Word: stomachful
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...after surgery. That's because much of the post-bypass weight loss is spurred by a shift in the hormonal feedback loop that controls hunger and satiety. Production of certain weight-related hormones, such as ghrelin, or the hunger hormone, are directly reduced by the patient's physically smaller stomach (ghrelin is produced by glands in the stomach), leading to a reduction in food intake. Meanwhile, the smaller stomach more readily triggers hormones that signal satiety to the brain, sending the message that the body has taken in its fill of calories. But the longer this system has been overwhelmed...
...difference in weight loss between the two groups? Campos notes that although the procedure is the same from patient to patient, doctors currently do not use a standard size when creating the new stomach sac. Instead, surgeons use anatomical landmarks unique to each patient to determine the size of his or her new, smaller stomach. But because the stomach lining remains elastic and flexible, sometimes the small stapled-off pouches simply balloon back to a larger size, which explains why 5% to 15% of people who get gastric bypass surgery often experience little or no weight loss...
...more than 40% of their excess weight - statistically, that's considered a successful procedure - while only 79% of diabetes patients were able to drop that much weight after one year. In both cases, doctors used the same surgical technique, which involves permanently sectioning off a small pouch from the stomach and connecting it directly to the intestines, which forces patients to eat less and allows food to bypass the rest of the stomach and the upper part of the intestines...
...that the obesity epidemic has had on American society as a whole, it’s not surprising that some efforts have been made to combat the plague of excess pounds. Public education campaigns, including a very noticeable series of Internet ads depicting the average American’s stomach as an inflatable beach ball, have been a cornerstone of efforts by various government agencies and the Ad Council to increase awareness of the problem...
...David quoting Winston Churchill extensively by memory - Churchill was a bit of a lush, so they were quotes about drinking - and he was very funny. A few people leaned over the side of the boat occasionally because if you've drunk two bottles of Champagne in an hour, your stomach is going to get queasy. I don't know if David had only sipped a bit, but he was articulate and lucid, and I always remember him like that - the center of attention...