Nutritional Deficiencies and seizure activity

I've often wondered about this as a post WLS epileptic.  Is there more I could DO to control my symptoms?  I know there are quite a few of you out there - with or without deficiencies occurring along with your seizure disorders after WLS.  

From Epilepsy.com -

Continue reading "Nutritional Deficiencies and seizure activity" »


Permitters and Restrictors.

 

Trader Joe's Greens, Beans and Grains Review

Greens-beans-grains

I live in the forest food desert where food delivery would be nice by drone.  (No, really.  Seven feet of snow. SEND. FOOD.  SEND. RATIONS.  SEND TOILET PAPER.  Don't think I am not serious.)

Someone should create a quasi-healthy-food-drop service to my area and I would even accept Trader Joe's because I am between two of their locations and not within driving distance (I don't drive, still, brain still not participating in life skills training here) and haven't stepped foot inside one but once this past year or even two.  I am so out of touch with what is On Store Shelves, guys.  If you have something to tell me about, tell me, I mean that - I see nothing.

And that was last week.  I cleared out a shelf of $100 worth frozen vegetarian products. 

Because that is the way I eat now (yeah, we haven't spoken much on the blog have we?  Because... I don't know...) so when I find something I like and likes me back in the bowel I BUY THEM ALL AT ONCE.  I took a risk on this product "Trader Joe's Greens Beans And Grains" and assumed it would like me back 'cause WHY NOT?!  I have been forcing myself to eat The Greens! The Beans and The Grains! in any form I find for a while now because I spent years being afraid to do so -- and I think my gut became afraid to digest!  (Short story, it took a while to acclimate to real foods, but it works.  Most of the time.)

This product.  I didn't read the label closely.  I just saw GREENS and grabbed it because I thought "Yummy, I love greens and it's prolly vegetarian and it's gotta be good," and the calorie count was low.

10954543_10204408557428650_898173910577052662_o
But, it's not what I thought it was.  I was thinking a smoky-greeny concoction - it isn't at all - and I think they probably should have named it WHAT IT ACTUALLY IS!  

Peanut (...inspired, like?) Stew!  Maybe they didn't because people might not have bought it?  I honestly probably would not have bought it if I saw peanuts AT ALL.  Good move, TJ's.

"If you're familiar with West African cuisine, you might find our Greens, Beans and Grains similar to a traditional peanut soup or stew; albeit with a Trader Joe's influenced interpretation. In place of the collard greens typical in an African version, we've chosen kale as the Green to accompany our beans and grains. Kale is the primary reason this entrée delivers so generously on vitamin A, vitamin C, iron, calcium, protein, and dietary fiber.

But just because kale/greens are named first, don't assume that's the only standout here.  On the contrary, garbanzo beans play a pivotal role, filling in where West African cooks may utilize peanuts. They add fiber, protein, and iron, as well as super taste and texture. (We haven't left the peanuts out entirely, though, so peanut lovers rejoice!) As for the Grain portion of the show, we went with whole wheat couscous, a traditional ingredient in West African & North African cooking. All together, Greens, Beans and Grains is simmered in a vegetable stock with tomatoes, seasoned with garlic, onion, cilantro, cumin, coriander, caraway, cayenne, lemon juice, and salt - it's the spices that really play up the African connection and give the dish its memorable flavors.

We developed Greens, Beans and Grains with our supplier, and it's only available at your neighborhood Trader Joe's. We're selling each nine ounce package - an excellent single meal size - for $2.99, every day. You'll find it in our freezers."

I have eaten it twice now.  

It is not an attractive meal.  It's what my youngest calls bum-bums, and this?  Is bums in sauce.  

02-feb-09a

The first time, I microwaved it for the allotted time and ate the two sides separately and it was just too spicy.  I actually walked away from it.  I was dipping the couscous into the chickpeas and left some of the sauce behind.  

This morning, I cooked it a little less, and plated the entire concoction together.  I liked it much more this way.  I added a spoonful of Greek Yogurt on the side to kill the heat because I am a wuss, and I really enjoyed it.  I found that the couscous mixed with the peanut sauce was super moist and totally filling. 

Screen Shot 2015-02-12 at 9.24.12 AM

That said, I am still a gastric bypass post op, although at my stage (nearly 11 years) I can eat the entire portion, I would NOT eat this product as an early-stage post op, make sure you are cleared for legumes, nuts, greens and pasta.  It's full of ALL OF THEM. And damn it, I AM EATING THEM.  :P

But, I liked it enough.  BECAUSE VEGETABLES.

  • Via - Trader Joes
  • Price - $2.99
  • Pros - Greens! Beans! Grains! Vegetarian, Under 300 calories.
  • Cons - Ugly as sin.
  • Rating - Pouchworthy when you can digest it. 

 


Weight Loss RX = FIBER

Fiber-Weight-Loss

PCRM - 

Adopting a vegetarian diet causes weight loss, even in the absence of exercise or calorie counting, according to a new meta-analysis published as an online advance in the Journal of the Academy of Nutrition and Dietetics on Thursday, Jan. 22, 2015.

The mega-review analyzed 15 studies, conducted with 755 participants in Finland, Norway, Poland, Spain, Sweden, and the United States. The studies varied in length, from as short as four weeks to as long as two years, with an average weight loss of 10 pounds over a 44-week period.

“The take-home message is that a plant-based diet can help you lose weight without counting calories and without ramping up your exercise routine,” saysNeal Barnard, M.D., lead author of the study, president of the Physicians Committee, and an adjunct associate professor of medicine at the George Washington University School of Medicine and Health Sciences. “We hope health care providers will take note and prescribe this approach to patients looking to manage their weight and health.”

One of the secrets behind losing weight on a plant-based diet is to fill up with fiber. The Physicians Committee recommends consuming close to 40 grams of fiber a day, which is easy to do when you move vegetables, fruits, whole grains, and legumes to the center of your plate.

More than 1.4 billion adults worldwide are overweight and at increased risk for type 2 diabetes, heart disease, osteoarthritis, and certain forms of cancer.

“If you’re overweight, losing just 5 to 10 percent of your body weight can slash the risk of both type 2 diabetes and cardiovascular disease,” says Susan Levin, M.S., R.D., C.S.S.D., a study author and director of nutrition education for the Physicians Committee. “As the weight comes off, you’ll start to see blood pressure, blood sugar, triglycerides, and cholesterol fall right along with it.”

 


This Girl Can.

I saw this video floating around a couple of weeks ago but did not click it. I just did - and glad I did. I enjoyed it, aside from the use of one phrase I don't particularly ... like?

It's inspiring for those who struggle with exercise and body image. (Because, yes.)


Fexaramine Tricks Mice Into Losing Weight Without Food?!

Lose weight without worrying about food? Imagine this?!

Via Popular Science "Safe and effective weight loss doesn't yet come in a pill, but maybe one day it will. A new study has found a chemical that keeps mice from gaining weight through overeating. The drug also seemed to protect lab mice from some of the harmful effects of obesity: When researchers measured the mice's blood, they found reduced levels of insulin, cholesterol, and other molecules, compared to obese mice who didn't get the drug."

'Imaginary meal' tricks the body into losing weight - Salk Institute - News Release.

“This pill is like an imaginary meal,” says Ronald Evans, director of Salk’s Gene Expression Laboratoryand senior author of the new paper, published January 5, 2014 in Nature Medicine. “It sends out the same signals that normally happen when you eat a lot of food, so the body starts clearing out space to store it. But there are no calories and no change in appetite.”

In the United States, more than a third of adults are obese and 29.1 million people have diabetes, according to the Centers for Disease Control and Prevention. Both obesity and diabetes lead to an increase in health spending, a greater risk of health complications and a shorter lifespan.

  2068-diet-pill-comp

Study - http://www.nature.com/nm/journal/vaop/ncurrent/full/nm.3760.html


#myfatstory

 

Katie Hopkins: My Fat Story

Discovery - http://press.discovery.com/uk/tlc/programs/katie-hopkins/

Premieres Friday 2nd January, 9.00pm

Outspoken TV personality, Katie Hopkins has hit the headlines for her controversial views on obesity; insisting that fat people are lazy, saying that she would not employ someone who is overweight, and claiming that losing weight is easy. Earlier this year Katie hit the headlines again revealing her new three stone heavier figure. Sick of hearing people's excuses for being overweight and justifying Britain's obesity crisis, Katie had decided to prove her argument by piling on the pounds to experience being weight, before attempting to lose it again by simply eating less and moving more. This two-part special exclusively follows Katie through every step of her project, as she struggles to put the weight on and deal with her increasing size, and then as she loses the weight. Will she prove her point or will she have to eat her own words?

Probably not.  It's different in the UK right now, the National Health System is socialised medicine, and the patients have their weight-loss surgeries done "on the system" sometimes waiting a long time for treatment -- and people may feel differently about the care being done on the UK's dime.  

I suppose I'd have to watch it, and it's meant to be inflammatory.   I mean -- "FAT PEOPLE ARE LAZY."

Really.  Throw that out there and watch the reaction.  BAIT.  FLAME.  RAWR.

Would you watch?  What do you think?


Exercise improves insulin sensitivity after gastric bypass

Clinical trial demonstrates additive effect of exercise following gastric bypass.   

So. do. it.  I know, I know, easier said than done. 

Over 75 million adults in the US are obese. These individuals are predisposed to health complications, including diabetes, heart disease, and cancer. Gastric bypass surgery results in dramatic weight loss and can improve diabetes symptoms in obese patients. A new study in the Journal of Clinical Investigation reveals that exercise following bypass surgery provides additional benefit for obese patients. Bret Goodpaster and colleagues at the University of Pittsburgh conducted a study on individuals that had recently undergone gastric bypass surgery. One group followed a moderate exercise protocol for 6 months, while the control group underwent a health education program. Individuals in both groups exhibited dramatic weight loss and reduced fat mass. However, individuals in the exercise group had improved insulin sensitivity and cardiovascular fitness. The results of this study support the inclusion of an exercise program following gastric bypass surgery.

Read the article released earlier this week in JCI: http://buff.ly/1wlKroB


Patients With Psychiatric Illness Require Close Watch After Bariatric Surgery

A study conducted in Brazil and presented at a poster session at the 2014 annual meeting of the International Federation for the Surgery of Obesity and Metabolic Disorders looked at six cases in which patients committed suicide or attempted suicide after bariatric surgery. The study did not specify the form of weight loss surgery that each patient underwent.

Continue reading "Patients With Psychiatric Illness Require Close Watch After Bariatric Surgery" »


If you're happy and you know it. #eatasnack

The most authentic commercial yet from Weight Watchers.  WW you win with this one, although it doesn't exactly motivate me to go sign up for your plan (...was that the goal -- because I didn't catch that vibe, I just laughed and wanted a snack for a second?) I still LOVE THIS because it's truth all right here for us emotional eaters.  

Sorry not sorry I agree.  

 


On getting old.

As many of you -- I have had lower back pain for years, and in my normal Beth way I have ignored it or (...don't tell anyone!) medicated it with NSAIDS off and on, and heat, and exercise, and stretching.  AND GOD DAMN IT, IT HURTS.

7a29a0a609072689ee785c6aff54460a

Source - Healio 

NSAID use is contraindicated in gastric bypass patients as it can cause serious ulcers.  I started popping them like candy recently.  No. good.

ibuprofen

The back pain comes  in cycles and never really goes away.  It gets to the point where I cannot ignore it and I am currently in a Flare Of I Cannot Sit Down Or Sleep Or Lay Down And Nothing Feels Right EXCEPT getting on my knees in 'downward dog' position.  When I describe it to other people they chime in with "Yep.  I live this." 

I had my husband take me to the urgent care MD on the weekend for X-Rays.  They show disc degeneration. No surprise. I suppose after ignoring it -- plus a few years of massive obesity, plus four pregnancies, losing all of the weight plus eating haphazardly and vitamin-deficiencies, it shouldn't be a surprise.  

Hooray.

I was prescribed an anti-epileptic drug instead of a pain-medicine, at my request because I do not want to be sedated, and that I am epileptic.  

Although as the doctor was describing the medication's side effects to me, he explained that it might cause "sedation, dizziness," and I stated, "... that it isn't like I do anything important anyway, I'm not using heavy machinery as it is."  

I do not know that he got my seizure humor. 

I don't feel much relief from a few days of this added medication -- and I do not feel that it will be of help to the pain, but there are more options.  I think that I will need to use exercise somehow, because this, just isn't working.  

I can't sit.  I can't sleep.  

Osteoporosis

I have a broken ass.  I. am. old.


Bariatric Surgery Linked To Increased TASTE Sensitivity - Does Taste Perception CHANGE After Bariatric Surgery?

taste tongue
I think mine is broken. I go for SALTY every time.

I hereby define this study in the flesh.  Everything tastes too, everything to me.

-MM

Via Science Daily from ASMBS -

People with obesity may have an unexpected ally after weight-loss surgery: their tongues. New research from the Stanford University School of Medicine finds patients who reported a decrease in taste intensity after bariatric surgery had significantly higher excess weight loss after three months than those whose taste intensity became higher.

Findings from the new study, "Does Taste Perception Change After Bariatric Surgery?", were presented here at the 31st Annual Meeting of the American Society for Metabolic and Bariatric Surgery (ASMBS) during ObesityWeek 2014, the largest international event focused on the basic science, clinical application and prevention and treatment of obesity. ObesityWeek 2014 is hosted by the ASMBS and The Obesity Society (TOS).

In the study, the majority (87%) of patients reported a change in taste after bariatric surgery, with 42 percent reporting they ate less because food didn't taste as good. However, those who said their taste intensity decreased, lost 20 percent more weight over three months, than those whose taste intensified.

"In our clinical experience, many patients report alterations in their perception of taste after bariatric surgery. However, little evidence exists as to how and why these changes affect weight loss after surgery," said study author John M. Morton MD, Chief, Bariatric and Minimally Invasive Surgery, Stanford University School of Medicine. "It appears it's not just the flavor that influences weight loss, it's the intensity of the flavor. Patients with diminished taste intensity lost the most weight. A potential application to these findings may include teaching taste appreciation in hopes of increasing weight loss."

Before surgery, patients with severe obesity had lower total taste scores than a control group of individuals with no obesity. The 88 patients in the study were on average, 49-years-old, had an average age of 49.2 years, more than half were female with an average preoperative body mass index (BMI) of 45.3. Prior to surgery, the patients and controls completed a baseline validated taste test that quantified their ability to identify the primary taste, using paper strips with varying concentrations of each taste solution, presented in random order. The tests were then performed again at 3-, 6- and 12-months after surgery.

"The study provides excellent new insight on taste change after bariatric surgery," said Jaime Ponce, MD, medical director for Hamilton Medical Center Bariatric Surgery program and ASMBS immediate past-president. "More research is needed to see how we can adjust for taste perception to increase weight loss."

Study - American Society for Metabolic & Bariatric Surgery (ASMBS). (2014, November 4). For some, losing weight after bariaric surgery may be a matter of taste.ScienceDaily. Retrieved November 5, 2014 from www.sciencedaily.com/releases/2014/11/141104083132.htm


Hollaback - Walking as a ... woman?

"In hopes to demonstrate the absolute awfulness that is catcalling, one woman recently took to the streets of Manhattan with a hidden camera to show just how humiliating, and downright horrifying, it can be to be just that–a woman."

DAAAAAAAAAAAYUM.

For what it's worth -- I lasted about ten minutes out there on my own when I went to New York City by myself for a TV show taping.  

Could not hang. 

 

 


Chocolate for MEMORY LOSS!?

I might be doing something ... right by my daily doses of unsweetened cocoa!  

Cocoa Bean

I have serious memory issues if you did not notice, on account of the epilepsy, and I assume that someday I'm going to be in a home for the memory impaired.  So every time I see a study like this -- I go OOOOH!  LOOOK!  THIS!  I don't take them very seriously, but I read them ALL.  Firstly, it was sponsored in part by a chocolate candy-maker.  And, yeah.  

But check it.

image from http://s3.amazonaws.com/hires.aviary.com/k/mr6i2hifk4wxt1dp/14102712/22d83c60-d20e-4837-890b-7de9e41db04f.png
The brain area outlined in yellow is the hippocampus; the dentate gyrus is shown in green and the entorhinal cortex in purple. Previous work, including by the laboratory of senior author Scott A. Small, M.D., had shown that changes in a specific part of the brain's hippocampus -- the dentate gyrus -- are associated with normal age-related memory decline in humans and other mammals. The dentate gyrus is distinct from the entorhinal cortex, the hippocampal region affected in early-stage Alzheimer's disease. Credit: Lab of Scott A. Small, M.D.

Via New York Times -

In a small study in the journal Nature Neuroscience, healthy people, ages 50 to 69, who drank a mixture high in antioxidants called cocoa flavanols for three months performed better on a memory test than people who drank a low-flavanol mixture.

On average, the improvement of high-flavanol drinkers meant they performed like people two to three decades younger on the study’s memory task, said Dr. Scott A. Small, a neurologist at Columbia University Medical Center and the study’s senior author. They performed about 25 percent better than the low-flavanol group.

“An exciting result,” said Craig Stark, a neurobiologist at the University of California, Irvine, who was not involved in the research. “It’s an initial study, and I sort of view this as the opening salvo.”

He added, “And look, it’s chocolate. Who’s going to complain about chocolate?”

The findings support recent research linking flavanols, especiallyepicatechin, to improved blood circulation, heart health and memory in mice, snails and humans. But experts said the new study, although involving only 37 participants and partly funded by Mars Inc., the chocolate company, goes further and was a well-controlled, randomized trial led by experienced researchers.

Besides improvements on the memory test — a pattern recognition test involving the kind of skill used in remembering where you parked the car or recalling the face of someone you just met — researchers found increased function in an area of the brain’s hippocampus called the dentate gyrus, which has been linked to this type of memory.

“Boy, this is really interesting to see it in three months,” said Dr. Steven DeKosky, a neurologist and visiting professor at the University of Pittsburgh. “They got this really remarkable increase in a place in the brain that we know is related to age-related memory change.”

There was no increased activity in another hippocampal region, theentorhinal cortex, which is impaired early in Alzheimer’s disease. That reinforces the idea that age-related memory decline is different and suggests that flavanols might not help Alzheimer’s, even though they might delay normal memory loss.

But unless you are stocking up for Halloween, do not rush to buy Milky Way or Snickers bars. To consume the high-flavanol group’s daily dose of epicatechin, 138 milligrams, would take eating at least 300 grams of dark chocolate a day — about seven average-sized bars. Or possibly about 100 grams of baking chocolate or unsweetened cocoa powder, but concentrations vary widely depending on the processing. Milk chocolate has most epicatechin processed out of it.

“You would have to eat a large amount of chocolate,” along with its fat and calories, said Hagen Schroeter, director of fundamental health and nutrition research for Mars, which funds many flavanol studies and approached Dr. Small for this one. (“I nearly threw them out,” said Dr. Small, who added that he later concluded that the company employed serious scientists who would not bias the research.) Mars financed about half the study; other funders were the National Institutes of Health and two research foundations.

“Candy bars don’t even have a lot of chocolate in them,” Dr. Schroeter said. And “most chocolate uses a process called dutching and alkalization. That’s like poison for flavanol.”

Mars already sells a supplement, CocoaVia, which it says promotes healthy circulation, including for the heart and brain. It contains 20 to 25 milligrams of epicatechin per packet of powder or capsule serving, Dr. Schroeter said; 30 packets cost $34.95. Epicatechin is also in foods like tea and apples, although may be less absorbable.

The Columbia study had important limitations. For example, the only daily dietary requirements were either 900 milligrams of flavanols with 138 milligrams of epicatechin or 10 milligrams of flavanols with less than two milligrams of epicatechin, so participants could have eaten other things that played a role.

And while researchers also had half of the healthy but sedentary participants in each group exercise four days a week, surprisingly, the exercise had no effects on memory or brain effects.

Dr. Small, whose research previously found that exercise helped hippocampal function in younger people, suggested maybe more vigorous exercise is needed to affect older brains.

“It’s a very clever, interesting study, but there are some caveats,” said Dr. Kenneth S. Kosik, a neuroscientist at the University of California, Santa Barbara. “People are going to say, ‘It looks like I can have a lot of candy bars and not exercise.’ So it needs replication on a much larger scale.”

More extensive research is planned. As for why flavanols would help memory, one theory is that they improve brain blood flow; another, favored by Dr. Small, is that they cause dendrites, message-receiving branches of neurons, to grow.

“Everybody’s cautious about antioxidants, but this is a horse of a different color, a really elegant study,” Dr. DeKosky said.

The study -

http://www.nature.com/neuro/journal/vaop/ncurrent/full/nn.3850.html

 

 


Bariatric Surgery Can Worsen Depression

From the no shit files, and specifically the WE COULD HAVE TOLD YOU THIS IF YOU'D HAVE JUST ASKED SECTION - 

Yale Daily News -

A recent Yale study has found that while bariatric surgery — a medical procedure to reduce obesity — improves the moods of the majority of obese patients, it could potentially worsen depression for some.

The study, published in September in the journal Obesity Surgery, examined the possible causes and frequency of depression in patients after bariatric surgery. Though the study concluded that most of the patients’ emotional well-being improved in the months following surgery, the researchers also discovered that a subgroup of the 107 study participants experienced a relative increase in depression six months after the procedure.

“The majority of patients with discernible worsening in mood experienced these mood changes between six and 12 months post-surgery,” said Valentina Ivezaj, associate Yale scientist in psychiatry and the study’s lead author. “We suggest that this may be a key period to assess for depression and associated symptoms following gastric bypass surgery.”

The participants suffering from extreme obesity completed emotional evaluations before the surgery. Six months and then a year after, they completed the same evaluations. The self-reported questionnaires assessed depression, eating disorder behavior, self-esteem and social functioning. The study used these data to produce a numerical BDI — Beck Depression Inventory — rating.

Studies suggest there is ubiquitous stigmatization of obesity in society, which can decrease obese individuals’ overall quality of life, said Yale psychiatry professor John Krystal.

The patients evaluated in the study were mildly depressed prior to surgery on average. But after a year post-surgery, 87 percent of the study participants no longer identified themselves as depressed.

According to Ivezaj, while it is generally true that bariatric surgery minimizes depression in obese patients, it is not always that simple.

The data revealed that 13 percent of patients actually experienced an increase in BDI, while another 13 percent experienced a BDI decrease. Seventy-four percent reported no psychological differences six to 12 months post-surgery. Four percent of patients reported increased depression a year after surgery. Increases in symptoms of depression correlated with higher body mass index and increased incidence of emotional difficulties like low self-esteem and poor social functioning.

Obesity does not just affect the body physically, said Gerard Sanacora, professor of psychiatry at the Yale School of Medicine and director of the Yale Depression Research Program. According to Krystal and Sanacora, obesity has biological underpinnings, which influence an individual’s health, brain function and behavior.

Ivezaj said that she conducted the research in order to dispel the common misconception that bariatric surgery is an easy way out.

“I am inspired by my work with patients who have undergone bariatric surgery,” she said. “In order to be successful following bariatric surgery, patients transform their lives and it takes hard work, determination and dedication to make the required lifestyle changes.”

She said she hoped that the research will help identify individuals with a predilection for depression after bariatric surgery, so that future prevention and intervention implementation might ameliorate the quality of patient life.

Ivezaj said that POWER — the Program for Obesity, Weight and Eating Research — led by Yale School of Medicine professor of psychology and psychiatry and the study’s senior author Carlos Grilo, intends to collaborate with the Yale Bariatric Surgery Program to organize a longitudinal study that will comprehensively assess patients’ eating behaviors, mood, weight and psychological functioning post-bariatric surgery.

According to the Centers for Disease Control, more than a third of American adults are obese.

Obesity Surgery -

When Mood Worsens after Gastric Bypass Surgery: Characterization of Bariatric Patients with Increases in Depressive Symptoms Following Surgery

Background

Depression levels generally decrease substantially following bariatric surgery; however, little is known about bariatric patients who might experience increases in depression following surgery. We examined the frequency of bariatric patients who experienced discernible increases in depression levels following surgery and explored their correlates.

Methods

Participants were 107 patients with extreme obesity who underwent gastric bypass surgery and were followed up at 6 and 12 months postsurgery. Participants completed self-report questionnaires about depression (BDI), eating disorder psychopathology (EDE-Q), self-esteem (RSES), and social functioning (SF-36) at baseline and again at 6 and 12 months postsurgery.

Results

Fourteen (13.1 %) participants reported discernible increases (BDI-Increase), 14 (13.1 %) reported discernible decreases (BDI-Decrease), and 79 (73.8 %) did not report discernible changes (no change) in BDI scores from 6 to 12 months postsurgery. Presurgically, there were no differences between the three groups. By 12 months postsurgery, the BDI-Increase group had significantly higher depression scores and significantly lower self-esteem and SF-36 mental component scores than did the other groups. For the BDI-Increase group, BDI Change was significantly associated with body mass index, self-esteem, and SF-36 physical component scores.

Conclusions

Findings highlight that a subgroup of individuals report discernible increases in depressive scores postsurgery and may differ in potentially clinically meaningful ways from those who do not report discernible increases in depressive symptoms. Future research is needed to better understand the long-term trajectory of patients with discernible worsening mood following gastric bypass surgery.


A dirty not-so-secret of the gastric bypass world has been studied! AND WE WERE RIGHT.

carbonation bubbles
Via Mira Shemeikka - Flickr

What does a gastric bypass patient do when they feel food stuck - trapped - balled up - in their gastric pouch or stomach, or even further down in the intestine?

Sometimes we walk it out, sometimes change positions rapidly hoping the food shifts, oftentimes we lay on a certain side and get all fetal-curled and try to work the food down... we do countless things to relieve the pressure of a stucked.

BE_Stage13_f01

However, many times it is just easier to break up a stuck, and many of us know this because we have been doing it for years intuitively because STUCKS!! HURT!!

Before you ask -- "What Does A Stuck Feel Like?"  You'll know it when it happens.  You will also know it if it has happened to you.

You may have another word to describe it -- too.  I often describe it as oncoming death.  I may or may not have sent myself to the ER once with a stuck because it felt like a heart attack, panic attack because the squeezing in my chest made me anxious -- bad combination.   Too much of the wrong, sticky, fibrous food, trapped in the gut PLUS anxiety over the malcontent = OMG I AM DYING.   I am dying right now.  Am I really?  OMG. 

I know better now.  I avoid it.  

DISCLAIMER -- THIS POST IS NOT INTENDED NOR CONSTRUED AS MEDICAL ADVICE.  I AM A 10.6 year post GASTRIC BYPASS PATIENT WITH ZERO PROFESSIONAL CREDS.  DO NOT LISTEN TO ME.  This is JUST my personal experience, mmmkay? YES I AM YELLING CAUSE Y'ALL DO NOT LISTEN.

Some of us whom grew up as baby bariatric patients not following our rules -- learned something early on.

Carbonated liquids fix stucks, because it forces the food through.  This relieves the pain, and clears the gut.  You might notice something about those of us willing to tell the truth about our (bad) habits.  We tend to drink a LOT of Diet Coke, Diet Pepsi, and have for years since our weight-loss surgeries, some of us more than we did before WLS.  

"Diet Coke and Coke Zero worked just as well as the sugared versions because they contain the same basic ingredients."

BECAUSE IT FEELS GOOD.

Bubbles fix the stucks.  

Stucks are technically called bezoars or phytobezoars which means FOOD BALL - a gastric concretion formed of vegetable fibers, with the seeds and skins of fruits, and sometimes starch granules and fat globules.  It's basically a GREASE TRAP of things that we might not have been able to digest due to our WLS arrangement - and the diet soda goes down and acts as Liquid Plumbr.

Screen Shot 2014-10-15 at 9.00.49 AM

 

Hey, it's not my study, but it is my pre-treatment -- and has been for at least ten years - 

Not exactly THIS way - but - y'know -

 

Apt12141-fig-0002

http://onlinelibrary.wiley.com/doi/10.1111/apt.12141/full

Medscape - 

Drinking Coca-Cola appears to be an effective treatment for gastric phytobezoar in 50% of cases, and combining the soda with additional endoscopic methods may lead to resolution of as many as 91.3% of phytobezoars, according to a newly published review.

Spiros D. Ladas, MD, from the Gastroenterology Division, First Department of Medicine–Propaedeutic, Medical School, Athens University, Laikon Hospital, Greece, and colleagues presented the results of their systematic literature review in an article published online December 17, 2012, and in the January 2013 issue ofAlimentary Pharmacology and Therapeutics.

The authors searched the literature for the combined keywords "phytobezoars treatment" and "Coca-Cola lysis" and reviewed 24 articles published during a 10-year period between 2002 and 2012. The articles included 46 patients. The authors note that the majority of the articles included in the review did not have patient follow-up, and therefore the review cannot speak to patient relapse.

Although most of the articles were case reports, one was a retrospective study of 17 patients. In their review, Dr. Ladas and colleagues found that only 4 patients (8.7%) who received Coca-Cola treatment went on to develop small bowel obstruction that required surgical treatment. Despite the need for surgery, 3 of the 4 patients still had partial dissolution of their phytobezoars from the Coca-Cola treatment.

The researchers also report that the soda was able to completely dissolve gastric phytobezoars in half of the patients. Although they were unable to state the mechanism of action with certainty, they posit that the soda's pH of 2.6 played an important role in fiber digestion.

Diospyrobezoars (persimmon bezoars) are one of the more difficult types of bezoars to dissolve. They are formed after persimmon ingestion and are characterized by a hard consistency. The authors found that diospyrobezoars were less likely to be completely dissolved by the soda than were phytobezoars (60.6% vs 23%; P = .022).

Physicians seek conservative treatment options, such as dissolution therapies and endoscopic fragmentation techniques, for bezoars, to avoid surgery. The reviewers suggest that Coca-Cola ingestion should be the treatment of choice for gastric phytobezoars because it allows for reduced patient stay in the hospital and may not require endoscopies or equipment. "Moreover," they conclude, "availability, low cost, rapid way of action, simplicity in administration and safety renders Coca-Cola a cost-effective therapy for gastric phytobezoars."

Low-cost effective therapy for stucks.  Um, yeah?  Considering the alternative, I'll avoid the pain --

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