Bariatric Surgery Myths - Dr. Matthew Weiner addresses common misconceptions about Bariatric Surgery

[@virtuouswoman3646]

These myths are commonly told everyday by Bariatric Dr's & their staff however I've had no problems or complications after my RNY surgery doing the opposite of these myths Im 13mos post-op & have lost 138lbs & is16lbs from my healthy goal weight. I encourage everyone to follow your Dr's orders but remember everyone's body is different & if eating & drinking at the same time works for you than do what is pleasing to you! I did & my journey is a success so far! Thank you Dr Weiner for your honest & educational videos.....I've learned more from you than my own Dr.😉

[@westskincare]

Dr. V says that you can stretch your stomach out

[@pattyhubbard5297]

@@westskincare he is not Dr V and not nearly as arrogant

[@apoundofcure]

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[@cabernetqueen]

I am so grateful to you for you making these videos-- I know so many who have struggled with these myths for years! THANK YOU! on behalf of the huge WLS community that exists online on FB and YOU TUBE- thank you!

[@apoundofcure]

You're welcome - glad to hear that you're enjoying the videos.

[@lidapittenger6716]

Dr. Matthew Weiner Hi Doc. Wondering when I will be able to drink coffee?? Can’t find anything about this topic

[@apoundofcure]

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[@janieadams3064]

I’m having VSG in two weeks, and I’ve watched all your videos that I can find. Thank you for making things so understandable. Your pre and post regimens parallel what my surgeon has recommended as well. Thank you again.

[@apoundofcure]

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[@jennifercoleman811]

I am so grateful for your heart for us as Bariatric patients... you provide clarity for me as a 3 month out patient who has had VSG surgery. The road to surgery for me was mapped out and planned, but I feel less guided and prepared for what this journey really is now. Your videos are so helpful. They are lighting this new road for me, like a guide with a flashlight and a smile... they make me feel I can make it ...😀👊🏾... Thank you.

[@MomChangin]

oh my gosh! thank you for this! I have been struggling with several of these issues and when I question those at my clinic I am looked at in a judgmental way that I am not following the program ...therefore I am not taking my surgery seriously. Everyone has questions, even if it's just knowing the why. I no longer feel comfortable talking with my clinic about things and look elsewhere.

[@apoundofcure]

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[@CaptainManic2010]

Thanks for the focus on vegetables. that's awesome. not many doctors have that nutrition focus.

[@alaynastephens6479]

My food cravings never really went away. Food tasted bad for awhile but that ended too. I'm only 10 months post op but I'm down 90#.

[@apoundofcure]

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[@TheArtBeaconTAB]

Great video. It helped to clarify some things that I've been having a difficult time fully understanding after surgery.

[@apoundofcure]

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[@codyryandenise]

Wow, right to the point and cleared up a lot for me ! Thank you doctor

[@apoundofcure]

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[@pattyhubbard5297]

You really do have to find what works for you. I love the fact you encourage listening to your own body. I love intuitive eating. I do listening to several different Drs and people who have lost a lot of weight. Then I use my own judgment usually thru trial and error as to what makes sense and what works in my own life. Love the eat your veggies first concept. Makes perfect sense to me besides my tummy loves them. Somethings hit like a brick after I eat them. I have lost 85 pounds since July 2 2021 my labs are good. I have 27 pounds to go and have NEVER felt better. I just wish Dr Weiner had more videos!

[@apoundofcure]

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[@apoundofcure]

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[@nakeasimone13]

I am so glad you touched on getting mostly veggies after month 3. I am 14 mos out and I wanted to shift to a vegetarian based diet I visit a lot of WLS forms on Facebook and they all drive home the same message no carbs and this from people 3 years and beyond out from surgery. I tell them fruits like berries are great low carb fruits with antioxidants great for the body and they all tell me to stay away from fruit and that too much fruit will cause us to gain weight. And protein first cause our bodies need 80 grams of protein a day for the rest of our lives. It's so much info out there that can confuse us so thanks for sharing.

[@verifiedfacts7499]

what does WLS stand for?

[@KatieSinclair0525]

verified facts Weight Loss Surgery

[@pattyhubbard5297]

I say listen to your body. Your labs and check out intuitive eating.

[@apoundofcure]

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[@WezMwangi]

I love this surgeon. He's so real and tells it like it is. Eat your vegetables! Thank you Dr. Weiner!

[@doescancho1266]

Protein 1st

[@apoundofcure]

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[@TheMsSepi]

Man I’m so thankful for you!! All these things I was worried about..

[@apoundofcure]

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[@mxfoxgirl125]

I'm so glad I came across this video!!

[@apoundofcure]

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[@maxyero5489]

Brilliant, I am 14 years out and I had a feeling all these thoughts very myths

[@apoundofcure]

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[@imanoo21]

You gave some good advice. Thank you

[@apoundofcure]

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[@daniellem6988]

This video was so helpful ty for your time

[@apoundofcure]

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[@zuzellogan5613]

I was told “not to use a straw after the gastric bypass surgery,” so I am glad you are discussing this topic in this video. Glad to hear it is a myth, like carbonated water which is fine to drink. I like Perrier and Pellegrino waters , so now I know I can have them. Thank you Dr. Weiner for this clarification, it is appreciated.

[@apoundofcure]

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[@NaturallyMariaB]

I'm only a week post on and I'm physically hungry. Not just head hunger. So I want lucky to have this time to be "free' of anything.

[@apoundofcure]

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[@Karen8545]

Dr Weiner, I have learned a lot from your videos. I just went to my first seminar about weight loss surgery. I will be making my first appt soon. I have been trying to decide between sleeve or bypass. I'm 5'51/2 and weigh 245. I have diastolic CHF, sleep apnea and back and knee pain. I also have had problems with foot pain. I'm a nurse on a busy medical floor so it would improve my job if I could move better. I am going to order your book. I also plan to watch all your videos. The hardest change for me will be giving up diet pop but I plan to watch your video about that as well. Thank you for making all these videos.

[@apoundofcure]

Karen Locey You're welcome, I hope that the videos help you make a good decision.

[@verifiedfacts7499]

Think about that pop as posion. That's what it is. It's over loaded w/sugar. Sugar is poison to your body. They contain poinson, aspertame. Diet soda's have the highest level. It's a slow kill. When I first tasted bottle water, I was hooked. Walmart brand. Labels so tiny I can't read it, but tried Nestle and it tastes creamy yuck. They say water flushings out fat, not sure but if your pee is dark that's bad, drink water instead and watch how it lightens up. The way nurses run, I'm surprised any of you are over weight, has to be your diet and those killer soda's. You'll feel so much better when you start water & stop the soda's. You adjust fast.

[@apoundofcure]

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[@robindewitt7767]

I love this video!! I learned so much!!!

[@apoundofcure]

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[@charlottelynn2011]

Thank Doctor I am glad I found this channel...I am having the bypass...waiting for my surgery date.

[@Iamahusluh]

I’m tuned in! ❤

[@SisterScaleback]

Thank you! This was very enlightening and I am going for RnY on Monday in Ontario :)

[@apoundofcure]

Good luck!

[@apoundofcure]

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[@MeLrOsE429]

Thanks Dr. W for all the great information. I saw a couple food documentaries on Netflix which reminded me of your book, Pound of Cure. I've recommended it to quite a few people. The food documentaries on Netflix are Food, Inc., Food Matters, Forks over Knives. May God richly bless you!

[@apoundofcure]

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[@christinalynnkinnear1123]

Thank you for this video! I am still pre-op, but have always believed knowledge is power! Thanks again from your Canadian neighbour! :-D

[@apoundofcure]

Pre-op is the BEST time to be learning this stuff!

[@apoundofcure]

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[@healey7713]

Dr Weiner, how many grams of protein are sufficient eight months post-op? Should I increase protein after skin removal surgery? I have now lost 110 pounds and am SO grateful for your videos. I’m rewatching all of them this week to keep my head in the game. I read “A Pound of Cure” and it is fantastic - but you should consider a book specifically for WLS patients. So many times I had to come back and scroll through video after video to find the piece of info I was looking for (and couldn’t remember which video addressed it).

[@apoundofcure]

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[@myverseful]

Hi Dr Weiner. Really enjoyed your video. I know it's a couple years old, but I hope you're still reading comments. Quick question. I understand the content regarding eating and drinking at the same time. You address the issue of it being uncomfortable. However what I keep hearing is that water makes food wash through the pouch more quickly, causing more frequent hunger. Is there truth to that? You didn't really address it in the video. Thank you so much. Again, great video.

[@apoundofcure]

+Brianna Stevens this varies from person to person - for some, drinking while eating will cause more hunger, but for most it does not. We have no idea why this is.

[@myverseful]

Thanks so much for your response. Sounds like maybe it's not a bad thing to experiment and see how my body responds. So many of the recommendations are one size fits all. It's exciting to think that I could vary the regimen to suit me as an individual! So grateful for your (very prompt!) response. I know you're a busy man. Cheers, Brianna

[@apoundofcure]

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[@derekpercy7787]

Brilliant Vid - Thanks for Sharing!

[@apoundofcure]

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[@elizabethcantu9128]

Thank you doctor you are excellent

[@apoundofcure]

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[@platinumelectrical1489]

DrWeiner. I am 5 days post op from my VSG, your videos have been instrumental in helping me make my decision for WLS. There is very limited information available here in the UK. I actually went into Europe to a private clinic to have the surgery. I just wanted to ask although you didn't carry out my surgery, would it still be ok to follow your guidelines.

[@apoundofcure]

I recommend that those of you who are not my patients discuss my approach with your surgeon. If you've had a uncomplicated course, starting my nutritional program around 3-4 mos out should be fine. Earlier than that, listen to your surgeon.

[@apoundofcure]

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[@larrymeyers449]

Thank you for making these informative videos! I am a 59 year old male weighing 408 pds. Five years ago I had lap band surgery by another surgeon. It was great a first, I went from 393 down to 335 but then the weight started creeping back up to an all time high. Although I don't eat/drink nearly as much as I used to, my weight keeps going up. I'm sure it's probably from my bad food choices. I still love my carbs. I'm contemplating a gastric sleeve but after watching your video, I'm afraid that after a year or two, I would be right back to eating my carbs and gaining weight. Can you recommend a diet that I could try before I make a decision about the sleeve? Also, what hospitals do you work out of in the Detroit area? Thank you very much! Larry Meyers Eastpointe

[@apoundofcure]

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[@karenortegainkw]

#7! I am so happy to see that! I have never thrown up since 2 days post op.

[@avy3507]

Thank you so very much for these videos!

[@apoundofcure]

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[@kirish43]

Thank you for these videos. I am in GR MI and had a wonderful surgeon. He is super busy and you do a great job of explaining things!

[@apoundofcure]

Kelley Irish I know the surgeons in GR - they're all great surgeons and friends of mine. It sounds like you're in good hands.

[@apoundofcure]

Congratulations on your success, Follow me on instagram @drmatthewweiner see you there!

[@6yakira]

Thank you so much for making these video they are so educational for me as a rny 2 yrs post op person

[@elizabethmorrison1538]

Hello Dr. I am 5 days post op and I have had severe eczema for the last 7-8 years and have to use cortocosteroid creams all the time. Since the surgery, I have not itched once, nor have I had to use any cream. Do you think this is due to the surgery?

[@apoundofcure]

+elizabeth morrison more likely it's due to a change in your diet.

[@apoundofcure]

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[@apoundofcure]

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[@Samantha-vu3ro]

What about pills with the gastric sleeve? Will I be able to take "normal" sized pills after surgery? As in, not immediately after, but down the road?

[@apoundofcure]

Sami Fabulous I cover this in my "what to expect after bariatric surgery" video. In short, most people can take most pills. There are a few exceptions and it varies from person to person.

[@Brooke52528]

Do your patients not need to do a liver shrinkage diet pre-op? I thought it was important to have a well shrunken left lobe in order for the surgery to be carried out safely ( referring to bypass )?

[@apoundofcure]

I put everyone on a fasting diet, but it is probably necessary in only a small percentage of my patients. With experience, we've learned to handle even the biggest livers.

[@Brooke52528]

+Dr. Matthew Weiner Thanks for your reply, I have watched all of your video's and found them all interesting and informative. I was bypassed in February. At my particular obesity centre, the surgeons require a two week preoperative diet, consisting of milk, not sure if you've come across this in the US. Here in the UK, it's standard in a few hospitals, unless the patient is dairy intolerant of course. My surgeon told me that it is safer if the liver is well shrunken at the time of surgery. It is interesting how opinions differ between consultants. I couldn't be happier with my new tool. Thanks again.

[@Brooke52528]

+Dr. Matthew Weiner Thanks for your reply, I have watched all of your video's and found them all interesting and informative. I was bypassed in February. At my particular obesity centre, the surgeons require a two week preoperative diet, consisting of milk, not sure if you've come across this in the US. Here in the UK, it's standard in a few hospitals, unless the patient is dairy intolerant of course. My surgeon told me that it is safer if the liver is well shrunken at the time of surgery. It is interesting how opinions differ between consultants. I couldn't be happier with my new tool. Thanks again.

[@apoundofcure]

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[@RomeoTheShow]

Thank you i really felt bad when i drank soda after 4 months and i didn't have any reaction i had surgery june 7, 2016 and already got 7 months i did surgery and i lost 120 pounds since and wanna loose 50 more pounds like I'm kinda going back to my old habits but like before because their certain foods that make me fuller and their same that can eat bigger portions but thank i will see if i buy a copy of your book i know it will help thorough out my weight lost and i did sleeve.

[@apoundofcure]

+RomeoTheShow soda after surgery is the #1 cause of weight regain

[@RomeoTheShow]

Yeah i know and I'm addictive idk how to stop

[@Lolo-vx3kp]

RomeoTheShow just stop

[@Sarahhhhhhsto]

I’m concerned because I am 2 months post op VSG and I feel as though I have very little restriction. Trying my best to eat small portions and exercise 6x per week...

[@kimberlysmith5070]

This is a fear I have. I will be having VSG in less than 4 weeks. Have you spoken with your surgeon?

[@apoundofcure]

+Kimberly Smith this isn't just about restriction, the changes in your setpoint are the more important changes

[@apoundofcure]

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[@sunnylilme]

I had surgery May 5th 2009, at 280 lbs. I have maintained 130 for 7 years. Loads of hernias repaired though.

[@apoundofcure]

+sunnylilme congrats! Sounds like you had your surgery done the old fashioned way (open), hernias are very rare after laparoscopic surgery.

[@sunnylilme]

Dr. Matthew Weiner nope laprascopic. along with pseudo bursas, seromas.. etc. really the tummy tuck is the killer.

[@sunnylilme]

On a side note, I really appreciate your interest, obvious research, information, to our community. Very few of us have this level of info, empathy and lack of judgement you offer here. thank you.

[@apoundofcure]

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[@theunknownsource8317]

Thanks for your videos! I'm learning a lot!

[@Tiffvsg]

Very useful video. Thank you!!

[@apoundofcure]

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[@Bayley694]

Hello Dr. Weiner!! I was wondering if you consider gastric bypass Roux-en-Y patients never being able to use NSAID'S (Advil, Ibuprofen, Naproxen, Aspirins, etc. and other such anti-inflammatory drugs) a myth also? Are using NSAID'S a risk of getting ulcers and is it true that we are never able to use them for the rest of our lives?

[@apoundofcure]

Todd Ford Great question. I tell my patients that they cannot take NSAID's on a daily basis, but every now and then for aches and pains is fine.

[@Bayley694]

Thanks for your response, Dr. Weiner!! I am familiar with a couple of your patients through a Facebook gastric bypass surgery support page, and they have said they are quite pleased to have you as their surgeon!! Take care!!

[@Bayley694]

Dr. Matthew Weiner Hello Dr. Weiner!! With regards to NSAID's, would using a topical cream such as Voltaren on my osteoarthritic knees, still pose the same risk as it could be for orally ingested NSAID's?? I know that my knees are a bit far from my pouch and I just assumed that any absorbed into my skin (unless I am regularly swimming in it, as one pharmacist put it) would have lost its potency by the time it reached my pouch after going through my bloodstream. Is it a bit of a stretch to think that topical creams would carry the same risk as an oral NSAID, or is it a legitimate concern in your opinion??

[@apoundofcure]

It's definitely a legitimate concern. I don't forbid my patients from taking them at all - I allow them to take them every now and then for minor aches and pains, but discourage the use of them daily. This is the way I handle this with my patients, I recommend that you discuss it with your surgeon though.

[@apoundofcure]

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[@ClaudiaMDiaz]

I just had my Gastric Bypass surgery, what you said about feeling pain when having a drink of water and hurts, that's exactly what I felt last night when I was having a cup of tea. I though it was the tea, so I stop drinking tea.

[@apoundofcure]

+Claudia. M Diaz it will go away in a few weeks

[@ClaudiaMDiaz]

Thank you Doctor!! :)

[@222cyndy]

I love your videos, and have watched most of them. I am 4 1/2 months out from RNY, and would love to eat more vegetables, but I have to work at getting the protein in. Don't think I could make my 60-80g of protein without those protein drinks. I try for the higher end because my bloodwork pre and post op has always come up low on protein. I was off all artificial sweeteners for 5 years and I hate that they are in the drinks and things I am using now. If I cook beef in the crockpot with liquid that works, but other meats are hard to eat. Fish works OK too. It's funny I find salad easy to eat, but I am always afraid of eating too much of it, and not having room for my protein. -One myth I would love to hear you address, if it is a myth...is that you won't lose weight if you don't eat enough because your body goes into starvation mode. - Another question, in your Pound of Cure book do you directly address how it works for Bariatric patients, or is the presentation geared more for those who haven't had surgery? Thanks and keep the videos coming, they are very informative.

[@apoundofcure]

NYMom Yes, you will lose less weight after surgery if you don't eat - this is not a myth. I address this in the book and talk a lot about your metabolic thermostat. The book is written for anyone and does not address the issues that postop patients have with getting enough to eat. However, you are not going to feel this way forever, within a year to 18 months, you will be able to eat plenty and will be just like everyone else trying to eat less, not more, so the book will be extremely relevant to you in a few months. Your difficulty eating meat is common and should resolve within 9-12 months of surgery.

[@apoundofcure]

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[@Skyazii]

hello, doc Weiner i just first wanted to say thanks for your video i would just like to know if its safe to take bariatric vitamins before surgery

[@apoundofcure]

Of course, there's no problem - I have my patients take it during their preop fasting diet.

[@apoundofcure]

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[@yehyeh5066]

Hi Dr Weiner.. Does medication such as lithium still work after gastric bypass surgery?

[@apoundofcure]

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[@leahhill8052]

you mentioned about drinking but i was told not to drink half an hour before my meal so i dont fill my belly up. and not to drink half an hour after so u dont wash the food out?

[@apoundofcure]

+Leah Hill for some patients this is important, for others it is not. You should figure out how this affects you and act accordingly.

[@apoundofcure]

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[@mariadavilar2905]

Good morning Dr. I am have a serious problem after the sleeves surgery. My skin has been breaking out with hives and it is very painful and it causes my joints to swell and hurt very much. Do you have any idea what it could be. I’ve been to lots of doctors and also to emergency room and no one seems to know what it is.

[@yvonne8195]

I just had the bariatric sleeve and i'm trying to find a vitamin that is either liquid or capsule that will give me as close to 200% RDA any suggestions? I would perfer one with either multi with iron or multi with calcium.. please help

[@apoundofcure]

+Yvonne Hicks celebrate, o purity and bariatric advantage all have several different options.

[@apoundofcure]

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[@someonezmom]

why do so many health practitioners proclaim the opposite of these _myths?_

[@maxinehair]

Someonez Mom many were taught these rules when learning to put in the lap band and these rules were designed to place blame on the patients not the failure of the medical devices as they have a 60% reoperation rate they are simply uneducated on the subject

[@apoundofcure]

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[@someonezmom]

@@apoundofcure thanks but no thanks

[@Mandapanda1987x]

I'm going to get rny. I have bipolar disorder. Will this effect me? Will I have to stop taking meds?

[@apoundofcure]

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[@meghanadkins1885]

Thank you for this video as these are the most common things I have heard regarding surgery, however, it is quite confusing as all of these myths were told to me by my surgeon's office! What leads to such a big difference in information given to patients from physicians? Is this due to training, education, or studies?

[@apoundofcure]

+Meghan Adkins Much of what we teach patients is standard dogma that remains unquestioned and unstudied. I've listened to my patients over the years and recognized that many of the things that I was telling them to do or not do did not cause any issues, so I started focusing on the things that did seem to work (like eating lots of vegetables).Medicine and Surgery are more of an art than a science, this explains the wide variation in recommendations from practice to practice.

[@apoundofcure]

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[@lisamayes8409]

I am interested in sleeve surgery and type 1 diabties. I know it won't cure it! Is it safe?

[@apoundofcure]

Yes, just operated on a type 1 diabetic today, it won't cure it, but it will decrease your insulin requirements and may help bring down your A1c

[@apoundofcure]

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[@maribethj3469]

3 days post rny surgery... On a full liquid diet. When am I expected to have my first bowel movement?

[@maxinehair]

Maribeth Jones when you start eating soft foods be worried when it starts to hurt because of lack of bowel movement remember pain meds are also constipating

[@apoundofcure]

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[@elizabethmorrison1538]

Thank you for your response. A few years ago I became a vegan for six months and the severe eczema was still there. A year after that I juiced my own veggies and that and water was all I did for 30 days and eczema stayed the same.

[@apoundofcure]

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[@nakeahodge5151]

Very helpful

[@apoundofcure]

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[@nakeahodge5151]

@@apoundofcure good morning yes I do I will give u a follow today and 😊

[@leighlholmes]

Thank you so much for your videos. I don't eat many processed foods and it was nice to find a plan that didn't include them.

[@morganrussell5166]

I just found out I have gallstones. Is there anything to do to get rid of them outside of surgery? Or is that really my only option?

[@tamaragleaves]

I have a question regarding extended release Wellbutrin. It's the same size as my current SR. I don't really like taking the SE because now I have to take it twice a day and with ER Wellbutrin Hcl I only had to take it once. But my treatment team says no. I just recently had VSG on 7/10/19. I'm looking for 2nd opinion. Thanks.

[@jessicaarciola1084]

I am 15 years post op and I am now re-gaining the weight I had a pretty good run. I did well especially with no diet/guidance etc. Because back then the didnt know too much. Wondering if I could or should have a revision? I have been trying everythign I know to lose weight and nothing is working maybe because I am almost 40 years old. I dont know.

[@apoundofcure]

Jessica Arciola Need to know so much more about your situation to even begin to make a recommendation about it. In general, I think that most revisions are very high risk and have a very low success rate - the exception is the removal of a lap band and conversion to gastric bypass - I've had good success with it. Find a good bariatric surgeon near you and get his/her opinion.

[@jessicaarciola1084]

Dr. Matthew Weiner Thanks I am not going to take the chance. I had a perfect first surgery and I dont want to chance it. I will accept my 40 yr old body. Thanks

[@verifiedfacts7499]

Jessica Arciola Enjoy it, cause the 50's will be worse. Unless you are eating right and working out. Everything goes south you know. Us women get a raw deal, while men for the most part hold onto their looks.

[@jessicaarciola1084]

Yeah I guess I will be solo forever unless I trick a man into marrying me now.

[@apoundofcure]

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[@candicecrawford2996]

I wish everyone understood these things!

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@Skzsnumber1fan]

Why is diet soda bad if other zero calorie drinks are ok? Is it because of the artificial sweeteners and other chemicals that are in it? I’ve heard before that diet soda can still cause weight gain, but am having trouble understanding why, I guess. I’m considering gastric bypass, and I’m just trying to educate myself on everything that I can before I make that huge decision.

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@mishafurtado5873]

hi doctor , I want to know one thing if I have hepatomagaly with speelomegaly with pcos so is bariartric surgery suitable

[@apoundofcure]

Are you on instagram? You might appreciate the content there too, and we'd love the engagement. @drmatthewweiner is the account.

[@cynmille2000]

I am 6 years out and still get dumping really bad. I am going for a revision of my rny.

[@segalitsiegel7763]

Great information. I can't believe how many people say that your pouch stretches as time progresses. Because I'm diabetic, I thought I was going to have the gastric bypass procedure, but when my surgeon saw that I take antidepressants, anti-anxiety meds and sleep meds, he felt that the sleeve would be a better choice for me. He explained to me that he has a couple of female patients that became so depressed with their gastric bypass, that he reversed the gastric bypass procedure for these patients. I thought that both gastric and the sleeve were irreversible. What's your experience with WLS and antidepressants and sleep medication?

[@apoundofcure]

Watch out for an upcoming video on "Stomach Stretching" - or what it really is. I have tons of patients on antidepressants and anti-anxiety meds - these usually don't impact my surgery recomendation, but I certainly respect what your surgeon is saying and think there's merit to his reasoning.

[@segalitsiegel7763]

Love your videos. Keep the coming. You're doing such a great service to all obese people all over the world. My surgeon went to UCLA med school, which is where I went to school. Just curious, what medical school did you go to? My niece is starting med school this coming fall. Sigi

[@apoundofcure]

University of Michigan - Go Blue!

[@sweetiecup8133]

hl...Do you have this video in spanish...or subtitle..

[@apoundofcure]

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[@lucyvaldez8546]

Is it true that after surgery you have to take vitamins for the rest of your life

[@KevinGomez-uz7ug]

Yupe

[@estherpadgett8920]

Lucy, he answers that in video. It depends.

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@TheIntuitiveWizard]

Oh boy. I hope I don’t have the fat gene. 😬 I was sleeved on 8-26-19 and I’ve lost 11.8 lbs as of today 9-2-19. I’m following my program as prescribed and I feel great. I really want to be successful. Prior to surgery I had lost 115 lbs on my own by cutting out soda and sugar, limiting my portions, just watching what I eat. I wasn’t always successful and I found myself having junk food Fridays/weekends. I also started doing cardio. From my birthday in November of 2018 through February of 2019 I gained about 40 lbs back and THAT’s when decided to pursue bariatric surgery. I’m a few pounds away from the weight I was at my birthday. I believe since I was able to keep a large amount of weight off for three years I’ll be able to maintain a normal, healthy weight after surgery.

[@apoundofcure]

Matt Hardy agree, you’re off to a good start and success through dieting is also predictive of success after surgery

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@SeptemberDay]

Can you please help me explain specific gravity and it's correlation to plain water causing pain and nausea in your pouch? I cannot get it through my husband's skull that plain water is a no-go. All I need is a little lemon or even a splash of anything else and it's fine!

[@apoundofcure]

Whatever works for you, but I encourage my patients to drink plain water.

[@apoundofcure]

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[@MsLibs]

This has been great! :)

[@apoundofcure]

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[@alazeemialassad914]

Is smoking shisha really bad after surgery i snoke it once a day and hav fir the last 15yrs iv heard smoking can cause leeks in pouch

[@apoundofcure]

Alazeemi Al Assad There's a simple formula: Smoking + Weight Loss Surgery = Miserable Patient. The two don't mix. It's not a matter of if you will get an ulcer, it's when.

[@alazeemialassad914]

I hav many friends that are a few years out after surgery and never quit smoking n non hav ebded up with symptoms. Is it safe to say that its a luck game

[@apoundofcure]

Alazeemi Al Assad It's definitely a luck game

[@verifiedfacts7499]

What sence does it make to go though major surgery, change to healthy eating, and work out just to smoke anway?

[@apoundofcure]

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[@shannoncopp7418]

Does WLS help with Empty Sella Syndrome (causing Growth Hormone Deficency), as it is usually found in overweight women? RnY on 4/11/16...down 50 as of 6/15/16.

[@apoundofcure]

Not familiar with empty sella syndrome

[@shannoncopp7418]

Dr. Matthew Weiner ok, thank you

[@apoundofcure]

Not familiar with empty sella syndrome

[@heatricky]

So... will old habits stretch itv

[@apoundofcure]

+heatricky no, old habits cause you to feel like it stretched

[@apoundofcure]

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[@johnstrelow2533]

Would you get an Instagram account to show regularly the “new” foods for a patient to explore, try, or taste?

[@johnstrelow2533]

If not do you recommend one that exists?

[@apoundofcure]

+John Strelow I've heard that some people tag poundofcure on Instagram.

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@tinadavis5719]

Dr. W, Your videos are fantastic and appreciated. I do have a concern about stretching. If it's physically impossible to do, what is a revision surgery actually doing? Thanks much!

[@apoundofcure]

Depends on what revision surgery you are having. Most that are done today are for patients who have a gastric band in. I don't offer any revisions that target pouch size or stretching

[@jenniferhutter4698]

What is the gene?

[@apoundofcure]

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[@optimisticsuzie888]

Dr Weiner, I think your ideas sound great but I would like to read evidence or studies that support this information. Most of the evidence based research around says that people regain their weight due to stretching of the sleeve over time. The minimizer band has been designed to prevent this but, as it is still so new there is not much data to support this theory. I am having VSG surgery in August (in Australia) and would really like to find out more about your methods. Can you direct me to any medical journals or studies that can demonstrate your points please? Thank you kindly :)

[@apoundofcure]

There's a growing body of research that supports my assertions - check out anything by Lee Kaplan out of Harvard or Randy Seeley out of Univ. of Cincinatti. As far as the minimizer band, I'm not aware of any convincing evidence on this device - didn't you guys down under learn your lesson with the lap band?

[@DynamiteLife50]

such good information

[@apoundofcure]

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[@yvonneloyd8980]

I wanna get the surgery but i am scared cause my best friend had it done and i seen all the tubes she had in her after

[@apoundofcure]

Want to see more content? Follow me on instagram @drmatthewweiner see you there!

[@mnwildgreen1]

I have been following these rules for almost 6 years and I will continue to follow them. They may be a myth or not; but I would rather keep my weight off and keep following my surgeon's rules that you claim are myths.

[@apoundofcure]

It's hard to argue with success

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@coziedupmeenaartisan6869]

what about diet (0 calories and 0 sugar) caffeine free ginger ale - not drinking with meals and drinking in a small amount (5 0z)

[@apoundofcure]

I recommend against artificial sweetener use

[@maheshgarg1195]

Cozied Up Meena Artisan LP

[@apoundofcure]

Want to see more content? Follow me on instagram @drmatthewweiner see you there!

[@theresebizabishaka7605]

Hi. Could you please clarify for me about drinking carbonated drinks? When I first heard no carbonated drinks that was more wording to me than not eating unhealthy foods. I feel as though I'm addicted to the carbonation in drinks rather than the sugar. i am diabetic and only drink coke zero and soda water. The problem is I can in a day easily drink at least 1litre or more. I feel that poorly controlled blood sugars making me thirsty and usually only soda water will quench my thirst. So I guess my question is would it be had to incorporate low calorie drinksnsuch as diet coke into a post op diet once healed. Would diet drinks or soda water be ok occasionally in social situations. Also I was wondering if it was possible to have dumping syndrome with out wls? I haven't had wls but on occassion had very similar symptoms to dumping. Servers abdominal and stomach pains that take an hour or more to pass, nausea and vomiting and sweats? Thanks😊

[@apoundofcure]

I recommend avoiding artificial sweeteners as much as possible, but don't think that carbonation is dangerous. This basically leaves you with club soda which is just plain water with bubbles. Your perception that you can only quench your thirst with carbonation is just that, a perception, not reality. Your stomach pains are complicated but would probably disappear if you cleaned up your diet and eat like I describe in my book.

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@stevenboltz8759]

If sweet juice causes dumping syndrome then what about fruit?

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@gracek3345]

The one thing i noticed the most regarding regain was alcohol intake. Alcohol is big no no!!!

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@SusanBullockUberGrams]

OMG I was a seltzer drinker yes unsweerened no sugar just whatever flavor never soda but was told I'd have to give it up so when I got brave and really wanting it nearly 2 years later I tried cheating by leaving it open, stirring it, etc. Now I learn it was ok lol well yeah ok will it be considered a hydrating beverage though?

[@apoundofcure]

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[@dorothykirton8884]

I had the Sleeve In January 015. I,ve never been not hungry and I have no restriction. I was put on soft eggs at 1 week because of this. I can drink 16 ounces in 10 minutes. I started at 199 and now weigh 190. At 8 months my weight loss quit at 183. I continued to lose inches. But I,ve regained 7 pounds and it's getting harder and harder. After I eat I,m starving in 10 minutes. All protein.heavy protein whatever it is i,m starving. I,m really feeling like a failure. My Goal weight is 160 But the 180 is not moving. I find myself snacking on weight watcher snacks,dry cereal etc. I try to keep my calories under 1000. Some days I may eat 1 meal and Exercise all day. I,ve lost all the weight from the waist up and now I guess I have 180 pounds of behind and legs. I take seizure meds and I,ve had 2 knee replacements. What do I do. how much am I supposed to eataaa/ I,m lost

[@apoundofcure]

I need more information - I offer skype consults through my office: 248-413-2670

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@westskincare]

Dr. V says you can stretch your stomach out

[@apoundofcure]

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[@irisjenkins2835]

I eat the peanuts that are in the shell roasted is the alright?

[@apoundofcure]

Iris Jenkins Not ideal, but not a big deal either

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@marsha1758]

If myth # 1 is not true, why do some patients have to have a revision?

[@apoundofcure]

Revisions are generally not about tightening up a stretched stomach and are most often related to treating complications

[@apoundofcure]

Are you on instagram? You might appreciate the content there too, and we'd love the engagement. @drmatthewweiner is the account.

[@wagz2003]

I can drink seltzer water?.............................I think I love you!

[@tiandapeters6468]

girl yes, I said the same thing lol

[@morriganstorm5320]

Since you feel that WLS is a one shot chance, do you believe that after a regain a patient cannot lose that weight again?

[@apoundofcure]

Not always, but usually, yes

[@lds1230]

I had the same question. I’ve learned so much after surgery and after weight regain. It’s discouraging to think that I missed my opportunity to lose the weight and can’t lose the weight I’ve regained. Dr., are you sure about this? Why do you think so?

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@cabernetqueen]

oh oh oh! I am dancing with joy! EAT YOUR VEGETABLES FIRST! When I had my early struggles post RNY- I could not deal with meat-- and I skulked away in the dark and began my love affair with Legumes- Lentils to be specific- they saved me- they still do- and all the veg, and now thanks to you- I no longer fear fruit! and I have fallen in love all over again with my 4.5 year season, to become the best and strongest me I can be again! Detox was phenomenal- I could see my body changing before my eyes just like after RNY in 2009. I only have to take off 10-15 and it is easily done now- thanks to A Pound of Cure!

[@apoundofcure]

Yes, it's a very frustrating experience being told to consume tons of protein, but not being physically able to. Beans and nuts provide quality protein, are healthier for you and go down really easily after surgery.

[@tigerdeer]

Dr. Matthew Weiner And I am a vegetarian ... eating your vegies first is music to my ears just like Sassy Sally :)

[@apoundofcure]

Do you have an instagram? Follow me at @drmatthewweiner where you can see more content!

[@saturnslipper]

*You just said the pouch being stretched is a myth. It absolutely can be stretched. My best friend has stretched out her pouch twice. This was proven by photos of the inside of stomach taken by her surgeon, years after her surgery. So your first statement is not true.

[@apoundofcure]

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[@mcraig5472]

Straws it is!!!!! :)

[@democratrepublicanyinyang1091]

my brother-in-law's been in the hospital 7 months fighting for his life. A friend of mine had gastric bypass 2 years ago and she's in the hospital bleeding as we speak. This surgery is a killer

[@apoundofcure]

Are you on instagram? Connect with me there when you get a min. @drmatthewweiner is my username on there.

[@Annie-so3cb]

Dr Weiner, Here I find myself writing to you again, This time is to let you know I am the one that lives in the upper peninsula, And Dr English was going to do the sleeve on me, Well he has left to go to Tennesse. So I was going to have his Partner do the surgery, after I had got over the hurt of him leaving because he was the best in my book. Then last month I got another phone call telling me that Dr English partner is also leaving, I was crushed , I have waited and worked so hard to have this done, I want a life that I can be part of my family and grandkids, to be able to do things i have not done in yrs because of my weight. So then I got on the phone with your office, because by this time already had done the research on you. and you were right up there with Dr English, Well when I called the office I had questions and I felt as though I was rushed through the call and I got absolutly no questions answered, I asked should I bring my refferal from my regular doctor that reccommends me to have the surgery, and she was like well yeah you can, now I know in order to have the surgery you have to have the referal from your doctor. I set up the appointment for October 15th. I am still UNCLEAR what to bring or what to expect from this appt with you. I have bcbs state of michigan they pay 100% of the surgery, unless there is some out of pocket expensive. My insurance does not reqiure a weight loss before the surgery. I guess the reason I am writing you here is because you had gotten back with me before, you are an 8 hour drive from me. I wanted them to tell me everything that I needed to bring to the first appt, so I didnt have to worry about getting anything back to you , Thanks for reading, I am unclear as to weather i keep this appt or not. I am unsure I didn't like the phone conversation, I had with your office, I feel as though they could have given better information. Thanks for your time

[@apoundofcure]

Annie, sorry about the trouble with the office. It's likely we were in the middle of what can be a very busy clinic. I recommend that you have Dr. English's office forward all the paperwork that they have to my office first. The reason that my staff was unsure of what would be needed is because this is my decision - some people need a cardiac clearance, others don't, some need pulmonary clearance or sleep studies, others don't. Even though you've been through the process with Dr. English, I will be looking at you as a completely new patient and may order tests or studies that he did not. I'm always hesitant to operate on patients who live so far away since you will need to see me at 1 week, 1 month, 3 months, 6 months, 9 months and one year after the surgery. There is a good group up north who may be a better option for you since they are so much closer - this is about so much more than just the surgery and you will need regular appointments afterward to ensure the best results. I'm happy to see you for a consultation and will operate on you if we both agree that it's your best option. Making this decision will be the primary focus of our first visit on Oct. 15th if you decide to come down as well as setting expectations for life after surgery and ensuring that you have a full understanding of the lifestyle changes necessary for maximal success. If you do decide to cancel the appointment, please do it sooner rather than later since I set aside 30-45 minutes for new patients and there is a 4 week wait for new patient appointments and we will be able to fill this slot if you give us enough notice. Dr. Weiner

[@Annie-so3cb]

Hi thank you for getting back with me . I completely understand about your office being busy but when I had asked if I bring my paper work that is needed for you to see they could not say yes or know, I also understand about living so far away from you. my brother lives down in that area and I will be staying with him for at least a month or so , so seeing you will not be a problem. I know this is a life changing journey and I am ready for it more then life. because right now DR I have no life. I am willing to go through any test that you would want me to go through, I will jump through hoops if I have to. I was let down by both doctors up here they both left and they have no others to replace them as of today, I am willing to travel my husband and I do alot of that so traveling to see you will not be an issue. I have done my research on you and I am completely satisfied with your results, not only as a surgeon for weight loss but your paitance dr manners. I will keep my appointment and I will have the office send all my paper work down, I will call your office on monday to apologize to your staff as I am sure they were busy like you said, I look forward to seeing you Oct 15th Thank you Sincerely Annie

[@apoundofcure]

See you then.

[@apoundofcure]

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[@MikaelVitalyVyacheslav-bh2fk]

A Estrogenic obese body is created by sugar and all high carbs ,refine carbs , frutose in fruit , toxic fatory food , fast food , The biggest problem with controlling diabetes and weight through diet is that people are lazy . You can lead a horse to water but can't force them to drink. Most people rather eat fast food , factory frozen food ,protein powder and dairy full of casein that destroy the cells in the pancreas and cause cancer (dairy is toxic) and take pills or shoot insulin than to change their shitty eating habits. We live in an "instant gratification" society full of lazy people with 0 discipline or work ethic. Sad but true. If you want to lose weight watch your intake of "carbs" , but be careful since the equivalent of 12 teaspoons of sugar happens very quickly. For example: 1 cup of milk equals = 2 teaspoons of sugar * 1 cup of rice (cooked) equals = 9 teaspoons of sugar* 1 banana equals equals = 5 teaspoons of sugar • 1 baked potato equals = 7 teaspoons of sugar • 1 sweet potato = 8 teaspoons of sugar • 1 cup of strawberries equals = 2.5 teaspoons of sugar (low sugar)* 1/2grapefruit = 2 teaspoons of sugar - Coca cola (one can) - 8.25 teaspoons of sugar - Raisin Bran cereal - 7.75 teaspoons of sugar (per 100grams) - Grapes fruit - 4 teaspoons of sugar (per 100grams) - Tomatoes - 0.7 teaspoons of sugar (per 100grams) - 1 Muffin (one chocolate chip muffin) - 4.75 teaspoons of sugar - Special K cereal - 3 teaspoons of sugar (per 100grams) - Corn Flakes - 2.4 teaspoons of sugar (per 100grams) - Alpen cereal - 5.75 teaspoons of sugar (per 100grams) - Mangos fruit - 3.2 teaspoons of sugar (per 100grams) - A cup of seedless prunes has, in effect, 25 teaspoons of sugar ! Scientists find in comparing the sugar levels in the blood after the consumption of a snickers bar that has 8.5 teaspoons of sugar the same as two bread slices ! . The sugar equivalent is of 1 large bagel a whopping 12 teaspoons of sugar ! Lastly, it is worth noting that there are many breads that a single slice of which will raise your blood sugar more than a US Snickers bar (which has a GI of 68/97)…if the Glycemic Index can be believed. to be healthy you must keep your blood sugar below 110 ..everything including eating protein will raise your insulin only water will not raise insulin , so eat small !! and do intermittent fasting . No carbs no cookies no excuse ! the less you eat the better you control your insulin and blood sugar and you gain no weight . if you're addicted to carbs and sweets you will not lose weight .Get rid of your addiction ! and control you mental health ...Cortisol and stress . You can browse the table yourself to see. I’ve included some of the more interesting ones below.Breads that have a higher Glycemic Index than a Snickers bar: Also don't eat fruit if your plan is to lose weight ; all fruit will cause your insulin to go up . Every morning Instead eat one lime or lemon (organic) with warm filtered water everyday , natural vitamin c from lime or lemons make your arteries strong and healthy and cleans your liver and kidneys water and lemon (warm) cold water is bad for your liver . For breakfast eat a high protein diet ..No refine carbs ,no fruit but eat salads every day ....If you feel hungry eat oat meal with no sugar this will calm down your hunger spams . anything you eat should be organic close to mother nature . Atkins diet ,paleo diet ,...or eat for your blood type are good diets for losing weight .Very important If you eat high protein diet with vegetable high in fibre make sure you take vitamin B-6 ,folic acid ,B-12 , choline , Vitamin C 3 grams a day to keep your homocysteins low in your blood so you dont get heart disease .Avoid all white flour , beans , corn but eat vegetables . Avoid damaged fats ,no cheese , no frying , no mayonnaise . no salad dressings . No fruit juice , no fruits are very high in sugar . To detox your liver and bring down estrogen eat sulfur vegetables ,Brocollie ,cabage ,onions ,garlic ,Red beets et.. Best supplement for the liver is ..; ""Trimethylglycine"" (TMG) and "liopic cacid" take 600 mg a day best for liver health to lose weight and drink no acohol. Excess sugar eventually affects every organ in the body, but initially, it is stored in the liver in the form of glucose (glycogen). Since the liver’s capacity is limited, a daily intake of refined sugar (above the required amount of natural sugar) soon makes the liver expand like a balloon. When the liver is filled to its maximum capacity, the excess glycogen is returned to the blood in the form of fatty acids. These are taken to every part of the body and stored in the most inactive areas: the belly, the buttocks, the breasts and the thighs. But then it affects vital organs like the heart and the kidneys. Avoid all soy and flax seeds oils supplements : Though not a chemical estrogen, but it is a plant-based estrogen, and can throw off your hormonal balance. Eat a anti-estronic diet ,Vitamin B-6 ,100 mg a day its good to take to lower estrogen ; Work out: Studies show that exercise lowers estrogen levels. A 2011 study, for instance, found that premenopausal women who engaged in aerobic exercise for 300 minutes a week lowered total estrogen by nearly 19 percent. A 2013 study also found that aerobic exercise helps the body break down estrogen so it’s easier to flush away. Get enough sleep: When you don’t get enough sleep, you can not lose weight .. levels of the so-called “sleep” hormone melatonin are disrupted. Turns out that melatonin has a protective effect against excess estrogen. A 1999 study, for example, showed that melatonin helped block the growth of estrogen-induced cancer cells. Use a water filter: Public water supplies often contain chlorine, fluoride, and other industrial chemicals that act as xenoestrogens. Use a quality filter to reduce your exposure best book for weight lose ; The Obesity Code: Unlocking the Secrets of Weight Loss .www.amazon.com/Obesity-Code-Unlocking-Secrets-Weight/dp/1771641258 ,,,,