When most people think about unwanted weight gain, the body parts that often first come to mind are the stomach, thighs and butt. However, The Doctors show how weight issues can affect every part of your body, as well as your overall health.
The Price of Portion Control
Statistics from the American Society for Metabolic and Bariatric Surgery report that every year, more than 200,000 Americans turn to stomach-shrinking bariatric procedures as a means for extreme weight loss. Altering eating habits and regulating portion sizes are essential for bariatric surgery to have long-term results. Patients of gastric bypass surgery have smaller stomach volumes, causing them to eat less, but they also have the option to pay less for their meals.
A special weight loss surgery discount card allows post-surgery patients the option of getting reduced portion sizes with reduced costs at participating restaurants. Amid the rising obesity epidemic in the U.S., the question arises as to whether all Americans should be afforded the same opportunity.
“A study found that 96 percent of America’s chain restaurants, 96 percent of the entrees, contain more saturated fat [and] more sodium per meal than USDA recommendations,” ER physician Dr. Travis Stork says, “so that means almost any meal that you pick at these chain restaurants is going to be too much.”
“Portion sizes since the 1950s have more than tripled,” pediatrician Dr. Jim Sears adds.
Dr. Travis explains that the average American saves approximately $175 in a year by cutting 100 calories from their daily diet.
• Guide to recommended portion sizes.
• Portion control lunch box.
• The three Ps for eating healthy on a budget.
Exercise-Induced Hearing Loss?
Jerome, 40, is an avid weightlifter with a toned and muscular physique. However, he occasionally experiences faded hearing after performing certain exercises related to lifting weights.
Dr. Ordon explains how physical straining can increase intracranial pressure as well as amplify pressure inside the auditory canals, which can affect both hearing and balance. He recommends that Jerome schedule an appointment to have his hearing tested.
As the body ages, lifting weights that are too heavy can exacerbate a condition such as Jerome’s, so Dr. Travis adds that decreasing the amount of weight may also help.
Exercise and Eating Habits
Is it better to exercise on a full stomach or an empty stomach? The Doctors address the pros and cons of both and the importance of replenishing nutrients after a workout.
POSE Weight Loss Procedure
Gloria, a busy single mother of a 1-year-old boy, has been struggling with her weight for years. The resulting self-esteem issues surrounding her weight have begun to take their toll on her social life.
“I weighed about 105 pounds when I was 20 and in that year, I gained about 45 pounds,” Gloria says.
Over the next 15 years, Gloria continued to gain weight and after giving birth in 2011, she was heavier than ever.
“With my pregnancy, at the end of it all, I weighed 214 pounds,” she says.
Although Gloria lost some of her post-pregnancy weight, she still wants to lose 40 more pounds to reach her desired goal.
“I’ve tried so many different diets, fad diets. What makes me the saddest is that I still feel like something’s missing. I know that if I don’t feel good about myself and if I don’t love myself, then I can’t love other people,” she says.
Gloria visits bariatric surgeon Dr. Tom Lavin for the POSE weight loss procedure, designed for patients who want to lose between 25 to 60 pounds. POSE (Primary Obesity Surgery, Endoluminal) is an endoscopic, incisionless procedure that reduces the patient’s stomach size and diminishes the associated hunger cravings. The outpatient procedure is performed entirely through the mouth under general anesthesia and lasts 30 to 45 minutes.
“We don’t remove anything, we don’t rearrange anything; we just shrink the stomach,” Dr. Lavin explains.
The POSE procedure uses a camera-guided system, equipped with grafting and suturing devices, to close folds of stomach tissue and surgically contract portions of the organ. The device that is used for the surgery has yet to be FDA-approved for weight loss, but it has been cleared by the FDA for other tissue approximation procedures. In addition, as with any other bariatric weight loss treatment, POSE is not meant to be a stand-alone fix for obesity, since successful, long-term weight loss requires sustained dietary and lifestyle changes.
Dr. Lavin joins the show to further demonstrate how POSE is performed. Since undergoing the procedure, Gloria has lost 26 pounds and counting.
“Initially, I had no hunger at all,” Gloria says. “It started to increase, but I can still manage it enough so that I can retrain myself to eat better and keep losing the weight.”
Calorie Count Pop Quiz
Walking uphill or running downhill? Exercising in the morning or evening? The Doctors quiz the studio audience on which of these activities and more can burn the most calories. Find out the answers and the reasons why.
Sleep Deprivation Dangers
Scientists have known for years that sleep deprivation impairs cognitive function and leads to fatigue and irritability, but a new study reported in the Annals of Internal Medicine showed a link between stress-induced sleep loss and weight gain.
“Your entire physiology changes without enough sleep,” Dr. Travis says. “If you want to be at your ideal body weight, you have to get enough sleep.”
The study indicates that inadequate sleep reduces fat cells' ability to respond properly to insulin, which is crucial for regulating energy storage and usage. Insulin is also responsible for the release of the hormone leptin, which signals satiety by informing the brain about energy levels in the body. Over time, these hormone disruptions can result in weight gain, Type 2 diabetes and other associated health problems.
• Tips for a better night's sleep.
• The link between sleep needs and genetics.
• More simple sleep tips.
Are your shapeless ankles making your legs look like tree trunks? Discover the potential culprits that may create dreaded “cankles” and what actions can be taken for a more contoured appearance.
• Explaining cankle liposuction.
• Cankle surgery results.
How Weight Affects Birth Control
Amanda from Bay City, Michigan writes:
I want to go on the pill but I’m a bit overweight. Does that mean that the birth control will be less effective?
“What [studies] have shown is, just generically, that this doesn’t happen if you’re just in the overweight category,” OB-GYN Dr. Lisa Masterson explains. “Now, if you’re in the obese category, which we define as a BMI of over 30, then you may have to consider using a backup [form of contraception].”
Alternative birth control options, such as an IUD, are generally recommended for obese women, as higher dose pills can increase the risk of blood clots from obesity-related health complications, including cardiovascular disease and diabetes.
Dr. Lisa explains how birth control pills are fat soluble, so there is a theoretical concern for obese women as to whether the hormones in the pills will reach a steady state in the blood to suppress ovulation. She adds that birth control failure rates are linked more to inconsistently taking the pill than being overweight or obese.
• More on birth control.