- Why is weight loss surgery the best treatment for diabetes?
If you are one of the millions of patients in the world diagnosed with type 2 diabetes, weight loss surgery can make a remarkable improvement in your blood sugar levels.
Lifestyle changes such as exercise and diet modification should be attempted first for conservative diabetes treatment. If conservative treatment fails, weight loss surgery could be the permanent solution you are looking for.
https://youtu.be/GNJ3hCZCPiU (Video of Dr. Eibes)
(Read more about this topic) https://www.iowaweightloss.com/news-and-events/blog/2014/07/04/can-weight-loss-surgery-reduce-or-eliminate-the-impact-of-diabetes
- Can weight loss surgery help with infertility?
There is a strong association between obesity and infertility, and weight loss can increase fertility in obese women.
It is believed that the rise in obesity is partly to blame for the rise in infertility. But new studies are proving that surgical weight loss procedures have helped many couples in their effort to become pregnant.
As an added benefit, significant weight loss in obese women prior to pregnancy also greatly reduced serious maternal and fetal complications during pregnancy including gestational diabetes and hypertensive disorders, such as preeclampsia.
An excess of fat cells negatively impacts hormone production. The considerable weight-loss (often 100 pounds or more) achieved by women who undergo weight loss surgery reduces the strain on the body’s ability to operate at an optimal level.
Significant weight loss can also improve the regularity of menstrual cycles and increase ovulation rate in anovulatory (non-ovulating) obese women. Polycystic ovary syndrome (PCOS), another common cause of infertility in overweight women, improves as well.
All of these physical improvements increase the potential of getting pregnant.
https://youtu.be/ZM0AKJokYiU (video of Dr. Eibes)
- Will I be able to get pregnant after surgery?
Many women elect to have a Gastric Sleeve, because their obesity is preventing them from getting pregnant. You may become more fertile as you lose weight. Often, your obesity causes abnormal estrogen levels that can return to normal as you lose weight.
It’s important that you wait until it’s safe for you to be pregnant after your surgery. Your birth control pills may not work around the time of your surgery due to the medication you receive with surgery. Remember to use other methods of birth control (barrier contraceptive) and talk with your family physician about this.
You should avoid pregnancy for the first 12 months after surgery due to your rapid weight loss. A pregnancy that occurs soon after weight loss surgery can have severe consequences for both the mother and the baby. Once you are over a year, your risks during pregnancy fall to significantly less than when you were morbidly obese. Your risk of gestational diabetes and preeclampsia are much lower than when you were morbidly obese. If you require a C-section during the delivery, the surgical risk is significantly less once you lose your excess weight.
An advantage of the Gastric Sleeve is that you continue to absorb nutrients normally, so your risk of vitamin deficiency is much less than with a gastric bypass. When all factors are considered, once you have your Sleeve and you have time to get your weight under control, your fertility increases and pregnancy becomes much safer for both mother and baby.
However, please do take the following precautions:
- Correct vitamin deficiencies before conception
- Add prenatal supplements (calcium citrate, iron, vitamin D)
- Pay attention to overall nutrition during first trimester
- Talk to high-risk OB/GYN for monitoring during pregnancy
- Check homocystein levels (Neural tube defects can occur from folic acid deficiency)
- Limit daily intake of Vitamin A to no more than 10,000 IU/day (Fetal malformations have been linked to daily exposure of 20,000 IU of Vitamin A from supplements)
- Can losing excess weight decrease my risk for sleep apnea?
If you struggle with sleep apnea and are overweight, you are not alone. Morbid obesity can cause sleep apnea and other respiratory problems that may result in chronic fatigue.
Obesity is one of the most important factors for the development of sleep apnea, which is when breathing suddenly stops because soft tissue in the back of the throat collapses and closes during sleep.
Studies have shown that weight loss surgery is an effective tool for treating obesity, and for preventing, treating and even resolving sleep apnea.
By losing just 10% of your body weight, you can decrease your risk of developing sleep apnea by over 25%.
Successful bariatric surgery is associated with the improvement or complete resolution of obstructive sleep apnea. Individuals that have had weight loss surgery report significant reductions in snoring and daytime sleepiness. Many individuals who had to use a CPAP before surgery do not require it months after their weight loss procedure.
- Can depression relate to obesity?
Depression and anxiety are common among morbidly obese patients who have weight loss surgery. In a 2011 study, Jonathan Finks, an assistant professor of surgery of University Michigan and his co-authors observed that 46% of the patients receiving weight loss surgery had a psychiatric disorder.
They examined data from the Michigan Bariatric Surgery Collaborative that contains data of more than 26,000 patients who have undergone weight loss surgery since 2006. The surgeries included gastric bypass, gastric sleeve, gastric banding, and the duodenal switch (similar to gastric bypass, but keeps some stomach and passes most of the intestine).
Before the surgery, 72% of patients with depression used antidepressants. A year after bariatric surgery, the percentage of people taking antidepressants dropped to 60%. Finks added that the percentage of people responding to the surveys a year later dropped to just 31%.
While weight loss alone can’t cure clinical depression, most post-surgical patients do report a significant improvement in their mood and outlook on life.
- Can losing weight help my arthritis?
According to the Arthritis Association, studies have shown that even a modest amount of weight loss can have a significant effect on osteoarthritis pain for individuals who are overweight. Osteoarthritis pain is characterized by pain at the knee on beginning motion, such as arising from a chair, and increased pain with prolonged use.
In the early stages of osteoarthritis, the pain is relieved by rest. As the disease progresses, the pain can persist after activity and even interfere with sleep.
Weight loss surgery reduces knee pain in obese people, and the results are similar to those seen in patients who have had a knee replacement, according to a 2014 study.
The study included 20 obese patients who had weight-loss surgery and 40 patients who had total knee replacement due to arthritis. One year after their procedure, the patients who had weight loss surgery reported significant improvements in knee pain. Their results were comparable to the patients who had a knee replacement.