The bypassed small intestine, which carries the bile and pancreatic enzymes that are necessary for the breakdown and absorption of protein and fat, is reconnected to the last portion of the small intestine so that they can eventually mix with the food stream. Similar to the other surgeries described above, the BPD/DS initially helps to reduce the amount of food that is consumed; however, over time this effect lessens and patients are able to eventually consume near “normal” amounts of food. Unlike the other procedures, there is a significant amount of small bowel that is bypassed by the food stream.
Wearing an activity tracker is one of the best ways to stay on top of your goals, as you'll literally have a ton of health information right on your wrist. The latest trackers from Fitbit provide tons of data right on your wearable — like hourly and daily step count, resting heart rate, and total calorie burn — but using the app provides even more in-depth info. The company recently launched period tracking for their female users; there's a spot to log workouts and food and water intake; and you can challenge friends to daily or weekly competitions to keep you motivated.
Onakpoya, I., Posadzki, P., & Ernst, E. (2014, February 17). The efficacy of glucomannan supplementation in overweight and obesity: A systematic review and meta-analysis of randomized clinical trials. [Abstract]. Journal of the American College of Nutrition, 33(1), 70–78. Retrieved from http://www.tandfonline.com/doi/abs/10.1080/07315724.2014.870013
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