrelin is produced in the stomach and stimulates appetite. Following sleeve gastrectomy, there is a decrease in ghrelin levels due to the removal of the portion of the stomach that produces the hormone. This reduction in ghrelin levels can lead to a decrease in appetite and food [...]

Hunger hormones play an important role in regulating appetite and body weight, and they can be a contributing factor to obesity. Ghrelin, also known as the "hunger hormone," is produced in the stomach and stimulates appetite. It increases food intake and promotes fat storage in the body. In obese individuals, ghrelin levels are often elevated, which can contribute to overeating and weight gain. Leptin, on the other hand, is produced by fat cells and signals the brain to reduce appetite and increase energy expenditure. In individuals with obesity, leptin resistance can occur, which means that the body is less responsive to the signals of leptin. As a result, the brain [...]

Surgery is considered superior to medical management of obesity because it has been shown to provide more significant and sustainable weight loss results in the long term. Additionally, surgical interventions for obesity have been associated with improvements in various health outcomes, including a reduction in the risk of developing type 2 diabetes, hypertension, and other obesity-related comorbidities. While medical management of obesity through diet and exercise programs, medications, and behavioral therapy can be effective in some cases, it often does not produce substantial or lasting weight loss. Surgery, on the other hand, can achieve greater and more consistent weight loss results. Surgical interventions for obesity typically involve modifying the gastrointestinal [...]