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Weight Loss Surgery Patients At Higher Risk Of Substance Abuse

Posted: October 17, 2012 at 11:16 am

October 16, 2012

Lee Rannals for redOrbit.com Your Universe Online

According to a new study published by Archives of Surgery, patients who undergo weight loss surgery are at an increased risk for substance use.

The researchers found that patients who underwent surgery such as laparoscopic Roux-en-Y gastric bypass surgery were at an increased risk for alcohol use, drug use and cigarette smoking.

Studies have shown that drugs, alcohol, and food trigger similar responses in the brain and that bariatric surgery candidates whose condition has been diagnosed as binge-eating disorder (BED) display addictive personalities similar to individuals addicted to substances, the authors wrote in the journal. Therefore, alcohol and drugs (including nicotine) are likely to substitute for overeating following WLS (weight loss surgery).

The team assessed questionnaire responses from 155 patients who underwent weight loss surgery, and were recruited from an information session at a bariatric surgery center.

Patients underwent either laparoscopic Roux-en-Y gastric bypass surgery (n=100) or laparoscopic adjustable gastric band surgery (n=55).

Each of the patients completed questionnaires to assess eating behaviors and substance use prior to the operation and at one, three, six, 12, and 24 months after surgery.

The authors found that patients reported an immediate decrease in frequency of substance use following weight loss surgery.

They also saw that these improvements were not maintained by the 3-month follow-up, and that there was a significant increase in the frequency of substance use from the time of surgery to the 24-month follow-up.

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Weight Loss Surgery Patients At Higher Risk Of Substance Abuse

Addiction a Risk After Weight Loss Surgery

Posted: October 17, 2012 at 11:16 am

Latest Mental Health News

By Katrina Woznicki WebMD Health News

Reviewed by Louise Chang, MD

Oct. 15, 2012 -- People who undergo weight loss surgery may be at risk of addictive behaviors such as drug or alcohol abuse and cigarette smoking.

The study, by Alexis Conason, PsyD, of the New York Obesity Research Center, and colleagues also found a link between a specific operation, laparoscopic Roux-en-Y gastric bypass surgery, and an increase in alcohol use after the procedure. The findings appear in the Oct. 15 online issue of Archives of Surgery.

"We're only talking about a minority of patients here," Conason says. "But what we're seeing is some patients who seek out bariatric surgery have a history of using food to deal with emotions."

When such patients no longer can overeat as a way to cope with their feelings, they may turn to "other external coping mechanisms like drugs or alcohol," Conason says.

The study looked at 132 women and 23 men who underwent either Roux-en-Y -- one of the most common weight loss surgeries -- or laparoscopic adjustable gastric band surgery to treat their obesity. Participants answered questionnaires about their behaviors and history of drinking or drugs before their surgery and then again one, three, six, 12, and 24 months after their operations.

"When we looked at each substance (drugs, alcohol, and cigarette smoking) individually, we didn't see a huge difference, but when you looked at the whole group, we saw a significant increased risk for drug and alcohol use at the two-year point after the surgery," says Conason. "Our findings are important because it raises some concerns about who is at risk."

Nearly 36% of the adult U.S. population is obese. Some 200,000 adults have bariatric surgery each year, according to the American Society for Metabolic and Bariatric Surgery.

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Addiction a Risk After Weight Loss Surgery

Weight Surgery Tied to Substance Abuse

Posted: October 17, 2012 at 11:16 am

Oct 16, 2012 2:55pm

Reported by Lauren Hughes, MD

Weight-loss surgery can help people who are obese ditch their unhealthy relationships with food. But a new study suggests these patients sometimes enter a rebound relationship with something else alcohol, drugs or cigarettes.

The survey-based study of 155 bariatric surgery patients found a 50 percent rise in the frequency of substance abuse two years after the procedure.

Many people who undergo bariatric surgery struggle with eating in response to different emotional cues, said Alexis Conason of the New York Obesity Nutrition Research Center, lead author of the study published Monday in the Archives of Surgery. I [wondered] what happened afterward. If they are no longer able to cope with their emotions through eating do they turn to something like drugs or alcohol to serve the purpose that food did originally.

Conason tested the theory of symptom substitution the swapping of one habit for another. Patients who drank and smoked before surgery reported more drinking and smoking two years after. And while one in 25 patients reported using recreational drugs before the procedure, one in eight said they used them two years later. But Conason stressed that much more research is needed.

The emerging body of literature [on this] is in its infancy, she said, stressing that her study focused on frequency of substance use but not on the quantity of substances consumed or whether doing so caused problems for either the patients or their family members.We have a small sample size, so its going to be important to see how this is replicated with larger samples. We need to [better understand] the problematic nature of the substance use the reasons why.

Some experts think the uptick in substance use might be related to social behaviors.

What this study may be showing is that morbidly obese people are socially isolated, said Dr. Christine Ren-Fielding, chief of bariatric surgery division in the department of surgery at New York University Langone Medical Center. After surgery, they not only become physically healthy but mentally healthy and now become more social. They go out on dates and go to parties which may involve a social alcoholic drink.

The frequency of alcohol use among bariatric patients prior to surgery was very low, Ren-Fielding added.

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Weight Surgery Tied to Substance Abuse

hCG Diet / Diet Doc Weight Loss Plans Announces Sugar Free Weight Loss Shakes to Feed a Sweet Tooth While …

Posted: October 17, 2012 at 11:15 am

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(PRWEB) October 17, 2012

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Julie Wright hCGTreatments / Diet Doc 888-934-4451 Email Information

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hCGTreatments / Diet Doc hCG Diet & Weight Loss Plans Now Carrying Miracle Noodles, Fat Free and Calorie Free Weight …

Posted: October 17, 2012 at 11:15 am

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Orlando, FL (PRWEB) October 17, 2012

hCGTreatments / Diet Doc hCG Diets & Weight Loss now offers Miracle Noodles in many varieties as a weight loss compliment a prescription hCG diet, allowing clients to eat tasty pasta dishes without cheating on their weight loss diet. Diet Doc offers the nation's most affordable hCG diet, and by becoming a Miracle Noodle authorized retailer, is now able to couple this revolutionary fast weight loss product with a proven hCG diet for fast weight loss. While on an hCG diet from Diet Doc, clients will have access to all the weight loss tools available with the hCG diet, along with healthy diet foods like Miracle Noodles that offer easy meal planning with little effort, just the right thing to keep a weary dieter on the right path to fast weight loss. Diet Doc offers Miracle Noodles in a variety of styles and flavors like fettuccini, garlic herb, angel hair, spinach, black shirataki, and standard Asian rice noodles. Miracle Noodles from Diet Doc are made of a natural healthy fiber that is water soluble, so dieters can prepare great tasting meals, quickly and without the guilt that accompanies calorie packed rice noodle dishes. These Miracle Noodles constitute only a small portion of the support that Diet Doc Weight Loss offers clients. Diet Doc's physicians and nutritionists can custom tailor an hCG weight loss diet for every client, taking in certain factors like age, health, and weight loss goals before determining the best weight loss for each client. This usually consists of low-carb, low fat foods like Miracle Noodles, making this product a perfect complement to the Diet Doc stable of weight loss diets.

If interested in discovering the miracle behind Miracle Noodles, more information can be found on Diet Doc's website here. Simply click the link and discover how eating healthy and losing weight does not have to be arduous, complicated, or slow. hCGTreatments / Diet Doc Weight Loss Plans offers a proven weight loss solution called the hCG diet, which consists of prescription hCG treatments, a physician created, carefully monitored nutrition diet, and constant support via checkups and consultations.

Julie Wright hCGTreatments / Diet Doc 888-934-4451 Email Information

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New triggers: Researchers focus on air pollution, sleep deprivation as weight gain causes

Posted: October 16, 2012 at 3:12 pm

As obesity rates soar worldwide, the antidote may seem obvious: Eat less! Move more! But the common-sense approach hasnt been terribly effective, prompting some scientists to question the simplicity of the formula.

Although personal decisions and self-control certainly play a large role in weight gain, a burgeoning area of research suggests that other factors, from air pollution to sleep deprivation, might be subtly helping humans pack on the pounds.

Obesity, it turns out, is a complex condition that involves multiple genes and pathways. Scientists are finding that certain exposures or conditions can change the bodys metabolism, disrupt the trillions of microbes working in the gut and alter hormonal levels in ways that affect a persons weight.

Studies have identified nearly a dozen factors besides overeating and inactivity that can help make people fat, including chemicals in the environment. A recent study in the Journal of the American Medical Association found that children and teens with higher levels of the chemical bisphenol A in their urine were more likely to be overweight or obese than others. Its next to impossible to avoid BPA, which is used to make shatterproof plastics and resins and is found in some food packaging, toys, cash register receipts and thousands of other products.

Its an epidemic of 1,000 paper cuts, said Andrew Rundle, a professor of epidemiology at Columbia Universitys Mailman School of Public Health, whose research explores environmental triggers of obesity. For some people, appeals to personal responsibility will work. For others, we have to think about all the systemic things going on. I dont discount personal choice and responsibility. Its just way more complicated than that.

Current public health initiatives on obesity tend to aim at just two targets: Americans lack of physical activity and the marketing practices of the food industry. That somewhat obsessive focus has come at a cost, said David Allison, director of the Nutrition Obesity Research Center at the University of Alabama at Birmingham.

Though the big two play a role, taking a myopic view has led to the neglect of other plausible mechanisms and (to) well-intentioned but ill-founded proposals for reducing obesity rates, Allison wrote in a 2006 study published in the International Journal of Obesity, one of the first to offer creative explanations for weight gain.

Lauren Brush, of Chicago, is one of many who have tried following the conventional advice with little success. Though she says she sticks to a strict 1,200-calorie diet and exercises regularly with a heart-rate monitor, the 24-year-old is still heavier than shed like to be.

I always thought of weight loss as a simple format calories in and calories out, said Brush, who is 5-foot-4 and weighs 160 pounds. Ive found thats not the case whatsoever.

Brush has been fighting to lose weight since childhood. In college, she worked with nutritionists on portion size and making smart food choices. She has been tested for food allergies and tried gluten- and dairy-free diets. She has counted calories and, when that didnt work, ignored them. Doctors have ruled out thyroid issues and problems with her metabolism, she said.

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New triggers: Researchers focus on air pollution, sleep deprivation as weight gain causes

hCG Diet Plan by Diet Doc is the Best Diet According to Recent Survey of 30,000 Patients, The Diet Doc hCG Diet is …

Posted: October 16, 2012 at 3:11 pm

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Houston, TX (PRWEB) October 15, 2012

The Diet Doc hCG Diet is a sophisticated doctor designed and managed weight loss program that personalizes a diet plan for each person based on health history, age, gender and lifestyle. This modern day hCG diet also incorporates the best attributes of other diets clinically shown to help provide weight loss, such as: Paleo diet, Atkins diet, Gluten free diet, Protein diet, healthy diet and more.

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hCG Diet Plan by Diet Doc is the Best Diet According to Recent Survey of 30,000 Patients, The Diet Doc hCG Diet is ...

hCGTreatments / Diet Doc hCG Diet & Weight Loss Plans Announces a Personalized Diet Plan to Target Post-Pregnancy …

Posted: October 16, 2012 at 3:11 pm

Many women look for a silver bullet to remove unwanted belly fat after pregnancy. hCGTreatments / Diet Doc hCG Diet & Weight Loss Plans can create a custom tailored hCG diet to help shed unwanted belly fat and produce fast weight loss with little to no side effects.

Orlando, FL (PRWEB) October 16, 2012

Diet Doc Weight Loss consultants have reported an increase of new mothers seeking help in minimizing stubborn post-pregnancy belly fat. Medical Director for Diet Doc Dr. Nishant Rao says, this hard-to-target area can be the toughest to lose the excess belly fat partly because of its location but mainly due to the type of fat that surrounds the area. The type of fat that surrounds the abdominal region comes in two different forms: subcutaneous and visceral. Subcutaneous fat is the fatty tissue located just beneath the skin and is actually functional, acting as a shock absorber, cushioning the skin for trauma and also storing energy, which the body will use as reserves when needed. Visceral fat, located deep inside the abdomen, is unhealthy and should be minimized. An excess of visceral fat is known as central obesity, or "belly fat", causing the abdomen to protrude markedly. The correlation between central obesity and cardiovascular disease is strong. Excess visceral fat is also linked to type 2 diabetes, insulin resistance, inflammatory diseases, and other obesity-related diseases. Visceral fat is located around the organs and is the type of fat that is stubborn and hard to lose once it is gained. Women begin pregnancy overweight are more likely to develop higher amounts of visceral fat, in addition to simple subcutaneous fat.

Diet Docs modernized hCG diet has been known to effectively target both types of abdominal fat. A combination of prescription hCG drops fortified with energizing vitamin B12 and a personalized ketogenic diet allowing up to 1250 calories daily is used to burn unwanted belly fat. Dieters also have the option of hCG injections, which is found to be most effective, or hCG sublingual tablets. Dr. Rao adds that, each element of our hCG weight loss program was well thought out to target the problem areas, such as the abdominal region. Weve helped hundreds of new mothers get their pre-pregnancy body back within the first month of the program.

Diet Doc suggests that new mothers start the hCG diet plan at least six weeks after giving birth to allow the body to transition into its normal state, both physically and metobolically. Diet Doc will then give a complete health assessment to determine the best diet plan and proper dosage of hCG treatments. After the customized program is approved by a weight loss physician, it will be administered by a weight loss specialist and monitored weekly. Clients are given access to Diet Doc's team of weight loss experts 6 days a week.

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Julie Wright Diet Doc Weight Loss 888-934-4451 Email Information

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hCGTreatments / Diet Doc hCG Diet & Weight Loss Plans Announces Medical Weight Loss Program to Lower Blood Pressure

Posted: October 16, 2012 at 3:11 pm

Diet Doc creates customized weight loss programs using a modernized hCG diet plan that is found to have many health benefits according to sources.

Los Angeles, CA (PRWEB) October 15, 2012

Diet Docs hCG diet plan is created and managed by a team of doctors, nutritionists and weight loss coaches. Following a personalized ketogenic diet, the hCG diet plan consists of four progressive stages with each re-introducing essential food groups. Dr. Rao Medical Director for Diet Doc says the goal of our weight loss diet plan is to have the body produce ketones which are compounds that the body can use to produce energy, a contrast to the average body that uses glucose from simple carbohydrates like breads and pastas for energy. A state of ketosis in the body is present with the lack of glucose in the bloodstream, the body draws on fat deposits for fuel, creating energizing ketones in the blood. Switching the body from being a carb-burning machine to a fat-burning one causes one to lose weight and even lower blood pressure.

Diet Doc also uses pharmaceutical-grade hCG fortified with energizing vitamin b12 as an integral part of their medical weight loss program. Offering the hCG treatments in three forms: injections, pills and drops, each patient has the freedom to choose how they would like to administer the hormone. hCG is a hormone that is naturally produced in pregnant women. It is known that this hormone works as a natural appetite suppressant as well as triggers the body to use fat as a source of energy.

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Julie Wright Diet Doc Weight Loss 888-934-4451 Email Information

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hCGTreatments / Diet Doc hCG Diet & Weight Loss Plans Announces Medical Weight Loss Program to Lower Blood Pressure

Weight Loss Surgery Boosts Risk For Substance Abuse

Posted: October 16, 2012 at 3:11 pm

Editor's Choice Main Category: Obesity / Weight Loss / Fitness Also Included In: Alcohol / Addiction / Illegal Drugs Article Date: 16 Oct 2012 - 0:00 PDT

Current ratings for: Weight Loss Surgery Boosts Risk For Substance Abuse

This report, published in Archives of Surgery, describes previous studies that relates bariatric weight loss surgery candidates to individuals addicted to other substances such as nicotine and alcohol. These candidates suffer from binge-eating disorder and display addictive personalities, therefore after their weight loss surgery (WLS), they may replace overeating with a different substance. Patients have been advised to explore these effects before undergoing surgery

Alexis Conason, Psy.D., of New York Obesity Nutrition Research Center, and colleagues, examined survey responses from 155 patients (132 women) who underwent weight loss surgery, and signed up after an informative session at a bariatric surgery center.

The participants underwent laparoscopic Roux-en-Y gastric bypass surgery (100) or laparoscopic gastric band surgery (55). All patients answered questionnaires to evaluate eating behaviors and substance use before their operation, and at one, three, six, twelve, and 24 months following surgery.

Patients documented noteworthy increases in the amount of substance use (a combination of drug use, alcohol use, and cigarette smoking) 24 months after surgery. Specifically, the authors saw that participants reported a meaningful increase in the prevalence of substance use from the time of the surgery to 24 months after surgery. Also seen was significant increases from one, three, and six months to 24 months following their operation.

Furthermore, those who had laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) reported a meaningful jump in the frequency of alcohol use from the period before surgery to 24 months afterwards.

The authors concluded:

Written by Kelly Fitzgerald Copyright: Medical News Today Not to be reproduced without permission of Medical News Today

MLA

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Weight Loss Surgery Boosts Risk For Substance Abuse


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