1st May, 2019
Obesity causes pain. A disproportionate number of people with obesity take opioids, and a disproportionate number of obese individuals undergo failed spine surgery. For some, it is a cycle of pain, opioids, depression, surgery, worsened pain, and so on. Researchers asked if metabolic surgery resulted in a significant reduction in chronic pain. Not surprisingly, the answer is metabolic surgery resulted in a large, sustained reduction…
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22nd Feb, 2019
Macrovascular disease, including coronary artery disease and cerebrovascular disease, is a leading cause of morbidity and mortality among people with type 2 diabetes. And, as the Kaiser Permanente Health Research Institute researchers state in the introduction to this study, medical management, including lifestyle change, may not actually be successful at reducing the risk. In the 2018 Fisher matched cohort study published in the Journal the…
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5th Dec, 2018
With obesity and Type 2 diabetes continuing to grow as major health problems and causes of early morbidity and mortality, improved studies have examined longer follow-up time periods for diabetes remission after metabolic surgery. Sleeve gastrectomy is a 45-minute laparoscopy procedure. Ten-year studies help paint a picture of the durability of the remission rates for diabetes among individuals who undergo sleeve gastrectomy. Similar to other…
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21st Nov, 2018
Intensive medical management of Type 2 diabetes at the Cleveland Clinic consists of intensive tight control medical management with oral and injectable medication including GLP-1 agonists, together with dietary counseling and modification, an exercise program and support groups. This strategy was compared to metabolic surgery in a randomized, prospective controlled trial called the Stampede Trial published in the New England Journal of Medicine. 150 patients with…
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8th Nov, 2018
recommendations for the treatment of type 2 diabetes. According to both the National Institutes of Health and the American Diabetes Association, bariatric surgery is recommended for all individuals with a BMI of 35 or more who have type 2 diabetes -without exceptions. Based on research that shows remission of diabetes even among lower-BMI individuals after metabolic surgery, the ADA also recommends bariatric surgery for individuals…
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3rd Apr, 2017
The study concludes that 3% of body weight was lost at 2-5 years compared to before the program. The meta-analysis does not take into account the weight of the study subjects who did not continue with followup, a likely source of bias that tends to exaggerate the success of the programs. It also does not take into account what is often called “publication bias”, the…
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27th Feb, 2017
Even an increase of body mass index from 24 to 32 results in about three years of life lost. Why does this occur exactly? There are a multitude of reasons, and researchers have a look at them from a molecular level all the way up to a more structural level of the body. Starting with the simpler things, excess weight creates a mechanical restriction on…
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16th Jan, 2017
diabetes treatments has made a profound impact, echoing around the corridors of many major medical centers and universities. The study, in which individuals with diabetes were randomized to receive either intensive medical treatment, sleeve gastrectomy, or gastric bypass surgery, closely monitored all the patients, and results were reported at one year, and three years. But the release of the most recent five-year data (See graph)…
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20th Jul, 2015

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2nd Feb, 2015

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