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FDA approves stomach pump
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It is but alone it did nothing for me. It's good but the habits are so ingrained that it has to be coupled with behavior modification especially as I am assuming you have to be very severe to get one. So counselling should be coupled with experiences of eating normally in stressful situations and being successful with it.
I don't think being able to do undesirable behaviour with no negative consequences (in fact it will have positive consequences as they will lose weight eating whatever they want) is a can of worms doctors should permit.0 -
singingflutelady wrote: »It is but alone it did nothing for me. It's good but the habits are so ingrained that it has to be coupled with behavior modification especially as I am assuming you have to be very severe to get one. So counselling should be coupled with experiences of eating normally in stressful situations and being successful with it.
I don't think being able to do undesirable behaviour with no negative consequences (in fact it will have positive consequences as they will lose weight eating whatever they want) is a can of worms doctors should permit.
The positive consequences might be life saving for this group.1 -
Life saving in the short term but what happens when they get it removed and haven't learnt proper portion control?1
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singingflutelady wrote: »Life saving in the short term but what happens when they get it removed and haven't learnt proper portion control?
IF they didn't learn proper portion control, then they'll probably regain the weight just like almost everyone else that loses weight.
But hopefully they will learn.1 -
That's the hope but being able to purge everything you eat doesn't promote learning proper habits imho2
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singingflutelady wrote: »That's the hope but being able to purge everything you eat doesn't promote learning proper habits imho
I would imagine it will work for some and not for others. Like every other weight loss method.
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sure, counseling is valid, the problem here is that (according to the other thread) this is used in cases where counseling alone has failed, so 'POOF', now you get this pump and still get counseling and magically - w/o having to actually listen to/implement the counseling - you lose weight (because you purge 30% of what you are eating anyway).
so my biggest issue with this and the whole idea is what happens at the end of 6 months or a year or maybe even longer (sorry I don't know the time frames for how long the pump is to be used) and you still haven't implemented the good eating habits?!?0 -
OK that's gross. Medically assisted bulimia, not sure how that is beneficial. Seems like chewing food and then spitting it out would make more sense, and be easier on your body.0
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Some facts about the device:
-It is only to be prescribed for patients 22+ with BMIs of 35+.
-It is not meant to be prescribed to anyone with eating disorders, including BED.
-It is only to be prescribed after non-surgical weight loss treatment has been attempted.
-It is meant to be used with ongoing non-surgical weight loss treatment (i.e. nutrition education and counseling).
-It's meant to be used 20-30 minutes after a meal, and it takes 5-10 minutes to pump out stomach contents.
-It empties 30% of your stomach contents after a meal, not the whole meal.
-It stops working after 115 cycles and requires a visit to the doctor to be repaired, so it theoretically can't be abused long-term.
-In trials, 111 patients with the device plus treatment lost an average of 12.1% of their total body weight, vs the control group of 60 patients who lost 3.6% of their body weight with non-surgical weight loss treatment alone.
-This has already been approved for use in Europe.
As someone with a history of bulimia, this makes me cringe, and it makes me terrified of doctors who will skirt the rules and will prescribe these for people with eating disorders. It makes me concerned that these people won't really learn anything, and that one eating disorder is getting replaced with another. But then, as someone who has never been obese, I can't mentally grasp being in a situation where this device could be considered a necessity.
I could imagine that having this particular treatment prescribed could wake some people up to the direness of their situation. Is this REALLY a treatment you'd want? Is it a treatment you'd want to continue for very long? Would you take your nutrition education and counseling more seriously if you had to evacuate your stomach after every meal? Would you feel more motivated and in control if you lost 12.1% of your body weight instead of 3.6%?
My knee-jerk reaction is to this device is no, no no no, no no no no no, no no, and no. My more logical objection is that a good chunk of what would be emptied is slower-digesting food like protein and fiber, which seems like it could lead to more nutrient deficiencies in people with already-poor diets. But maybe I'm being too hasty. Maybe there's a set of people this could help, as trial studies seem to indicate.5 -
I swear I saw this on "Tim and Eric, Great Job" several years back.0
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it really grosses me out.0
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I'm sad about how much money would be wasted. First on getting the surgery, and then on the food you're just going to purge after.
Plus.. I think that people might eat MORE when they have it, thinking they can just purge later. But you can only expel 30%.
The counseling is a good idea though. Maybe it could work in tandem.0 -
o man, that is so gross. And the risk of infection?? Helllllll no. I'll just lose weight the old fashioned way.0
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lemurcat12 wrote: »I'm bothered and upset by this, but I am not sure my reaction is justifiable. I think it's based on the moralistic idea that actions must have consequences, which arguably is not the best way to approach a public health crisis. I know I'm thinking it's an undeserving/easy way out way to lose weight, which is contrary to my usual argument that weight loss should be as easy as possible.
This is a very honest post. Thanks.0 -
rachelelser wrote: »o man, that is so gross. And the risk of infection?? Helllllll no. I'll just lose weight the old fashioned way.
Risk of infection in a g-tube is very low. Even children that live with them very seldom have problems.1 -
I have to admit, I don't feel like this is going to be particularly effective to make a long-term change.
But, its less invasive and less dangerous than the sleeve, etc. Perhaps someone who is really committed to losing will find a benefit in being able to eat a moderate amount of food, but lose as though they are on a VLCD? Perhaps it could improve compliance for the dieter to be able to eat normal amounts of food and not feel sick like they would if they did conventional WLS?
I don't know.
I'm willing to take a wait and see approach, though, since the danger to the patients is very low.0 -
singingflutelady wrote: »Life saving in the short term but what happens when they get it removed and haven't learnt proper portion control?
So what's the alternative? Not life saving in the short term and then they don't need to bother with learning portion control because they're dead? I'm sure you don't think that's better.1 -
Or better yet what about hospitalization and a closely followed diet plan? Sure people gain weight afterwards but it is better than developing a new eating disorder.1
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The same way they treat other eating disorders. Hospitalization with counselling and group settings and meal plan developed with patient and dietician and closely watched to cut out as much cheating as possible?2
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singingflutelady wrote: »Or better yet what about hospitalization and a closely followed diet plan? Sure people gain weight afterwards but it is better than developing a new eating disorder.
That would be significantly more expensive. Prohibitively so for most.1
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