"Approximately 65% of our population is overweight and 12% are
morbidly obese. This is despite more than 25 years of attempted
medical management. Clearly all current efforts have failed to
control this enormous problem. Could it be that we have failed to
recognize the cause of the disease and therefore have misdirected
our efforts?" - Alfredo Fernandez, MD, FASMBS, Surgeon, Tampa,
Florida Reducing obesity through bariatric surgery provides a
sustainable weight loss regimen, because it restricts the size of
the stomach and limits food intake. However, the surgery limits the
amount of nutrients absorbed by the stomach and small intestine.
This book provides a comprehensive, practical guide on pre- and
post-nutrition considerations in bariatric patients. It describes
surgeries including gastric bypass, lap band, and sleeve; nutrition
protocols for surgery patients; pregnancy considerations- pre- and
post-surgery; food consumption post-surgery; advancing healthy food
intake after surgery; minimizing negative side effects; and
recommendations to maintain healthy diet. This nutritional guide
provides health care practitioners descriptions and answers to the
many questions bariatric surgery patients need to know and ask in
support group meetings and individual counseling sessions. The
first chapter focuses on Selling Obesity and Food as a Cheap and
Legal Drug, outlining how food advertising, portion size increases,
and food frauds have contributed to the obesity crisis. New
research into gut hormones, microbiome influence on obesity,
firmicutes, and histamine are included, as well as pregnancy after
bariatric surgery and lifestyle changes-eating, sleep, hydration,
stress management-needed for success after surgery. Many health
care practitioners will use the Post Op Discharge Diet stages of
progression to explain how the patient needs to prepare for their
liquid diet and overcome numerous issues like dumping syndrome,
hypoglycemia, and alcohol and caffeine consumption. Diet plans for
Ketogenic, Mediterranean DASH, Glycemic, and Low FODMAP are
included within this book.
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