Houston Bariatric Surgery

Houston Bariatric Surgery

Are you contemplating bariatric surgery for 2020? If you live in Houston and have been struggling with excess weight for a number of years, we may be able to help you. Houston weight loss surgery center offers one of the safest, and most effective weight loss solutions in the greater Houston area.

Gastric sleeve surgery remains our most commonly performed weight loss procedure. Combined with proper hiatal hernia repair, gastric sleeve surgery offers excellent weight loss results along with resolution of heartburn and acid reflux. Gastric sleeve surgery is an overnight minimally invasive procedure. Recovery is fast and complications rate is very low.

If you suffer from Diabetes, high blood pressure, sleep apnea, and fatty liver disease bariatric surgery may be your best treatment option. If weight loss is one of your 2020 new year resolutions give us a call at 281-205-3205.

Intermittent Fasting: Beyond Weight Loss

Intermittent Fasting: Beyond Weight Loss

I read with great interest the review article on intermittent fasting recently published in the New England Journal of Medicine. The authors start by showing that numerous studies in animals have shown increased lifespan with calorie restriction. Chronic disorders like obesity, diabetes, and cancer respond to intermittent fasting. The assumption was that calorie restriction reduces oxygen free radical production and consequently reduces cellular damage. Weight loss, however, and reduced free-radical production secondary to intermittent fasting on partly explains fasting numerous benefits. Intermittent fasting activates pathways that improves glucose regulation, increase stress resistance, and suppress inflammation. During fasting, triglycerides are converted to ketones bodies in the liver. Ketone bodies are used by organs as fuel. However, ketone bodies are not just fuel. They are signaling molecules with effect on major cellular pathways that influence health and aging. The exact mechanisms of intermittent fasting beneficial effect on our health are not fully understood. There is plenty of evidence, however, to recommend intermittent fasting for our bariatric and weight loss patients. There are a number of intermittent fasting protocols. I prefer and personally adopt daily time restricted feeding. I limit my food intake to 6 hours a day and fast for the remaining 18 hours. Others have found 5:2 intermittent fasting regimen more practical. In this regimen, calorie intake during 2 days of the week is restricted to 500 calories a day.

The authors conclude that combined with exercise, intermittent fasting results in many long-term adaptations that improve “mental and physical performance and increase disease resistance”.

New Year, New Resolution: Take control of Your Appetite

New Year, New Resolution: Take control of Your Appetite

Year after year, 70% of all Houstonians who struggle with excess weight pledge to eat less, exercise more and lose weight. Hunger control is, however, crucial to successful weight loss. Gastric sleeve surgery patients report increased satiety with very small meals. Patients on low calorie diet, on the other hand, feel hungry most of the time. The constant feeling of hunger is hard to fight and as a result most Houstonians fail to achieve durable weight loss. Within a month from the start of the new year, all dieting efforts are dropped, and the weight loss cycle repeats itself every year.

The best approach to increasing satiety and decreasing hunger for durable weight loss hinges on understanding obesity and its underlying pathophysiology. Obesity is a state of starvation. The neuro-hormonal imbalance associated with obesity channels most ingested calories to fat cells leaving the rest of the body including the brain calorie deficient. A calorie deficient brain leaves us hungry and craving for calorie rich food items. A low-calorie diet, in such a situation, exacerbates the starvation state and increase hunger level. One of the key signals in the neuro-hormonal imbalance leading to fat cell calorie accumulation is insulin. Without insulin fat cells cannot hoard calories and accumulate fat. Carbohydrates and in particular processed carbohydrates like white bread, white rice, and sugary drinks increase insulin secretion and lead to increased hunger levels and fat accumulation. Accordingly, the first step to weight loss and hunger control relies on decreasing insulin blood levels. This implies stopping carbohydrate intake including fruits, grains, starch rich tubers and all forms of processed food rich in high fructose corn syrup.

There are many books, publications and seminars supporting decreased carbohydrate intake to lose weight. Keto diet is the extreme form of a low carbohydrate diet approach to weight loss. Keto diet relies on fat as the primary source of energy.  It forces the body to go into ketosis to help mobilize fat deposits and promote weight loss. Most importantly, patients on keto diet have increased satiety levels allowing them to reduce their overall calorie intake hence resulting in durable weight loss.

For 2019, Houston Weight Loss Surgery Center invites you to better understand obesity and weight loss methods. We are here to help you overcome any weight loss hurdle you may encounter so that you can start enjoying your life again. If you have any questions give us a call today.

Is the Keto Diet Safe

Is Keto Safe?

“Eat food, not too much, mostly plants”, Michael Pollan’s seven words to healthy eating represents the most reasonable nutrition advice we can give to patients. Plant-based diet is the healthiest, safest and most environmentally friendly diet to consume. Numerous studies have demonstrated the benefits of vegetarian diets in terms of reducing the risk of cancer, hypertension, stroke, heart disease… Adding a small amount of animal protein to a plant-based diet prevents vitamin Continue reading “Is Keto Safe?”

A Bariatric Surgeon Perspective on Keto Diet

A Bariatric Surgeon Perspective on Keto Diet

3 months after sleeve gastrectomy, a patient of mine lost 65 pounds and so did her husband on whom I did not operate. My patient was on a typical post gastric sleeve diet consuming 900 calories a day with excellent appetite control. Her husband was similarly enjoying great satiety while consuming a high fat diet amounting to at least 2500 calories a day. Continue reading “A Bariatric Surgeon Perspective on Keto Diet”

Is Food Consumption Changing in the US?

Is Food Consumption Changing in the US?

Major food companies like Kraft Heinz, Nestle, Campbell Soup and J.M. Smucker are reporting weak sales in the US market. American consumers are turning to healthier meals and snacks. The demand for fresh and healthier food is rising and food makers are struggling to adapt. For many years, processed food rich in sugar, salt and hydrogenated fat has been easy and cheap to produce and sell. Hard pressed consumers living in a fast pace modern life were easily sucked in the “buy one get one free” promotions for TV dinners. As processed food replaced traditional food home cooking vanished. Continue reading “Is Food Consumption Changing in the US?”

Best Diet for 2018

Best Diet for 2018

It is the beginning of a new year, and for most Houstonians, weight loss is a priority. The new year resolution for a healthier lifestyle is synonymous with a good diet and the question of what plan to follow for year 2018 assails most of us. Indeed, deciding what to eat on a daily basis has become a dilemma for most of us. Should we adopt a high protein or vegan diet? Should we buy organic or conventional apples? Should we eat butter and cheese or avoid dairy products altogether? Is sugar bad for me even in moderation? And how about soy products, food additives, frozen meals… Continue reading “Best Diet for 2018”