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26th Mar, 2021
Just published in the Lancet, a preeminent medical journal, a recent European study with more than 10 years of follow up compared surgical treatment of advanced type 2 diabetes to treatment with medications, diet, and lifestyle interventions. The results show surgery is the clear winner, with patients randomized to the surgical arm experiencing fewer complications of diabetes, better kidney function, lowered cardiovascular risk, and better…
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19th Mar, 2021
There is no question that a very sophisticated effort has been purposely undertaken by the food industry to provide all of us simple consumers with foods that are increasingly irresistible. And bad for our health. Delivering those amazingly pleasurable mixtures of salt, sugar, fat, flavors, and scents lead us to consume an immense quantity of processed snacks that we would simply never have done with,…
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8th Jan, 2021
The days are long gone when regular people with type 2 diabetes needed to accept it as an incurable chronic disease state that means controlling the blood sugar number with medication for the rest of their lives. The studies are too numerous, the data too overwhelming, and even the more than 53 leading diabetes and endocrinology societies around the world agree: there is a better,…
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11th Dec, 2020
Anyone considering weight-loss surgery is going to have questions, and chief among is them is often whether they'd make a good candidate for this type of procedure. While the best way to get an answer to this question is to speak with a center that specializes in bariatric surgery, there are two big indicators that you can determine yourself. If you're wondering whether you might…
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15th Nov, 2020
Before and After Image of Patient from Sasse Surgical One of the more striking findings we see every week in our long-term follow-up clinic for patients with obesity, type 2 diabetes, and past metabolic surgery is the profound drop in triglycerides after metabolic surgery. While elevated LDL cholesterol commonly falls over the years following metabolic surgery, the abrupt drop in triglycerides is swift and more…
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3rd Jul, 2020
Obesity is the primary reason people develop type 2 diabetes. Around 30 million Americans, and millions more around the world, now have type 2 diabetes, and most of it stems from obesity. Here's what to understand about the role obesity plays in type 2 diabetes, and what we can do about it. Obesity and Type 2 Diabetes First off, obesity causes insulin resistance. This is…
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17th Apr, 2020
In December 2008, Dr. Sasse was featured in an article for Becker’s ASC Review with his perspective on six trends in bariatric surgery. But a lot can change in twelve years, and the world of bariatric surgery is no exception. Dr. Sasse reviewed the trends he shared in 2008 and offers an update for bariatric surgery trends in 2020. One notable change — weight-loss surgery…
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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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Sasse Surgical Associates
75 Pringle Way
Suite 804

Reno, NV 89502
Minimally invasive weight loss surgery experts.info@sassesurgical.com(775) 829-7999
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