Most men have been admonished their entire lives…don’t lift too much, don’t push too hard – you’ll get a hernia. While this may be true, and upwards of 25% of all men will develop an inguinal hernia, the diagnosis is not always straightforward.
You’re playing sports, most likely something that involves planting and twisting, like soccer or basketball, and there it is…the dreaded groin pain. It has to be a hernia right? Well, maybe not.
You might think that, as a weight loss surgeon and advocate for healthy eating, I’ve lost my mind saying that fast food is OK after weight loss surgery. It goes counter to everything we’ve learned since we decided to have surgery, right? Not exactly.
To be sure, fast food should not be a regular indulgence…but it doesn’t have to be a complete disaster. A renewed interest in personal health has brought about strides in the right direction as it relates to fast food. Not only are there dozens of new fast food outlets that have truly healthy offerings, but even supermarkets are getting in on the game. Prepared foods are no longer the concern that they once were.
Acid reflux is a very common and usually transient condition that affects virtually everybody once in a while. Also known as gastroesophageal reflux or GER, occasional reflexes nothing to be concerned about and if anything tells us what to avoid and how much to eat. At this stage, conservative options such as lifestyle change, losing weight and over-the-counter acid reflux tablets are effective options.
Weight loss surgery has proven an effective for weight reduction, but it is important to realize that bariatric surgery is not magic, requires many lifestyle changes and there can be complications. About half of all bariatric patients will have some weight regain after their active weight loss phase over the first year or two after surgery. This might seem alarming, but statistically post-op weight regain does not mean what you might think. In most, only about 5% of excess body weight is regained two or more years following surgery. Naturally you will not be in an active weight loss phase forever.
There are several materials in the body that make up important, protective layers. In the abdomen we have muscle, connective tissue, and fat that overlay our internal organs. Each element has its designated place and job. In the abdomen, these layers can sometimes become weakened, making it easier for things to shift out of their normal home. Fatty tissue or even an organ, often your intestine, can push through a weak area causing a bulge. This is where a hernia occurs. This bulge may start off small and grow over time, or it can occur suddenly or wax and wane. The bulge itself may be painful, but many patients do not experience pain. Not all hernias will require surgical treatment, but it important to not ignore symptoms if a hernia occurs or if you know you have an existing hernia.
Everyone’s gastrointestinal tract has a natural balance of “good” and “bad” bacteria. This mixture of bacteria contributes to the system by aiding in digestion and immune support, among other things. During some weight loss surgery procedures, the digestive tract undergoes a large change, but no matter what procedure you choose, it is likely your gut health will shift. From research we know that the gut flora of obese individuals tends to be different from those with a healthy body mass index, or BMI. Research studies have also been exploring the weight loss effects of altering the gut bacteria using methods like introducing probiotics to the system with some encouraging results, both in studies of patients who have had bariatric surgery and those who have not. So, should you be taking a probiotic supplement?
Last April, fitness expert Jillian Michaels authored a blog post called “The Truth About Keto.” In it, she makes several points that I would like to address. She does note that she will infuriate the “Keto community,” is willing to incur their wrath and outrage. I am neither infuriated or a part of the “Keto community,” but I do find it necessary to counter some medical inaccuracies.
Weight regain after a diet is a valid concern. Most studies demonstrate weight recidivism (returning to near or at your previous weight) following a diet. This can lead to a yo-yo type effect with your weight.
The key to defeating weight recidivism after dieting is the same for all diets – adopting a new lifestyle. It is normal to gain back some weight after stopping a particular diet – sometimes as much as 5-10 pounds, immediately. You should not worry too much about this, as it is not fat that you are regaining that quickly. In the case of the Keto diet, this will be primarily due to water weight. When you re-introduce carbohydrates at more than 50 grams per day into your daily intake, you will start to restore glucose reservoirs – in the form of glycogen – into your muscles and liver. Every gram of glycogen carries with it 3 grams of water. This is where the immediate weight comes from.
In this series, we defined the Keto diet as a low-carbohydrate, high fat, and adequate protein diet. We discussed how this method of eating puts you into a persistent state of ketolysis, using breakdown products of your consumed and stored fat as energy.
So how long can you stay on such a diet, and can you ever eat carbohydrates on this diet?
In the last two weeks, we discussed the definition of a ketosis, or Keto, diet. In short, it is a low-carbohydrate, adequate protein diet that relies on both consumed fats, and stored fats, for energy use.
As with any diet, it is important to discuss it with your physician prior to commencing. Every person is unique in their states of health, and certain conditions may adversely be affected by a significant change in your diet.