The Dr. Oz Show
Airdate: January 23, 2012
Dr. Oz: The Most Underperformed Surgery You Should Be Getting
- Could more people be eligible for gastric bypass surgery?
- Four step plan to lose weight while you sleep
- Four products for a better night's sleep
- What your dreams could be telling you about your health
It's the most underperformed surgery in the country yet, Dr. Oz says, it could prevent heart disease, cancer, and diabetes. Why are more people not taking advantage of it. Dr. Oz provides a check list to determine if gastric bypass surgery is right for you. Could more be eligible for gastric bypass surgery than previously thought?
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Dr. Oz: The Most Underperformed Surgery You Should Be Getting
Only 1% of eligible patients actual get gastric bypass surgery. Those who do have the surgery have reported instant weight loss and a reversal of Type 2 Diabetes overnight. Dr. Oz says gastric bypass is may be appropriate for a greater amount of the population that previously thought, and that includes people who are not obese.
Gastric bypass surgery has been previously reserved as the last resort for the morbidly obese. In the news now, is information showing that 80% of patients who has gastric bypass surgery saw an immediate reversal of Type 2 Diabetes. Should people with Type 2 Diabetes, then, consider having the surgery?
How does gastric bypass surgery cause such an immediate reversal of Type 2 Diabetes?
Dr. Denise Bruner, MD, Bariatic Physician, explained that the hormone that stimulates appetite is bypass and instead gastric juices flood the intestines which sends a message of fullness to the brain. Two days later after surgery, she says, patients are completely off all diabetes medications.
Dr. Oz showed an animation of how gastric bypass surgery works. A cut is made at the top of the stomach to make a new smaller one the size of a thumb. Then a part of the intestines is attached to the new smaller stomach. The part of the intestine still attached to the large part of the stomach is then attached along side the part of the intestines connected to the new small pouch allowing gastric juices from the stomach to digest the food as it passes through the intestines.
James Rosser, MD, FACS, Chief of Minimally Invasive Surgery and Director of the Advanced Medical Technology Institute, says that himself has had gastric bypass surgery.
At 6' 4” and 450 pounds and suffering from sleep apnea, arthritis and high blood pressure, Dr. Rosser felt gastric bypass surgery was his best option for help. Today he is 290 pounds and says he's still a big human but a healthier human.
Dr. Oz asked if having gastric bypass surgery is a cop-out for people who can't achieve weight loss on their own? Dr. Rosser explained that when he was heavier, no matter how much he ate he was still hungry. He says the miraculous thing about gastric bypass surgery is that patients have a better control of appetite providing a tool for people to help themselves. Note, this surgery does not address emotional issues of eating but it does provide a better place from which to begin to lose weight.
Dr. Bruner explained that gastric bypass surgery is an option for those who have lost weight and not been successful over time. The ideal candidate is 100 pounds over weight with a BMI of 40 or more
or with a BMI of 35 as well as obesity-related medical issues. This new category of eligibility increase the the number of people who may be considered, but are so few people taking advantage of the surgery?
Dr. Rosser explained that because disasters concerning gastric bypass surgery get more press than successful surgeries. It's a safe surgery, he says.
Doctors are not trained in nutrition, explains Dr. Bruner. This lack of knowledge creates a misconception about obesity that can make treat it a challenge for many doctors.
While Dr. Rosser insists gastric bypass surgery is safe, he explains that there are risks. The biggest risk is leaking from the new connections within the first 24 hours and within the first two weeks. Patients also have to commit to a life of taking vitamins.
[Gastric bypass patients are required to take vitamins for the rest of their lives because their stomachs and their meals are so small they are unable to get the necessary nutrients from their food. If they do not take their vitamins, serious nutritional deficiencies can develop.]
How quickly can patients see results?
To find out, Dr. Oz followed a patient, Joelle, as has the surgery in his hospital, New York Presbyterian. Joelle was never able to lose weight despite multiple attempts. She suffered from high blood pressure, and sleep apnea. She told herself that if she was diagnosed with diabetes then she would have gastric bypass surgery. In December, 2010 she was diagnosed with Type 2 Diabetes. Her surgery took place January 4, 2012 with Dr. Oz observing.
Is it a cop-out for people who are obese to have gastric bypass surgery? No, says Dr. Marc Bessler, MD, Chief of Bariatric Surgery at New York Presbyterian Hospital. He says that gastric bypass is about finding the most direct way to effect health. Dr. Bessler sent Joelle home after the surgery without any medications for her diabetes. He explained that she can expect to lose about 70% of her excess weight. For Joelle that means losing 65 pounds easily.
Dr. Bessler says that diabetes begins at a lower weight then the eligible BMI for gastric bypass and that studies are showing that lowering the eligibility BMI to 35 or even 30 can help provide greater benefit to a population suffering weight-related medical issues.
Gastric bypass is proving better than other medical therapies at addressing weight-related medical issues and the over-all cost for surgery is showing to be lower.
One week after surgery, Joelle says she feels great and is happy. Her blood sugar and blood pressure have been drastically reduced in the seven short days after surgery. Before surgery, Joelle's blood pressure was 146/96 and now it is 135/90. She moved from hypertensive to pre-hypertensive. Before surgery, her fasting blood sugar was 172 while she was on two different medications. After surgery, her basting blood sugar is 114, without medications.
The long-term benefits of the surgery is that patients stay off medications: 50% of patients are off blood pressure medications and 85% get off diabetes medications. If patients continue with their prescribed exercise and nutrition plans they can keep the weight off.
Dr. Oz brought to the audience people who had gastric bypass surgery four or more years ago to hear how they have fared. The first audience member to speak said that she had lost 200 pound and reversed her Type 2 Diabetes. Since the surgery, she has maintained her diet and exercise routine and kept the weight off. She says the surgery saved her life.
The next audience member had gastric bypass surgery ten and gained the weight back. In 2001, with the surgery, she lost 110 pounds, half her body weight. Three children later and she continued to add weight each year. She said the reasons that made you ate before are still there. Mentally you still want to eat but you physically can't.
Dr. Oz Checklist for Gastric Bypass Surgery
1. Have a BMI over 35 with obesity related diseases – if blood sugars cannot be controlled with medications then surgery could be an option. Patients taking several medications for high blood pressure and suffering from sleep apnea may be candidates.
2. Unable to maintain significant weight loss with diet and exercise.
3. Ready to commit to lifelong behavioral change. Patients have to be at a point to make lasting changes in their lives.
Another group of people in The Dr. Oz Show audience currently have Type 2 Diabetes. are over weight and who may be eligible for gastric bypass surgery. Dr. Oz asked for a show of hands of who, of this group, were now considering the surgery. Nearly everyone in the group raised their hands.
If the current rate of getting gastric bypass surgery is 1% and most of the diabetics in the audience are considering it after hearing a short a segment then there's something to informing the population.
[Gastric bypass surgery is a major operation that has serious risks and possible complications. Personally, I think Dr. Oz and his crew shied away from talking about the real risks associated with the surgery in favor of promoting it. If you are considering getting gastric bypass surgery I would strongly encourage you to do a ridiculous amount of research including talking to people who have achieved success, people who have gained the weight back, and people who have experienced complications. Surgery is serious and this episode did not show a full picture of gastric bypass surgery.]
Dr. Oz Lose Weight While You Sleep
Dr. Oz feels that sleep is so important to weight and health that he has made Step 4 in Dr. Oz's Transformation Nation all about getting more sleep.
Chronic sleep deprivation is getting less than 7 hours of sleep. Sleep loss leads to weight gain because it increases the hormone ghrelin which can cause consumption of and extra 300 calories a day. Over the course of a year, those 300 calories can add up to 30 extra pounds per year. The missing link to understanding obesity is understanding sleep.
Michael Breus, PhD, author of The Sleep Doctor's Diet Plan: Lose Weight through Better Sleep, says that sleep deprivation causes the metabolism to slow and cortisol levels to rise leading to more snacking. During R.E.M. sleep, the most calories are burned so when we miss out on R.E.M. cycle we lose out on valuable calorie burning.
Getting one more hour of sleep very night could help you lose about 14 pounds in one year, everything else being the same.
Dr. Oz Four Step Plan to Better Sleep
Dr. Oz Step 1 to Better Sleep - Calculate Your Body's Best Bedtime
What time are you going to bed? Is that the right time? Dr. Breus says to determine your typical wake time take the time you have to wake up and count back 7.5 hours. He says to set your clock for the time you need to go to bed instead of the time you need to wake up. [Just to make sure you wake up enough time to get ready and get to work, I would suggest setting your phone for your bedtime and your alarm clock for your wake time. Just in case.]
Dr. Oz Step 2 to Better Sleep – Take a Supplement with Calcium and Magnesium
Dr. Breus says these minerals are natural sleep aids. He recommends taking a product that has 600mg of calcium along with 400mg of magnesium.
Dr. Oz Step 3 to Better Sleep – Tame Your Tummy With Antacids
Dr. Oz said that this step surprised him, he had never though about this as a potential sleep tool. Dr. Breus says to take the antacids with dinner. Heartburn can cause frequent waking. There a silent form of reflux where the person doesn't feel burning the esophagus but the reflux causes night waking. Dr. Oz recommends trying antacids for one week to determine if silent reflux could be an issue. Take an antacid 30 minutes before bed for a week and see if your sleep improves.
Dr. Oz Step 4 to Better Sleep – Sip a Combo Tea for ZZZ's
At night, combine valerian tea with passion flower tea to support better sleep.
Dr. Oz Make Over Your Bedroom for Weight Loss
Dr. Oz says there are four ways to design your bedroom to encourage better sleep for better weight loss. Dr. Oz is giving away 1,000 of each of these four items. Sign up for Dr. Oz's Transformation Nation to be eligible for these prizes.
Dr. Oz Sleep Support #1 - Foam Core Pillow
Dr. Oz featured Comfort Revolution's Memory Core Pillow saying that the pillow helps to provide better support of the neck and back and it also stays cool during the night both of which can be supportive of a better night's sleep.
Dr. Oz Sleep Support #2 – Eye Mask With Ear Plugs
Dr. Oz recommends using the Bucky Eye Shades with Ear Plugs to reduce the amount of light and noise that can interrupt sleep. The soft padding keeps out light from the environment, or your partner who wants to read while you sleep, and the ear plugs can prevent the snoring sounds from said partner from keeping you awake.
Dr. Oz Sleep Support #3 - Sound Machine
If you can't block all sound, because of children or dogs who need to go outside, instead of ear plugs have a white noise sound machine. Use a mask and skip the ear plugs in favor of soothing sounds. Dr. Oz showed the Dohm Sound Conditioner by Marpac.
Dr. Oz Sleep Support #4 - Temperature Regulating Mattress Pad
Dr. Oz recommends using the Feel Cooler Cooling Mattress Pad by Outlast. The Feel Cooler changes temperature as your body temperature changes to maintain a consistently cool temperature that is ideal for sleep. Dr. Oz says these mattress pads are so effective that NASA is using them.
Dr. Oz: Your Dreams Decoded
Why do we dream? Lauren Lawrence, psychoanalyst and host of Celebrity Nightmares Decoded, says that dreams are like exercise for the brain. Some dreams could be telling you something about your health.
Dr. Oz: Dreams Decoded - Falling
Have you ever had a dream where you are falling? Dreams about falling have to do with letting go, control issues. This dream is a sign of having too much stress and the need to lighten up.
Dr. Oz: Dreams Decoded - Flying
It's exhilarating and feel so real – flying in dreams. Ms. Lawrence says flying in dreams can be related to bronchial issues. The dream is dealing with the rising and sinking of the lungs. She says it's important to be aware of how you feel when flying, if you're leaning to one side or another.
Dr. Oz: Dreams Decoded - Teeth Falling Out
Your helpless as your teeth fall out in a dream. Do you need a dental checkup? Ms. Lawrence says a dream of things falling out is the only dream where the meaning is different for men and women. For women, anything falling out means wanting to have a baby. For men, it is a masturbation fantasy.
Dr. Oz Bonus Tip!
To kick start your weight loss all day long, Dr. Oz recommends in the morning having 30g of protein within 30 minutes of waking.
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