Does surgery impact metabolism or Portion Control alone?

[ElseeG 67]

Hi. Does anyone know whether the surgery impacts metabolism or whether it impacts Portion Control alone?

Thanks!

[Healthy_life2 8,319]

1 minute ago, ElseeG said:

Hi. Does anyone know whether the surgery impacts metabolism or whether it impacts Portion Control alone?

Thanks!

I'm not a medical professional. Just some personal thoughts on this topic..

I'm sure you have heard this repeatedly ...Surgical weight loss is not Portion Control alone. You still have to eat according to your plan and increase activity. If you don't change to healthy foods/behaviors you won't be successful long term.

Different medical issues can affect your metabolism rate. My metabolism was a bit messed up before surgery (type one diabetic) It's a bit messed up still.

[FromBiggie2Smallz 22]

Hi. Does anyone know whether the surgery impacts metabolism or whether it impacts Portion Control alone?
Thanks!

I'm 13 months post-op, and after my one year appointment I found my metabolism wasn't impacted by surgery. I started this process with a high metabolism rate, which attributes to my never having an issue dropping weight pre-op. For my one year, they tested my metabolism to find it's the same.

RNY 12/20/16 32YO 5'9" HW- 408 SW- 388 CW- 247 current BMI- 27

Sweat is just fat crying!

[Janey01 6]

I’m having mine tested tomorrow- will see.

[Creekimp13 5,838]

Changes in gut microbiota (all the little helpful bacteria that live in the gut) might have a LOT to do with changes in metabolism and weight loss after bypass and sleeve. Both increase the diversity of helpful bugs that are associated with people at healthy weights.

https://www.wired.com/2017/05/obesity-surgery-may-work-remaking-gut-microbiome/

https://www.sciencedaily.com/releases/2014/03/140326142209.htm

This is really interesting and could be a future pathway to medical weightloss....rather than surgically removing the stomach, we might give people living biologicals to swallow to change their gut microbiota to promote weight loss and metabolic changes.

Some fascinating stuff coming:)

Here's a nice layman article about metabolic theory: https://weightlosssurgery.thehealthpartner.com/learning-center-page/understanding-metabolic-health

We have a ton of natural defenses that have evolved to fight starvation...hormones that fight us like crazy when we lose weight. Back when we were dealing with bad crop years and bad hunting...this helped keep us alive. Now that we have too many calories and too sedentary a lifestyle...we have few natural defenses to help protect our health in the opposite direction...so a big problem.

Nailing down the exact mechanisms of metabolic change....whether it's the gut microbiota, or hormonal changes, bile acids effecting nuclear receptors, changes in behavior, environment....it's a huge puzzle that we're still figuring out. But we do know there are significant changes that occur after surgery for most people.

Edited January 15, 2018 by Creekimp13