7th Jul, 2020
Groundbreaking device represents the best cure for type 2 diabetes On May 7th, 2020 Dr. Kent Sasse announced the issuance of a non-provisional patent for his new sleeve tube device, a major breakthrough in the field of metabolic surgery. Millions with type 2 diabetes will benefit from Dr. Sasse’s revolutionary device – the best cure for diabetes. The new device, Non-Provisional Patent Serial No. 15/838,057,…
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2nd Jun, 2020
In a pair of large and recently completed studies, sleeve gastrectomy earned more praise as the safest thing to do if you are battling obesity. In one study of over 117,000 individuals, sleeve gastrectomy was found to result in tremendous long-term weight loss compared to non-surgical treatment. In the 2020 publication by Arterburn and colleagues, medical weight loss without surgery resulted in a grand total…
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5th May, 2020
Contrary to popular opinion, losing weight and keeping it off isn't about willpower. Not really. Mostly today it's about biology – our genetic blueprint up against an obesogenic environment. But there are people who successfully fight against all the elements of our food and environment that conspire to make us fat: people who exercise a lot every day and eat lower carbs, focusing on vegetables…
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31st Mar, 2020
In the recent 2019 publication, Felsenreich and colleagues do a thorough job examining all of the long term reported studies and data regarding sleeve gastrectomy outcomes. The results paint a picture of a very safe and very effective procedure, with a few limitations. From the Report First of all, the average overall weight loss beyond five years among the four studies with the longest followup…
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19th Feb, 2020
Bladder leakage is one of the most common problems among Americans over the age of 40. For some, it is related to pregnancy or prostate problems and can be considered a minor nuisance. But for others, bladder leakage is embarrassing and disruptive to daily life. Bowel leakage can occur for many of the same reasons — past pregnancy, aging, pelvic radiation, surgery, spinal injury, and nerve…
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31st Jan, 2020
Most people lose a large amount of weight and keep it off long term, but a significant number of people will regain weight in the years after metabolic surgery. Others will simply not lose adequate amounts of weight or not completely reverse their type 2 diabetes, often due to genetic factors, or simply because of starting at a very high BMI. Today, there are excellent…
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6th Dec, 2019
Obesity adversely affects brain function, but the effect of bariatric surgery on cognitive function had not been rigorously evaluated. A recent JAMA study assessed metabolic parameters and cognitive function in obese patients before and after bariatric surgery. And the results are striking: significant improvement in cognitive function as measured by both the Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) 6 months after…
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21st Nov, 2019
To date, there have been 12 RCTs comparing metabolic surgery to intensive medical management. We have highlighted a couple of those studies including the STAMPEDE trial from the Cleveland Clinic in prior newsletters, but this month gives a broader perspective and the Position Statement of International Diabetes Organizations on the role of metabolic surgery.   Below is depicted the profound effect of metabolic surgery in…
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24th Oct, 2019
In the recent 2019 paper published in JAMA, authors from the Cleveland Clinic reported on the care of over 13,000 individuals with type 2 diabetes. And similar to prior randomized controlled trials, and other large matched cohort studies, this carefully designed matched cohort study of diabetes care found large reductions in stoke, heart attack, mortality, and renal failure among patient undergoing metabolic surgery compared to…
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26th Sep, 2019
A look at the published results of the LOOK-AHEAD Trial. The NIH-sponsored LookAhead trial was a randomized controlled trial involving 5,145 individuals comparing an Intensive Lifestyle Intervention (ILI) to a Diabetes Support and Education (DSE) in overweight and obese type 2 diabetes patients to track the development of cardiovascular disease over time. The trial intervention, at a cost of $15 million was stopped for futility…
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