We all look for immediate gratification. We want what we want right away, if not faster. Not so with the LAP-BAND. A excellent strength of the LAP-BAND as opposed to early varieties of obesity medical procedures, this kind of as stomach stapling, is that fat loss takes place in a smart way.
We have management. The band is adjustable. We set the result on satiety by means of adjusting the band. We tailor that setting to achieve a steady progression of bodyweight reduction, not a sudden drop. With surgeries in the past, this sort of as gastric bypass and other kinds of stomach stapling, we had no management of the settings following we had completed the operation and left the operating space. What was set in the course of the stapling process had to be proper permanently.
It had to be loose adequate that the man or woman could take in and drink in the days immediately following the process and however nevertheless act as an powerful restriction on consuming ten many years afterwards. This is just not doable. The physique changes, it adapts and what was initially very restricted turns into looser. In buy to seek out some extended-phrase handle on fat, the configurations ended up often produced quite tight on the start off, major to a very rapid weight loss during the first 6 months. There was a loss of significant sum of muscle as nicely as a reduction of fat. This is not at all what we want.
There was some further weight reduction for up to 12 months but typically that was all. What ever you had lost at 12 months was about all that you were likely to lose. As a consequence, it was usually a difficult first 12 months, with very good weight reduction but not a great top quality of life, with extremely tiny food ingestion and lots of vomiting. The fat then tendered to continue to be stable for two or three far more a long time. Following that there was a sluggish progression of excess weight gain and there was not considerably we or you could do to endit.
We do not seek out this pattern of quick final results with the LAP-BAND. There is excellent evidence that quick bodyweight loss is unhealthy. We are looking for changes for a life span and we choose to attain these changes steadily above at minimum eighteen months. For some individuals, there is a far more fast outcomes and, as long as there are no troubles, these kinds of as vomiting or serious restrictions on ingesting, we do not interfere.
But we are not likely to push you to attain that by additional adjusting even though the bodyweight loss is progressing. The adjustment is determined mostly by the weight scale. If you are progressing nicely with excellent weight loss, with no unfavorable signs and you are not feeling hungry or consuming as well considerably at mealtimes, we see you as currently being in the green zone (see Chapter eight) and allow you to progress. If, even so, the outcomes are slow, you are obtaining hungry and consuming as well easily, we see you as getting in the yellow zone and in will need of further adjustments.
Houston Weight Loss Center
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