Dr. Madan and His Colleagues Comment on a Recent Report By Lehigh Valley Live on 3/24/13, About Effects of Weight Loss Surgery On Diabetes

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Dr. Madan gives tips on how to ease into life-long habits after weight loss surgery, such as The LAP-BAND®

Dr. Madan MD is a world-renowned expert in laparoscopic and bariatric program. (213) 973-2263

Losing weight is good, but it's not the only thing that needs to change in a person's life. On 3/24/13, Bangor Daily News (BDN) reported on the progress of a weight loss patient (Becky Sawtelle) who found life after surgery a bit harder than just dealing with extra weight – and she's not the only one. Dr. Madan says that weight loss surgery such as lap band can effect many positive changes, especially for those with morbid obesity, but many patients find out after surgery that weight is not the only thing that needs to change.

Becky Sawtelle, per BDN, had some real struggles with weight, and weight loss. Dr. Madan says that she exhibited some classic signs of the emotional backlash of weight loss. It's wonderful to know that 50 pounds or more have been taken off quickly, but the lifestyle change of a different approach to food can be really hard. “Making Peace with Food” is a good article by Syracuse News, about the necessity of thinking your way around food before eating it, and deciding whether or not the food is a good idea or even necessary.

Lap band surgery especially, says Dr. Madan, requires a slower approach with no snacking. This may be the hardest thing to take, not only because food requires extra chewing, but also because social habits have to change. There can no longer be all-you-can eat buffets or massive plates of appetizers and entrees, because the insides can only handle a much smaller amount of food. If patients over-eat after surgery, this can cause either vomiting or dumping syndrome, and in either case, there would be more time spent in the bathroom than at the table. Joining a support group can help with emotional difficulties, as people are able to freely speak about their experiences and what has worked for them, in losing weight and keeping it off.

Becky Sawtelle said that some seemingly innocuous foods caused a reaction, such as Cheerios and chicken tacos. As the body adjusts, foods that once were eatable may either require caution or they must be taken off the menu. (This helps prevent vomiting and other side effects.) Sorting through what your body will accept and won't accept takes time, indicates Dr. Madan, and patients may find that they must carefully consider food to the point of making meal plans.

The benefits can certainly outweigh the issues. Per Lehigh Valley Live in and article titled "For obese patients, weight-loss surgery has potential to cure diabetes, too" published on 3/24/13, a gastric bypass patient (Jack Harper) said the same after he finally went through with weight loss surgery. He was able to lose weight and very quickly put away his insulin medication for diabetes, which saves him nearly $300 per month. Another side benefit, says Dr. Madan, is a drop in food bills. Patients often don't realize what is being spent on food, and the extra money can be quite a boost to the budget.

Dr. Madan does warn patients that follow-up meetings are quite necessary for those opting for lap band surgery. Adjustments to the band can prevent band slippage, in which the gastric band has moved, which can cause vomiting. It's also necessary to help patients see the progress they have made, such as Jack Harper's loss of 90 excess pounds, and discuss some of the sticking points of motivation or difficulties with post-surgery life. Sometimes patients need a referral for a counselor, sometimes patients need nutrition supplements, and occasionally there needs to be a discussion on unhealthy substitute 'comfort' habits such as increased smoking or drinking. Alcohol can cause issues after surgery, and must be self-monitored by the patient, but it can help to talk to a professional about dealing with stress, or how to deal with their extra energy levels.

Extra time must also be taken for exercise. Dr. Madan says that sometimes this is the hardest change to make, as patients who were formerly not able to walk much find they are now able, but not excited about exercise. It may help to hire a trainer, or a physical therapist, to find ways of exercise that are effective without being taxing on the strength.

Dr. Madan has written 175 articles, and was the first in Memphis to perform a laparoscopic gastric bypass. To date, he has performed over, and was first to offer an incision-less treatment for post-operative weight gain. As the former Chief of Laparoendoscopic and Bariatric Surgery Division at the University of Miami, Dr. Atul Madan may well be considered an expert in his field. Dr. Madan won the 2007 SAGES Young Investigator Award, was honored by the American Medical Association Physican's Recognition Award, among others. Dr. Madan's patient reviews are consistently high, and he received the 2011 and 2012 Patients' Choice Award.

For more information on Dr. Atul Madan or the LAP-BAND procedure, call 1-800-472-4900, or review more on Dr. Madan on http://www.obesityhelp.com/profiles/bariatric-surgeon/dr-atul-madan/.

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