Bariatric Fusion

Bariatric Vitamins- Why Chewable?

Thu, 25 Aug 2011 13:33:44 -0400

Bariatric vitamin and mineral supplementation after gastric bypass surgery is critical in maintaining proper health and nutrition. Micro-nutrient deficiency is the most common side effect from this procedure do to the malabsorptive component of gastric bypass. This typically occurs in approximately 21% of patients. Some frequently seen deficiencies include: iron, B12, folate, and calcium. Side affects when lacking in these important nutrients include: easy bruising, loss of hair, and lack of energy. Taking a chewable multivitamin is the easiest and most effective way of reducing the risk of micro nutrient deficiencies in the body after gastric bypass surgery. A chewable bariatric vitamin ensures success of absorption by beginning the digestive process in the mouth. Chewing breaks down the multivitamin to its most biologically available form and gives your digestive tract a distinct advantage of absorbing all the bariatric vitamins and minerals possible. Taking a capsule delays the absorption of supplements being taken. The shell of the capsule must be broken down in the digestive tract before absorption can occur. When and where this takes place cannot be determined with 100% accuracy. You must find a bariatric vitamin and mineral formulation that is made specifically for patients who have had gastric bypass surgery. This formulation should have dramatically higher percentages of vitamins A-E, B12, Folic Acid and Calcium. It must also include iron and chelated forms of minerals which increase your chance of absorption. Those patients taking anti-coagulants such as warfarin and coumadin must be sure to avoid formulations containing Vitamin K. Patients who suffer from migranes should consider a product that is sweetened with sucralose (Splenda) rather then aspartame. Be sure that your surgeon or primary doctor routinely checks your blood-work for early detection of any underlying deficiencies

Bariatric Vitamin Study - Must See!!

Fri, 10 Jun 2011 13:32:09 -0400

Vitamin and Mineral Concentrations following Roux-en-Y Gastric Bypass and Supplementation with Bariatric Fusion Chewable Vitamins

Background: Following Roux-en-Y gastric bypass (RYGB), life-long vitamin supplementation is recommended. However, no studies are available to demonstrate the effectiveness of any vitamin regimen on post operative blood vitamin levels. We sought to determine if the recommended daily regimen of the Bariatric Fusion Chewable Vitamin was sufficient to prevent commonly encountered nutritional deficiencies seen after RYGB.

Methods: 100 patients undergoing RYGB from the Synergy Bariatrics practice in Western New York were retrospectively analyzed for at risk vitamin and mineral deficiencies. Patients were required to have at least one-year of continuous Bariatric Fusion Chewable Vitamin as their only supplementation, and laboratory assessment at the baseline and one-year follow-up for target vitamins and minerals.

Results: After one-year of continuous supplementation with Bariatric Fusion Chewable Vitamins without any other supplements, 100% of patients were within the normal range for vitamin B₁, folate, and calcium. The large majority of these patients were also within the normal ranges for vitamin B₁₂ (93%), iron (86%), and vitamin D (84%).

Conclusion: Patients using the recommended daily regimen of Bariatric Fusion Chewable Vitamins had normal concentrations of most important vitamins and minerals.

This study has not yet been published and should not be quoted by third parties. It is the confidential information of Synergy Bariatrics until published

Bariatric Diet Study - Great Results!

Thu, 09 Jun 2011 20:27:42 -0400

Metabolic Response to a 2-week High-Protein, Low Carbohydrate, No-Fat Dietary Intervention with Bariatric Fusion Complete Nutrition

Background: It is recommended that Roux-en-Y gastric bypass is preceded by a high-protein dietary intervention to reduce potential surgical complications. Because it is known that the size of the liver is reduced from this type of dietary intervention, we sought to determine if the Bariatric Fusion Complete Nutrition dietary intervention would diminish insulin resistance complications in addition to weight loss in patients with morbid obesity and Type 2 diabetes mellitus (T2DM).

Methods: 15 patients with morbid obesity and T2DM underwent a 2-week dietary intervention with Bariatric Fusion Complete Nutrition consisting of four daily shakes (7g carb, 0g fat, 27g protein) mixed with water or skim milk (9 g carb, 0g fat, 6g protein). Patients were instructed to consume a minimum of 64 oz of clear liquids (i.e. water, flavored water, Crystal Light, Propel). Thus, the 14-day dietary intervention had a strict range of 550-785 calories distributed as 28-64g carb, 0g fat, and 108-132g protein. Anthropometric characteristics and a fasting blood draw were performed immediately prior to the start of the diet (day 0) and on the day of surgery (day 14).

Results: Following the 2-week dietary intervention weight was significantly decreased from 340.0 ± 72.9 to 328.9 ± 72.9 pounds (p<0.001). Fasting plasma glucose (148.5 ± 30.6 vs. 123.15 ± 35.6 mg/dL, p=0.0169) and insulin (19.0 ± 11.0 vs. 13.5 ± 5.7 uU/ml, p=0.0236) concentrations were also reduced. Insulin resistance as determined by the homeostasis model of assessment (HOMA-IR) was diminished from 7.3 ± 4.9 to 4.1 ± 2.0 (p=0.0140).

Conclusion: The Bariatric Fusion Complete Nutrition diet was associated with significant weight loss and correction of the insulin resistant state in patients with morbid obesity and T2DM. These findings support the continued use of the 2-week high protein, low-carb, no-fat diet before Roux-en-Y gastric bypass and highlight the importance of macronutrient intake on the maintenance of the hallmark insulin resistant state in obesity and T2DM.

What effect does Bariatric Surgery have on obesity-related health conditions?

Wed, 08 Jun 2011 12:11:54 -0400

The effect of bariatric surgery goes beyond weight loss in

people who are severely obese. In most patients, obesity-related

health problems disappear or greatly improve. For example, very

soon after a malabsorptive procedure, type 2 diabetes can improve

to the point that little or no diabetes medication is necessary.

Likewise, insulin-treated patients require much less insulin, and

most can discontinue insulin therapy by 6 weeks after surgery.

Bariatric surgery can also improve or resolve other conditions,

such as hypertension (high blood pressure), high cholesterol,

non-alcoholic fatty liver disease, obstructive sleep apnea, joint

disease, asthma, and infertility due to polycystic ovarian

syndrome. If you were taking medications before surgery to treat

conditions such as diabetes, high blood pressure, or high

cholesterol, you may need to adjust your dosage right after

surgery. It is important for your doctor to monitor such conditions

in follow-up exams.

How are vomiting and dumping syndrome managed?

Tue, 31 May 2011 19:53:44 -0400

Gastric Bypass, Lap Band and Sleeve Gastrectomy:

Vomiting and dumping syndrome are possible side effects of operations that reduce the size of the stomach. Vomiting occurs most commonly during the first few postoperative months, when you are adapting to a small stomach pouch. Vomiting can result from eating foods that are too tough—you need to gradually progress from liquid to soft to solid food. It may also be due to eating too quickly or too much, taking bites that are too big, or not chewing your food enough. Vomiting can also be caused by dehydration. To prevent vomiting, you need to pay attention to signs of fullness, eat slowly, and drink plenty of fluids. AGB patients may need an adjustment of the band. Dumping syndrome refers to a group of symptoms, such as nausea, weakness, light-headedness, and abdominal cramps, that occur when the undigested contents of your stomach are “dumped” into your small intestine too quickly. This rapid emptying can be triggered by too much sugar or fatty foods. Dumping symptoms tend to decrease with time and can usually be controlled with certain nutritional changes, such as:

• avoiding drinking liquids within 30 minutes of a solid-food meal

• increasing the amount of protein you eat

• avoiding simple carbohydrates (such as sugary foods and drinks), which are easily digested

• increasing your intake of fiber and complex carbohydrates (such as wholegrain foods), which take longer to digest

If this approach doesn’t work, then your doctor may prescribe a medication for you to take before meals to manage your

symptoms.

Types of Bariatric Surgery

Fri, 27 May 2011 12:06:04 -0400

What are the different bariatric procedures?

Fri, 27 May 2011 11:56:58 -0400

There are four operations commonly offered in the United

States for weight loss.

• Adjustable gastric banding (AGB).

In this restrictiveprocedure, an adjustable band is placed around the top of

the stomach, creating a small pouch that holds only a little

food. When the pouch is full, feelings of hunger go away

and you are ready to stop eating even though you have had

a small meal. Patients who have AGB lose less weight than

those who have malabsorptive procedures. Weight loss

depends on following a strict diet.

• Roux-en-Y gastric bypass (RYGB).

RYGB is mainly a restrictive operation but also includes some malabsorption.

Food intake is limited by stapling the stomach to create a

small pouch. Absorption is somewhat limited by cutting

and reattaching the small intestine so that the upper third

of the small intestine is bypassed and the remaining

portion is joined to the pouch.

• Biliopancreatic diversion with duodenal switch (BPDDS).

BPD-DS works by restriction and malabsorption.

It shortens the distance between the stomach and the

colon (large intestine) even more than RYGB and causes

more malabsorption. Most of the stomach is removed and

a tube-like stomach (called a vertical gastric sleeve) is

created. The sleeve remains connected to a very short

segment of the upper small intestine, which is then directly

connected to a lower part.

• Vertical sleeve gastrectomy (VSG).

VSG reduces the size of the stomach, so it restricts food intake

but doesn’t decrease absorption by the intestines. VSG has mainly

been performed as the first part of BPD-DS. However,

recent studies suggest that some patients who undergo

VSG lose weight with that procedure alone.

Alcohol after Gastric Bypass?

Tue, 24 May 2011 11:06:00 -0400

Alcohol Metabolism

There was a study that confirmed post operative gastric bypass patients will absorb alcohol at a faster rate than people who have not undergone the surgery. It will also take a post operative patient longer to reach sober levels after consuming alcohol than those who have not undergone the surgery. A study was conducted on 36 post operative patients and a control group of 36 subjects who have not undergone the surgery. Each subject was given a 5 oz of glass of red wine and the alcohol in their breath was measured to evaluate their alcohol metabolism. The gastric bypass group had an average peak alcohol breath level at 0.08%. The control group had an average peak alcohol breath level of 0.05%. It took on average 108 minutes for the gastric bypass patients group to return to an alcohol breath of zero, while it took the control group an average of 72 minutes to return to an alcohol breath of zero.Patients who have undergone gastric bypass surgery will have a lower tolerance than people who have not gone through the surgery. It will also take a gastric bypass patient longer to return to a sober level after drinking alcohol than a person who has consumed alcohol that has not had the surgery.

Nutritional deficiencies after Gastric Bypass for Morbid Obesity cannot be prevented by Standard Multivitamin Supplementation1,2

Tue, 17 May 2011 11:37:04 -0400

Christoph Gasteyger, Michel Suter, Rolf C Gaillard, and Vittorio Giusti

ABSTRACT

Background: Despite the increasing use of Roux-en-Y gastric bypass

(RYGBP) in the treatment of morbid obesity, data about postoperative

nutritional deficiencies and their treatment remain scarce.

Objective: The aim of this study was to evaluate the efficacy of a

standard multivitamin preparation in the prevention and treatment of

nutritional deficiencies in obese patients after RYGBP.

Design: This was a retrospective study of 2 y of follow-up of obese

patients after RYGBP surgery. Between the first and the sixth postoperative

months, a standardized multivitamin preparation was prescribed

for all patients. Specific requirements for additional substitutive

treatments were systematically assessed by a biologic workup

at 3, 6, 9, 12, 18, and 24 mo.

Results: A total of 137 morbidly obese patients (110 women and 27

men) were included. The mean (_SD) age at the time of surgery was

39.9 _ 10.0 y, and the body mass index (in kg/m2) was 46.7 _ 6.5.

Three months after RYGBP, 34% of these patients required at least

one specific supplement in addition to the multivitamin preparation.

At 6 and 24 mo, this proportion increased to 59% and 98%, respectively.

Two years after RYGBP, a mean amount of 2.9_1.4 specific

supplements had been prescribed for each patient, including vitamin

B-12, iron, calcium _ vitamin D, and folic acid. At that time, the

mean monthly cost of the substitutive treatment was $34.83.

Conclusion: Nutritional deficiencies are very common after

RYGBP and occur despite supplementation with the standard multivitamin

preparation. Therefore, careful postoperative follow-up is

indicated to detect and treat those deficiencies.

www.bariatricfusion.com

Bariatric Vitamins after Weight Loss Surgery

Sun, 15 May 2011 15:00:00 -0400

While weight loss surgery can and does change lives for the better, it requires lifelong lifestyle changes. This includes taking supplements of important vitamins and nutrients to stave off deficiencies that can be caused by the surgery.

Some bariatric surgeries — such as gastric bypass, biliopancreatic diversion (BPD) and duodenal switch (BPDDS) — work by malabsorption, meaning that the body blocks the absorption of certain vitamins and minerals. This can result in serious nutritional shortfalls. Other restrictive procedures — such as Lap Band — also may cause nutritional shortfalls because people can no longer eat certain types of food and must restrict the volume of those foods that they can tolerate.

Nutritional needs vary based on the individual as well as the type of surgery, but here’s a primer on your post-bariatric surgery nutritional needs.

Multivitamins

Most bariatric surgeons will suggest a daily multivitamin after weight loss surgery. However, multivitamins alone may not meet your specific nutritional needs. Talk to your doctor to see if you have to supplement your supplement.

Tip: Chewable and liquid multivitamins are the most easily absorbed, and are recommended after all bariatric surgery procedures. They are also less likely to cause heartburn and ulcers after gastric banding and gastric bypass surgery.

Protein

You must consume sufficient amounts of protein after bariatric surgery. Protein speeds wound healing, preserves lean body mass and enhances fat-burning. Most registered dieticians (RDs) recommend eating high protein foods first to avoid becoming too full, too fast, and not having room later on. Most people need to eat approximately four ounces (or more) of protein each day. Specific recommendations vary. Talk to your doctor or an RD.

Iron

Anemia is common in the months and years following weight loss surgery. Iron deficiency is the most common cause of anemia after bariatric surgery. This risk is heightened after gastric bypass and other malabsorptive surgeries in women who are still menstruating, and in the super-obese (body mass index of 50 or above). Some people may need more than what is found in their multivitamin. Talk to your doctor about how much iron you need.

Tip: Do not take iron supplements with tea, cola, coffee, calcium citrate or the thyroid medicine levothyroxine because they can interfere with absorption. Taking vitamin C with your iron supplements aids iron absorption. Either a Vitamin C pill or glass of orange juice can do the trick.

Vitamin B12

Most multivitamins do not contain adequate levels of B12. Some surgeons may suggest (and offer) monthly vitamin B12 shots. Others may recommend 500 micrograms of B12 taken under the tongue (sublingually) daily. These are readily available at many drug stores. Regardless of the form, vitamin B12 may help boost your metabolism, and enhance your weight loss efforts as you begin your life after bariatric surgery.

Folate

Folate or folic acid is another B-vitamin. Folic acid is known to prevent neural tube defects in pregnant women. It also prevents anemia, certain cancers and heart disease. Your multivitamin should contain 400 to 800 micrograms of folate. Ask your doctor if you need more. Foods that are rich in folic acid include leafy green vegetables, citrus fruits, berries and melon, dried beans, peas and nuts. Enriched breads, cereals and other fortified grain products also contain folic acid.

Calcium

Calcium is important for bone health. After weight loss surgery, you may be at risk for the brittle bone disease osteoporosis and related fractures. This is a direct result of the nature of the surgeries. To compensate, most surgeons recommend a diet rich in calcium, combined with 1,200 to 1,500 milligrams of calcium supplements, split into two doses and taken twice daily. Older women may require more calcium.

Vitamin D

Vitamin D aids the absorption of calcium, which is needed to build strong bones after weight loss surgery. It is known as the sunshine vitamin because the human body produces it only when exposed to sunlight. Vitamin D also is added to multivitamins and milk.

Vitamin D deficiency is linked to a host of chronic diseases, including certain cancers, heart disease, osteoporosis, stroke, diabetes, immune system problems and inflammatory diseases. What’s more, obesity increases risk of Vitamin D deficiency.

Recommendations for vitamin D supplements are tiered based on blood levels. Most surgeons recommend supplementation starting at 2,000 international units per day. Get tested to see where you stand.

Vitamin A

Some people may become deficient in vitamin A following weight loss surgery. This fat-soluble vitamin is important for vision, particularly at night. The risk of vitamin A deficiency is heightened after BPD and BPDDS. Your surgeon should test your levels and suggest supplements accordingly.

Zinc

Zinc deficiency may occur after bariatric surgery. This mineral is an essential building block for hair, skin and teeth. Make sure your multivitamin contains adequate amounts of zinc.

Vitamin B1 (Thiamine)

Thiamine deficiency may occur after weight loss surgery due to reduced acid production, restriction of food intake and frequent vomiting. This may lead to nerve problems and memory loss. Make sure your multivitamin contains sufficient thiamine, especially if you are vomiting frequently after surgery.

There are many companies that manufacture supplements specifically for people who have had bariatric surgery. See if there is a specific product line that your surgeon recommends. These supplements will likely be needed for the rest of your life. Do not stop taking them without discussing it with your bariatric surgeon or primary care doctor.

www.bariatricfusion.com

Some Simple Ideas to Help You Get Motivated to Exercise (must read)

Sun, 15 May 2011 14:41:33 -0400

How you feel after a workout. I always feel great after a good workout. It’s a high. And I let that motivate me the next time: “You know how good you’re going to feel, Leo!”
Time for you. While many people make time to take care of others (kids, spouse, other family, co-workers, boss), they don’t often make time to take care of themselves. Instead, make your “you” time a priority, and don’t miss that exercise appointment.
Calories burned. If you count calories (and it’s really one of the most effective ways to lose weight), you know that the more you exercise, the more calories you burn — and the bigger your calorie deficit.
Having fun. Exercise should be fun. If it isn’t, try a different kind of activity that you enjoy. As long as you’re moving, it’s good for you.
How you’re going to look. Imagine a slimmer, fitter you. Now let that visualization drive you.
Magazines. It motivates me to read fitness magazines. Not sure why, but it works.
Cover models. Sure, they’re genetically freaky, and probably Photoshopped to look perfect. But for some reason, looking at how good a cover model looks helps motivate me to work harder.
Blogs. I enjoy reading blogs about people who are into running, or losing weight. It can show the ups and downs they go through, and you can learn from their experiences.
Success stories. I find the success stories of others incredibly inspirational. If a fitness website has success stories, I’ll almost always read them.
Forums. Join a forum full of like-minded or like-goaled peopled. Check in daily. It really helps.
Rewards. If you exercise for a few days, give yourself a reward! A week? Another reward. Do it often in the beginning.
Fitting into new clothes. Wanna look good in a smaller size? Work out!
Being attractive. That’s always a good motivator, as I’m sure we all know.
Adrenaline rush. I get a rush when I exercise. Ride that rush to complete the workout.
Stress relief. Wound up after a long day at the office? Get out and work off that stress. It makes a world of difference.
Time for contemplation. I love, love the quiet time of exercise for thinking about things. Most of this post was written in my head as I exercised.
A workout partner. Best thing I’ve done.
An exercise class. Sign up for a class, perhaps with a friend, and you’ll be motivated to get there and work out.
A coach or trainer. Worth the money, just for the motivation.
An exercise log/graph. For some reason, writing it down is extremely important. Really. Do it for a week and you’ll see what I mean.
Your before picture. You often don’t realize how far you’ve come. Take pictures.
A 5K race or triathlon. Just sign up for one, and you’ll be motivated to train.
The dread of feeling “yuck” from not exercising. I hate how I feel after not exercising. So I remind myself of that when I feel tired.
Living long enough to see your grandkids … and play with them.
The scale. It’s not motivating to weigh yourself every day, as your weight fluctuates. But if you weigh yourself once a week, you’ll be motivated to have it keep going down, instead of up. Combine the scale with the measuring tape, and measure your waist.
Reaching a goal. Set a goal for weight, or your waist measurement, or a number of days to work out, or a number of miles to run this week. Setting and tracking a goal helps motivate you to complete that goal. Make it easily achievable.
Posting it on your blog. Tell people you’re going to lose weight or exercise daily, and report to them. You’ll make it happen.
Motivational quotes. I like to print them out or put them on my computer desktop.
Books. I just bought a strength-training book as a reward. It makes me want to hit the weights!
Others commenting on how good you look. When someone notices the changes in your body, it feels good. And it makes you want to work out more.
An upcoming day at the beach, or a reunion. Nuff said

Exercise after Gastric Bypass

Fri, 13 May 2011 11:24:00 -0400

http://bariatricfusion.com/bf-15x.php *15 minute full body exercise routine

One of the underlying premises of almost all gastric bypass surgery programs is that gastric bypass patients can experience a wide range of benefits from exercising on a regular basis. Without question, exercise can play a critical role helping gastric bypass patients achieve long-term success in their efforts to fully recover from surgery and engage in a “normal” routine of activities. However, certain exercise training considerations and precautions exist for these individuals.

Benefits of Exercise Training for Gastric Bypass Surgery Patients

Helps preserve lean body mass
Aids in maintenance of weight loss
Helps maintain muscle strength and endurance
Helps develop and maintain muscle tone
Promotes joint stability
Enhances bone strength and integrity
Improves ability to perform activities of daily living (ADL)
Promotes improved skin elasticity
Boosts immune system
Elevates mood
Enhances self esteem and confidence
Reduces stress and anxiety
Improves overall health, well-being, and mental outlook

Within the first 15-30 days after gastric bypass surgery, patients are typically very sore and uncomfortable. During that time, bariatric surgeons may prescribe a simple walking program for their patients. In most instances, patients are encouraged to walk at least three times a day for 5 to 10 minutes at a time, gradually increasing the duration of each walking bout as tolerated. Other forms of exercise are generally not recommended during this period. In fact, resistance training is contraindicated during at this time.

Depending on the fitness level of the patient, bariatric surgeons may approve of other types of exercise activities to be undertaken, beyond walking, at some point between 30 – 90 days after surgery. Aquatic activities tend to be a popular choice, since most exercise movements are more easily performed in water and the level of stress on the body’s joints is minimal. To the degree that they can tolerate them, patients can also engage in other low-impact, aerobic exercise activities. Regardless of what activities are part of a person’s exercise regimen, all aerobic workouts should stay at an exercise intensity level where speaking is comfortable.

As a rule, strength training exercise usually isn’t included in a gastric bypass surgery patient’s exercise program until about 60-90 days after the procedure to ensure that the body has been given sufficient time to heal. Furthermore, exercises targeting the abdominal and lower back regions are typically not recommended until at least six months after surgery. In addition, high-intensity and near-maximal load resistance training is normally precluded until almost a year post-surgery. Finally, caution should be taken when performing exercises that require a significant degree of balance and coordination (e.g., squats, lunges, step-ups). Because of the patient’s rapidly changing body weight following a bariatric procedure, which alter the body’s center of balance, these types of exercises are not recommended during the first six months after surgery.

A well-designed and supervised exercise program is an essential component of a successful gastric bypass surgery program. As such, it is recommended that you work with your bariatric surgeon and a properly-trained fitness professional to develop a program that addresses your unique needs. By creating a program based on your personal preferences and abilities, the likelihood that you will experience long-term success in your pursuit of healthy active lifestyle will be greatly enhanced.

http://bariatricfusion.com/bf-15x.php *15 minute full body exercise routine

Obesity Surgery Can Cure Diabetes, Study Finds

Wed, 11 May 2011 11:27:49 -0400

“Obesity surgery helps patients do more than shed weight - it often cures their diabetes, high blood pressure and high cholesterol, researchers say.

The research - an analysis of 136 studies - found that such operations are more than cosmetic. They appear to alter the patient’s body chemistry itself and eliminate or relieve conditions that can lead to heart attacks, strokes and kidney failure…

Diabetes was eliminated in nearly 77 percents of the affected patients; high blood pressure was eliminated in nearly 62 percent; cholesterol improved in at least 70 percent; and obstructive sleep apnea - episodes when breathing stops during sleep - disappeared in almost 86 percent. All four conditions are strongly linked to obesity and can have lethal consequences.

- Journal of the American Medical Association

Bariatric Vitamins

Mon, 09 May 2011 20:38:17 -0400

JCEM The Journal of Clinical Endocrinology & Metabolism

Endocrine and Nutritional Management of the Post-Bariatric Surgery Patient:

-An Unbiased Clinical Practice Guideline from the Endocrine Society-

David Heber, Frank Greenway, Lee Kaplan, Edward Livingston, Javier Salvado and Christopher Still

J. Clin. Endocronil. Metab. 2010 95: 4823-4843, doi: 10.1210/jc.2009-2128

**Elemental Calcium 1200-2000 mg daily, Carbonate or Citrate -recommended *Bariatric Fusion 1200 mg*

**Vitamin B12 350 mcg daily -recommended *Bariatric Fusion 560 mcg*

**Folic Acid 400 mcg daily -recommended *Bariatric Fusion 800mcg*

**Vitamin A 5000-10000 IU daily -recommended *Bariatric Fusion 7500 IU*

**Vitamin D 1000 IU daily -recommended *Bariatric Fusion 2000 IU*

**Thiamine 10 mg daily -recommended *Bariatric Fusion 12 mg*

Bariatric Fusion Complete Chewable Vitamin & Mineral Supplement exceeds all of the major recommendations of The Endocrine Society Clinical Practice Guidelines

www.BariatricFusion.com * Bariatric Vitamins

#1 Gastric Bypass Vitamins * Bariatric Supplements

Risks of Bariatric Surgery

Sun, 08 May 2011 12:34:39 -0400

As with any surgery, there are potential risks to consider. Although death and major surgical complications are infrequent, some problems require additional surgery or hospitalization. Ask your surgeon to explain the specific risks of the procedure planned for you. The most commonly occurring complications associated with bariatric surgery are as follows:

www.bariatricfusion.com * Bariatric Vitamins

• Leak - Seepage of digestive fluid from a hole in the gastric band or along any of the staple or suture lines
• Bowel obstruction - Blockage in the small intestine passageways
• Pulmonary embolus - A blood clot which forms in the pelvis or lower extremity, breaks loose and travels to the lungs
• Other pulmonary problems - Inadequate breathing or pneumonia
Pulmonary complications frequently occur in patients who smoke and therefore are avoidable.
• Wound infection - Thick layers of abdominal wall fat tissue are less able to fight infection from bacteria that may enter through incisions.
• Splenectomy - Since the spleen is close to the stomach, uncontrollable bleeding from adhesions or trauma may necessitate its removal.
• Incisional hernia - Inadequate wound healing may need later surgical repair.
• Stricture/esophagitis - Irritation or narrowing in the gastric pouch or its outlet. If this occurs, a gastroenterologist may need to use an instrument called an endoscope to stretch the stricture.
• Gallstones - Symptomatic gallbladder disease may require its removal
• Vitamin/mineral deficiency - Inadequate amounts of iron, calcium, or B12 may be corrected by oral supplementation or injections.
• Pancreatitis - Infection of the pancreas.
• Band slippage – The gastric band may move from its proper position requiring additional surgery or removal.
• Band erosion – The gastric band may wear down and imbed itself in the stomach wall requiring additional surgery or removal.
• Port site infection/hernia – The area around the gastric band port may heal inadequately or become infected. Additional hospitalization or surgery may be required.

Other Concerns

• Hair loss - inadequate amounts of protein in the post-surgical diet can contribute to temporary hair loss.
• Complications with pregnancy and childbirth - women are strictly advised to use effective birth control* methods for at least 12 months after weight loss surgery to avoid problems with fetal development. Gastric band patients who become pregnant will be evaluated for band tightness or continued band placement.
*Obesity is often associated with infertility. 1 Women who’ve had trouble conceiving prior to surgery, may in fact, become fertile after significant weight loss.
• Excessive skin - some patients may develop irritations or other problems related to saggy, redundant skin after dramatic weight loss. This may require surgical removal, commonly from regions of the abdomen, upper arms, breasts, and thighs.
• Nausea/vomiting - food intolerances may occur
• Lactose intolerance - Unpleasant symptoms like diarrhea, cramping, and abdominal discomfort may develop after dairy consumption
• Weight regain - Patients who do not adhere to the guidelines recommended for proper nutrition, regular exercise, and behavior change are at risk for weight regain

www.bariatricfusion.com * Bariatric Vitamins

Bariatric Surgery Options (Weight Loss Surgery Options)

Sat, 07 May 2011 20:27:00 -0400

Obesity is a growing concern that has been established as a critical health issue. In the United States alone, obesity affects approximately 30% of the population and is the second leading cause of preventable death.

Physical, emotional, cultural and societal factors influence obesity. It is a disease that contributes to many medical conditions including Type 2 Diabetes, cardiovascular disease, hypertension, sleep apnea, osteoporosis, edema and clinical depression.

Comprehensive treatment of obesity is available and focuses on weight loss, medical conditions and a person’s emotional and psychological state. Most comprehensive programs are effective for people who need to lose at least 100 pounds, or 75 pounds or more with co-morbidity factors. Curing obesity is not just about weight loss but about regaining control.

www.bariatricfusion.com * The New Standard in Bariatric Vitamins and Bariatric Supplements

Surgical Options

For an overview of our surgeons and surgical options, be sure and watch the video below.

Gastric Bypass

An effective and common surgical treatment for weight loss is the Roux-en-Y Gastric Bypass surgery, endorsed by the National Institutes of Health as an effective solution to permanent weight loss. This procedure requires no removal of the stomach but rather a reduction of stomach capacity. This is achieved with surgical stapling by creating a smaller stomach pouch and adding a bypass around a segment of the stomach and small intestine. Food is redirected, limiting the amount of calories absorbed. After Roux-en-Y gastric bypass, many patients find that their Type 2 Diabetes is controllable.

Adjustable Gastric Banding

An increasingly common surgical option includes Adjustable Gastric Banding, an inflatable, adjustable band placed around the upper part of the stomach. The band restricts the allowable amount of food consumption. Adjustable Gastric Banding can be modified to each individual by being adjusted or removed if necessary. The surgery is done laparoscopically and considered minimally invasive.

Our surgeons are specially trained in Bariatric Revision Surgery.

Temple Community Hospital surgeons work with each patient to determine the best available surgical option.

Laparoscopic Adjustable Gastric Banding

A gastric banding procedure that employs either the LAP-BAND System or the Realize Band is really a purely restrictive surgical treatmentwhen a hollow band is placedround the uppermost part of the stomach, thus dividing the stomach into two portions, one small , one large portion. This guitar rock band restricts the outlet from the smaller portion towards the larger portion, slowing the emptying of food and developing aa feeling of fullness. This feeling of fullness may be the primary mechanism by whichthe band produces weight reduction. Because there is no “bypass” component tothis process, food digestion occurs through the normal digestive and absorption process.

Benefits of Gastric Banding:

The quantity of food that may be consumed in a meal is restricted.
Food that is consumed passes through thedigestive tract in the usual order, allowing nutrients to be fully absorbed intothe body.
In a US study, the mean weight loss at three years after surgery was 36.2% of excess weight.
The Band can be adjusted being an office- based procedure using a port which lies just beneathyour skin. Adjustments encourage the surgeon to increase or decrease restriction.
May function as the procedure of choice for patients struggling with inflammatory bowel disease.
The surgery is reversible.

Disadvantages of Gastric Banding:

For optimal weight loss, regular follow-upis essential.
Surgical risks include band slippage
Surgical risks include band slippage out of place, band erosion into the stomach lining, and issues withthe main harbour underneath the skin. These complications may need another surgery to correct.

The lap band

The lap band surgery or realize band surgery product is a silastic adjustable “belt” placed around thetop of the stomach. It had beenapproved by the FDA for thattreating obesity in 2001. The “belt” is attached to tubing which is then mounted on a port that isplaced under the abdominal skin. The tightness from the “belt” is adjusted throughout a routine office visit where fluid is instilled into or removed fromthe main harbour. The thingis to adjust the bandtowards the size which allowsthe patient to lose about one to two pounds per week and feel full when eating solid protein.

Once the band is placed during surgery, it’s empty. Patients consume a very strict postoperative diet program after surgery. This allowsthis guitar rock band to heal in placebefore the filling of the band. Patients are noticed routinely following this six week period to adjust the tightness of the band based onhow quickly the individual is slimming down and what they are eating. Throughout the patient’s lifetime, he or shewill require occasional fine tuning from the band to maintainthe load loss.

Maximum weight losswith the band will usually take two to three years to accomplish, which means thatweight loss is slow and consistent with timeif the patient adheres towards the prescribed diet. Patients that continue to eat sweets after lap band surgery will be disappointed using theirweight loss.

Laparoscopic Sleeve Gastrectomy

This processreduces the stomach volume by stapling and dividing the stomach vertically, removing approximately 85% of the organ. The remainingpart of the stomach resembles an extremely narrow “sleeve”. The stomach nerves and the pylorus stay in tact, allowing the stomach function to be uninterrupted, while at the same time greatly reducing its volume. Much oftop of the portion of the stomach, that isresponsible for producing the hunger hormone ghrelin, is taken away.

Advantages of Sleeve Gastrectomy:

No foreign body implants.
Restricts the amount of food that may be ingested previously.
Helps control hunger due toremoval of top of thepart of the stomach.
Digestion occurs normally since there is no “bypass”.
This procedure might be safer for that extremely dangerously obese patient and peoplesuffering from numerous health risks.

Disadvantages of Sleeve Gastrectomy:

This is really arelatively new procedure.
Sleeve Gastrectomy is non-reversible.
Sleeve Gastrectomy isn’t adjustable.

The Laparoscopic Sleeve Gastrectomy (LSG)

The Laparoscopic Sleeve Gastrectomy (LSG) is a surgical option that induces weight reduction by restricting food intake. With this procedure, approximately 70 to 80 percentfrom the stomach is taken away laparoscopically so the stomach takes the formof a tube or “sleeve” that is roughly the dimensions and shape of a hot dog. The portion of stomach that’s removed is among the key areas that produce grehlin, a hormone which stimulates hunger and appetite.

Because the operation does not involve any “rerouting” or reconnecting of the intestines, it’s aeasier operation compared to gastric bypass or even the duodenal switch. In addition, unlike the Lap-Band® procedure, the sleeve gastrectomy doesn’t need implantation of an artificial device within the abdomen.
Studies showweight reduction is all aboutjust like a Roux n Y Gastric Bypass. This weight reduction happens quickly (over oneto 1.5 years – just like RnY Gastric Bypass). The complication rate is slightly less than the RnYGB. The LSG has onlyfive years of published data behind it.

Individuals whoshould think about the Gastric Sleeve procedure include the following:

Those people who areconcerned about the possibilitylong-term side effectsof an intestinal bypass
Those who areworried about a foreign object inside the abdomen (band).
Anyone who has significantly higher risk of complications after operation depending on BMI (more than 60 for example) or serious medical conditions
People whoshould always take anti-inflammatory medications or are awaiting transplant (and willneed to take anti-rejection meds)

Gastric Sleeve as a Step Toward Gastric Bypass

For patients

For patients with abody mass index greater than 60, the sleeve gastrectomy could be the first a part of a two-stage operation. Some patients possess abody shape that may make bariatric surgery more technically difficult – specially those patients who carry their weightin their belly. Should youfall into this category, you maytake advantage of a two-stage bariatric surgery.
In the first stage, a sleeve gastrectomy is performed. This allowsa patient to lose 80 to 100 pounds or more, making the 2ndpart of the operation substantially safer.

The Roux-en-Y Gastric Bypass

The Roux-en-Y Gastric Bypass is recognized as by many doctors to bethe present “gold standard” process ofbariatric surgery. It is themost frequently performed weight loss procedure in the United States. In this procedure, stapling creates a small stomach pouch. The remainder of the stomach is not removed, but is totally stapled shut and divided in the lower stomach pouch. The outlet out of thisnewly formed pouch empties into the lower part of the intestine (the jejunum), thus bypassing the duodenum and reducing calorie absorption. The length of the “bypass” can be increased to produce lower or higherlevels of malabsorbtion.

Benefits of Gastric Bypass:

The average excess weightloss in the Roux-en-Y procedure is usually higher in a compliant patient compared to purely restrictive procedures.
One year after surgery, weight reduction can average 77% of excess body weight.
Studies show that after10 to 14 years, 60% of excess body weight loss continues to be maintained by patients.
Provides appetite suppressioninside a large percentage of patients.
Requires less behavioral modification.
Less tolerance for foods full offat and sugar, this cuts down on thechance of “cheating.”
Does not require the permanent implantation of the foreign body.
Time tested procedure with follow up data exceeding 15 years.

Disadvantages of Gastric Bypass:

Bypassing the main small intestine can lead to poor absorption of certain vitamins, including iron and calcium.
The surgery isn’t reversible.
“Dumping Syndrome” may appear, a condition thatleads to the rapid emptying of the stomach into the small intestine. This usually only happens whentoo much sugar or large amounts of food are ingested. The results of dumping syndrome include nausea, weakness, sweating, faintness, and/or diarrhea after eating.

The Roux-en-Y Gastric Bypass surgery is the most popular weight loss surgerywithin the U.S. It was initially performed over 40 years agoand has been modified numerous times. It’s considered the “Gold Standard” within the U.S. as compared to other common weight loss operations. Our surgeons are highly trained and skilled to perform the Gastric Bypass surgery using non-invasive surgery techniques, also called laparoscopic surgery.

The restriction of intake of foodas the result of a bypass is accomplished by dividing the stomach into two parts. One part is extremely small (the brand new pouch), and also theother area, while much larger, isn’tsubjected to food again. The brand new stomach, or pouch, holds under one ounce, which translates into about 2 or 3 bites of food.

Once the bypass is surgically complete, the process of digesting one’s food is slightly changed. Whenever a patient swallows food, it passes with the esophagus and also the new stomach pouch into a segment from the small intestine called the “Roux limb.”

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Bariatric Surgery

Sat, 07 May 2011 20:18:02 -0400

Bariatric surgery, also referred to as weight loss surgery, is becoming increasingly popular nowadays to help the dangerously obese permanently greatly reduce his or her excess fat. In the past ten years the amount of surgeries has grown over 10-fold with about two hundred and twenty,thousand procedures occurring in america in 2008 alone. Bariatric surgery has become the only reliable, long-lasting alternative that have an 85-90% rate of success. Patients could possibly reduce more than about half his or her unwanted body volume after bariatric surgery and the actual risks of surgical procedures tend to be minimal in comparison to the risk of doing nothing at all about morbid obesity and also associated health issues.

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Bariatric surgery is really a tool to aid with weightloss. Even so, it isn’t a cure for obesity. People who might possibly have the surgery need to make lifestyle changes. A proper diet plus physical fitness are essential together with surgery for permanent weight loss.

Bariatric surgery was designed to enable individuals drop some weight quickly while lowering or perhaps doing away with co-existing health conditions.

Individuals who might contemplate bariatric surgery include those with a body mass index above 40, which is about a hundred pounds over weight for males and 80 pounds for females. People with a body mass index between thirty-five and forty who are suffering from type 2 diabetes, and also life-threatening cardiopulmonary problems such as severe sleep apnea or even obesity-related heart disease, can also be candidates regarding surgery.

Bariatric surgery is conducted under general anesthesia and commonly takes 1-4 or more hrs, depending on the type of bariatric surgery that you will be having. Each kind is performed in a different way. Some are usually open and some are laparoscopic.

Bariatric medical procedures limits stomach size, or leads to diminished absorption of nutrition, or both. These treatments provide dramatic health advantages, which includes reversal of type 2 diabetes along with prevention of cancer. However, as with every surgery, you’ll find risks and things to consider.

Bariatric surgery customarily has long been performed only in adults whose weight problems triggered serious health issues. Until recently, only some centers in the united states performed weight loss surgery in teens – often as part of clinical tests. But the surgery has started to become more common in obese teens, and new research suggests it is actually more efficient than diet and exercise.

Bariatric surgery is medically indicated for morbidly obese patients who do not respond to dietary, behavioral, dietary, in addition to health related treatment plans, with apparent proof of effectiveness as well as safety. Body mass index and age-based candidacy rules should never restrict access for people experiencing progressive or inadequately managed obesity-related co-morbidities if the risk-versus-benefit analysis favors surgery. Laparoscopic RGB, AGB, and BPD have all been proven effective.

Bariatric surgery can be a proven surgical approach to affect the way you consume so you’ll slim down. A little pouch is produced along the inner curve of one’s stomach, lowering the size of your stomach so it holds about one ounce of food, as opposed to the typical 20 to thirty oz. This will let you control your weight with out feeling hungry.

After a while, bariatric surgery patients can anticipate to shed quite a lot of extra body weight – as much as 65% or maybe more. Although the degree of weight reduction – plus the timeframe it may be attained within – varies slightly with each procedure type, it may be sustained with permanent changes to lifestyle habits.

After bariatric surgery, resuming your regular life involves modifications in your lifestyle. The most crucial change may be the level of food you can eat after the bariatric surgery. Most bariatric surgeries reduce stomach capacity to a few oz or less of food or liquid. In the beginning, you may have much less energy with regard to day to day activities after the surgery. Recovery time varies, but many people can return to normal activities within six weeks of bariatric surgery.

Every type of bariatric surgery involves a different approach, but there are many similarities. Bariatric surgery is performed under general anesthesia and in most cases takes about 1-4 hours

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Lap Band® Surgery, Gastric Bypass, and Diabetes

Fri, 06 May 2011 21:54:25 -0400

In addition to weight loss, bariatric surgery is also associated with many significant health benefits. Perhaps most importantly, bariatric surgery often cures type 2 diabetes. The best evidence to date shows that among individuals with type 2 diabetes who undergo bariatric surgery, diabetes completely resolves in approximately 77 percent and resolves or improves in 86 percent. In addition to improved health, this may result in significant financial savings as well. When compared with the cost of a lifetime of diabetes treatment, bariatric procedures like Lap Band surgery or gastric bypass may in fact be the most economical option. When data from over 130 independent studies were combined and analyzed^(1,2,3) the following health benefits were found for those who underwent bariatric surgery:

Type 2 diabetes completely resolved in 77% of individuals and resolved or improved in 86% of individuals.
High cholesterol improved in approximately 70% of individuals.
High blood pressure resolved in approximately 62% of individuals and resolved or improved in 79% of individuals.
Obstructive sleep apnea resolved in approximately 86% of individuals and resolved or improved in 84% of individuals.
Gastroesophageal reflux (GERD) symptoms improved in many patients with this disorder.
Deaths from all causes were reduced by 40%, death from diabetes was reduced by 92%, death from coronary disease was reduced by 56%, and death from cancers was reduced by 60%.

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Controlling Type 2 Diabetes with Bariatric Surgery

Fri, 06 May 2011 21:47:00 -0400

This is particularly true in controlling type 2 diabetes. According to the American Society for Metabolic and Bariatric Surgery, obesity is a complicating factor in 80% of cases of type 2 diabetes. Even a small amount of weight loss can affect the disease, so it’s not too surprising that the loss of a substantial amount of weight can help control blood sugar levels in the body.

In fact, nearly 77% of diabetic patients who participated in an American Medical Association study didn’t require their medications after bariatric surgery and 86% experienced less severity of the disease.

Further studies are trying to figure out what other mechanisms come into play besides weight loss when a diabetic patient undergoes bariatric treatment. This includes research into which procedures offer the most benefits to diabetic patients.

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Risks of Being Obese

Fri, 06 May 2011 21:41:41 -0400

Obesity is a serious health problem. Left unchecked, obesity can impact nearly all of your body’s systems and lead to additional conditions that not only affect your quality of life, but can also significantly reduce your life expectancy. In fact, research on obesity shows that a person who is obese has a 40% greater chance of dying prematurely than an average-weight person.

Health issues and symptoms of obesity that can arise because of obesity include:

Type II Diabetes
High blood pressure
Heart disease
Cancer
Osteoarthritis of weight - bearing joints
Respiratory problems
Gastroesophageal reflux disease
Infertility, Gestational diabetes, Pre-eclampsia
Urinary stress incontinence
Menstrual irregularities
Depression
Suicide
Alzheimer’s disease

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