cocksucking facials, amateur mature uk, old naked ladies., hentai flash download free, jovencito follando, the gallery helena hill nude arttetona rellenita, abandoned girl, pornotube handjob, ohnny bravo porn, mens scrub, hot jocks gay pornteenybopper nude, vouer sex acts, asian style dresser, vintage leather tool, dry cleaners coupons, frum jewish porndealta+white+hardcore, fat black women free porn, ebony girls white dick, domination and submission lifestyle, downs syndrome asian, transexual bogotasexy teen blonde blowjob pics, young bunnys, lg km900 mobile, android is fucked, Lesbin girls fuckpix, rumours lohanhermoine lesbian crazy v flash, reuseable anal lube applicator, kim sharma boob, india ass fucker.com, fistin sex, amateur forest nude freesolo sprayer distributor milwaukee wisconsin, hi deph porn, gumball vintage, cars with girls wallpaper, body building teen nude, hardocore superstarbs nud com, frequent confession, gay cream pie movie, nudist camp images, avp facehugger, gay nonlegal pornquebec rose nude, hardness of water calculations, segni zodiacali paolo fox, dragon ball hentay chichi, tanya hardin, voyeur,peeadult stem cell enhancer, opinel sculpte, di n d n sexy girls, female teen nudeist, sexy celebs fuckd, hardcore erotica for women dvdPron red ass teen gif, Teen forced sex captions, labrador penis, large big tits, mature dames, dvds atteen rubbing herself, longest world, ass breast huge wide, naked hot vagina, coroas da net, dissertation adult education college placementhot big tit, bbw adult webcams, lead paint cleanup, Taiwan naked man photos xxx, vanessa rudgens nude phots, free asian shittinglatin 3rd declension nouns, Fotos porno xxx selena gomez, mms xbmc streams and porn, meg ryan multiple anus, vivica fox in bikinis, keyring giftballad of black mesa mp3, nackte schwule knaben, sexy cream the rabbit, bukkake galleries gay, fairfa county adult education, how to make 3d pornvintage nude galleries, contour testing strips rite aid, pheromones that attract women, free nude pics danneel harris, lesvianas follando en la playa, hentai toon fuck teenconfused lesbian drunk, Mallika sherawar fucked, mister indian, luxury coverlets, ass hole web cam, pink toddler jacketmiddle students, adult contemporary radio stations, lactating tit fucks, wet teen feet, myspace graphics hot sex, milf handjob russiacelbes nude, janpanese adult movie, victor turner nude, 6teen hentai, blown shot glasses, bronx zoo cuponsmarried sex xxx, teens screaming sex, nintendog cheats for money, cartoon poron, amateur hairy mature pussy, rubber fetish discussionflexible women webcams, lambchop puppeteer, g4 tv sexy babes, sweedish sex teens, adult game orgasm, pam anderson sex tape ferrhot nude teen lesnians pissing, naughty book worm bitches sex, ebony face sit, dmx give em what they want, sex dating in woodlawn louisiana, fuck teen comkostenlose domina, adult nell, helen xxx video, erica campbell solo dvds, belize girls nude, inverted nipple pornbeautiful black people in sex, anetta keys free porn forum, adult ed ballroom dancing ny, hores having sex vid, lit buckcherry, you tube xxx moviespregnant mother and daughter, teen labia lesbian, black lesbian girls sex, minnie mouse tshirts, extreme young sex pics, mujeres desnnudasbrown asses, is gay generator, teenage orgasm videos, brandi taylor sex vids, woody allen dick cavett, touche mon culuk swinger vids, clelebrity sex, chocolat restaurant limerick, ivanka trump thong, interracial free home videos, pictures of pagesmilitary bikini models, bestiality avs super zoo avs sites, sink self rimming, girl getting pussy, gay underwear lick, indian gaming benefitspeeasia tv, shemale melbourne, aluminum property, redtube lesbians mature women with, mpeg free teens, indian restaurant desasha hollander anal, sexy men for women free, freegaywebcam, ava miller sexy movies, la publique, smokin aces the moviemund scheissen, armpit licking rapidshare, girls shaking ass in thong, adult fanfiction nc17, david marker gay, lucero en tangahomemade condom, sexy long haired older latin women, jodie foster the accused sex, how to be a sperm donor in chicago, lindsay lohan boobs pics, interested things2.5 sata 7200, jamie car sex, boy blow job gay, gangbang chubby, Scenes behind making porn xxx, king arab sexfuckin hot nudes gettin fcked, cheval porno, dress made from, men naked pics, big tits round asses kerra, incest englandsex scenes from russia, pussy titty licking, brunette with ash highlights, italian nude faked, sinead hentai, latina girls get cumshotscarrossier frigorifique, photos hentai naruto, kyles mom is bitch, north american grizzly, nude girl sketches, porn hub youpornmilf caught, blowjob adict, rental exhibit booth, celebrity sexy whitening review, black light neon, Katrina kaf xxx phoran mp4 xxxlace table skirts, vanessa and hudgens and nude, lesbian lick pussy video, eskorte jenter oslo, sweetest girl clean, free 3 gp adult videosvoir webcam erotique gratuite, vulgar adult sex stories free, adult diper fetish, Nakedboyspenis, caught getting a blowjob, mature young picpictures of shemale nakitta, sex japan chinese affairs, hentai ds game download, mature black pussy tube, video young men gay, growlanser hentaiturk facesitting, Girls are going to the bathroom and then have sex, women's shape, hot nude hd video, lez anime girls, xray teen modelfree teen feet, mon son free sex stories, overweight and wanting to become pregnant, xxx moviemart, assamese adult film clips, 358th fighter grouprisks oral sex, animal gay stories online, gay pride roma june 2007, best amature video blowjobs, foot fetish video free, offre d emploi kinesuper granny winter wonderland 1 0 0 1, kostenlose unzensierte nacktfotos, adult onset type 2 diabetes, famosos gays, porn you wish, sentimento asiatiche sexassociation patrimoine, blonde girl gets to suck dicks, real frat sex, staffordshire tea set, www female cumshots, hub repairbest porn video clips, oma fickt mit, heather lindsay nude, Air gear simca sexxx mp4, préservatif hansaplast, army bdu jacketformula to calculate slope, "rape my wife", oil sands career, kirsten gumm nude, latex diaper briefs, macross frontier hentai freewater heater installation cost, how to store marijuana, \vspace latex, san juan count registerd sex offenders, grandparents rights laws, movies sex thumbschildren and violent movies, t and a xxx, Sybian positions, sex videos gran, pregnant with a uninary tract infection, celebrity porn citesgay chat line uk, jenny barger porn, lesbian starpon sex, granny torrents mature, black transexuelle, vagina cunt pussytube8 fuck teen, two teens facial cumshot, smurf stationary, ''pussy pee holes'', meta nude pics, bikini babe models
mail

Should you consider bariatric surgery?

Posted: January 26th, 2018 | Featured, Health, Lifestyle | No Comments

By Vadim Avulov, D.O.

In 2013, the American Medical Association recognized obesity as a medical disease. A person is considered obese when they have a body mass index (BMI) score of 30 or above. BMI is calculated by dividing a person’s weight in kilograms over their height in meters squared. A healthy BMI is 18-25. Someone is considered morbidly obese when their BMI is 40 and above. Many studies found an association of obesity and increased mortality. In fact, life expectancy in obese individuals is reduced by an average of 10 years when compared to the non-obese population. Obesity is found to affect every single organ system in the human body. Counting from head to toe, here are only some of the affected systems:

Brain: Specific brain tumors such as meningiomas and pseudotumor cerebri.

Lungs: Obstructive sleep apnea.

Heart: Coronary heart disease and hypertension.

Pancreas: Type 2 diabetes.

Liver: Non-alcoholic fatty liver disease which may lead to cirrhosis.

Gynecology/Oncology: Women are at an increased risk of developing breast and uterine cancer.

Urological: Urinary stress incontinence, impotence.

Bone/extremities: Osteoarthritis, varicose veins.

Bariatric or weight-loss surgery not only helps prevent and treat these conditions, it can also potentially eliminate them, allowing a person to lead a longer, more productive and healthy life.

Bariatric surgery should be considered for anyone whose body mass index is 35 and above with comorbid conditions such as diabetes, hypertension, sleep apnea, etc. Anyone with a BMI of 40 and above should also consider this option, even if they do not have any other complications. Surgical weight loss has been shown to be far more superior to conventional weight loss methods, such as diet, exercise and medical supervision, in decreasing the incidence of diabetes, heart attack, stroke and cancer.

Most people who struggle with obesity have attempted to lose weight through a regimented diet and exercise programs. And initially, many of them may be very successful in losing a lot of weight. Unfortunately, almost all of them regain all the weight back in a period of weeks to months.

Bariatric surgery is superior to conventional weight loss methods in that not only there is a far more significant weight loss, the surgery also helps prevent the patient from regaining that lost weight.

That is not to say that people have not regained weight after bariatric surgery. In fact, there is a little weight recidivism, particularly a year after surgery. However, the amount of weight gain typically stays around 10 to 20 percent of excess body weight after the patient has lost 60 to 80 percent of excess body weight.

Currently, there are two types of bariatric surgery options: gastric bypass and sleeve gastrectomy. Both operations are typically done via a laparoscopic approach.

Gastric bypass is both a restrictive and a malabsorptive type of operation. Portioning a section of the stomach into a small pouch, and then connecting that pouch to a small intestine reduces the volume of the stomach and restricts the amount of food a person can take in. Mild malabsorption of calories and nutrients is created by “bypassing” the biochemical digestion of food, resulting in the much-needed deficit of calories.

Sleeve gastrectomy is a hormonal and a mostly restrictive operation. This procedure involves transecting the stomach in manner that re-shapes the stomach into a narrow tube similar to a diameter of an intestine. Two-thirds of the stomach is eliminated from the body and with it the hormonal imbalance that causes the obese patient to always feel hungry.

Both gastric bypass and sleeve gastrectomy may result in similar complications such as post-operative hemorrhage, infection, and disruption of stomach connection with leak. The ultimate decision on which surgical option is the best for you should be made by yourself, your doctor, the surgeon, and the clinical team handling your care.

— Dr. Avulov specializes in general and bariatric surgery. He received his doctor of osteopathic medicine from New York College of Osteopathic Medicine in Old Westbury. His did his surgery residency at the Peninsula Hospital Center in Rockaway and Flushing Hospital Medical Center in New York. In 2014, he completed a fellowship in advanced laparoscopic surgery at the Lahey Clinic of Tufts University School of Medicine in Massachusetts. Dr. Avulov has done research on bariatric surgery outcomes and performs gastric bypass and gastric sleeve.

Leave a Comment