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Expert Commentary: Dr. Elliot Goodman, M.D. May 5, 2009

In a fascinating study in the journal Nature Structural and Molecular Biology,  scientists explored the creation of fat through a structure called fatty acid synthasase. While this is pure research with no immediate clinical application it does open a window into how fats are formed from carbohydrates. A deeper understanding of how this happens can ultimately lead to the development of inhibitors that would help block the conversion of carbohydrates into fat. This research always begs a somewhat difficult question. To what extent are people who overweight at fault. Or rather the question is how should a person feel about being overweight. This is an a critical question because how a person feels about their weight can go a long way to how they try to deal with it, either through diet, exercise, or surgery.


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Expert Commentary: Dr. Elliot Goodman, MD April 27, 2009

So here is yet another story on the dangers of obesity. In this case several studies were reported in the journal of Neurology that points to the possibility that obesity puts people at greater risk for dementia, Alzheimer's Disease and the loss of brain function, in general. This Just adds another mark to the innumerable reasons -increased risk for heart disease, diabetes, cancer, to name a few - why it is critical to tackle the weight loss issue head-on.


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Weight-Loss Surgery Helps Obese Moms' Pregnancies

Women who underwent dramatic weight loss after bariatric surgery had fewer pregnancy and delivery problems and fewer newborn complications than obese pregnant mothers, according to a recent study. The investigation, which analyzed the data from 75 clinical studies, discovered that pregnant women who had undergone weight-loss surgery (laparoscopic adjustable band surgery) experienced fewer complications than obese women. In particular, 0 percent of weight-loss women suffered from gestational diabetes, versus 22.1 percent of obese women, and 0 percent of weight-loss women had pre-eclampsia (pregnancy-induced high blood pressure), versus 3.1 percent of obese women. Also, women with bariatric surgery had less weight gain than the others.


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Weight-Loss Surgery With One Small Incision

Stomach banding is an important weapon in the war chest of the bariatric surgeon - but it typically requires five incisions and a considerable recovery time. But a new technique just coming into use needs just a single incision to accomplish the task of gastric banding, that is, tying off the top portion of the stomach so that food flow is restricted and slowed down. When the small, top part of the stomach is full, it signals the brain, which tells the body it's no longer hungry. This can lead to large reductions in weight for the morbidly obese, who are the only category of patients allowed to undergo the surgery.


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Precursor Fat Cells May Shed Light on Diseases

To understand more about the mystery of obesity, it's important to understand how fat cells are born, nurtured and matured. And the enlightenment that will flow from understanding obesity may sweep away mysteries relating to the generation of cardiovascular disease and diabetes, which seem to be so much more prevalent among people who are obese. So it was with delight that scientists greeted a recent study identifying precursor cells that develop into full-blown fat tissue. The research, performed on "skinny" mice genetically modified to have no fat deposits, showed that injecting one particular type of cell into the mice caused them to form fat.


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Weight-Loss Surgery 'Controls Diabetes'

Surgery to constrict the gastrointestinal tract is a safe and effective procedure to control type 2 diabetes in those who are morbidly obese, according to an authority in the field. "Bariatric surgery controls obesity, which in turn controls diabetes," assistant professor of surgery Gregory F. Dakin told the International Conference on Childhood Diabetes and Obesity, which met recently in Abu Dhabi, United Arab Emirates.


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Weight Loss Surgery can be a Life Saver

Just how effective is weight loss surgery in improving health? Two studies published last year in the New England Journal of show that weight loss surgery weight loss produces as much as a 40% reduction in deaths in the 10 years after the operation. As a growing number of Americans become obese the demand for bariatric surgery has risen. Obesity has several co-morbidities, including: diabetes, high blood pressure, sleep apnea, heart disease, and infertility.


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Beth Israel - Dr. Elliot Goodman a Bariartic Surgeon

Video interview Dr. Elliot Goodman who discusses bariatric surgery, procedure options, risk factors, important things for patients to know, and frequently asked questions. What bariatric surgery options are available? What are the differences between the different bariatric procedures? How invasive are the procedures? What is LAP BAND? What is a gastric bypass? What is the death rate for bariatric surgery procedures, and which procedures are less dangerous? What are typical complications? Are the doctors highly involved in the care with bariatric surgery patients?


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No Kidding, Let's Get Active

Childhood obesity has become a major health problem in America. About 16% of children ages 11-17 are overweight, which can have a lifelong effect on health and self-image. The focus on childhood obesity tends to point to school activities and school lunches, but a recent study at Ohio State University found that the time when kids can gain the most weight is over the summer break. One of the best ways to keep kids healthy is to keep them active, but it isn't always easy to come up with new ways to get them moving - here are some starters:


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Childhood Obesity Linked to Sugar Levels During Pregnancy

Each year, it is estimated that 8% of pregnant women in the US develop gestational diabetes, where hyperglycemia and insulin resistance develop as a result of pregnancy. The childhood obesity rate has doubled in the last two decades and it is estimated that 7 million overweight or obese children will grow into overweight or obese adults. A study in the September issue of Diabetes Care has found the risk of childhood obesity increases in line with the pregnant mother's blood sugar levels. The research team of Kaiser Permanent Center for Health Research analyzed records of nearly 9,500 mother-child pairs who were members of the organizations health plan through the years of 1995 and 2000. The evidence found that diabetes in pregnant women resulted in an 89 percent higher risk of the child becoming overweight and an 82 percent higher risk of the child becoming obese between the ages of 5 and 7 years.


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