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nj8988

Duodenal Switch Patients
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Posts posted by nj8988

  10. Posted

    I'm done. Yesterday, Surgery day, was rough, but I made it through it. The hardest part was trying to drink Water and I couldn't figure out why I couldn't keep it down turns out it was nausea, but I didn't feel like I was going to throw up. This morning around 6 AM I asked for nausea medicine and have been a successful drinker since then, 1/2oz at a time. I drank 20 oz in 2.5 hrs.

    The gas pains are intense and my fat stomach looks bloated. I told my wife she could rub it and it would bring her good luck. She would not.

    Dr sent a piece of my liver to get a biopsy. He told my wife I had fatty liver disease. I don't know what that is, but when he comes to release me today I will ask.

    Would agree that the pain from the surgery is nothing compared to the gas? I really didn't use the morphine pump, as I knew I still had that incredibly uncomfortable gas situation. It really didn't get better until I started drinking liquids.

  19. Posted

    This spurred me to do research and I came across this, very interesting;

    Lyle McDonald explains it this way:

    In general, it's true that metabolic rate tends to drop more with more excessive caloric deficits… But here's the thing: in no study I've ever seen has the drop in metabolic rate been sufficient to completely offset the caloric deficit. That is, say that cutting your calories by 50% per day leads to a reduction in the metabolic rate of 10%. Starvation mode you say. Well, yes. But you still have a 40% daily deficit.

    More reading; http://www.myfitness...mode-myth-again

    Now, let’s look at another aspect. The folks at Cambridge University in England did a study to determine the different effects starvation had on lean people versus obese people. The study can be found here:
    7e11.htm. Let’s just cut to the chase with this study.

    Does starvation mode slow down the metabolism? No and Yes.

    In the first 2 days of starvation, there is a small absolute increase in basic metabolic rate relative to values obtained from overnight fasting. Overnight fasting is what every one of us does during our sleeping hours. So it is not true that going below recommended calories for one day is going to slow down your metabolism -- quite the contrary, it may speed it up just a little. Of course, this is just limited to the first few days. After that, studies in fact support that “starvation mode” slows down metabolism.

    Does Starvation mode cause our bodies to catabilize (devour our muscles and other lean mass)? Yes and No.

    Lean individuals lost great amounts of fat-free, lean tissue during starvation,
    but obese individuals lost much more fat tissue. The loss of lean mass is not as critical to the obese person simply because an obese person has more lean mass than a person of the same age and height but normal weight.
    Here we get to a basic idea that makes sense – fat storage – the same way animals build up bulk to rely on during the winter, obese people have fat stores they can use (to a limited extent) in times of need.
    This means that the effects of a semi-starvation diet upon a normal weight individual are of course much more devastating than the effects on someone who is obese.

  20. Posted

    I was at a WLS support group two nights ago and the PhD doctor said the same thing, but was a little more elegant about it. He said the 'starvation mode' and our bodies 'holding onto calories' is a myth. No proven statistics, ever. He said unless we are in a prisoner of war camp, low calories are not going to disrupt our metabolism. Now THAT makes sense.

    If this could be proven, it would change EVERYTHING. I do very well with very restrictive diets (less than 600 calories), but have trouble with 1000-1800 calorie diets, for some reason the less I eat the less hungry I am. I wish research could be done on the true effect on calorie intake metabolism.

  24. Posted

    They're practice is awesome. I'm an RN in the area and I have to say that Dr Pirrello and his PA are some of the most caring I've seen. I've had no complications and they took the time to answer all my questions. Their office staff is great too, returning phone calls, paperwork etc. I started with another surgeon and switched to Dr Pirrello. So glad I did.

    I had the 2nd visit (w/ Dr. Pirello), and after speaking with him, I felt so incredibly comfortable with the idea of the surgery. He has confidence in what he is doing, and as a guy, is able to relate with some of the challenges with food. Also gave me realistic expectations when dealing with the approval of the insurance company (Cigna). You can tell he isn't someone who does the job for the paycheck.

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