Laparoscopic banding is a form of restriction. A surgeon/butcher places a band around the upper reaches of the stomach causing a stricture that slows the transport of food into the stomach. This forces the patient/victim to eat more slowly. It also makes it impossible for the patient/victim to get adequate fibrous foods low in calories so the patient ends up eating high calorie foods because there hunger cues become very powerful. Stomach stapling is another form of restriction.
Gastric bypass uses both restriction and malabsorption. During gastric bypass butchering the surgeon/butcher goes in with a stapler and reduces the size of the stomach he then reroutes the intestines so that only a small part of the small intestine actually receives food from the stomach. 90% of digestion and nutrient absorption occurs in the small intestine.
There is no way to accurately to know or control how many calories and nutrients actually be absorbed after gastric bypass surgery. Gastric bypass victims end up living on protein shakes. Nearly all gastric bypass victims suffer from malabsorption syndrome. Not only do they absorb less calories from the food they eat they also absorb less vitamins and minerals and that gets compounded by the fact that they are unable to eat nutrient dense foods to begin with. Is also been shown that nutritional supplementation does little to correct this problem. In fact the weight loss surgery victim suffers from serious malnutrition. If you don't believe me Google it.
Dieting for weight loss avoids all the problems of weight loss surgery. The dieter can eat any food he or she chooses. The dieter does not face a one and 50 chance of dying simply by eating less and moving more. The dieter has a chance to learn better eating habits and control how rapidly he or she loses weight. This is important for several reasons. Rapid weight loss is very dangerous. It can also result in stretch marks on the skin and gallbladder disease among other problems.
Greedy surgeons won't tell you how lose weight safely and easily but I will.
Let's start with some basic facts about metabolism.
You may hear a lot of people saying that they have a slow metabolism. You've probably seen ads on television saying that certain products can rev up your metabolism. This is mostly a lie. The basal metabolic rate and humans varies by about 35 cal per day in individuals of the same age weight and gender. That represents a piece of hard candy or walk around the block.
To calculate your approximate basal metabolic rate multiply your body weight in pounds by 10. If you would like a more accurate measurement of your basal metabolic rate go to an online metabolic calculator and simply put in the numbers that it suggests.
Basal metabolic rates are higher for men than they are for women. Basal metabolic rate as defined by Wikipedia: Basal metabolic rate (BMR), and the closely related resting metabolic rate (RMR), is the amount of energy expended daily by humans and other animals at rest. Rest is defined as existing in a neutrally temperate environment while in the post-absorptive state. In plants, different considerations apply.
There is very little you can do to increase your basal metabolic rate. If you get heavy your basal metabolic rate will increase and when you lose weight your basal metabolic rate will decrease. Some foods can slightly increase your basal metabolic rate but their effect is generally insignificant. Forget the idea that you are fat because you have a slow metabolism. Accept the fact that you are fat because you eat too much and is sedentary.
When most people decide to lose weight they see it as a war against fat. The problem with that is, fat is not the enemy, the enemy's behavior. The behaviors that cause people to eat too much can be fairly complex and these behaviors are driven by a variety of factors. Hunger is a powerful motivator, so in order to lose weight and keep it off the dieter needs a strategy to control hunger.
Without going into any detail explanation going to tell you how lose weight and not be hungry and have success. I could get into the psychological reasons for why you are a glutton but for now just accept the fact that you are fat and your fat because you are a glutton. You need to decide whether the pleasure derived from food is more important to you then the benefits and the personal responsibility of being lean and healthy. Most people choose delicious food over good health and personal and social responsibility. I cannot make you have an epiphany to decide to choose good health and responsibility over gluttonous hedonism but I can give you the best mechanics for weight loss that you will find anywhere.
The mechanics of weight loss.
Let's say that you are a 300 pound lummox. Your doctor has told you that the majority of your health problems are due to your obesity and the cure for your melodies is reducing your body weight. Unfortunately your doctor is too stupid and uncaring to tell you how to do it. I'm not tired do it.
1. Calculate your basal metabolic rate. If you are 300 pounds and mail then your basal metabolic rate will be about 3000 + 10% cal per day. If you're female it will be a little less than 3000 calories per day. FREE METABOLIC CALCULATOR
2. you will be reducing your calories by about 2000 cal per day because currently if you are a slightly active male and 300 pounds you are eating close to 5000 cal a day to maintain your weight. If you're female we were eating 4500 cal per day to maintain your weight. In both cases that's double the amount of calories required for normal human being.
3. Even if you have the discipline of a normal person this about calorie reduction will result in hunger but since we are weak willed you're going to need strategies to deal with the hunger. Normal people call the feeling that we get in our stomach hunger pangs but fat people refer to this as hunger pains. That rumbling we have in our tummies is not painful. It is merely a signal from our brains reminding us that it's time to eat something. Fat people so indulge this feeling that hunger becomes an itch that they just love to scratch and they do it with great zeal. In a sense it is a psychological addiction and on some levels it can be argued that it is a physical addiction as well.
The strategy for dealing with hunger is to come up with ways of controlling that hunger. The best way to control hunger is to eat frequently. This means to eat every two or three hours. It also means eating smart and eating smart means eating healthy wholesome foods that are filling. The greatest food for controlling hunger is protein. The next greatest foods for controlling hunger are foods that are low in calories but contain a lot of fiber. If you have gastric bypass surgery it's impossible to get even the minimum amount of fiber in your meals.
Use your head and get educated about nutrition. You have decided to remain ignorant regarding nutrition. Because you're lazy you're going to listen to a greedy Dr. but that's only going to get you into more trouble. At this point you need to decide to stop being intellectually lazy.
If you eat every few hours and you include the right foods we are not going to be hungry. If your daily caloric intake remains at your basal metabolic rate you will lose 1 pound per week per 100 pounds of body weight. I will repeat. If your daily caloric intake remains at your basal metabolic rate you will lose 1 pound per week per 100 pounds of body weight. If you disagree with that it only proves one thing. Your stupid and maybe you should let some greedy surgeon wreck your perfectly healthy digestive system.
4.Create those meals. Waddle your fat ass to the supermarket and buy foods that are high in fiber and high in protein and from those foods create six meals that total your basal metabolic rate in calories. Make sure that those meals contain at least .5 g of protein per pound of bodyweight. The minimum daily fiber requirement is 38 g but you to will be eating much more than that. Learn foods that are low in calories and are good sources of fiber and keep them.
5. Count calories! Anyone who tells you that calories don't count is a lying sack of shit. Calories count and calorie is a calorie is a calorie. Here's a more facts you should know because you're probably too lazy to look them up. A gram of carbohydrates contains 4 cal. A gram of protein contains 4 cal. A gram of alcohol contains 6 cal and a gram of fat contains a whopping 9 cal. Connect the dots. If you're thinking about the low-carb insanity then you're an idiot. Low-carb has been around since the 1970s. It didn't work then and it won't work now.
There is no reason for why you can't create and eat six meals a day that are equal in calories to your basal metabolic rate. What you need to admit about your failure to maintain a normal healthy weight is it was never a matter of can't but always a matter of won't. You need to admit to yourself that you remained blissfully ignorant about basic nutrition. You need to admit yourself that time and time again you selected and eight foods that you knew would make you fat. You need to admit yourself that you habitually placed your hedonistic pleasures before personal social and in many cases parental responsibilities.
You can hate me all you want for telling the truth but maybe some of you will thank me. There are some people who would not exploit your moral failings and there are some people who would exploit your moral failings in a heartbeat.
In a month be only to recalculate and that means he will need to readjust your caloric intake. This incremental approach is a safe and sane way to attain and maintain a healthy body weight. Because this takes six months to year you will read learn new habits and reprogram the neurology involved in hunger. You may have to remain vigilant but in most cases people who do this completely reform the relationship with food.
