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Feb 4

Greater Palm Springs Specialists Give Advice on Weight Control – Palm Springs Life

Seldom a day goes by without the average person at least considering or perhaps even obsessing about their weight. However, everyday struggles with a few extra pounds are nothing compared to the very real and rampant problem of obesity. Bariatrics is the branch of medicine that deals with the study and treatment of obesity.

The basic tenets of weight management revolve around diet, exercise, and behavior modification. Bariatrics isnt any different, although the practice can also encompass surgery. Need for the latter often hinges on the activity of the hormone ghrelin, known as a hunger hormone because it increases food intake. Ghrelin spikes before mealtimes and then drops afterward. When someone struggling with obesity embarks on a diet program, you often see an even higher spiking of ghrelin making them even more hungry, says Dr. Bobby Bhasker-Rao, a bariatric surgery specialist. Its why a lot of patients who are significantly obese arent very successful with diet programs alone. Ghrelin completely flatlines after bariatric surgery.

There are approximately four different types of bariatric surgery being performed today. The gastric bypass is considered the gold standard and a mini version of it exists as well. However, the less invasive gastric sleeve procedure has eclipsed gastric bypass in terms of popularity, according to Bhasker-Rao. There is also the once prevalent lap or gastric band surgery although interest in it has waned since newer developments have gained ground. Finally, there is the Duodenal Switch (SADI) procedure for patients to consider.

The decision to undergo bariatric surgery is never made lightly. Failed attempts at dieting and exercise programs are usually a precursor. Dieting frustration might occur for the reason already mentioned but exercising while obese can prove self-defeating as well. According to Dr. James Bell, an orthopedic surgery specialist, obese individuals are 20 times more likely to need a knee replacement. Were reluctant to do replacements in these types of patients because they have increased risk of infection, implant failure, and they often dont do as well post-operatively. In addition to knee problems, significantly overweight individuals are 60 percent more likely to develop degenerative spinal disks and increasing back pain. The spine is trying to hold up all that extra weight so they end up with stenosis and different neurological issues because of these degenerative changes, he adds.

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Greater Palm Springs Specialists Give Advice on Weight Control - Palm Springs Life

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