Energy homoeostasis refers to the ability of all living organisms to maintain the stability of body?s internal functions. Majority of the living organisms need certain conditions internally for survival such as internal body temperature, body pH, metabolic rate and expenditure of energy versus consumption of energy in the form of food. Human beings have the capability to adapt to different external environments and maintain the energy homoeostasis of their body. There are several ways in which human beings can maintain the energy homeostasis of their bodies. When the circumstances are favorable, the amount of the input of energy is equal to the output of energy. This can be demonstrated as follows: Energy input = Energy expended + Energy stored. This is the perfect energy cycle. However, due to unfavorable environmental circumstances a perfect energy cycle is not usually supported. Moreover, to maintain internal energy homoeostasis adaptation to the surroundings is required. Any organism that is not capable of adaptation ultimately perishes.

Solid Foods after Bariatric Surgery

Like the other phases of the post-bariatric surgery diet, the exact timing of Phase III of your diet will vary. Phase III of your diet typically starts at the beginning of week 5 and continues for the rest of your life. The goal is to choose healthy, balanced meals and make lifestyle changes to become the new healthy you. You should continue to follow your previous routine that you used for previous diet phases for meal times and vitamin supplementation.

Bariatric and Metabolic Surgery

Obesity is a worldwide problem of increasing prevalence. Ideally, and in its less severe stages, obesity can be controlled with diet management and a regular exercise program. At times, obesity may be so severe that it is termed morbid obesity. Weight loss surgery, including gastric bypass and the gastric sleeve are surgical procedures whose utility in combating morbid obesity are recognized by both medical and surgical specialists. Patients who have a BMI greater than 35 or those with a BMI of 30 or more who are also suffering from life-threatening illnesses curable with weight loss are considered as possible candidates for bariatric surgery.

What are the long-term benefits of bariatric surgery?

Studies show that bariatric surgery can effectively improve and resolve many weight-related health conditions. A review of more that 22,000 bariatric surgery patients showed: Improvement in or complete resolution of conditions including type 2 diabetes, hypertension, and sleep apnea and 61.2% reduction of excess weight.

Protein Supplementation and Bariatric Surgery

Studies show that there is an inverse relationship between diets that contain adequate protein and abdominal adiposity which is chiefly responsible for obesity-related issues. It is interesting to note that most weight-loss diets recommend a high intake of protein.

Challenges After Bariatric Surgery

Bariatric surgery does not change your life in terms of job, family and other psychosocial aspects. If some areas of your life are causing you to eat you might want to take a step back and evaluate the situation. You must try very hard not to use food as an outlet. Set consistent meal times and follow that routine. People tend to bury their feelings in food. Food is often used as a comfort source for many emotions. It’s like our best friend. Bariatric surgery provides a tool to control your portion sizes and combined with our program, can teach you to choose your foods wisely.

Cancer

Cancer is the name for a group of diseases in which cells in a specific part of the body divide and grow abnormally to form clusters known as tumors. All body tissues are formed from cells whose behavior is governed by genes. Under normal circumstances, cells reproduce and die at an equal rate, but if the gene responsible for controlling this aspect of cell behavior changes or mutates then the cell can begin to replicate uncontrollably. Whilst the link between cancer and obesity has been the focus of significant research for some time, no single causal pathway has been identified and at present it is not clear whether obesity is responsible for causing the gene mutations that can initiate cancer, or if it somehow promotes cancer progression such that the disease is detected at an earlier age than would otherwise be typical

Pancreas

The pancreas is a gland about the size of a hand, tucked between a bend in the upper part of the intestines (the duodenum) and the stomach. One function of the pancreas produces enzymes for the digestive system in the exocrine tissue. The other function of the pancreas creates hormones as part of the endocrine system. Within the pancreas the tissues of both systems intertwine, which makes it difficult to treat the pancreas because things that work on one system very easily damage the other.

Liver

The liver plays an important role in the digestion and processing of proteins, fat and sugar. The liver helps create some of the building blocks of proteins needed for the body known as amino acids. The liver plays an important role in fat digestion as well as the production of fats needed for the function of different organs of the body. Simple sugars are created in the liver by breaking down both proteins as well as more complex sugars known as glycogen. The liver can also convert simple sugar into glycogen which is better for storage. In this way the liver acts as an energy center for the body. It controls the balance of simple and complex sugar storage and releases sugar stores when needed for energy.

Gallbladder

One of the functions of the gallbladder is to concentrate the bile produced by the liver. Mainly by removing water, the bile is reduced from a fifth to a tenth of its original volume until reaching the maximum capacity of the gallbladder at about 50 milliliters. This concentration is a kind of balancing act. If the gallbladder doesn’t concentrate the bile, then there may not be enough active ingredients to break down a heavy load of fat, resulting in digestive problems. If the gallbladder performs too much concentration, the lack of water may stimulate the formation of gallstones around impurities in the high saturation of cholesterol.

The Process of Bariatric Surgery with Dr. Belsley

Welcome to the first step in your consideration of weight loss surgery with Dr. Belsley at Mt. Sinai St. Luke’s Hospital Center. We understand that you have a choice in your medical care and will do his best to answer your questions and ensure you a safe, personalized and individual experience throughout your weight loss. You must continue on your new path as it is one that you must walk for the rest of your life. Please keep in mind that bariatric surgery requires continuing positive lifestyle change and is not a substitute for dieting.