Originally Posted by
Hmac
Those articles nicely illustrate the current major thrust of the medical bariatric community as well as bariatric/metabolic surgery for about the last 8 or 9 years. Prior to that, we just thought that weight loss surgery worked solely by restricting intake and, in the case of gastric bypass, creating some component of malabsorption. As diabetes become such a huge component of the obese population, we began to notice that that population's blood sugars normalized immediately after surgery and it was independent of the weight loss. It turns out that the mechanism was a lot more complicated than we thought, with vastly more metabolic implications.
It also helps to illuminate why weight loss is not just a simple matter of calorie intake vs calorie expenditure.
I’m a poster boy for this. Blood sugar stabilized with 12hrs post op. Lost a total of 150+ lbs and have maintained for 12 years. I’m convinced the surgery changed my body type because I now have a much more normal relationship with food and eating.
Before - almost no correlation between diet and weight loss. I’m an ex-footballer and I’ve worked out all my life.
After - total control over weight via diet.
I think there is a subset of people that react differently to food than others. Just like some people can’t drink alcohol responsibly - something is wired differently- it’s not just a willpower problem.
I am also convinced there is something else going on beside simply calories in verses out. It works for the majority of the normal guys but not the outliers. In training camp everything was measured and we got weighed before and after every workout. All of us burning approximately the same number of calories. At 265 lbs I had to eat 1500 less calories than the guy next to me just to keep my weigh under control. He got extra ice cream and still lost weight in camp.
“Beware unearned wisdom.” Jung
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