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. 

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.

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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. 

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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

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Tianna Tracy

I am a woman now as of 6-Feb-2021. I thought I'd drop in and say hey, meet some new friends and chat a while. I'm a crafter, a musician, and am currently back in school to achieve my B/A in Computer Science. Huggs Tia

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Celeste Starre
Active Member
1 month ago

All I would add would be if you are thinking about starting HRT then loose the weight first as it will be harder once you start.

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