Importance of Losing Weight while Undergoing Medication

Running is better than weight training at reversing signs of ageing

There are so many reasons why people with particular medical conditions are advised to lose weight.

For example, for people with diabetes, it is necessary to lessen insulin resistance which can be caused by obesity.  Interestingly many people have gone into remission from type 2 diabetes through sensible eating and weight loss.

In the case of some other conditions such as multiple sclerosis weight loss is needed to counteract the weight gain caused by medications prescribed for the condition.

But for a number of medical conditions, however, weight loss is important because of the impact of obesity on the joints.  Arthritis is just one such example. It is important not to put too much pressure on the joints when moving so as to minimize pain among other problems.  Thus weight loss becomes a priority for anyone diagnosed with arthritis.

There are a number of ways of losing weight which people may wish to consider.  But it is very important that you consult a medical practitioner prior to embarking on any course of action like this.

However, there are a number of different options you may want to consider in conjunction with your Doctor.

  1. Weight loss or bariatric surgery.  Yes, this is pretty extreme but it is very effective.  The downside is that a lot of patients report that returning to normal eating is very hard.
  1. A specialist but paid for a diet such as Our Path or Weightwatchers.  My wife has used Our Path which combines diet with mindfulness techniques with great success.  The downside is that, of course, they are expensive. But those that encourage permanent change in diet and other behaviors seem to be the most successful in stopping the effect of “yoyo” dieting.
  1. Calorie counting or cutting out carbohydrate diets.  It can work well in the short term but these diets are hard to keep up in the longer run.
  1. Exercise.  We love it here.  I do yoga and cycling and find it really helps with my weight.  But both types of exercise are also recommended for people with multiple sclerosis and fibromyalgia.  For some advice on how to lose weight with arthritic knees, for example, the link is a great resource.

  2.  Alcohol.  Even a few drinks brakes down our will power to keep up with our good habits and eat foods we know are bad for us.  Alcohol itself is full of empty calories so many dieticians suggest you should give it up completely or at best have only one drink.
  1. Drink water instead of sodas and fizzy drinks.  I have been suggesting drinking up to three liters of water a day.  That is around six pints. Will help you lose weight.
  1. Finally try and find a way of living which you enjoy rather than thinking weight loss is a chore.

So what have you used to lose weight and how has it worked?  Why not use the comments box below to share your experiences with your fellow readers.

Life After Bariatric Surgery: A Guide to Your Health

Living with excess weight cannot only impact your confidence levels, but it can also lead to the development of various health issues throughout your lifetime. As a result, you might be considering embarking on bariatric surgery to successfully lose weight and restore your health.

If you are unsure how you can care for your body once the procedure is complete, read the below guide to supporting your health after bariatric surgery.

Eat Small

Once surgery is over, you will only be able to eat pureed or liquefied foods during the first few weeks. Gradually, you can re-introduce soft foods into your diet before fully returning to solids. It is, however, important to bear in mind that your stomach will be smaller in size. For this reason, you will only be able to consume a few mouthfuls of food initially.

Your stomach will eventually expand, but you must only eat small amounts of food to avoid stretching your stomach. It is wise to consume six small meals per day, which you should chew for twenty or thirty minutes at a slow pace to prevent stomach cramps.

Follow a Balanced Diet

To avoid weight gain, you must aim to follow a balanced diet each day, which should consist of:

  • Fruits
  • Vegetables
  • Whole grains
  • Low-fat protein (fish, eggs, pork and low-fat dairy)

If, however, you are unsure how to create the right diet plan for your body, you should consult a qualified nutritionist to help you maintain a healthy diet and weight.

Take Prescribed Medications

It is possible you might be prescribed acid-blocking medication following surgery, which will prevent bowel and stomach ulcers. Many patients might also be required to take medication for the first six months to ensure they don’t develop gallstones.

It is important to regularly book check-ups with your dentist when taking any medication, as they will turn to companies such as Kent Express for the best dental supplies to resolve various oral health issues, such as dry mouth.

Embrace Physical Activity Each Day

While it is important to build up to exercise after bariatric surgery, you must eventually aim to incorporate physical activity into your everyday routine. Most doctors will likely recommend walking each day initially before undertaking various aerobic activities, such as cycling or swimming. It’s also possible to increase your metabolism and muscle mass with weight training.

Find Effective Coping Strategies

Many people often turn to food to cope with overwhelming emotions and high stress levels. It might, therefore, feel difficult to adjust to your new lifestyle after surgery at first or you might need a new outlet to manage your negative feelings.

Rather than suffering in silence or overindulging in food, you should look for healthy coping strategies following bariatric surgery. For example, you could benefit from behavioural therapy or you could join a support group. You should lean on your loved ones for emotional support, as they could help you to embrace your brand-new, healthier lifestyle.

Left gastric artery embolization – Weight loss procedure shrinks both fat and muscle




 




Body composition segmentation at the L3 lumbar vertebral body level. Boundaries for subcutaneous fat (SF), visceral fat (VF) and skeletal muscle (SM) are delineated by the white lines. Radiological Society of North America

Left gastric artery embolization, a novel interventional procedure used to treat obesity, leads to the loss of both fat and muscle, according to a new study presented today at the annual meeting of the Radiological Society of North America (RSNA). Researchers said the loss of muscle mass is concerning and underscores the importance of proper nutritional counseling after the procedure.

Obesity is a major health issue worldwide, linked with serious conditions like heart disease, cancer and diabetes. First-line treatments such as diet and exercise often don’t work, leading many patients to opt for gastric bypass surgery. The surgery, which reduces the size of the stomach, has been effective in treating obesity, but carries with it significant costs and potential complications.




Currently under investigation in clinical trials, left gastric artery embolization is a less invasive option to surgery. In the procedure, microscopic beads are injected under imaging guidance into the artery that supplies blood to the stomach. The beads block blood flow to the stomach and reduce the production of ghrelin, a hormone that stimulates hunger. Early studies have shown that embolization is effective in helping people lose weight, but information is lacking on how it might change a patient’s composition of muscle and fat.

“There has been lots of research focused on the efficacy of gastric artery embolization for weight loss,” said the study’s lead author, Edwin A. Takahashi, M.D., vascular and interventional radiology fellow at the Mayo Clinic in Rochester, Minn. “However, there has been no data on what is contributing to the weight loss, whether the patients are losing fat, as desired, or muscle mass, or some combination of the two.”

To learn more, Dr. Takahashi and colleagues studied CT scans of 16 overweight or obese patients who had undergone left gastric artery embolization to treat gastrointestinal bleeding. CT scans, when used in conjunction with special software, allow for measurements of body composition based on the different densities of tissues like fat and muscle.

The scans were done before and approximately 1.5 months after the procedure. The results were compared to those of a control group of 16 outpatients who did not undergo left gastric artery embolization but had CT scans at two different time periods for nonspecific abdominal pain.

All 16 individuals experienced significant weight loss after the embolization procedure, losing an average of 6.4 percent of their body weight over 1.5 months. Body mass index, a measure of body weight relative to a person’s height, dropped by 6.3 percent.

While the weight loss was not surprising to the researchers, the changes in body composition were. The skeletal muscle index, a measure of the amount of muscle that connects to the skeleton and helps move the limbs, fell by 6.8 percent. Skeletal muscle is important to health, and loss of it can impair physical function and metabolism and put a person at higher risk of injury.

“The significant decrease in the amount of skeletal muscle highlights the fact that patients who undergo this procedure are at risk for losing muscle mass and need to be managed accordingly after procedure,” Dr. Takahashi said. “We must make sure they receive adequate nutrition to minimize the amount of muscle tissue they lose.”

The patients also lost a significant amount of body fat. Their overall body fat index dropped by an average of 3.7 percent. However, much of the fat loss was subcutaneous, or the fat that lies directly under the skin. Visceral fat, the more dangerous fat surrounding the organs and associated with serious health problems like heart disease and diabetes, did not decrease significantly over the course of follow-up.

The researchers plan to expand their studies in the future to include people who are specifically undergoing embolization as a treatment for obesity.