Too many patients, as documented in an on-line study of 12,000 individuals conducted by the American Thyroid Association published in June 2018, (https://doi.org/10.1089/thy.2017.0681) , complain of persistent symptoms of hypothyroidism despite what their doctors believe is successful treatment with levothyroxine (brands include Synthroid, Unithroid, Tirosent, Levoxl). We believe something needs to be done to resolve this conflict between patients and their doctors.
Hi, Â just wanted to open up the discussion about gastric bypass from the perspective of a nutritionist. Â Maintenance of a healthy weight, and HEALTHY LEAN BODY MASS is absolutely essential to our overall health and well being. Â That goes for our biological, biochemical, social and psychological health. Â Many people strive to achieve a healthy weight but is weight loss at any cost worth it? Â There are cases where the weight loss becomes necessary to control blood pressure and blood glucose. Â There are cases when gastric bypass may be a last option but it should be considered a last option after a 6 month trial of HEALTHY NUTRITION INTERVENTION and a reasonable activity schedule has been tried. Â It can take at least 6 months to reprogram good habits into a person’s life when nutritionally poor habits have been dominant for most of their lives.
The main issues with gastric bypass revolve around the fact that one can easily return to eating unhealthy foods, just in small portions and the fact that normal digestion and assimilation is disrupted. Â Without adequate hydrochloric acid (HCl) in the stomach proteins won’t get digested properly and can putrefy and cause discomfort and reflux. Â Without adequate HCl bad bacteria like H.Pylori won’t be killed off, minerals won’t be extracted from food and the small intestine won’t receive the proper signal to produce digestive enzymes. Â Also, following gastric bypass the carrier for vitamin B12 is not produced efficiently and absorption is compromised. Â Sublingual methylcobalamin should then be taken on a regular basis along with a full spectrum multivitamin/mineral supplement.
SO, maybe this isn’t such a quick note but it is an important one! Â A HEALTHY DIET and REGULAR EXERCISE can’t be beat!
And as always,
Consider having an individualized nutrition consultation!
Beth Ellen DiLuglio, MS, RD, CNSD, CCN, LD/N