In a joint statement, 45 international organisations, doctors and researchers in diabetes say surgery should be considered as a treatment option for anybody with type 2 diabetes who is obese or even mildly obese (with a body mass index of more than 30) if drugs and lifestyle changes – diets and exercise – do not succeed in keeping their glucose levels under control.Pocket billiards to that. Weight loss gastrectomy is one big experiment. A follow on from the diet or die. Where are these people when weight outliers are being cut out of their homes, being humiliated and defenceless in plain sight for everyone to have a pop at? Where they to direct humane considerations, dignity and privacy for those people? Where are they to inject a sense of objectivity into people's perception of metabolic function?
The opposite of where they are when its about hacking the vital organs out of bodies their professions have had primary role in devaluing.......for mucho £££'s.
Looking at the subtitle of that article,
Guidance says operations to shrink stomach should be offered to anyone with condition who is obese if other methods have not succeededThe stomach is a muscular organ, why can't it be shrunk without mutilating it? Forests of worthless "obesity research" drivel is published. Why can't any spare the effort to use anything from the mind to some kind of electronic stimulus shrink the stomach, or turn down the function of the part that they cut out?
If you are going to starve people at least have the decency to turn their hunger to a less than normal level. Or would that prevent weight loss? Hunger is a metabolic function. It seems to run parallel in some way to where metabolism is at in terms of maintaining the body. If you turn hunger down, does that have a knock on effect that reduces body's ability to use up its fat stores?
There are no "other methods" of achieving weight loss on offer. Only various means of going about the same one- calorie restriction, with less or more assistance from such as powerful yet strangely useless drugs or thought re-education.
Ironically, one thing this butchery does get right is adjusting function first with results flowing from that. Whereas willpower only dieting leaves things as they are and just expects you to hurl yourself into the abyss that is a body's superior ability to outsmart your intentions. Rather than adjusting function, it leaves that to strangle or fully/ partially amputate the stomach.
The problem with calorie restriction induced weight loss or CRIWL, is that it is the wrong means of bringing about the purported aim of weight loss. Weight loss is not a technique, its an outcome of other things. The body knows how to do it and does it all the time with ease.
What we need to do is find out how and find the best means of making adjustments to metabolic anatomy to set its mechanisms to a different end or set point. If it can be done in part or whole through the stomach, then find the means of doing that in healthy ways. If we can alter the level at which the hypothalamus is cranking out its various duties, then do that.
In other words, tweak or reset the body in ways that change its set point-then let homoeostasis take aim at that and regulate it. Don't attack the body, use it.
The right means of adjustment will not hurt, cause major discomfort, nor will unravel back to where you started, because you will have changed the start. Regain happens due to the target of homoestasis remaining the same, unless it has shifted spontaneously before, during or after the diet began.
If weight loss was dieting, you'd feel the body's constant back and forth, reversal/advance of your weight all the time. Indeed, it wouldn't happen would it? Another impossible imposed by the phony conflation of dieting with weight loss.
Surgery doesn't remove calorie restriction's imposition of "willpower," or conscious direction, it just lessens it, which is why it tends to succeed better than dieting without surgery. The thing I didn't really grasp was that the more invasive surgery tends to decimate hunger too, at least until healing has (partially?) restored it. This can vary from days, weeks, months years, though the average seems to be between a year and a year and a half. Roughly in line it seems, with the period of greatest weight loss.
A pointer to the extensive and studiously avoided adaptability of the nervous system. Also an example of how hunger doesn't come from one source. I still missed this though.
Its not that hunger is all in your stomach. It's that your whole body is to some degree involved in energy metabolism, all your body's processes run on it. All things being equal-i.e. sans; eccentricities, quirks, malformations, etc., Hunger is unlikely to be solely about the brain.
Nature usually has at least one back up, if not more, especially for things that are this central to survival.
Hunger is overseen in some way by the brain, mainly the less conscious parts, but there are other sites that can have a significant contribution to its tone, tenor and pitch.
The digestive system as a whole is so rich in nerves that it makes a kind of (relatively) primitive brain itself. Other parts of it may also be capable of altering hunger/appetite function.
Such aggression towards the body is not necessary. Its desired by those who wish to insert themselves in between people and their ability to manage their own functioning. A big lever being their on-going refusal to do much about arresting weight in any non-invasive way. No matter what, if you cannot stop a process, it's likely to cause problems at some point.
No one should have to just wait and hope their body stabilizes. It's well within our capabilities to achieve. The will(power) is just not there in sufficient amount. More powerful than that is the urge to block that.
There's been a lot recently about how weight loss gastrectomy provides some great insight into finding out how to make dieting stick. These experts find it easier to mutilate millions and stand by with their algorithms, clipboards and laptops making notes, rather than getting more of a clue about the workings of metabolic physiology.
Like children pulling the legs off daddy long legs and pushing them to see how or if they can walk, so its just so easy to go down this route when you have such a grip on others. To honour and preserve healthy organs is still too much to expect.
It all has a scent of the path of least resistence.