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Robin Quivers

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Exploring Solutions for Obesity

Posted: 11/03/10 04:35 PM ET

A friend recently visited the show and announced that after years of struggling with her weight she's decided to have bariatric surgery. It made me sad. I've experienced the same ups and downs, but I always believed there was a natural answer for me. It took a while to find that answer, but I did, and I've been all the happier for it. My solution came with no anesthesia, no surgery, no hospital stay, no recovery period and no side effects.

When my friend made her announcement it was with the resignation that she had failed and she was now delivering herself into the hands of others to do what she has found impossible to do. She had declared herself out of control and helpless, surrendering to the doctors as her higher power.

I believe what my friend is experiencing is an addiction to food. But instead of treating obesity like an addiction to food, doctors often treat it like a disease. Surgery cuts out or renders useless a part of the stomach, making it impossible to eat large quantities of food, at least for a time. This it is essentially an imposed fast or, more accurately, imposed starvation. Patients may leave the hospital no more prepared to take in quality nutrition, which is what is absolutely necessary when you eat so little. If the patient was already malnourished before surgery, that condition may persist after surgery. The patient may experience great difficulty consuming heaps of sugar and salt-laden goodies, so if addiction was indeed the reason for the person's obesity, this may lead them to experience withdrawal-like symptoms.

What health practitioners and others in the field of weight loss all too often fail to address is the patient's relationship with food. Unlike drugs and alcohol, food is a necessity, and abstaining forever is not an option. Abstaining for a period of time through voluntary juice fasting is possible and has health benefits as well, though you should consult your physician before beginning.

Clearly, I don't recommend that this be done without supervision. Supervised fasting can be a great way to provide the education necessary to make fasting work. Removed from food, the patient gets to take a long hard look at their relationship with food. Their body also gets a rest from digestion, probably for the first time in a lifetime. The body has a chance to reset itself and the patient gets the benefit of both losing weight and experiencing what their body feels like with proper nutrition. With your physician's help, fasting may be continued in intervals until the healthy weight is reached.

Surgery is always available, so it's not as if you can't have it done if you find that other options don't work for you. I just wonder why invasive procedures are often the first thing doctors offer to people who are struggling with weight issues.

 

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12:26 PM on 11/09/2010
Our bodies are designed to be active. Do you know that most individuals are in a seated position 75 to 95 percent of the time they are awake? What we need to combat obesity in less sitting and more movement combined with balance and moderation in our diets. We can all think of things that make us move more during the day such as getting off the train one stop before your house and walking, or taking a 5 minute walk breaks throughout the day.
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dsws
No owning ideas. Limit only commercial use.
01:29 PM on 11/08/2010
I expect there are people for whom addiction is a good model for understanding their weight problem. It isn't for me. I've fasted and experienced neither difficulty nor withdrawal symptoms. I've lost weight and didn't get withdrawal symptoms, although eventually I was tired all the time and got sick a lot until I stopped starving myself.

Weight is subject to complex hormonal and autonomic feedback, entangled with other processes including the regulation of the sleep/wake cycle, temperature, and growth. That feedback evolved under conditions where food was of much lower calorie density, much less readily absorbed, and usually available only with substantial effort. Obesity is when that regulation is disordered in ways that cause it to fail under current conditions. Sometimes it fails conditionally, in ways that depend on various aspects of the current situation. In those cases, eating your veggies or increasing your activity will help. But if the feedback itself becomes disordered, those behavior changes won't help much.
10:15 PM on 11/07/2010
I have had the surgery. My preparation period was eight months of counseling with a nutritionist, a behaviorist and an exercise specialist. I weighed in every week. I was required to show a weight loss on each weigh in before I could be cleared for surgery. I clearly understood the risks, which were minimal, as well as the nutrition requirements that would follow surgery. I was very impressed with the education and care all along the way. I have now lost 85 pounds and reached my pre-surgery set goal of "college years weight" All of my co-morbidities disappeared shortly after surgery and I no longer take prescription drugs. I am grateful for this procedure and I am convinced if you follow the program, take the guidance, and act responsibly this is a wonderful medical solution to a problem that might have been like an albatross on your back your entire life.
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peterg76
Freelance medical transcriptionist
08:30 PM on 11/07/2010
Unhealthy eating is a learned behaviour. Changing it requires relearning a behaviour. Relearning is not simply making a decision to do something differently - it requires unlearning, which oddly is far more difficult than learning. This is especially true with food, because we usually don't invest a great deal of our conscious attention on it.
11:03 AM on 11/08/2010
Yes, you are very right about this in my opinion. Using a simple technique to switch on our consciousness is a part of the program I invented for myself and has been invaluable on my pathway to weight loss.

http://winningtheobesitybattle.wordpress.com/
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c6d6
07:44 PM on 11/07/2010
I've seen gastric bypass surgery work very well for a few people and not so great for some others. My one friend has gained back a lot of the weight. I don't know if her stomach has just stretched out or if she eats a lot of really small meals. It's sad.

After people have had gastric bypass surgery they can eat such a tiny amount of food--well no wonder they lose weight. I would lose weight, too, if I only ate and amount of food that is the size of an egg.
11:07 AM on 11/08/2010
Gastric bypass works on the old, incorrect principle of caloric deficit. This is just another way of saying that the surgeons have a technique to starve you into thinness. The human body is very tenacious however, and just like people who diet and eat less and less find that they now gain weight eating amounts of food that would have once helped them lose weight, those experiencing bariatric surgery often find the exact same thing.

http://winningtheobesitybattle.wordpress.com/
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katmeyster
We don't have a spending problem.
01:42 PM on 11/07/2010
I'm losing weight, no longer have food cravings, have lowered my blood pressure, lowered my triglycerides, and most importantly, am no longer pre-diabetic.

Many obese bodies are actually always hungry because their fat cells do not release the fat and energy needed for everyday functions. Hence, rather than a problem with will power or self-control, their bodies are starving for food. The excess insulin has destroyed the natural process of using the fat stored in fall cells. Consider this before judging others for their decisions.

And yes, it is with Atkins. Before you groan, remember that the USDA, proctor and gamble and the food industrial complex does not want you to eat real food -- they want you to eat excess subsidies and processed food that are chock full of cheap ingredients they are promoting. The USDA should never, ever, be in charge of making recommendations for healthful eating. And doctors, medical schools, and registered dietitians are making recommendations based on flawed science and government subsidies (wheat, corn, and soy).

Dr. Atkins was demonized by the press and the medical industry because he was right. The press won't report that recent science has verified that his diet is the best for regulating insulin release, and that carbohydrate restriction is the best method for weight loss, weight maintenance, and the solution to the diabetes epidemic (how did all those years of low fat work out for us?).

Before going for the surgery, try Atkins first (and keep it up).
billstewart
Not a micro-biologist
03:10 PM on 11/07/2010
If you're a vegetarian for ethical reasons, as opposed to health reasons, the Atkins diet gets really old, really fast, since you're pretty much stuck eating eggs and cheese and green stuff.
11:10 AM on 11/08/2010
I would fan you every day of the week if I could katmeyster. You have things worked out so well, and you're a living, breathing inspiration. The only problem I ever had with Atkins is that he didn't stick to his guns ENOUGH. Now that I understand his principles correctly, in addition to some other principles I use, I finally have control over my weight. I don't have to starve myself. and every day I know if I will have lost or gained weight.

http://winningtheobesitybattle.wordpress.com
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katmeyster
We don't have a spending problem.
12:26 PM on 11/08/2010
Aw shucks, thanks Alvarask.

We keep trying to get out the message, and hopefully someday the government, media, and the public will get a clue.

kat
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fnygy
It seems my micro bio is empty. Hmmm...
12:20 PM on 11/07/2010
I've never heard gastric bypass was the first recommendation of any doctor. It's incredibly expensive and more often than not a "last resort" for the obese. That said, I agree that the best course of action is always lifestyle modification. But, I would remind Robin that addiction is, itself, a disease.
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zakwouldhave
Freethinker. I'm 80% ears. 20% mouth.
11:37 AM on 11/07/2010
Eat less red meat. For many reasons. Its good for you. The animal about to be slaughtered thanks you for for at least trying. The big oil companies will not like you because feeding, hauling, packing, transporting and selling meat requires massive amounts of energy...oil, etc.
Its about time we started acting like responsible citizens to ourselves and to our planet (and Glenn Beck and Rush will laugh at you but thats a good thing).
Thanks Robin for giving advice on this subject of weight loss. The battle to change our eating routines is a hard one to win.
10:23 AM on 11/09/2010
If we were responsible citizens of the planet we would dramatcially reduce our population. Eating meat is not the issue.
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zakwouldhave
Freethinker. I'm 80% ears. 20% mouth.
06:27 PM on 11/10/2010
I said "eat less red meat". I didn't say stop eating meat. You will never convince me that all the energy it takes to raise, process and deliver meat is not a massive amount and that reducing that energy use is good for the planet and ultimately future generations. Eating meat is an issue....its not THE issue...but it is an issue.
09:12 AM on 11/07/2010
PS. Clearly, after "years of struggling with her weight", bariatric surgery is not your friend's first option.
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05:31 AM on 11/07/2010
I wonder if your friend is on antidepressants. Despite the miracle of modern technology, sometimes eating the right foods and getting regular exercise is really the answer.

The last time I visited the states, I met two people within a week who had had bariatric surgery. And the vast majority of the folks I spent my time with were taking some kind of antidepressants.

Unfortunately, in America, expressing skepticism towards such things has the effect of labeling yourself a member of the flat-earth society. Also unfortunate is the fact that the US is so often a test-market for that which will be sweeping the globe.
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RumiSouth
Caerbannog!
04:58 AM on 11/07/2010
"I just wonder why invasive procedures are often the first thing doctors offer to people who are struggling with weight issues."

We just had this whole national debate about rising health care costs, and one big reason is that doctors make more money by medicating and cutting. Prevention doesn't pay in our system.
Gasparilla
there is no clean coal
11:10 AM on 11/07/2010
Which makes me wonder if we are going to be able to control the costs. I have insurance through work, reasonably priced, and I still look at some things that I feel are not needed medically. I had four cysts removed at one time, I had just let them go for years as they were no problem until one got infected, and they told me I would have to be put under. They would not do it otherwise. It could have easily been done with localized shots of painkillers, as I had done one time before years ago.

I also know people who say they "just can't lose weight", but I constantly see them with 32 oz sodas from 7-11.
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drjasonmd
Shalom, compa!
12:01 PM on 11/07/2010
I don't know of any physician who offers invasive procedures as a fist option. While the bariatric surgeon may be the one offering it (since that's all they know how to do), a person isn't referred to a surgeon until years of attempts at addressing weight issues have failed.

That being said, as much as I try to educate a patient on lifestyle changes, they ultimately want a "pill" that will "make" them lose weight. I try to explain to them that no such pill exists, but they heard from their friend's cousin's roommate that bla bla bla will "increase their metabolism", "decrease their absorption of fat", or any of the other miracle mechanisms that don't work. Ultimately, they find someone else who'll prescribe what they want and I never see them again.

The fact remains that it's not just doctors trying to make a buck. Patient's play the biggest role in weight loss situations and the vast majority of them just want a simple fix that won't require any effort on their part.
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Cuyahoga
I asked Hank Williams, how lonely does it get ....
02:40 AM on 11/07/2010
It's long been recognized that low self esteem is behind many cases of obesity, and that women who want to "hide" their femininity often encase it in fat. One cause of feeling bad about yourself as a woman is shows like Howard Stern's. The last time I saw it - years ago - he had a naked woman on all fours barking and asking her simple addition questions which she could not answer. Of course she was the source of ridicule and hoots of laughter. Seeing that show made me realize how he - and others - supported by R.Q. - demean women and because it reinforced how bad I felt about MYSELF as a woman, I could never watch it again.
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drjasonmd
Shalom, compa!
12:02 PM on 11/07/2010
Spoken like someone who doesn't know the show.

BTW, was this ridiculed woman obese?
09:00 PM on 11/05/2010
Lots of people are having success with Meatless Monday - just one day a week,cut out meat. It cuts saturated fat an impressive 15%. Great recipes are at : www.MeatlessMonday.com
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Dr Juan
We built America without BO
05:48 PM on 11/07/2010
Reminds me of meatless Friday prior to Vatican 2! Maybe the traditional Catholics were really on to something.
11:15 AM on 11/08/2010
Saturated fat is the best food you'll ever eat and it should be the single largest component of our diet.

http://winningtheobesitybattle.wordpress.com/
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ChaCubed
Fabulously Liberal
08:55 PM on 11/05/2010
I don't understand the comments about people getting bariatric surgery as their first option. Maybe it's different in different parts of the country, maybe it matters if you have it in hospital-based facility or ... I don't know what causes the difference; but I know two people here in South Florida whose doctors won't refer them for bariatric surgery because bariatric surgeons will NOT even CONSIDER them for surgery because they haven't proven that they are capable of dieting; which in the opinion and experience of the bariatric surgeons is an indication that they do not have the self-discipline to follow the diet regimine which is required after bariatric surgery.

Is this requirement unique to this area?
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05:39 AM on 11/07/2010
Could it be because their insurance covers it - and therefore doesn't encourage doctors' to relinquish their common sense in the name of the bottom line?
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ChaCubed
Fabulously Liberal
07:59 AM on 11/08/2010
Insurance companies might have set some guidelines, but not necessarily: screening potential candidates to reduce the numbers of people who fail to maintain their weightloss would, in the long run, also be beneficial to the bottom line of bariatric surgeons, as well as the hospitals where the surgeries are performed.
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ChaCubed
Fabulously Liberal
08:01 AM on 11/08/2010
Aside: I like your moniker, bicycsual. Clever. :)
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drjasonmd
Shalom, compa!
12:05 PM on 11/07/2010
No, that requirement is not unique to your area. Nobody is referred to bariatric surgery as a first option. People just love to complain about things they don't fully understand. There are protocols that must be followed before undergoing bariatric surgery.
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ChaCubed
Fabulously Liberal
07:47 AM on 11/08/2010
Thanks, Doc. I hate it when I read things that make my face scrunch up in a "huh?" position: it's back to normal now. :)
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SpaceboySD
"Free To Be You And Me" Is My Bible
06:38 PM on 11/05/2010
Love you, Robin!