Weight Loss Surgery Gone Wrong?

Hello Isadora,
I stumbled upon your website tonight and read a couple of the stories. One of my best friends actually has a very inspiring weight loss story; he went from 270 to 170 pounds over the course of 1.5 years by eating right and engaging in almost excessive exercise. Do you think this is the kind of story that might fit on your blog? If so, I'll encourage him to send it in.
On another topic, I run a blog on the topic of weight loss surgery in Fort Worth texas. I would like for it to eventually become an authoritative site on weight loss surgeons and processes in the Fort Worth, TX area. It will eventually feature local doctors, reviews of their medical histories, etc. I think that if we participated in a Blogroll link exchange the portion of your readership that resides in Texas would benefit, and all of my readership would benefit. Please tell me what you think! You can find my blog at liposuctionfortworth.net. Keep up the inspiring stories,
Ian

Hi Ian,
Sure, ask your friend to email their story. But if you had read more here you would know I'm not a fan of surgery as the best way to lose weight. I can relate to the people who choose to go this route, but there is so much persuasive money and so many commercial websites already devoted to promoting surgery that I'd like to stay away from it and focus on the stories where people have lost weight without medical intervention.

But your note makes me want to ask readers who have had a weight loss operation - where things did not go well - to comment below.

Please don't send me stories of success with this (unless they are extremely sincere) - this would surely attract a ton of spam. I would delete these comments. Here, I'm just interested in cases where surgery did not lead to success.

The beautiful photo above is by Rubyran.

Mad couple'a days

Haven't really done much these last few days other that clean, paint, tidy and stuff like that. Its all been quite intense. Having 2 lodgers is actually a lot harder to prepare for. But I am sure I will like the money which will make it all worthwhile! HA HA.

Band wise, I am not sure if its my imagination, but I seem to be feeling hungry occasionally throughout the day...

For the last couple of weeks, I haven't felt hungry really that often... only at the normal times if you know what I mean. But for the last couple of days, I have been feeling a little hungry and checking out the pantry and fridge and generally having a look around for food...

However, my calories intake has NOT significantly increased...

I am wondering if its a combination of possibles...

1.) Maybe I am missing Carina, and I have been anxious over what our new lodger will be like and its making me resort to old habits of comfort eating...
2.) Maybe I have just worked my absolute butt off and have therefore negated all my calories I have eaten by mass painting/housework. For my weight I burn off 450 calories an hour in heavy housework. Yesterday I was doing 'on my hands and knees scrubbing' kind of house work (with sweat!) for 3 hours solid! Its been a pretty manic few days, so maybe my body is just thinking its not only starving, but in a labour camp!
3.) I need a fill... I don't think so, because I am still sick too often on the easiest of foods, and I am full quickly aswell. I don't think this is the case, but I am wondering if maybe at some point you just need it to keep it tight around the stomach. Losing 18 pounds must mean you lose a little around that area too... (surely of drop sized equivalent anyway!).

I was wondering, because I have 2 weeks of shortly for the traditional Easter Holidays, I was thinking about doing a day trip to Brugge with the family and seeing Dr. Dillemans at the same time to check me over. That way I will know how things are going and also be able to get a fill if he thinks its necessary.

I don't really want to think about fills. I feel completely different these days and I know I have restriction, but in 3 weeks... maybe I will need a top up? Anyone know how long the restriction lasts for? I guess that's a huge question, and it must differ from person to person so strike that.

So yesterday's calories were 950:
Breakfast: 2 weetabix with milk
Snack: 3 mini savoury eggs
Lunch: 1 bread roll with beetroot and salad creme. (Geez that took ages to eat!)
Dinner: Rice and chicken curry
pudding: small portion of sponge cake with tinned peaches.

Yesterday I had absolutely NO sick episodes.

Today so far I have had:
Breakfast: 2 shredded wheat with milk

will update later.

Bigger than yer Britches

Shout it from the rooftops!

Low Fat Diets More Likely To Reduce Risk Of Heart Disease Than Low Carb Diets!

This gem, courtesy of Medical News Today. I was curious so I looked up the abstract.

It was a 6-week study in the journal Hypertension where they measured a number of surrogate measures of cardiovascular disease risk, in patients eating either an Atkins-style low-carbohydrate (LC) diet or an ADA-style low-fat (LF) diet.

"Brachial artery flow-mediated dilation" and nitroglycerin-mediated dilation basically measure the ability of your arteries to dilate. The loss of the ability of vessels to dilate is associated with cardiovascular disease.

Where do I begin.

First of all, this was a 6 week study, not long enough to really say anything about cardiovascular disease risk. But nevertheless, let's look at the actual data:


The LF group lost an average of 4.3 lbs over the course of the 6 weeks. The LC group lost 5.7 lbs.

The LF group's blood pressure decreased 8/5 mm Hg (systolic/diastolic). The LC group's decreased 12/6 mm Hg.

The LF group's flow-mediated dilation increased +1.9, but was reduced in the LC group by -1.4.

There was no difference between groups in nitroglycerin-mediated vasodilation.

Here's the best part (full text only): the triglyceride/HDL ratio went from 1.2 to 1.6 in the LF group, and from 1.4 to 1.1 in the LC group. Trig/HDL ratio is the best blood lipid predictor of heart disease we have, and the lower the better.


So let me get this straight. What we're looking at is data showing that LC beat or tied LF on every relevant parameter they reported except one, and somehow that means LF diets are healthier than LC? Even though overweight and hypertension are important risk factors for cardiovascular disease? Even though trig/HDL is probably the best predictor of heart disease of any of these measures?

This article wouldn't bother me if it weren't so arrogant. If it had simply reported the facts as an interesting phenomenon, instead of tacking on a politically motivated (and incorrect) interpretation, I would have just found it interesting. But the author is bigger than his britches: "LF diets may confer greater cardiovascular protection than LC diets."

The irony isn't lost on me that the paper is published in the journal Hypertension, shows that LC diets ameliorate hypertension better than LF diets, yet somehow claims LF diets are more protective of cardiovascular disease than LC. Huh?

Unfortunately, this is typical of researchers in the diet-health field and the media that report on it.

Why is Kevin Federline Getting Fat?

Kevin Federline looks like he is on his way to getting fat over the many months since his divorce from Britney Spears was finalized. The photo on the left was taken this weekend, the photo on the right is from not too long ago when he was in super duper good shape.

Federline will be celebrating his 30th birthday in Las Vegas in a couple of weeks. He was born March 21st 1978.

Could it be the stress of being a stay-at-home father, feeding and tending to two little children under the age of three that is making him grow a belly?

Read all the speculation at X17.

Genetics and Disease

There is a lot of confusion surrounding the role of genetics in health. It seems like every day the media have a new story about gene X or Y 'causing' obesity, diabetes or heart disease. There are some diseases that are strongly and clearly linked to a gene, such as the disease I study: spinocerebellar ataxia type 7. I do not believe that genetics are the cause of more than a slim minority of health problems however. Part of this is a semantic issue. How do you define the word 'cause'? It's a difficult question, but I'll give you an example of my reasoning and then we'll come back to it.

A classic and thoroughly studied example of genetic factors in disease can be found in the Pima indians of Arizona. Currently, this population eats a version of the American diet, high in refined and processed foods. It also has the highest prevalence of type II diabetes of any population on earth (much higher than the US average), and a very high rate of obesity. One viewpoint is that these people are genetically susceptible to obesity and diabetes, and thus their genes are the cause of their health problems.

However, if you walk across the national border to Mexico, you'll find another group of Pima indians. This population is genetically very similar to the Arizona Pima except they have low rates of obesity and diabetes. They eat a healthier, whole-foods, agriculture-based diet. Furthermore, 200 years ago, the Arizona Pima were healthy as well. So what's the cause of disease here? Strictly speaking, it's both genetics and lifestyle. Both of these factors are necessary for the health problems of the Arizona Pima. However, I think it's more helpful to think of lifestyle as the cause of disease, since that's the factor that changed.

The Pima are a useful analogy for the world in general. They are an extreme example of what has happened to many if not all modern societies. Thus, when we talk about the 'obesity gene' or the 'heart disease gene', it's misleading. It's only the 'obesity gene' in the context of a lifestyle to which we are not genetically adapted.

I do not believe that over half of paleolithic humans were overweight, or that 20% had serious blood glucose imbalances. In fact, studies of remaining populations living naturally and traditionally have shown that they are typically much healthier than industrialized humans. Yet here we are in the US, carrying the very same genes as our ancestors, sick as dogs. That's not all though: we're actually getting sicker. Obesity, diabetes, allergies and many other problems are on the rise, despite the fact that our genes haven't changed.

I conclude that genetics are only rarely the cause of disease, and that the vast majority of health problems in the US are lifestyle-related. Studies into the genetic factors that predispose us to common health problems are interesting, but they're a distraction from the real problems and the real solutions that are staring us in the face. These solutions are to promote a healthy diet, exercise, and effective stress management.

Welcome

Yes, I'm finally diving headfirst into blog-land. Welcome to the blog section of Whole Health Source. The main site is here.

This blog will be a collection of my thoughts on health, food, the environment, science, wholesome living and whatever else captures my interest.

Maybe this will help me stop clogging up other blogs' comment pages.

C 2008

From 300 to 120 Pounds

CNN has posted another inspiring weight loss story today about a young woman who lost 180 pounds and has become a fitness instructor. Jennifer Marnell is 5 feet tall and has gotten a lot of publicity since her successful weight loss. She was featured in this January's People Magazine as well as on the Oprah Winfrey Show.

See her story at CNN.