Do Genetics Affect Obesity?

Most people become obese when they habitually consume more calories than the amount needed to maintain their regular bodily functions. However, obesity may occur in some people more easily than in others, partially as a result of their genes.

More than 50 genes are associated with obesity. These genes typically affect the brain signals and subsequent hormonal responses associated with food intake; for example, the fat mass- and obesity-associated gene (FTO) gene promotes food intake.

Most people do not have a single identifiable genetic cause for their obesity, but rarely, monogenic (single-gene) obesity may occur due to inherited changes in specific genes. This most commonly occurs due to the changes in the gene MC4R, which stimulates appetite.  These changes may lead to extreme hunger and increase the risk of developing conditions such as hyperphagia (excessive eating).

Generally, individual genes only lead to small effects on a person’s likelihood of becoming obese. In most cases, obesity is actually the result of many genes and environmental factors interacting with one another.

For many people with an increased genetic likelihood of becoming obese, standard methods of managing weight, such as regular physical exercise and a balanced diet, can be effective. However, other people with these genes may only see minimal results from these methods. In these cases, a medical intervention such as bariatric surgery may be the best path forward.

Bariatric surgery is typically reserved for:

  • People with a body mass index (BMI) of 40 or higher
  • People with a BMI of 35 or higher who have a serious weight-related condition such as type 2 diabetes or high blood pressure

You can schedule an appointment at Flushing Hospital Medical Center’s Bariatric Surgery Center to determine whether this type of procedure is right for you by calling (718) 670-8908 or (718) 408-6977.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What Can You Eat After Bariatric Surgery?

After undergoing certain types of bariatric procedures, such as a sleeve gastrectomy or gastric bypass surgery, you won’t be able to go back to eating solid foods right away. Your stomach needs time to recover, and you will need to ease yourself into a new, healthy diet. For this reason, most patients spend the first several weeks after surgery gradually transitioning from a liquid diet to pureed foods, soft foods, and eventually certain solid foods.

Generally, the transition back to solid foods can take approximately eight weeks. The timeline of this period generally occurs as follows:

Week One: During your first week after surgery, you’ll typically only be able to consume a clear liquid diet, which includes:

  • Water
  • Coffee or tea (without milk or creamer)
  • Non-fat broth
  • Fruit and vegetable juices without pulp
  • Soda
  • Sports drinks
  • Clear nutritional drinks
  • Jello

Week Two: If you’ve successfully tolerated liquids throughout your first week, you may begin to re-introduce foods that can be pureed, such as scrambled eggs, cream soups, or proteins such as lean ground beef, poultry, or fish. Each meal should only consist of up to six tablespoons of food and be eaten slowly.

After a few weeks, with your doctor’s approval, you may begin to re-introduce soft foods such as ground meat or poultry, rice, and cooked skinless vegetables. These meals should generally consist of no more than half a cup of food.

Week Eight: After about eight weeks of following this diet, you can start to re-introduce a limited number of solid foods into your diet. You should only try one of these foods at a time and anticipate potential issues such as pain, nausea, or vomiting. Limit your daily eating to three meals of approximately one and a half cups of food.

To receive more information about bariatric surgery and schedule a consultation, you can call Flushing Hospital Medical Center’s Comprehensive Bariatric Surgery Center by calling (718) 670-8909.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Many Calories Should You Eat Each Day?

Whether you’re trying to lose, gain, or maintain your weight, it can be helpful to know the ideal amount of calories you should be eating each day. However, this amount varies from person to person based on a variety of different factors.

Your current weight and height are primary factors in determining the number of calories you should eat each day. Generally, people who are taller and heavier require a greater number of calories to maintain their physique than lighter, shorter people.

Age also plays a role in determining your calorie requirements. As your age increases, you’ll need less calories to maintain your weight than a younger person, though you may need the same or an increased amount of nutrients to stay in good physical condition. This is due to factors such as changes in your metabolism, decreasing activity, and a loss of muscle mass and bone density over time.

People who engage in regular physical activity have higher daily calorie requirements than people who are typically inactive. Your calorie needs are also affected by the type of activity you’re engaged in; aerobic exercise, for example, burns more calories than anaerobic activity, resulting in a higher number of calories needed to maintain your weight.

Calorie needs vary between genders, as well. People assigned female at birth generally have lower calorie requirements than people assigned male at birth.

Hormones such as leptin, insulin, ghrelin, cortisol, and estrogen may also all directly impact your body’s calorie-burning efficiency, as well as where fat accumulates in your body. These hormones, and by extension your body’s calorie-burning functions, may also be affected by certain medications.

Taking these factors into account to determine your daily calorie needs can be particularly instrumental in finding the right diet and exercise routine to achieve your weight loss goals. However, due to certain conditions, not everyone can lose weight effectively through these methods alone, with some people requiring medical intervention to get the head start they need.

Flushing Hospital Medical Center’s Bariatric Surgery Center can provide potentially life-saving weight loss procedures for eligible candidates with a body mass index greater than 40 who are 100 or more pounds above their ideal weight. To learn more about our procedures or to schedule an appointment, please call at (718) 408-6977 or (718) 670-8908.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Weight Loss Solutions for the New Year

One of the most common resolutions people make at the beginning of each year is to lose weight. However, many people may have a hard time sticking to this goal if they cannot find a weight loss method that offers long-term results and maintains a balanced, healthy quality of life.

The right approach to weight loss may be different for everyone, but a natural approach that emphasizes consistency and moderation when it comes to your diet and exercise may offer the results you’re looking for. When you attempt to lose weight through this method, you should:

  • Incorporate single-ingredient and high-protein foods into your diet
  • Cut back on fried food, fast food, and other processed foods
  • Drink more water (about 15.5 cups per day for men and 11.5 cups per day for women)
  • Reduce your intake of liquid calories through soda, sugary drinks, alcohol, and other beverages
  • Perform at least 150 minutes of moderate aerobic exercise (about 22 minutes each day if you exercise throughout the entire week) and at least one set of resistance exercises that target all major muscle groups

While most people may achieve their weight loss goals by following these guidelines throughout the year, they may not be sufficient for people with extreme obesity or those who suffer from chronic conditions related to obesity. Certain prescription medications recommended by a doctor can often help, but for some people, bariatric surgery may be the right path forward.

Bariatric surgery is performed on the stomach and intestines to reduce food absorption. It includes several different types of procedures, such as:

  • Sleeve gastrectomy
  • Gastric bypass
  • Gastric revision
  • Lap band
  • Duodenal switch
  • Obalon balloon

Bariatric surgery is best suited for people who are:

  • Over a body mass index (BMI) of 40
  • Over 100 lbs. above their ideal weight
  • Experiencing severe pain in weight-bearing joints
  • Suffer from obesity-related chronic conditions such as high blood pressure, diabetes, sleep apnea, or degenerative joint disease

At Flushing Hospital Medical Center’s Bariatric Surgery Center, procedures are performed using the da Vinci robotic surgical platform. This technology allows for a minimally invasive approach and reduces scarring, pain, and recovery time. To schedule an appointment and learn more about our approach to bariatric surgery, please call us at 718-408-6977 or 718-670-8908.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Which Drug-Free Dieting Strategy is Right for You?

Rapid weight loss, though not typically recommended as a healthy method of slimming down and keeping weight off, is sometimes necessary for severely obese people. In many cases, this kind of weight loss is overseen by a doctor and aided by prescription medications such as Ozempic, a drug primarily intended to treat diabetes.

However, recent shortages in this drug and others that are typically used to medically assist rapid weight loss may restrict availability for people trying to reach a healthy weight, making it necessary to consider other potential options.

Two particular dieting strategies, with the assistance of a doctor, can offer a safe means of rapidly losing weight when necessary and preserving your health. These include:

Intermittent Fasting: This strategy involves alternating between eating on a regular schedule and severely restricting calories. One popular example, the 16:8 approach, involves eating within an eight-hour window each day and fasting for the remaining 16. Another, the 5:2 approach, involves eating only one 500-600 calorie meal for two days of the week, eating normally for the remaining five days.

Low-Calorie Dieting: A low-calorie diet involves restricting daily calories to between 1000-1200 for women and 1200-1600 for men. An even stricter version of this approach can restrict calories to as little as 800 per day and is often used before weight loss surgery and can result in as much five pounds of weight loss per week.

Consult your doctor to determine whether these approaches are safe for you. They should be performed in conjunction with a regular exercise routine and a healthy, balanced diet. If you’re considering including herbal remedies or other types of supplements into your diet, talk to your doctor to determine whether these may cause complications with any foods you typically eat or medications you take.

If diet and exercise aren’t enough to help you adequately lose weight, other options are also available. Flushing Hospital Medical Center offers a non-invasive FDA-approved weight loss procedure that can help patients who are not candidates for bariatric surgery. For more information, please call (718) 670-8909. If you are a candidate for bariatric surgery, you can receive more information by calling (718) 670-6977.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Healthy Weight Week

The third week in January is designated as National Healthy Weight Week. In an effort to promote a healthy nutritional lifestyle, Flushing Hospital Medical Center would like to offer the following tips to help you achieve and maintain a healthy weight.

  • Set a Goal – You can’t set out on a mission to lose weight without knowing how you are going to do it. Create a detailed weight-loss plan and set a goal that is specific, measurable and realistic.
  • Be Patient – In most cases if you make modest adjustments in your lifestyle, you can lose the weight gradually, but steadily. Dietary changes are typically easier to follow when you take slow, small steps.
  • Drink Plenty of Water – Water is free of calories, inexpensive and provides your body with a quenching boost. Recommendations are to drink eights cups of water every day, but if that is unrealistic, try slowly increasing your intake by drinking a few ounces more than you did the previous day.
  • Avoid temptations to snack– It is very easy to lose track of how much we eat when we are constantly nibbling on snacks. To avoid constant grazing, try chewing gum or drinking water.  If you must snack, try choosing healthy alternatives.
  • Make a Deal to Indulge – Definitely remove your dietary weakness from your home, but totally banning your favorite foods is bound to backfire. Instead of totally eliminating temptations from your life, allow yourself to modestly indulge once a week.
  • Begin a Manageable Workout Program – Forking over money on an annual gym membership can be helpful, but simply signing up isn’t enough. Instead of setting unrealistic workout goals, create a convenient and realistic workout routine at home.
  • Have a Friend Help You – Starting healthy nutritional lifestyle can be more effective if you have someone to hold you accountable. Teaming up with a weight-loss companion can assist you reach your goal by helping you stick to your diet and accompany you with your workout routine.
  • Weigh yourself – Regular weight check-ins can help you maintain your desired weight. Keep track of your progress and, if you see a trend toward gaining weight, you can revert back to the steps you took to begin your weight loss.

Hopefully, these tips will help you reach and maintain your weight loss goals in 2021. If however, you need professional assistance, Flushing Hospital’s Bariatric Center can help. They offer a variety of non-invasive, medically managed surgical weight loss options for those who qualify.

To make an appointment, please call 718-670-8908.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

New Year’s Weight Loss Goals

One of the most common New Year’s resolutions is losing weight.  For some, this goal can be accomplished through diet and exercise; however, for others losing weight may require more intensive approaches.

Losing a significant amount of weight can be very challenging, especially for people who are overweight or obese. Weight loss (bariatric surgery) has been proven to be a safe and effective way to overcome this challenge.

Bariatric surgery is performed on the stomach or intestines to reduce food intake or absorption, and induce weight loss. Weight loss surgery can also help those who are at risk of diabetes and hypertension to reduce their chances of developing these or other obesity-related diseases.

If you are interested in surgery, one of the first steps you should take is finding out if you are a good candidate.  Surgery may be appropriate for people who:

  • Have a body mass index  (BMI) over 40
  • Are 100 lbs. over their ideal body weight
  • Are experiencing disabling pain in weight-bearing joints
  • Have a BMI of 35 along with obesity-related disorders such as high blood pressure, diabetes, sleep apnea or degenerative joint disease.
  • Have tried to lose weight through diet and exercise but  have been unsuccessful

Choosing a weight loss surgery provider that is accredited by programs such as the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®) is highly recommended. This accreditation ensures that your provider follows a high standard of care.

Flushing Hospital’s Bariatric Surgical Center is the first Bariatric Center of Excellence accredited by the MBSAQIP. The center provides care from a multi-disciplinary group of health care practitioners who are compassionate and fully invested in helping you in every step of your weight loss journey.

To learn more about Flushing Hospital’s Bariatric Surgical Center, please call 718-408-6977or 718-670-8908.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Does Weight Loss Surgery Affect Diabetes?

Type 2 diabetes mellitus (T2DM) is the most common form of diabetes.  Complications from this disease can lead to more serious health conditions such as hypertension and stroke.  Type 2 diabetes can also lead to premature death; in fact, studies show that the risk of premature death can be increased by as much as 80% in patients with T2DM.

According to the American Society for Metabolic and Bariatric Surgery, “Obesity is the primary cause for type 2 diabetes.” Therefore, most patients diagnosed with T2DM can improve their health by losing weight.

One of the most effective forms of weight loss treatments for obesity is bariatric surgery.  It has been found that undergoing bariatric surgery and adhering to a prescribed diabetes treatment plan can improve blood sugar levels and cause remission of the disease in most patients. The American Society for Metabolic and Bariatric Surgery reports that “Nearly all individuals who have bariatric surgery show improvement in their diabetic state.” Surgery may improve type 2 diabetes in approximately 90% of patients by either lowering blood sugar, reducing the dosage of medication needed or improving health problems associated with diabetes.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy procedure, a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created.  During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. Both surgeries can offer excellent long-term results and positive outcomes in most patients. They are typically performed laparoscopically, utilizing a minimally invasive approach.   Laparoscopic surgery can offer patients several benefits including shorter hospital stays, shorter recovery time and less scarring.

Although bariatric surgery is considered safe, it is important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

At Flushing Hospital’s Bariatric Surgical Center, procedures are performed utilizing minimally invasive techniques including robotic surgery. The Center also provides many compassionately delivered services to help patients succeed in every step of their weight loss journey including close physician monitoring, pre and post-surgical psychological evaluations, personalized diet and nutritional counseling as well as ongoing education and support groups.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Bariatric Surgery Right For You?

Obesity is a growing public health issue in our region.  According to NYC.gov, more than half of New Yorkers are overweight, and nearly a quarter qualify as obese.  The New York City Department of Health and Mental Hygiene, reports that an estimated 23% of the population living in Queens is obese.

These rates are concerning  because people who are obese are at an increased risk for developing chronic diseases such as diabetes, stroke, hypertension, heart disease and some cancers.  However, the good news is the risks associated with many of these conditions can be significantly reduced by losing weight.

Diet and exercise are highly recommended methods of weight loss but they may not be enough to yield significant results for those who are obese.   Bariatric surgery offers an extremely effective weight loss solution for people who have tried and failed to lose weight by way of diet and exercise. Additionally, it has been shown to help improve several obesity-related health conditions.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy operation a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created.  During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. These surgeries are usually done through small incisions either laparoscopically or using the da Vinci surgical robot, ensuring a minimally invasive approach. Both surgeries offer excellent long term results and positive outcomes in most patients.

With this is in mind, it is important to understand that bariatric surgery is a major operation, no matter which procedure is chosen.  Bariatric surgery is not an easy way out. It is an important decision to be made under strict physician supervision and with the support of loved ones.  The process is immersive and takes approximately 4-5 months of supervised dieting and being seen by multiple specialties for approval.

Although bariatric surgery is considered safe, it is very important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

For those who would like to explore non-surgical weight loss procedures, there are options such as the FDA-approved Obalon Balloon System. This involves three air filled balloons inserted via a swallowed capsule. The patient is given no anesthesia and most people return to work the same day. The balloons stay in for six months after which they are removed via endoscopy. The procedure is generally very well tolerated with some side effects such as nausea and cramping. Studies have shown weight loss to continue beyond removal and many patients lose significant amount of weight.

When deciding which procedure is best for you, it is recommended that you receive an expert consultation with a surgeon. Your physician can assess your health which can lead to the decision on which surgery is suitable for your needs.

To ensure the highest quality care and maximize your chances of a successful weight loss procedure, it is recommended that you receive treatment at a “Bariatric Center of Excellence”, such as Flushing Hospital Medical Center.

Flushing Hospital is the only Center of Excellence in Queens. The process to reach this designation is arduous and ensures that the center and the surgeons are of the highest quality and preparedness. Surgical outcomes are measured very strictly and the capability of both the surgeons and the center must be of the highest caliber when compared nationally.

To make an appointment, please call 718-408-6977.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Bariatric Surgery Right For You?

Obesity is a growing public health issue in our region.  According to NYC.gov, more than half of New Yorkers are overweight, and nearly a quarter qualify as obese.  The New York City Department of Health and Mental Hygiene, reports that an estimated 23% of the population living in Queens is obese.

These rates are concerning because people who are obese are at an increased risk for developing chronic diseases such as diabetes, stroke, hypertension, heart disease and some cancers.  However, the good news is the risks associated with many of these conditions can be significantly reduced by losing weight.

Diet and exercise are highly recommended methods of weight loss but they may not be enough to yield significant results for those who are obese.   Bariatric surgery offers an extremely effective weight loss solution for people who have tried and failed to lose weight by way of diet and exercise. Additionally, it has been shown to help improve several obesity-related health conditions.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy operation, a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created.  During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. These surgeries are usually done through small incisions either laparoscopically or using the da Vinci surgical robot, ensuring a minimally invasive approach. Both surgeries offer excellent long-term results and positive outcomes in most patients.

With this is in mind, it is important to understand that bariatric surgery is a major operation, no matter which procedure is chosen.  Bariatric surgery is not an easy way out. It is an important decision to be made under strict physician supervision and with the support of loved ones.  The process is immersive and takes approximately 4-5 months of supervised dieting and being seen by multiple specialties for approval.

Although bariatric surgery is considered safe, it is very important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

For those who would like to explore non-surgical weight loss procedures, there are options such as the FDA-approved Obalon Balloon System. This involves three air filled balloons inserted via a swallowed capsule. The patient is given no anesthesia and most people return to work the same day. The balloons stay in for six months after which they are removed via endoscopy. The procedure is generally very well tolerated with some side effects such as nausea and cramping. Studies have shown weight loss to continue beyond removal and many patients lose a significant amount of weight.

When deciding which procedure is best for you, it is recommended that you receive an expert consultation with a surgeon. Your physician can assess your health which can lead to the decision on which surgery is suitable for your needs.

To ensure the highest quality care and maximize your chances of a successful weight loss procedure, it is recommended that you receive treatment at a “Bariatric Center of Excellence”, such as Flushing Hospital Medical Center.

Flushing Hospital is the only Center of Excellence in Queens. The process to reach this designation is arduous and ensures that the center and the surgeons are of the highest quality and preparedness. Surgical outcomes are measured very strictly and the capability of both the surgeons and the center must be of the highest caliber when compared nationally.

To make an appointment, please call 718-408-6977.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.