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Weight Loss Surgery

Monday, October 17th, 2011 at 9:59 pm  
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When you are ready to leave the hospital, you may receive a visit from the hospital dietitian who will go over the required diet for Lap-Band patients. It’s important to fully understand the Lap-Band diet before you decide on this type of weight loss surgery. The first 3 to 4 days following Adjustable Gastric Lap-Band surgery patients must follow a clear liquid diet. Failure to follow the prescribed diet can cause complications such as band erosion or slippage that require additional surgery.

If you are a regular coffee, tea, or soda drinker you should be aware that no caffeine is permitted for the first three months after surgery. Carbonated beverages; both diet and regular may cause gas, bloating, and an increase in stomach size due to the carbonation and are not recommended at any time for Lap-Band patients.

The second phase of the Lap-Band diet consists of 5 to 6 weeks of a modified full liquid diet; the key component of this phase is consuming two ounces of a protein shake every hour for ten to twelve hours a day with two ounces of other liquids such as soup, baby food, or sugar-free gelatin three times a day.

During the second six weeks following Lap-Band surgery patients may eat food that is shredded in a food processor prior to eating. The basic foods on the Lap-Band diet include meats or other forms of protein, vegetables, and salads. The Lap-Band diet does not include most bread, potatoes and other starchy vegetables. The length of these phases may be altered according a patient’s personal weight and weight loss goals – my first phase is five weeks, followed by a two week second phase.

Protein is especially important following Lap-Band surgery. After Lap-Band surgery the stomach will never hold more than 4 to 6 ounces per meal, so making every bite count is essential for healthy and nutritionally rounded weight loss success.

Lap-Band patients are advised to consume fifty to sixty grams of protein daily to avoid protein deficiency. Protein deficiency causes hair loss, fatigue, edema, muscle weakness, and a delay in wound healing. A lack of adequate protein may also lead to depression, anxiety, irritability, apathy, and other mental health conditions, as well as cause a number of physical health issues from gallstones to colds, headaches, low blood pressure, anemia, irregular hear rates, and, in extreme cases, death. A lab can measure the amount of protein in your blood by performing a serum albumin blood test.

Eating after Adjustable Gastric Lap-Band surgery means taking tiny bites, and eating very slowly. You should think of your new stomach as a “baby” stomach. You’ll be drinking protein shakes and relearning eating skills much the same way as a new baby eats formula (or breast milk), and slowly adds new foods from blended baby foods to chunkier baby foods.

Certain foods may never be well tolerated by Lap-Band patients. These foods include:

Any medicine you take may need to be adjusted following Lap-Band surgery since you will not be able to swallow pills that are aspirin-size or larger, or capsules or irregular-shaped pills. For me this has meant breaking a blood pressure pill in half, changing my tri-estrogen capsules to a cream form, and taking liquid antibiotics and painkillers for an unrelated infection.

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Tags: Weight loss, weight loss goals, coffee tea, liquid diet, gas bloating

Learn About a Juice Fast

Saturday, August 14th, 2010 at 10:14 pm  
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A juice fast is a type of detox diet. A juice fast involves the short-term intake of raw vegetable and fruit juice and water only. Proponents of juice fasting use juice because it’s thought to be a good source of vitamins and antioxidants.

A juice fast is considered an extreme form of detoxification because no solid food is consumed. More moderate detox methods, such as the detox diet include solid food.

Pregnant or nursing women or children shouldn’t try a juice fast. People with diabetes, low blood sugar, eating disorders, , liver disease, malnutrition, addictions, underweight, anemia, impaired immune function, infection, nutritional deficiency, low blood pressure, ulcerative colitis, cancer, terminal illness, epilepsy, or other chronic conditions shouldn’t try a juice fast or should do so only under strict medical supervision. People shouldn’t try a juice fast before or after surgical procedures. A juice fasting can reduce blood proteins and change the way prescription drugs react in the body. People taking prescription medications should consult a health professional skilled in detoxification before trying a juice fast, and should never discontinue or reduce their medications on their own.

It’s important to consult a qualified health professional before trying a juice fast.

Common temporary side effects of a juice fast include headaches, tiredness, hypoglycemia, constipation, acne, increased body odor, and bad breath.

Other side effects of a juice fast can include fainting, dizziness, low blood pressure, heart arrhythmias, weight loss, hunger, vomiting, diarrhea, and kidney problems. If these side effects occur, there is a worsening of symptoms, or new symptoms appear, the fast should be discontinued and it should prompt an immediate visit to a qualified health professional.

Another possible side effect of a juice fast is diarrhea, which can lead to dehydration and electrolyte loss.

If continued for a longer time, juice fasting can lead to nutrient deficiencies, particularly protein and calcium deficiency.

Grapefruit juice should not be used during a juice fast, especially by people taking certain prescription drugs. A compound in grapefruit can change the way certain prescription drugs are metabolized in the body. Recent evidence suggests that pomegranate juice may also have the same effect.

A juice fast typically lasts for one to three days. A longer fast requires medical supervision and possibly monitoring to ensure that nutrient deficiencies don’t result.

Proponents of juice fasting suggest fasting only during the warmer months of the year. Spring is thought to be the best time of the year for juice fasting. Seven or more days before the fast, alcohol, nicotine, caffeine, sugar, dairy, wheat, animal meat, fish, and eggs are typically reduced or eliminated from the diet. This preparation diet often consists mainly of organic fruits, vegetables, and beans. Between 32 and 64 ounces of juice is usually recommended per day during the fast. The juice is sipped throughout the day. Typical fruits and vegetables include celery, carrot, kale, cabbage, apple, pineapple, cranberry, spinach, beet, and greens. Citrus fruits are often avoided. Approximately 6 glasses of room temperature or warm filtered water is often recommended in addition to the juice. Organic fruits and vegetables are usually recommended. If organic produce isn’t available, practitioners suggest peeling the skin off fruits and vegetables or washing vegetables with a non-toxic produce cleaner, usually available at . Freshly juiced fruits and vegetables are preferred, but if unavailable, practitioners suggest buying it from the health food store or juice bar as fresh as possible. Green vegetables and sprouts contain the pigment chlorophyll, which juice proponents believe are especially beneficial during a juice fast. A combination of fruits and vegetables is recommended. Variations on the strict juice fast include eating one meal a day in addition to the juice.Certain fruits and vegetables and their parts should not be juiced, such as the pits of peaches, apricots, cherries, and other fruits, apple seeds, citrus peels, carrot and rhubarb tops, tough skins (such as kiwi, pineapple, mangoes), and bananas and avocados.

There should be a gradual return to solid foods. Read the sample guidelines on how to break a fast.

Tags: health food stores, Juice fasting, blood proteins, Grapefruit juice, nursing women

Vinpocetine

Thursday, August 12th, 2010 at 11:01 am  
Comments (46)

Vinpocetine (pronounced vin-poe-ce-teen) is a synthetic compound derived from vincamine, a substance found naturally in the leaves of the lesser periwinkle plant (Vinca minor). Vinpocetine was developed in the late 1960s.

Vinpocetine is available as a prescription drug in Europe and Japan. In the the and Canada, it’s sold in and online as a dietary supplement.

Stroke and vascular dementia

Vinpocetine is thought to increase blood circulation in the brain, which may explain why some preliminary studies suggest that it may reduce brain impairment and dementia after an ischemic stroke. Although promising, well-designed human studies are needed.

Alzheimer’s disease

Vinpocetine is also being explored as a complementary treatment for people with Alzheimer’s disease. It’s thought to enhance the brain’s use of oxygen, protect brain cells against damage, and increase blood flow to the brain by inhibiting an enzyme called phosphodiesterase.

Although preliminary studies on the use of vinpocetine for Alzheimer’s disease showed promise, a critical review of previously published studies found that the evidence as a whole was too weak to rely on, due to limitations in the design of the studies. More research is needed.

Tinnitus

Studies suggest that vinpocetine may help with tinnitus after trauma to the ear.

To boost brain function

Vinpocetine is marketed in as a supplement that can boost memory and brain function in healthy people, but there is no real evidence yet that it can help.

Side effects of vinpocetine may include indigestion, nausea, dizziness, anxiety, facial flushing, insomnia, headache, drowsiness and dry mouth. Vinpocetine may also cause a temporary drop in blood pressure.

Vinpocetine shouldn’t be taken by pregnant or nursing women. The safety of vinpocetine in people with liver or kidney damage isn’t known. People with bleeding disorders, low blood pressure or seizure disorders shouldn’t use vinpocetine. It also shouldn’t be used two weeks before or after a surgical or dental procedure.

There is one case report of agranulocytosis associated with the use of vinpocetine.

Vinpocetine shouldn’t be taken by people who are taking drugs or herbs that “thin” the blood (anticlotting or antiplatelet medications), such as aspirin, Plavix (clopidogrel), Ticlid (ticlopidine), (Trental) pentoxifylline, vitamin E, garlic or ginkgo. It should not be used with Coumadin (warfarin).

Source:

Szatmari SZ, Whitehouse PJ. Vinpocetine for cognitive impairment and dementia. Cochrane Database Syst Rev. 2003;(1):CD003119.

Tags: North America, Alzheimer’s disease, brain function, vascular dementia, Phosphodiesterase inhibitors

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