Posts Tagged diet

The Word on GERD

Fat doesn’t just pose problems for your belly and subway turnstiles; it also can mess with your throat. About half of obese people have the chest-burning condition called GERD (gastroesophageal reflux disease). The thinking is that extra fat in the belly pushes down on your stomach, thereby opening the angle of the GE junction and pushing it toward the chest. (Remember, it’s at an acute angle to keep food from going back up your throat every time you eat.) The pried-open angle makes it easier for acid and food to be pushed back up. Plus, the extra fat in the belly puts pressure on the contents of your bowel. More pressure, more GERD. What’s the big deal? Besides the unpleasant sensation of tasting your food on the way up, GERD also burns your esophagus—in the same way that the sun burns your skin. After a burn, it takes a couple days to heal, but if the burning happens over and over, it means you’re burning the tissues and are more likely to develop cancer there, just like repeated sunburns increase your risk of skin cancer. Taking half a full aspirin or two baby aspirin (you want 162 mg) with a glass of water decreases this risk by about 35 percent. By the way, alcohol, coffee, pepper, acidic foods like tomatoes and OJ, and, to a lesser degree, chocolate increase GERD symptoms. The best way to manage symptoms until you lose weight is to avoid meals within three hours of bedtime and to put blocks under the head posts of your bed so that you sleep at a slight tilt. (Pillows usually don’t work, since your head will typically roll off the pillow.)

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Oh, the Gall

Your gallbladder may seem as unnecessary as bad goatees, but one of its functions is to help store bile—that digestive juice that helps your body absorb nutrients. Obese people have a greater than 50 percent chance of developing gallstones. Why? An overworked liver caused by being overweight makes bile, which is more like sludge than liquid, and predisposes them to developing stones. It’s also more likely that you’ll develop stones when you lose weight fast, like after weight-loss surgery—because the gallbladder doesn’t empty enough when it doesn’t see any fat. So it’s not uncommon for a surgeon to remove the gallbladder during a gastric bypass procedure. The risk factors for developing the painful stones are easy to remember, because they sound like an R & B group. They’re the 4 Fs: female, fertile, fat, and forty. (We don’t mean this to be a gender issue, but the fact is that women are more likely to have gallstone symptoms than men.)
Contrary to popular belief, not all ingested protein becomes muscle, and not all the fat in your food gets stored on your hips. Everything has the potential to turn into fat if it’s not used by your body for energy at the exact time it is absorbed through your intestines.

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