Ramblings of an old Doc

 

From Gizmodo

When JuniorCrooks posted recently about pills for weight loss, it got me curious.

Meds have desirable, and undesirable side and adverse effects. Well, what about other methods? There are caloric and food type adjustments that should be made and I wondered about tech.

There are surgical procedures such as stomach bypass surgery as well as “lap banding” where a balloon is wrapped around the junction of the esophagus and the stomach (done laparascopically – through a tube inserted through the wall of the abdomen).

Now there’s a new player: A gastric “pacemaker” (nerve stimulator would be closer to the truth) called Abiliti.

When a person starts eating, the device senses it and stimulates the Vagus nerve (which mediates stomach and intestine movement and secretion) and causes one to feel “full” much earlier than he/she would having eaten.

It’s run by a minicomputer (just like its brain, spinal cord and cardiac cousins). The device senses and paces according to the signals it receives.

According to its creators, “The system goes beyond just zapping the stomach. It also collects information about food consumption and exercise, all of which can be downloaded to the doctor's office or shared in the Abiliti online community.”

Is it effective? Yes. It’s designed to last for five years (power cell/size limitations) and costs between $24,000 to implant. That’s a good deal of money. However, if you figure in the “cost” of Diabetes and Hypertension along with resultant heart, nerve and blood vessel disease as well as Strokes and Kidney Failure, care and medications, it’s not that bad a deal and no monetary value can be placed on the human suffering. A better deal would be people saying “enough”, but how often has that ever happened?

So, is it effective? Well, according to the company, in a trial with 45 people, 20% weight loss was achieved. Considering that diets yield about 3%, that’s an impressive number.

As with any foreign device in the body, infections are a risk, and have been reported. It’ll be coming in 2014.

Worth A Second Look: Reversing Diabetes is possible (Type II – Adult Onset Diabetes/Insulin Resistant Diabetes):

http://www.cnn.com/2011/HEALTH/01/28/reverse.diabetes/?hpt=Sbin


Comments (Page 4)
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on Mar 07, 2011

Man, with all this stuff I have to stop eating I won't be around another week to chat with you all. I will just fade away.

on Mar 07, 2011

I don't stop eating any of it, I pay attention and eat less of it.   Pretty much everything that has been said here agrees with my experience.  I also have to watch carbs and be very light with sugar, seem to be ok with meat.  The one thing that I did have to stop completely, mainly because it makes such a huge difference, is soda pop (full sugar load variety).

I have several things that I love and have occasionally, always good for a couple of pounds that I have to knock off again.

Semantics aside, taking in a limited amount of calories, and finding a balanced diet you can stick with, AND still enjoy life should be the goal.

My thoughts exactly.  No point in feeling better about my weight if I'm miserable the entire time. And I wouldn't stick with it.

on Mar 07, 2011
on Mar 07, 2011

"But I wanted to add one comment.  There are many low carb diets, but there are no NO-Carb diets that I know of.  The reason?  Carbs are in almost all food!  Princeof Star hit the big ones, but even non-green veggies have them as well.  So you can get plenty of carbs by just eating more veggies (but they still do not taste like pasta!)." (new to forum IDK how to quote)

Well the point i was trying to make is yes the brain and muscles do need carbs but the point is you can get enough from veggies and you do not need the ridiculous amounts we get like 300-375g recommended by the USDA. Once you eat too many carbs then the high levels of insulin kicks in. Your body doesn't like a lot of blood sugar so insulin sends fat to be stored, locks fat in the fat cells, and stimulates the liver to make palmitic acid (which is a common saturated fatty acid). Basically, by keeping fat stored away your body is forced to burn the carbs, but once the blood sugar goes down insulin can still stay high, and fat is still locked in and your blood sugar is also low, which makes your cells starved until insulin levels drop; hence why you can feel hungry so soon after a big carby meal, like after eating at a Chinese restaurant. Basically you go from fat burning mode to fat making and fat storing mode, fat isn't some evil molecule out to kill you, its just that when you raise carb levels with lots of chips and cookies and bread and pasta and starchy veggies, your body can't access the fat for burning. That's why meat has never been proven to be bad, saturated fat is only proven to be bad in the context of sugar or starch (in other words, cake and donuts and chocolate). Saturated fat has never been shown BY ITSELF to be bad.  All the studies and stories of going vegitarian also cut out sugar and eat less starch and more vegitables and usually quit smoking and drinking. Its always Mcdonalds compaared to vegitarians, or course the vegitarians are gonna be healtier. I'd like to see an experiment done with omnivores eating Mostly meats and veggies and no donuts and no smoking, and the vegitarians can have veggies bread or fake meat or whatever and let us see who does better.  I would appreciate a study like that, pretty much all studies about meat eaters are biased, The meat eaters usually smoke more and drink more and eat bad carbs like chips and potatoes and don't excercise, while the vegitarians don't eat junk food and smoke or drink... of course the vegitarians will be healthier in this case, but you haven't proved it by controlling all the variables. Maybe Nature knew what she was doing when she made meat taste good.

on Mar 07, 2011

Y'all enjoy that rare cooked liver -- I've powered up my breadmaker and the Mardi Gra King Cake for tomorrow is in the works right now!  (I AM using whole wheat flour, so there will be fiber).  This year it's gonna be lemon cream cheese filling, too.  

on Mar 07, 2011

Well the point i was trying to make

It was a good point, and I did not mean to detract from it.  I was just trying to say the same thing - you can get enough carbs from vegetables (they just do not taste as good as the linguine al fredo!)

I eat carbs because they TASTE so good.  That is when I go on vacation.  all the rest of the time I try to stick to the low carb diet.

on Mar 07, 2011

The liver that has this many nutrients as i was saying...

on Mar 07, 2011

I eat carbs because they TASTE so good.

That's a matter of 'learning' what tastes good or not. I doubt we'll ever find out what tastes good 'really' unless we raise children without telling them this or that tastes good, and just simply observe what they like...or eat most often.

 

on Mar 07, 2011

Dr Guy

Well the point i was trying to make


It was a good point, and I did not mean to detract from it.  I was just trying to say the same thing - you can get enough carbs from vegetables (they just do not taste as good as the linguine al fredo!)

I eat carbs because they TASTE so good.  That is when I go on vacation.  all the rest of the time I try to stick to the low carb diet.

I agree pasta tastes soooo yummy (for me personally it's rice that makes me powerless) I just think its unfair to pick on meat because we've always known meat is a good source of nutrition like Vitamins A and D and B vitamins and liver even packs good Vitamin C, while bread is just empty carbs and even the "Whole Grains" raise your blood sugar significantly. Ever notice how people don't slowly gain weight over time, but suddenly get very fat in a few months? That's insulin resistance at work, your body tissues become insulin resistant, because insulin is always very high, and you secrete more insulin which makes you store and make even more fat. This is also the reason Type 2 diabetes and obesity are linked

"I am concerned that the American Heart Association's recommendations of Froot Loops and Pop Tarts having their Seal of Approval, if that's their recommendation, I'm certainly happy that they're not in my camp. I wouldn't want them there." - Dr. Robert C. Atkins

on Mar 07, 2011

Most people like the calorie dense foods which are meats and then the pure carbs (rice, bread potatoes, etc.) and sweets (fruits) and worst of all: sugar

However meat is nutrient dense and has tons of protein and fills you up (try eating meats without buns) and fill up with less calories                  

green veggies are an acquired taste, but they also have plenty of vitamins and minerals from the ground.

At the risk of starting another contreversy, salt helps making green veggies palatable, as well as a good dressing. Lowering salt intake by 2/3s has been associated with a mere 2-6 mm/Hg reduction in systolic blood pressure. So with some dressing and salt they'll be a lot yummier

on Mar 07, 2011

Princeofstar
Most people like the calorie dense foods which are meats and then the pure carbs (rice, bread potatoes, etc.) and sweets (fruits) and worst of all: sugar

However meat is nutrient dense and has tons of protein and fills you up (try eating meats without buns) and fill up with less calories                  

green veggies are an acquired taste, but they also have plenty of vitamins and minerals from the ground.

At the risk of starting another contreversy, salt helps making green veggies palatable, as well as a good dressing. Lowering salt intake by 2/3s has been associated with a mere 2-6 mm/Hg reduction in systolic blood pressure. So with some dressing and salt they'll be a lot yummier

I donate blood every 8 weeks (I got the sweet kind), so that is why I know as much as I do about carbs, blood pressure, cholesterol and such.  It is by no means as much as you, but not bad for a non-medical guy.  So yes, I know about the salt thing.  I also know I use way too much!  but as long as my bp is good, I am not going to worry about it.

As for liver (I take it you like it), that is what my mother always told me.  But I still cannot stand it!  Acquired or not Doc, I am no liver lover after 50 years of trying to eat it!

Now hearts, kidneys, and such - bring em on!

on Mar 07, 2011

You all are making me hungry.  I'm thinking liver & ketchup, spinach & vinegar, and some of Karen's bread et al to finish.  Yum! 

on Mar 07, 2011

SIN-Imperium

So the answer here is, "You should have gone to college, not married and not had children.".  Sadly, that's exactly what some people think should be forced on people.  Do that and the next remedy is, "Well--you shouldn't have been born"...and how will they recommend that be fixed?

At the turn of the century when a lot of new progresive movements began in the US, eugenics and "racial control" and the like were some of the avant garde liberal ideas--Planned Parenthood's founders for example advocated compulsory sterilization of the genetically diseased, retarded and generational poverty families.  Right about the same time the Nazi party was forming.  All things old are new again.

I understand your point Sin-Imp.  Sadly the so called movement never really left but took a lesson in PR and deceptively renamed itself instead.  Until society acknewleges every person/mind as intellectual capital and potential to solve problems rather being the cause of them we will see this continue falling in a downward spiral.

on Mar 08, 2011

An interesting book to read is called "The China Study".  Basically they studied a huge amount of the diets of people in the various provinces of China, where they had been eating the same diet (but varying by place) for generations.  And the health benefits of the healthier diets were lost when they changed to western diets.

The research was very rigorous, and I haven't heard it directly contradicted from anywhere.   Have a read of it if you are at all curious in what makes diets have the effect they do.

Best regards,
Steven.

on Mar 08, 2011

Well what kind of diet do you advocate?

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