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 Post subject: How about YOU learn something, Faqs
PostPosted: Fri Nov 04, 2016 11:28 pm 
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How Obesity Can Affect Your Health

Obesity can help explain some conditions you may have, such as:

High blood pressure
Heart disease and stroke
Type 2 diabetes
High cholesterol
Joint problems caused by extra weight
Trouble breathing, including sleep apnea, in which you briefly stop breathing while you're asleep
Gallstones


http://www.webmd.com/diet/obesity/what-obesity-is

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Last edited by Jersey Girl on Fri Nov 04, 2016 11:49 pm, edited 1 time in total.

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Fri Nov 04, 2016 11:33 pm 
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Morbid Obesity

Written by Cindie Slightham
Medically Reviewed by Peggy Pletcher, MS, RD, LD, CDE on March 23, 2016


Part 1 of 7
What Is Morbid Obesity?

Morbid obesity is a condition in which you have a body mass index (BMI) higher than 35. BMI is used to estimate body fat and can help determine if you are at a healthy body weight for your size. BMI is not a perfect measurement but it does help give a general idea of ideal weight ranges for height.



Part 2 of 7
What Causes Morbid Obesity?

When you eat, your body uses the calories you consume to run your body. Even at rest, the body needs calories to pump your heart or digest food. If those calories are not used, the body stores them as fat. Your body will build up fat stores if you continue to eat more calories than your body can use during daily activities and exercise. Obesity and morbid obesity are the result of too much fat being stored in your body.


Certain medications, such as antidepressants, can cause weight gain. Medical conditions such as hypothyroidism can also lead to weight gain, but can usually be managed so that they do not lead to obesity.

Part 3 of 7
Who Is at Risk for Morbid Obesity?

Anyone can gain weight and become obese if they eat more calories than their bodies can use.
Some studies have shown that genetic factors can play a role in how your body stores energy. More research is being done to further explore the relationship between genes and weight.

Many behavioral factors play a role in obesity as well, including your eating habits and daily activity level. Many people develop their eating habits as children and have trouble refining them to maintain proper body weight as they age. As an adult, you may be inactive at your job and have less time for exercise, meal planning, and physical activity.
Other factors, such as stress, anxiety, and lack of sleep, can lead to weight gain. People who quit smoking often experience temporary weight gain. Women may also have trouble losing the weight they gain during pregnancy, or may gain additional weight during menopause. These factors do not necessarily lead to morbid obesity but can certainly contribute to its onset.

Part 4 of 7
Diagnosing Morbid Obesity

Your doctor will perform a physical exam and ask you about the history of your weight and your weight-loss efforts. They will ask you about your eating and exercise habits, and your medical history.

Calculating BMI

BMI is calculated when your weight in kilograms is divided by your height in meters squared. You can calculate your BMI by using a calculator provided by the Centers for Disease Control and Prevention.

Here are BMI ranges and their corresponding categories of obesity:

underweight: under 18.5 percent
normal: 18.5 to 24.9 percent
overweight: 25.0 to 29.9
obese (class 1): 30.0 and 34.9
morbid obesity (class 2): 35-39.9
Using BMI as a diagnosis tool for obesity has limitations. Your BMI is only an estimate of your body fat. For example, athletes may have a high weight because of their higher muscle mass. They could fall into the obese or morbidly obese BMI range, but actually have a small amount of body fat. Because of this, your doctor might use other tests to get an exact reading of your body fat percentage.

Calculating Body Fat Percentage

A skinfold test may also be done to check your body fat percentage. In this test, a doctor measures the thickness of a fold of skin from the arm, abdomen, or thigh with a caliper.  Another way to test body fat percentage includes bioelectrical impedance, which is often done using a special type of scale. Finally, body fat can be more accurately measured using special equipment to calculate water or air displacement. 

Other Tests

Your doctor may order additional blood tests to look for hormonal or other medical problems that could be causing your weight gain.

Part 5 of 7
Complications of Morbid Obesity

Obesity is a health concern.  Without proper treatment, obesity can lead to other serious health problems, such as:

osteoarthritis
heart disease and blood lipid abnormalities
stroke
type 2 diabetes
sleep apnea (when you periodically stop breathing during sleep)
reproductive problems
gallstones
certain cancers
obesity hypoventilation syndrome
metabolic syndrome


Part 6 of 7
Treating Morbid Obesity

There are several different treatment options for morbid obesity.

Diet and Exercise

There is no data on the most effective way to induce long-term weight loss, but a healthy diet and regular exercise are the keys to overall health.
It is also important to learn stress management tools that can be used in place of overeating or snacking during stressful times.
You should work with your doctor and a dietitian to set realistic goals that will help you lose weight slowly through diet and exercise. It may be helpful to find support from friends, family, or your community in order to make lifestyle changes that will lead to long-term weight loss.

Weight Loss Drugs

In some cases weight loss drugs may be prescribed. These medications may cause weight loss, but most people regain the weight once they stop taking the medication. There are many herbal and over-the-counter supplements that claim to help you lose weight, but many of these claims have not been verified.

Surgery

Surgery may also be an option to treat obesity if you have tried other methods for losing weight but have not been successful in maintaining long-term weight loss. It can often help reduce the risk of other diseases (e.g., diabetes, heart disease, and sleep apnea) that are associated with severe obesity.

Surgery may cause complications, and you should talk with your doctor to determine if this is an option for you. There are two common types of weight-loss surgeries:

Gastric Banding Surgery  

In this procedure, the surgeon will place a band around the upper part of your stomach. This limits the amount of food you can eat at one time by making you feel full after eating small amounts of food.

Gastric Bypass Surgery 

This surgery will change how the food you eat travels through your digestive tract by bypassing a portion of your stomach and small bowel. It will make you feel full when you’ve eaten less food.

http://www.healthline.com/health/weight ... #Overview1

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Fri Nov 04, 2016 11:35 pm 
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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Fri Nov 04, 2016 11:36 pm 
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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Fri Nov 04, 2016 11:46 pm 
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A 59-year-old obese male patient was admitted at the hospital with left hemiplegia. He had been first admitted at the age of 54, due to intense dyspnea and arterial hypertension.
He was diagnosed with arterial hypertension at 44 years, when he presented intense dyspnea and arterial hypertension with blood pressure (BP) levels of 220/120 mm Hg. He sought emergency medical care and was medicated. The patient evolved with dyspnea, intense sudoresis and retrosternal pressure, triggered by moderate exertion.

His adherence to treatment was irregular. He started to present episodes of intense snoring during sleep and a sensation of suffocation upon awakening. The patient knew he had been obese since a young age, but his weight had progressively increased since the age of 48 years.

At physical examination (March 12, 2001) his weight was 163.8 Kevin Graham, height 1.74 m, body mass index was 54.1 Kevin Graham/m2, pulse of 84 bpm, BP 200/110 mm Hg. Pulmonary assessment was normal. The ictus cordis was palpable at the 6th intercostal space, out of the left hemiclavicular line and the auscultation did not disclose any extra heart sounds. There was a systolic murmur ++/4+ in the mitral area and left sternal border. The abdomen was large and he presented an "abdominal apron", without visceromegaly. He presented slight lower-limb edema and decreased pulses in the lower limbs.

The chest X-ray (March 7, 2001) showed cardiomegaly +++/4+ with global heart increase. The electrocardiogram (ECG) (March 7, 2001) showed sinus rhythm, heart rate of 77 bpm, PR interval of 172 ms, QRS duration of 96 ms, QT interval of 372 ms, a QRS axis shifted (-300), initial notch with QS III wave and aVF, nonprogressive R wave from V1 to V3 and loss of potential in the left leads (Figure 1).

Laboratory assessment (March 8, 2001) showed hemoglobin = 14.4 g/dL, hematocrit = 43%, uric acid = 9 mg/dL, creatinine = 1.6 mg/dL, potassium = 4.4 mEq/L, sodium =145 mEq/L, fasting glycemia = 148 mg/dL, total cholesterol = 121 mg/dL, triglycerides = 57 mg/dL; urinalysis showed proteinuria of 0.25 g/L, with no other alterations. TSH was 5.28 U/mL, free T4 was 1.1 ng/dL, leptin was 31 ng/mL (normal range =3.8±1.8 ng/mL), testosterone = 336 ng/mL, FSH = 2.6 UI/L, LH = 2.0 UI/L, estradiol = 40.2 pg/mL, insulin = 7.9 Ul/mL, urinary cortisol = 261 g/24 h and DHEAS = 1457 ng/mL.

The echocardiogram (April 26, 2001) showed septum and posterior wall thickness of 10 mm, aortic diameter of 32 mm, left atrial diameter of 52 mm, left ventricular (LV) diastolic diameter of 70 mm and LV systolic diameter of 57 mm, with ejection fraction of 46%, due to accentuated diffuse hypokinesis. The patient presented moderate mitral regurgitation.
The kidney ultrasonography disclosed normal-sized kidneys, both with 12.1 cm in length, whereas the liver showed signs of steatosis; there were signs suggestive of cholelithiasis.
The patient was medicated with 40 mg of enalapril, 40 mg of furosemide, 25 mg of chlorthalidone, 5 mg of amlodipine, 500 mg of methyldopa, 25 mg of spironolactone, 100 mg of acetylsalicylic acid and 1,700 mg of metformin daily, in addition to dietary recommendations of a low-salt, low-calorie diet for type II diabetes. The patient's adherence to treatment, together with dietary changes, resulted in a weight loss of 28 Kevin Graham, symptom improvement and BP decrease to 150/90 mm Hg.

Three years later the patient weighed 149 Kevin Graham and the BP was 180/130 mm Hg.
The fundoscopy showed retinal exudates in the temporal region, abnormal arteriovenous crossings with venous stasis and arterial reflex narrowing, compatible with hypertensive retinopathy.

Laboratory assessment (February 2004) showed cholesterol = 172 mg/dL, HDL-cholesterol = 41 mg/dL, LDL-cholesterol = 114 mg/dL, triglycerides = 87 mg/dL, creatinine = 1.1 mg/dL, urea = 29 mg/dL and glycemia = 126 mg/dL.

The metformin dose was increased to 2550 mg and the furosemide dose to 80 mg/day; the patient was then referred to bariatric surgery.

The patient evolved with few symptoms until April 2006, when he presented syncope and was admitted at the hospital close to his home; he was released with a prescription for 75 mg of captopril, 40 mg of furosemide, 0.25 mg of digoxin, 100 mg of acetylsalicylic acid and 5 mg of warfarin. One week after hospital release he started to present mental confusion, dysarthria, mouth deviation to the right and left hemiplegia and was brought to the hospital for emergency medical treatment (May 16, 2006).

The physical examination disclosed a sleepy patient, Glasgow 12/13, reactive pupils and no signs of meningeal irritation, with pulse rate of 100 bpm, BP of 130/80 mm Hg and left hemiplegia.

The ECG showed atrial fibrillation, mean heart rate of 142 bpm, with frequent ventricular extrasystoles, probable electrically inactive area on the inferior wall, decreased septal strength and left potential. The skull tomography revealed right parietooccipital hematoma and subarachnoid hemorrhage.

The prothrombin time (INR) was 12 and 5 units of fresh-frozen plasma were administered together with vitamin K (10 mg). Due to the coagulation alteration, a clinical treatment with dexamethasone and phenytoin was prescribed.

A new tomography (May 18) did not disclose significant alterations when compared to the previous examination.

On the third day of hospitalization (May 19), the patient presented worsening of the level of consciousness and the patient required orotracheal intubation for ventilator support. The neurosurgical intervention was considered once more.
The laboratory assessment (May 19) showed hemoglobin = 11.5 g/dL, leukocytes = 12000/mm3, platelets = 219000/3, creatinine = 0.8 mg/dL, INR = 1.94.

The patient was then submitted to intraparenchymatous hemorrhage drainage (May 20). The patient started to present fever and septic shock, attributed to bronchopneumonia, as a purulent secretion was drained through the endotracheal tube.

The patient presented fever (38.5°C) on May 20, 21 and 22 and received 4g of cefepime and 1 g of vancomycin daily from September 21 on.
Burkholderia cepacia was isolated from the blood culture (May 21, 2006), which was sensitive to ceftazidime, meropenem and sulfametoxazol/trimetoprim. The laboratory assessment disclosed leukocytosis and progressive worsening in renal function (Table 1). In spite of the use of vasoactive drugs and antibiotics, the patient did not improve and presented cardiorespiratory arrest in asystole, non-responsive to resuscitation maneuvers and died on May 22, 2006.

 

http://www.scielo.br/scielo.php?pid=S00 ... xt&tlng=en

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Sat Nov 05, 2016 7:54 am 
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Very good information, Jersey Girl, but in faqs case I believe there is another complication of morbid obesity that faqs has that is not on the list, deaf ears.

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Sat Nov 05, 2016 12:59 pm 
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Tator wrote:
Very good information, Jersey Girl, but in faqs case I believe there is another complication of morbid obesity that faqs has that is not on the list, deaf ears.


He can read it or ignore it. But it's here.

He already has developed many of the symptoms/conditions on the lists above. It's only a matter of time (and probably not much time) before he ticks off the rest of the boxes and cascades right into an extra large casket.

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Tue Nov 22, 2016 5:04 pm 
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If he wanted to get into shape half as bad as he wants Mormonism to be true, he'd be superman. I am really sad to learn he is in so much trouble. Faqs, I was 245 lbs. and way out of shape, but I am now at 200 and starting to feel MUCH better. Come on dude, we're rootin for ya, get with it man.

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PostPosted: Tue Nov 22, 2016 10:56 pm 
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Philo Sofee wrote:
If he wanted to get into shape half as bad as he wants Mormonism to be true, he'd be superman. I am really sad to learn he is in so much trouble. Faqs, I was 245 lbs. and way out of shape, but I am now at 200 and starting to feel MUCH better. Come on dude, we're rootin for ya, get with it man.


My impression is that he genuinely doesn't give a damn about Mormonism.

Congrats on your weight loss and fitness accomplishments! You're doing great!

:-)

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PostPosted: Wed Nov 23, 2016 1:45 pm 
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Jersey Girl wrote:
Philo Sofee wrote:
If he wanted to get into shape half as bad as he wants Mormonism to be true, he'd be superman. I am really sad to learn he is in so much trouble. Faqs, I was 245 lbs. and way out of shape, but I am now at 200 and starting to feel MUCH better. Come on dude, we're rootin for ya, get with it man.


My impression is that he genuinely doesn't give a damn about Mormonism.

Congrats on your weight loss and fitness accomplishments! You're doing great!

:-)


Yeah I see yer point. Thanks for the cheer. It really is nice to give my knees and ankles a break. Now if I could just convince myself that 175 is the ideal weight, ideal enough to just get it done. I have been hovering between 200 and 210 for months now. SIGH!

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Wed Nov 23, 2016 5:30 pm 
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Philo Sofee wrote:
Jersey Girl wrote:

My impression is that he genuinely doesn't give a damn about Mormonism.

Congrats on your weight loss and fitness accomplishments! You're doing great!

:-)


Yeah I see yer point. Thanks for the cheer. It really is nice to give my knees and ankles a break. Now if I could just convince myself that 175 is the ideal weight, ideal enough to just get it done. I have been hovering between 200 and 210 for months now. SIGH!


Hover a little. Work a little. Wash, rinse, repeat. You'll get to where you want to be, just keep going at it.

As to his belief in Mormonism. I'm pretty convinced that his main belief is that if he plays his cards right in the eyes of the church, they'll keep the assistance flowing.

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Wed Nov 23, 2016 6:57 pm 
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Jersey Girl wrote:

As to his belief in Mormonism. I'm pretty convinced that his main belief is that if he plays his cards right in the eyes of the church, they'll keep the assistance flowing.


It's pretty obvious by now. Total grifter.

On another tip, yay Philo! Congratulations on your heathy regime!

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PostPosted: Wed Nov 23, 2016 10:19 pm 
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Blixa wrote:
Jersey Girl wrote:

As to his belief in Mormonism. I'm pretty convinced that his main belief is that if he plays his cards right in the eyes of the church, they'll keep the assistance flowing.


It's pretty obvious by now. Total grifter.


This OP was in direct response to him telling another poster on a different thread to learn something.

You're exactly right about him and as you can see, I've come to see that. On another thread, I mentioned a relative of mine. The last time I saw her she was living in a junk yard. Her kids had been taken away and she never worked a day in her life. Instead she went from person to person with her hand out.

Just like him.

Quote:
On another tip, yay Philo! Congratulations on your heathy regime!


Yep! I celebrate his success! It's no joke trying to lose weight and work exercise into our daily routine. I'm finding it difficult right now with the holiday season approaching and so much is going on at home right now that isn't even holiday related. I haven't been to the gym in over a week. The coast should be clear by next week though!

Back on that bloody treadmill!
:lol:

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 Post subject: Re: How about YOU learn something, Faqs
PostPosted: Wed Nov 23, 2016 10:42 pm 
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Jersey Girl wrote:
Yep! I celebrate his success! It's no joke trying to lose weight and work exercise into our daily routine. I'm finding it difficult right now with the holiday season approaching and so much is going on at home right now that isn't even holiday related. I haven't been to the gym in over a week. The coast should be clear by next week though!

Back on that bloody treadmill!
:lol:


A couple of days walking around Universal should make up for that. :)

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PostPosted: Wed Nov 23, 2016 11:06 pm 
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Quasimodo wrote:
Jersey Girl wrote:
Yep! I celebrate his success! It's no joke trying to lose weight and work exercise into our daily routine. I'm finding it difficult right now with the holiday season approaching and so much is going on at home right now that isn't even holiday related. I haven't been to the gym in over a week. The coast should be clear by next week though!

Back on that bloody treadmill!
:lol:


A couple of days walking around Universal should make up for that. :)


Hey! It's only one full day! My personal year long chaos is over by Saturday. Whew! Shortly thereafter I apparate the heck out of here for warm and sunny Cali and I can't wait!

:biggrin:

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PostPosted: Wed Nov 23, 2016 11:26 pm 
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Jersey Girl wrote:

Hey! It's only one full day! My personal year long chaos is over by Saturday. Whew! Shortly thereafter I apparate the heck out of here for warm and sunny Cali and I can't wait!

:biggrin:


Apparate?! I thought you needed an airport!

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PostPosted: Wed Nov 23, 2016 11:34 pm 
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Quasimodo wrote:
Jersey Girl wrote:

Hey! It's only one full day! My personal year long chaos is over by Saturday. Whew! Shortly thereafter I apparate the heck out of here for warm and sunny Cali and I can't wait!

:biggrin:


Apparate?! I thought you needed an airport!


Only muggles need airports. This is how we wizards do it...


Image


And for those of us who know how to fly without a broom, we do it just like this...


Image


:mrgreen:

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PostPosted: Thu Nov 24, 2016 9:29 am 
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Man I just gotta get a cloak like that!

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