- Deciphering between the truths of others can cloud our ability to see our own reality.
- Holding onto the things that weigh us down can create debilitating physical FAT and emotional Falsely Acquired Thoughts (F.A.T.) Change the brain, change the body, and find out how to fight F.A.T. for real. Presented by Merrill Littleberry, LCSW, LCDC, CCM, CI-CPT, a licensed psychotherapist and understands the debilitating effects of emotional and physical weight.
The terrifying issue about diet supplements and liver failure -- is that those of us who have bariatric surgery are already at a slightly higher risk for liver concerns. (Go ahead and look it up.)
Some bariatric patients have a history of fatty liver disease, had WLS to help it, and unknowingly make themselves sick again by taking in high levels of toxins!
It's not just diet pills -- you can kill your liver with too much alcohol -- acetaminophen -- but this is scary guys.
Save your liver. Please.
Does a person's proximity to a bar trigger over-indulgence?
A recent study suggests (Duh?!) perhaps it ACTUALLY DOES! To bring the weight loss surgery community into it -- consider locality of bariatric-themed community events. Where Do The Food Addicts Gather At These Events? Which events get the most attendance?
Hold the Press Releases, Suz!
Can Gastric Bypass Fuel Alcoholism? Short answer: sometimes, too many times.
On last night's Intervention -- Julie.
A gorgeous 40 year old mother of two, who happens to to be about seven to eight years post gastric bypass postop. She also, happens to have a little big problem in her smaller body.
"Julie often turned to food and alcohol to find comfort in tough times. She had gastric bypass surgery when her weight ballooned, but now she spends her son's child support money."
On alcohol, a lot of alcohol. You see...
First thing you must note, Julie started drinking at six months post surgery.
This is extraordinarily dangerous. Your surgeon told you to be careful for a reason.
Alcohol + early gastric bypass = possible brain damage and Wernicke's encephalopathy. Wernicke's can occur even without the aid of drinking heavily, do not help it along.
Gastric bypass triggers impaired vitamin intake in the best of situations, and pairing this with alcohol abuse can increase the risks of things like thiamine or Vitamin B1 deficiency. Typical people have a hard enough time metabolizing, removing nutrient intake and adding alcohol is a very bad idea. Don't do it. Don't take advice from internet peoples, but don't do it.
Also note that alcohol really messes you UP post op -
If you aren't one of the gastric-ally enhanced like your super enhanced *sarcasm* blogger here, let me explain something to you:
- Diet coke and rum, and I'm on stage.
- A few sips of a martini and I'm holding walls.
- I'm pregnant in one half-glass of wine.
Alcohol is a different beast with a short gut. Your mileage may and should and will vary, but for most of us, alcohol hits our systems FAST, HARD and feels like it leaves just as quick, even if it doesn't - - which can lead "us" to drink more.
It can be a sick cycle, and the longer I live with my own super enhanced system, the more I realize how much it's all quite interconnected. (Hello, carbohydrates, let's get shitfaced!) I'm not an expert in any way, I just live with it, watch others deal -- and read about it daily. (And, damn it if my opinions aren't changing.)
- Gastric Bypass Lowers Alcohol Tolerance
- Gastric Bypass Increases Risk of New Onset Alcohol Abuse
- After Gastric Bypass, Women Battle Alcoholism
I'm not really blogging about Julie here, you see. I feel like I/we can't judge. Because, you know what, she is any one of us. It would not take much to jump on that slip and slide of transfer addictionfor any of us, and who are we to judge that? (As I sat with my heavily buttered toast and ATE FOOD during this episode, right?)
Transfer addiction can hit ANY OF US if we aren't dealing with our triggers...
...To over eat, drink, compulsively shop, gamble, ludicrous hobbies that suck up ALL time and money, taking off to do stupid shit, (Yes, I Am Talking About You, CUT IT OUT, what you're doing is totally destructive though you don't see it, and you probably won't see this anyway...) overusing the internet *coughIknow,* obsessions, sex addictions, etc...so forth, so on and yadda yadda yadda, this list, really has NO END... And, we all know someone who has a problem. And, yeah.
My Name Is Beth And I Am Addicted To Caffeine, Simple Carbohydrates And Online Gratification Via Instant Results Via ADHD Brain With A Side Order of Seizure Disorder.
Also: who's to say what addictions and compulsions are truly destructive vs. not? I mean? Sure, I use the net too much, but... what if I was knitting so much that my house was full of yarn? <g> There are things to consider here. Also: addicts will rationalize everything to make their addictions seem okay for THEM. *beam* Am I NOT right?Any of us who ever used food to deal with emotional reasons or anxiety is at risk to transfer to something else, or continually cycle back to heavily buttered carbs. We substitute WHAT-EVER we can to get the same effect in our BRAINS. It's just a cycle of fail until we can fix what's broken to begin with! If you have ever said, "As soon as I lose the weight, things will be better -" that's a sign that they won't. Start working on it yesterday.
Also - I must mention it. I notice the chatter - "OMG HOW MUCH WEIGHTED DID SHE GAINED?!"
The woman was on Intervention because she's drinking herself to death. Her weight regain is of zero importance. Priorities: #1 - Live. #2 - Stay Alive.
At the close of Intervention last night, we were told that Julie is attending AA and was sober as of September. I wish her the very, very best.
Are you out there, Julie?
PS. The realization that the individuals on these shows WATCH themselves on TV and how does THAT feel? *thud*
*Reposting from 2010*
A few month gastric bypass post op writes --
"Can I have a glass or two of wine? I used to have a few glasses when I had a drink, would it be okay to just have one, or two now?"
- Twitter - http://twitter.com/twloha
NEW YORK (Reuters Health) - Severely obese people who undergo weight-loss surgery may have a higher-than-average risk of suicide in the years following the procedure, a new study finds.
"The cycle is what destroys you."
Please tell me you didn't do this, it's really not What's For Breakfast.
Professor Wim van den Brink, from the Academic Medical Centre at the University of Amsterdam in the Netherlands and a leading expert in the field of addiction, told the Annual Meeting of the Royal College of Psychiatrists (Friday 4 July) that addicts have fewer dopamine or pleasure receptors in the brain and consequently seek out more and more stimulation.
The emotional memory of the 'wonderful experience and the drive to repeat it leads to craving and relapse, said Prof van den Brink. Moreover, addicts fail to understand, or register, the conflict between the short-term pleasure the substance gives them and the damage long-term addiction can do.
Drunkenness Comes Faster After Gastric Surgery
"Oprah Winfrey's influence may now reach into medical science: her show led researchers to confirm that gastric bypass causes people to get drunk faster.
The reason, scientists say, is that bypass surgery cuts the amount of alcohol metabolized by the stomach.
The weight-loss procedure also seems to extend the time people need to sober up, the team said.
The research has implications for the 150,000 Americans who have already undergone this procedure and the thousands more who may be considering it.
"At the end of the day, this is the only enduring and effective intervention for morbid obesity," stressed study senior author Dr. John Morton, director of bariatric surgery at Stanford Hospitals and Clinics. "We don't want to deny them, but we want to make sure they are fully prepared to meet these challenges after surgery."
"This might let folks know to be a little more careful if they have a drink," added Dr. Joaquin Rodriguez, assistant professor of surgery at Texas A&M Health Science Center College of Medicine and chief of minimally invasive surgery at Scott & White Hospital in Temple. "They need just to be aware that the same amount of alcohol may affect them differently than someone who hasn't had a gastric bypass," said Rodriguez, who was not involved in the research.
Study lead author Judith Hagedorn, a medical student at Stanford University, is scheduled to present the data June 14 at the annual meeting of the American Society for Bariatric Surgery, in San Diego.
In October 2006, Winfrey aired a show called "Suddenly Skinny," which noted that gastric-bypass patients often felt they had faster alcohol absorption after the surgery. Also discussed was "addiction transfer," when a person swaps his or her food addiction for an alcohol addiction.
Winfrey and her producers are clearly up on current health trends: Obesity is one of the leading, if not the leading, public health crisis in the industrialized world. More than 60 percent of adult Americans are overweight, 23.9 percent are obese and 3 percent are extremely obese. Being overweight can lead to a slew of life-threatening problems, including diabetes, heart disease and even cancer.
According to the new study, bariatric surgery -- especially gastric bypass, which reduces the size of the stomach and adds a bypass around part of the small intestine -- is the most effective treatment for morbid obesity.
After the Oprah episode, Morton, who has performed about 1,000 such surgeries, was inundated with questions from patients. "This prompted me to dig a little deeper to find data and, much to my surprise, I didn't find a whole lot of data," he said.
Rodriguez said, "There are a couple of other reports that have shown similar things, but it's mostly anecdotal. Patients come in and say they had wine or a margarita and got drunk really fast."
So, Morton undertook his own study involving 19 people who had had gastric bypass surgery at least one year prior and 17 control subjects without such histories. Each participant was asked to consume five ounces of red wine.
All participants then underwent an alcohol breath analysis every five minutes until the levels reached zero.
The gastric bypass patients had a peak alcohol level of 0.08 percent, vs. 0.05 percent for the controls. In some states, 0.08 is considered intoxicated, Morton said.
The gastric patients also needed an average of 108 minutes to get back to zero, while the controls needed an average of 72 minutes.
"The alcohol peaked higher and stayed around longer," Morton said.
Also, the gastric bypass patients reported the same symptoms, even though their breath alcohol levels were higher.
"This led us to think that some of patients may have high breath alcohol level and not be aware of it," Morton said. "One drink may be too much, especially if you are going to have a drink and drive."
The main reason for this enhanced susceptibility to alcohol is that the surgery bypasses the stomach, which is one of two places the enzyme responsible for metabolizing alcohol is present, Morton said.
"If you're bypassing the stomach, you're bypassing most of the ability to metabolize alcohol," he added.
According to one survey, 83 percent of gastric bypass patients consume alcohol after surgery and all of them need to be cautious for any number of reasons.
"Sometimes alcohol use after surgery can wreck havoc on weight maintenance," Morton said. "Alcohol relaxes you on the outside, and on the inside, too. With alcohol, patients can be able to eat a little bit more because of the relaxation of the lower esophageal sphincter and the intestine as well."
Also, as patients start to lose weight, they often become more socially active, a pastime that often includes alcohol.
"This is also something patients have to be aware of," Morton said. "The bottom line is alcohol use after gastric bypass should be used with caution, and certainly patients shouldn't have even a single drink and drive."
There's more on this type of surgery at the American Society for Bariatric Surgery.
Bariatric surgeries like gastric bypass can dramatically reduce weight, but new studies have found it doesn't always solve the underlying problem, and patients can wind up with other addictions.
"I think we've probably
underdiagnosed some of these addiction disorders post operatively or
after surgery because we haven't been looking for them in the past,"
says bariatric surgeon Dr. Nestor De La Cruz Munoz.
As psychologist Melodie Moorhead describes in "Bariatric Times" transfer of addiction happens when patients overindulge in alcohol, drugs, gambling, shopping or sex as replacements for food.
They're often caught completely by surprise.
A recent survey in Bariatric Times found 28.4 of the gastric bypass patients said they had a problem with alcohol control.
Only 4.5 per cent said they had a problem before surgery.
Experts say a physical fix for obesity is just part of the solution when addiction to food is the cause.