Science says eating just one meal per day can improve your health. Learn more at https://highintensityhealth.com/OMAD ----- Dr. Kichler helps us better understand the mechanism of action of bariatric surgery (aka metabolic surgery). Connect with Kandace: http://slimmingsurgeon.com ➢ This show is brought to you by Joovv! Leaders in Photobiomodulation. http://bit.ly/joovv-discount Using the Joovv consistently in the AM has helped me keep high-normal testosterone levels naturally. ➢ New Joovv Go: https://lddy.no/7ruw ➢Hormone & Adrenal Support (I personally take) http://bit.ly/2VXaDJP ➢Book about Gut Health & Metabolism: https://amzn.to/2XzrBie ---------------------------------- TOOLS & VIDEO GEAR----------------------------------------- Best Omega-3 Fish Oil: https://amzn.to/2xs08CC Best Vlog & FB Live Stabilizer: https://amzn.to/2wcoJXZ Nice HD Camera Canon 6D Mark II https://amzn.to/2JyxrG5 Interview Cam C100 ii: https://amzn.to/2EC5NE8 Best Lens Ever: https://amzn.to/2IJ9WZC Vlog lens: Canon EF-S 17-55mm f/2.8 IS: https://amzn.to/2IGlfSo Dope Lens - Canon 85mm f/1.4L IS: https://amzn.to/2IFRG3h Good Audio: Rode VMPRPLUS Videomic Pro: https://amzn.to/2v9W9cm -----------------------------------------Lets Connect-------------------------------------- ➢ iTunes Podcast: https://itunes.apple.com/us/podcast/1... ➢ Instagram https://www.instagram.com/metabolic_mike ➢ Facebook https://www.facebook.com/MikeMutzelMS -------------------------------------- Key Timestamps---------------------------------- 03:53 Bariatric surgery brings quick resolutions to type 2 diabetes reversal, changes in cardiovascular health, and sleep apnea. It is more of a metabolic surgery. Excess weight will come off in the first year to year and a half after bariatric surgery. 08:06 A good candidate for this surgery is someone who is morbidly obese or has a severe medical problem/co-morbidity. 08:55 Diet and exercise need to be in place after surgery, or the weight can be put back on. 09:12 Insurance companies have qualification parameters. 09:57 The cost of the procedure is between $10,000 - $30,000. Insurance will cover most of the costs. 12:55 Our organs look fatty. 14:28 Patients should go on a low-calorie diet, almost liquid diet, 2 weeks before surgery to help shrink the liver and omental and mesentery fat. 17:15 Patients have extensive workups, doctor visits and see a nutritionist and psychologist prior to surgery. 17:49 The lap band has fallen out of favor. Forty to 50% of people need to have it removed. 18:44 Most patients are offered either a sleeve gastrectomy or a gastric bypass. 19:31 Gastric bypass is reserved for someone who has been a diabetic for several years, someone who has significant cardiovascular disease or someone who has a higher BMI. 20:02 The sleeve equates to stomach stapling. 21:09 With gastric bypass, the stomach is divided in a different area and it is made into a small pouch, about the size of a large hard-boiled egg. The remainder of your stomach is left in your body sitting on the sidelines. Some of your small intestine is rerouted so your small stomach pouch attaches to your jejunum. 24:45 Most bariatric surgery that Dr. Kichler does is laparoscopic or robotic, minimally invasive. 28:30 Bariatric surgery decreases gut permeability and increases your production of toxic metabolites. 29:51 A large number of patients have no complications. However, there are risks. 34:38 The degree of weight loss or benefit from Metformin not nearly as great as surgery. 41:55 If a child is obese in toddler years, the chance of being an obese adult is extremely high. Go organic, limited processed foods. 43:53 In 1990 the percentage of people who suffered from obesity was 5 to 10% in most states. Today it is 40 to 60%. 49:31 High protein consumption that you should incorporate before and after any surgery. 50:10 People who are exercisers before and after surgery recover faster. 59:24 Dr. Kichler’s elevator speech on obesity: The impact of industry and financial sectors on our nutritional recommendations and what is farmed is horrible and should be changed from the ground up.