Most Extreme Weight Loss Methods from Most Extreme Weight Loss Methods

Most Extreme Weight Loss Methods

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Most Extreme Weight Loss Methods

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A number of medical conditions improve with weight loss in general, regardless of the cause.. They include type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, heartburn, joint pain, and depression. While surgery is not considered “necessary” and is an individual’s choice, it is an option for people with BMI 35 and above if they have a medical condition related to obesity and for people with BMI 40 and above whether or not they have a related medical condition, according to according to Dr. William S. Yancy from Duke University Department of Medicine. Serious complications don’t happen often. But life-threatening side effects are possible, as is the case with any medical operation.

Gastric bypass

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This kind of surgery is changing how the stomach, which will be smaller so you become full with less food, and the small intestine handle what you eat. “The gastric bypass has the highest short-term complications with the bypass having more frequent long-term nutritional deficiencies,” Dr. Yancy says. The food will no longer go into some parts of the stomach and small intestine that absorb food. Because of this, your body will not get all of the calories from the food you eat, according to the National Library of Medicine.

Sleeve gastrectomy

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Surgeons remove approximately 75-80 percent of the stomach. This is one of the most common weight loss surgeries – 42 percent of all bariatric surgeries performed in the U.S. in 2013 were sleeve gastrectomies. Like the bypass, it has the highest short-term complications, according to Dr. Yancy. Restricting the amount of food the stomach can hold can cause malabsorption of nutrients. Like other bariatric procedures also often cause hormonal changes, according to the American Society for Metabolic and Bariatric Surgery (ASMBS). Studies show that “the sleeve” is an effective procedure for the surgical management of morbid obesity; therefore, the number of patients undergoing this procedure will continue to rise.

Gastric banding

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The procedure involves placing an implant, around the top part of the stomach, effectively dividing it into two. A person eats enough food only to fill the top part of the stomach, according to Columbia University Department of Surgery. “The band has fewer short-term complications because it is less invasive, but it is less effective and revisions are commonly needed,” Dr. Yancy says. The band can slip out of position. Weight regain can occur if that happens, he adds. “[That’s why] this procedure is falling out of favor.”

Vagal Blocking Therapy

Implanting an electrical device may sound a bit like science fiction, but “it is actually not so outlandish,” Dr. Yancy says. This is a new procedure approved by the FDA. “So it passed that bar but we are just gaining experience with it,” he adds. “The vagus nerve affects our gastric motility (stomach movement) and carries signals from the stomach back to the brain, so interrupting nerve signals this way reduces hunger.”

Duodenal switch

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The DS procedure is also known as biliopancreatic diversion. This is another kind of bariatric surgery, but it is not used as often, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Most surgeons won’t even consider it of the patient is not extremely obese with a BMI of 50 or higher. The procedure, which is one of the most complicated because it involves two separate surgeries, is also the most likely to cause complications and vitamins, minerals and protein deficiencies.

Liposuction

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Liposuction, also known as lipoplasty and sometimes referred to as “lipo” is a cosmetic procedure. It slims and reshapes specific areas of the body – thighs, hips, buttocks, abdomen and back – by removing excess fat. Liposuction is not a treatment for obesity or a substitute for proper diet and exercise, according to the American Society of Plastic Surgeons. It does not treat cellulite. The risks involved in the surgery are infections, embolism, puncture wounds in organs, changes in sensations and burns. Deaths have been reported, according to the FDA. Different studies suggest that the risk for fatalities ranges from 3 to 20 and even 100 per 100,000 procedures.

Intra-gastric balloon

This is a soft silicone balloon, filled with air sterile salt water, that's implanted into the stomach. The balloon takes up some of the space, resulting in the patient eating a lot less than before. This procedure is only temporary, and the balloon is usually removed after six months, according to the UK National Health Service (NHS). The procedure has fewer risks and side effects, the UK Health Center says. Still, cramps, a sense of nausea and perhaps vomiting are normal. More serious complications are damage to the oesophagus or stomach, infections due to bacteria growth within the balloon and intestinal obstruction if the balloon is leaking.

The AspireAssist

This is a new device. It uses pump to drain part of the food in your stomach about half an hour after a meal, according to NIH. A tube goes from the inside of your stomach to a port on the outside of your abdomen. Your body doesn’t absorb about 30 percent of calories you ate. You can have the device removed at any time. The AspireAssist is intended for a long-term duration of use, the FDA says. However, previous abdominal surgery significantly increases the medical risks of gastrostomy tube placement; inflammatory bowel disease can be a complication; and people who have a history uncontrolled hypertension should not use it.

Surgery and diabetes

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The improvement or resolution of many of conditions is more common after weight loss surgery than other weight loss strategies, Dr. Yancy says. “Diabetes is the condition that very frequently resolves […] although the resolution does not always last,” he adds. “Interestingly, the improvement in diabetes occurs rapidly after surgery, before there is substantial weight loss. So the effect is likely nutritional and may also be related to hormone changes that occur after surgery. This is an area of intensive research,” he adds.