Fats: Pros and Cons

Researchers have determined that the fat in our bodies is, in fact, an organ, both sending and receiving hormonal signals to change itself in order to benefit the body. We cannot live long without it, as it is the only way to store energy. It is also responsible for maintaining good health. Fats play a vital role in healthy skin and hair, insulating body organs against shock, maintaining body temperature, and promoting healthy cell function. Fat also serves as a useful buffer against a host of diseases. When a particular substance, whether chemical or biotic, reaches unsafe levels in the bloodstream, the body can effectively dilute or at least maintain equilibrium against the offending substances by storing it in new fat tissue. This helps to protect vital organs until the offending substances can be metabolized or removed from the body through excretion, urination, or hair growth. 

The improper digestion of fatty meats, cheese, butter, and chocolate, which belong to the saturated fat category, can cause the liver to produce low-density cholesterol or LDL. There is good cholesterol called high-density cholesterol, or HDL. This is produced when ingesting unsaturated fats found in plants or fish like olive oil or salmon and tuna, which bleeds down to Omega-3 and 6 fats, which help to lower LDL cholesterol. Our body needs both types of fat in the absorption of vitamins A, D, E, and K into our bodies because they are fat-soluble. Likewise, unused carbohydrates and proteins convert into body fat and can be good or bad. 

 Fat is high in energy. A gram of fat, whether saturated or unsaturated, provides 9kcal (37kJ) of energy compared with 4kcal (17kJ) for carbohydrates and protein. When we don’t eat right or exercise, fat can accumulate. If not addressed, it often snowballs downhill, which is why we see most type 2 diabetes in overweight individuals. But as insulin resistance occurs, a person feels the need to lie down and sleep after meals. Before you are aware, high cholesterol causes a slew of problems within the heart, vascular, and liver. We turn to surgery to remove the excess fat. There are two types of procedures: bariatric and lipoplasty. 

En Femme Style

Bariatric surgery, which restricts food intake, is used to promote weight loss and reduce the risk of type 2 diabetes. Some surgeries also interrupt how food is digested, preventing some calories and nutrients to be absorbed.

1) The Laparoscopic Sleeve Gastrectomy, often called the “sleeve,” removes approximately 80% of the stomach. The remaining stomach is the size and shape of a banana.

2) The Roux-en-Y Gastric Bypass, often called the “gastric bypass”, has been performed for over 50 years. The laparoscopic approach has been used and refined since 1993. It is one of the most common operations and effectively treats obesity and obesity-related diseases.

3) The Adjustable Gastric Band is a device made of silicone that is placed around the top part of the stomach to limit the amount of food a person can eat. The impact on obesity-related diseases and long-term weight loss is less than with other procedures. Its use has therefore declined over the past decade.

4) The Biliopancreatic Diversion with Duodenal Switch, abbreviated BPD-DS, begins with the creation of a tube-shaped stomach pouch similar to the sleeve gastrectomy. It resembles the gastric bypass, where more of the small intestine isn’t used.

5) The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, referred to as the SADI-S, is the most recent procedure to be endorsed by the American Society for Metabolic and Bariatric Surgery. While similar to the BPD-DS, the SADI-S is simpler and takes less time to perform, as there is only one surgical bowel connection. 

Successful bariatric surgery requires a team-based approach, including a surgeon, dietitian, psychologist, nurse case manager, and an obesity medicine specialist who will focus on taking you through each step of the journey.

But if any of this seems invasive, you have one last option. 

Liposuction, also called lipoplasty and/or body contouring is a surgical procedure that uses a suction technique to remove fat from specific areas of the body, such as the abdomen, hips, thighs, buttocks, arms, or neck. Liposuction is used to remove fat from areas of the body that haven’t responded to diet and exercise 

There are four types of Liposuctions available, and each has its purpose in a doctor’s use to treat the Fat cells within your body. 

1) Tumescent liposuction. This is the most common type of liposuction. The surgeon injects a sterile solution — a mixture of saltwater, which aids fat removal, an anesthetic (lidocaine) to relieve pain, and a drug (epinephrine) that causes the blood vessels to constrict — into the area that’s being treated. The fluid mixture causes the affected area to swell and stiffen. The surgeon makes minor cuts into your skin and inserts a thin tube called a cannula under your skin. The cannula is connected to a vacuum that suctions fat and fluids from your body. They replenished body fluid through an intravenous (IV) line. 

2) Ultrasound-assisted liposuction (UAL). This type of liposuction is sometimes used with traditional liposuction. During UAL, the surgeon inserts a metal rod that emits ultrasonic energy under your skin. This ruptures the fat cell walls and breaks down the fat for easier removal. A new generation of UAL called VASER-assisted liposuction uses a device that may improve skin contouring and reduce the chance of skin injuries. 

3) Laser-assisted liposuction (LAL). This technique uses high-intensity laser light to break down fat for removal. During LAL, the surgeon inserts a laser fiber through a small incision in the skin and emulsifies fat deposits. The fat is then removed via a cannula.

4) Power-assisted liposuction (PAL). This type of liposuction uses a cannula that moves in a rapid back-and-forth motion. This vibration allows the surgeon to pull out tough fat more easily and faster. PAL may sometimes cause less pain and swelling and can allow the surgeon to remove fat with more precision. Your surgeon may select this technique if large volumes of fat need to be removed or if you’ve had a previous liposuction procedure. 

Costs seem to be geographically sensitive. In my town, a laser/ultrasound procedure is about $5,000 to $7,500. In New York, it’s almost double that amount, so please shop around as it could very well be worth traveling to receive this treatment. 

In closing, the only way to avoid all of this is to maintain a healthy diet and exercise but as we all know in our busy days, injuries and being laid up, pregnancy, and age as the list goes on why humans get beyond the point of going back to where we were. This article was to educate you basically so anyone can make better choices about their body when fat becomes a problem.

Note: I have included the websites and/or medical facilities I researched this article from in case you’d like to increase your knowledge further.

Huggz Tia

https://www.mayoclinic.org/tests-procedures/liposuction/about/pac-20384586

https://asmbs.org/patients/bariatric-surgery-procedures

https://pubmed.ncbi.nlm.nih.gov/16926254/

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4 Comments
  1. ' class='avatar avatar-100 photo' height='100' width='100' />
    LilacsandRoses 1 month ago

    I underwent gastric bypass nearly 4 years ago and, next to GRS, it was the best gift I could have ever given myself. I was morbidly obese, a result of coping with multiple family deaths in close succession and since I neither drink or use drugs I learned to abuse food and my body to work through it. My health was failing carting around all that weight and I was told I wouldn’t live to see 70 if I didn’t take charge of my life and lose weight. My efforts at weight loss failed me so I was recommended to pursue bariatric surgery. I’ve never regretted that decision at all. Now at age 67, going on 68, I’ve gone from a size 26-28 to a size 4-5 and I’m loving this new life being fit and thin. I make it a point to keep a daily record of everything I eat to stay on top of calories and nutrients and I follow a ketogenic diet plan that has really helped me maintain my success. I couldn’t be where I am today had I not had this procedure done. I’m no longer pre-diabetic, my blood pressure and cholesterol are spot on, have no more arthritis pain in my joints especially my knees and hips), and I no longer deal with chronic shortness of breath. Heart disease and cancer risks are significantly reduced when weight is in a normal range and those who have diabetes often find they no longer have blood sugar issues. Bariatric surgery is a lifesaver and adds years that one might otherwise not have. The downside is the loose skin that’s left. Some insurances will cover the cost of excess skin removal.

    The most important thing to remember is that bariatric surgery is not a magic cure and once done you can’t return to your bad eating habits with no consequences. It’s a daily commitment to make it work for you…..the program will not fail you if you’re committed to making lifestyle changes.

    • ' class='avatar avatar-100 photo' height='100' width='100' /> Author
      Tia Tracy 1 month ago

      I couldn’t agree more Hun. I am currently struggling with a gain fueled by Estrogen and a broken body which makes being as active as I need to be impossible. This month I see my G/P at the VA for an assessment. I have seen nutritionists and their programs with no results. I lose some and gain more and this has resulted in becoming 70 Lbs overweight with a bad back. Literally speaking it’s torture to do everyday chores. I am however committed to losing it and do have a good support system like you. Thankz for sharing Huggz Tia

  2. ' class='avatar avatar-100 photo' height='100' width='100' /> Author
    Tia Tracy 1 month ago

    Vincenza, Thankz for the candid story. I too am fighting weight as I type. I began HRT at 207 and ballooned up to 280. Now slowly I am losing it but the large breasts may also go away. It is the very definition of bitter sweet, but the again having a bad back I must deferr to the slender body as this weight is reiking havoc on it. What I am saying is I can relate in a way. As for being afraid of lower surgery to become what you dream to be I wouldn’t. I was surprised at how little it hurt at 60 years old. As for scarring I can barely tell and besides no one sees the area between your legs and pubis anyway. I have written a couple of articles that may ease your mind. (They are depicted at the end of this one. Are you sreious, Eastrogen do’s and don’ts, and Blending with your new body. Thankz again and good luck. Huggz Tia

  3. ' class='avatar avatar-100 photo' height='100' width='100' />
    Vincenza 1 month ago

    having gone through the rue-n-y gastric by pass; i can tell you it was my life saver -sort of….

    I was 597 lbs, medical professionals told me 220 was my ideal weight – we;; 15 years ago – I went for that high down to 260 in about 2 months time at which point the doctors told me to “stop: as if I could have… Shortly after, I settled out at 300 on my 6″4 frame with a 52” waist from my 68 when i started.

    What i only now have come to understand is how I used my morbid obesity – after all no woman is that height n weight – but once I got to this point; my internal self – the person I had been avoiding and even hiding from myself began to insist on being heard. my life took some unexpected changes, and her voice got loud enough someone else asked about “things” – and the closet door with the steel vault somehow came open. would I go back if i had to do things over -NO – NO – a thousand times no!

    i have no idea how this story turns out – the next chapter is still being written and it’s hopefully not the last. I also have no idea what the costs will be as things progress and I find the courage I need to undo all the lies and hurts people I will always love have unknowingly been subjected to or even if they will be able tp forgive me for what I have done – after I find a way to forgive myself.

    All in all – the damage and self destruction I had done with my self abuse has stopped; and after 10 years I am losing more weight normally as if I ever thought that might be possible – but that’s what I want – normal -; I have no idea what normal for me will end up being – but it started with the gift of a Gastric By-pass –

    Truth be told – had I seen the videos of a gastric by pass surgery – i would be dead today because the fear would have prevented me from going through with it even knowing how desperately I had to have it.

    reality is my journey for my transition is similar – i don’t want to know how i will end up – the surgery scars me but I know I want it – HRT possible risk and complication are already holding me at bay; but I think I may have found my own argument for progressing into something of an informed consent kind of answer. it is another bit of what I need to have what I want if I am to continue to live.

    ” I think therefore I am”?
    Well sometimes I THINK I AM MY OWN WORST ENEMY –
    but gastric bypass was what enabled me to envision the possibility of my true me….
    It is something I still feel lucky to have had – and blessed for the people who encouraged me
    especially my wife who was the instrument and the worker of that miracle –

    even as it will most likely be what destroys what we shared for 36 years

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