Losing Weight

Increasingly, Doctors are Prescribing Phentermine for Gastric Bypass Pre-Op

For anyone undergoing surgery, it is extremely important to maintain the utmost health and follow all of your doctor’s instructions. To reduce the risks of gastric bypass surgery, doctors often ask patients to go on diets and lose weight as part of pre-operating procedures.

More and more doctors are now seeing the benefits of FDA-approved diet drugs like Phentermine, and are even prescribing it to patients as part of their pre-operating directions in order to help minimize risks during surgery.

Losing weight pre-op is often a catch-22 for patients who have already had difficulty losing weight through traditional methods. Their doctors are looking for them to improve their diets, exercise and lose weight before the procedure, yet their lack of results with these traditional methods is the very reason they are opting to have surgery in the first place. This is when so many doctors are finally incorporating the proven weight loss pill, Phentermine, into their prescription plans.

However, for some conservative doctors, it is the stigma of weight-loss pills that is difficult for them to overcome, and not the safety or efficiency which have been proven over and over. An article in the New Yorker, equated other doctor’s hesitancy with prescribing weight loss pills that proven to be effective with their former position on mental health treatments: that someone patients did not require medical treatment.

The doctor who authored the article, Dr. Suzanne Koven, lamented this mindset back in 2013 and hoped that one day she would be able to better treat patients looking to lose weight. Hopefully, that day has come.

Why it is Important to Diet Before Gastric Bypass Surgery

You’re probably wondering why doctors tell patients to lose weight before a gastric bypass when the entire point of the surgery is mainly to lose weight. No, your doctor is not testing your weight-loss abilities. It all comes down to ensuring your safety.

If you aren’t scheduled for a gastric bypass and are wondering what exactly this surgery is, here’s a quick overview: Gastric bypass surgery is a procedure to aid in permanent weight loss by dividing the stomach into two sections to reduce its size to less than 90 percent of what it previously was.

It is a risky procedure that is only used in cases of obesity, as a last resort when no other options have worked. It is an extremely effective weight loss option for many patients who see dramatic results and increase their life-spans in the long-term.

The reason doctors are so adamant about their diet instructions before the procedure is that the surgery has been proven to be much more successful for patients who have managed to lose some weight prior to the operation.

Often doctors prescribe a liquid diet to help empty out the stomach and prevent any disorders. It is recommended that those in pre-op abstain from eating for 48 hours prior to their surgery. This helps prevent any leftover food particles from increasing the chance of leakage that can occur during the stapling part of the procedure.

If the liver is enlarged during surgery, it could prevent the surgeons from continuing with the procedure until more weight is lost. The surgeon needs to be able to access the breastbone to perform the procedure laparoscopically, which results in the greatest success with an easier recovery period.

How Phentermine Can Help with Pre-Op Procedures

For those who suffer from stress eating, the looming days before surgery can be a trigger. Prescription diet medication can significantly improve weight loss when patient experience slowing results from more traditionally recommended methods. These weight-loss medicines work by increasing the basal metabolic rate and decreases a patient’s appetite.

The appetite suppressing properties of Phentermine are psycho-stimulants that are powerful in overcoming stress eating habits. This medication can help you reduce hunger cravings such as this, which is important in limiting your diet prior to your gastric bypass operation.

When left without a prescription to Phentermine, many often falter to these stress-eating habits and find it very difficult to stick to the suggested liquid diet regime. Phentermine releases hormones like norepinephrine and epinephrine that release adrenaline that produces energy and help break down fat cells.

A prescription of Phentermine combined with dietary recommendations and exercise that doctors routinely suggest as a part of pre-op procedures for a gastric bypass can be a powerful tool in preventing weight gain. This can also benefit your recovery time, as the physiological impact of Phentermine can counteract depression that is often associated with surgeries. Depression is particularly common in elective surgeries like gastric bypass.

Why Phentermine is the Preferred Prescribed Medicine

Phentermine is the preferred appetite suppressant that is prescribed by doctors for bariatric surgery like gastric bypasses. This is because it is one of the most effective weight-loss medications on the market, with the least amount of side effects. It is also FDA approved to be used for 12 weeks, which makes it a prime candidate for pre-op prescriptions.

The normal dosage ranges from 15 to 37.5 mg for a day and has been proven to boost metabolism and reduce hunger. It also has been proven to have no long-term side effects. In a study that measured patients who abruptly ended use of Phentermine, no patients exhibited any withdrawals or addictions to the drug.

In addition to its many benefits for pre-operating processes, Phentermine also helps boost energy level post-surgery to combat potential lingering side effects from the anesthesia or the procedure in general. It has been shown to be effective at managing long-term weight loss, especially for those struggling to lose weight through traditional methods.

For those with a history of failing to lose weight, this is the best weight loss pill on the market. It helps patients keep weight off, struggle less with post-operating recovery, and prevents uncontrollable hunger cravings. Phentermine continues to be a safe option for patients undergoing surgery, as well as those looking to supplement their weight-loss efforts.

phentermine helps to prepare for surgery

Phentermine Can Help Those Undergoing Gastric Bypass Surgery

Gastric bypass surgery is a procedure that involves having the stomach divided into two sections so that permanent weight loss can be achieved. The small intestine is then split in two and connected to both halves of the stomach. This procedure results in a major reduction of overall stomach volume. The resulting upper stomach pouch is about the size of your thumb. This operation is only prescribed for individuals who are morbidly obese.

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Gastric bypass surgery is used to treat conditions such as type 2 diabetes, high blood pressure, and sleep apnea. Weight loss is dramatic. Long term moralities rates can be reduced by over 40% after completing surgery. Gastric bypass surgery is prescribed for individuals who have failed to lose enough weight through diet and exercise alone. The success rate for those undergoing the procedure is improved if the individual has managed to change their diet and lose some weight prior to the procedure. Surgery is the best tool available to treat morbidly obese individuals and help them achieve permanent weight management goals and permanently change long-standing eating behavior.

Laparoscopy was first used for gastric bypass surgery in 1993.Over 200,000 bariatric procedures were completed in 2008. This number has been steadily rising as more surgeons are using laparoscopic procedures to perform the surgery. Laparoscopy is safer and the recovery time associated with the procedure is much shorter than an open procedure. It has the added benefits of reduced scarring, shortened hospital stay, reduced discomfort and less chance for a hernia to develop. It has steadily risen in popularity, even though gastric bypass is one of the most difficult procedures that can be done using laparoscopic means.

The gastric bypass procedure is easy to understand. A small pouch about the size of a thumb is sectioned off from the remaining large portion of the stomach. This is accomplished by placing staples between each half or by dividing the stomach completely in half. Both halves are then reconnected to the small intestines. Total division is preferred to ensure that the two halves of the stomach do not grow back together, thereby negating the benefits of the procedure.

After a gastric bypass procedure the size of the stomach is reduced by over 90%. Normal stomach volume can exceed 1000 ml. After surgery the stomach size is reduced to around 15 ml. The bypass pouch is formed from the upper part of the stomach that is least susceptible to stretching. This prevents it from stretching too much over time. Eventually the small intestine will be able to hold a larger volume of food. By the time that happens, weight loss will have been achieved. This allows the body to maintain the lower weight.

Once a very small amount of food has been ingested, the stomach pouch expands and sends signals to the brain to say that it is full. The patient feels as if he has eaten a lot of food, in reality he has eaten just a few bites. This feeling of fullness is typically followed by a feeling of satiety and a loss of appetite. If patients continues to eat after receiving these signals from the brain they may feel increasing discomfort or they may begin to vomit. It is important for those who have undergone gastric bypass surgery to eat 5-6 small meals each day. It is also very important that these patients do not “graze” all day long. Meals sizes start at ¼ to ½ cup per meal right after surgery and slowly increase to 1 cup per meal by the end of the first year. This requires a complete change in dietary behavior. If the dietary intake has been reduced prior to surgery this dramatic difference can be minimized.

Phentermine is a psycho-stimulant that is very similar in composition to an amphetamine.  It is used as a short term method to suppress appetite. It is prescribed to obese individuals, along with diet and exercise, to help reduce weight. This medication can be useful prior to gastric bypass surgery. It can help reduce the desire for food. This can help those about to undergo surgery by reducing caloric intake prior to the procedure. This can make the dramatic stomach capacity reduction feel less severe than it would if Phentermine had not been taken prior to the procedure.

Phentermine works by reducing the sense of hunger a person perceives. It also releases both epinephrine and norepinephrine which helps to break down the fat cells that are stored in the body fat. This helps the individual lose weight and reduces the feeling of hunger. Phentermine gives you energy and can be very useful for obtaining weight loss prior to surgery. After gastric bypass surgery Phentermine can be useful to offset physiological effects associated with the procedure. Depression often affects those who have undergone gastric bypass surgery. Diet limitations and low energy levels can make this condition worse. Phentermine can help increase energy levels and help alleviate some of these side effects.

Gastric Bypass surgery – long term health benefits

  • Over 70% of patients see an improvement in their blood pressure results. Blood pressure medications can usually be eliminated follow the procedure.
  • Sleep apnea can be cured and the incidence of snoring is greatly reduced or eliminated following a gastric bypass procedure.
  • Up to 90% of patients experience a complete reversal of type 2 diabetes. Medication for diabetes can typically be eliminated.
  • Pre-diabetics can decrease their chances of developing type 2 diabetes more than 30 times over that of those who have not had the procedure.
  • Almost all patients experience a relief in gastro-esophageal reflex disease.
  • Leg swelling associated with venous thrombolytic disease is often alleviated.
  • Lower back and joint pain are often improved or eliminated in almost all patients.
  • Mortality can be reduced by over 40%.
  • Life expectancy can be increased up to 15 years.
  • Phentermine taken prior to surgery can help alter eating habits and makes adjusting to the new stomach size easier for patients.
  • Phentermine can increase energy levels and help alleviate the feeling of low energy and resulting depression that can often follow gastric bypass surgery.