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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Ask the Harvard Experts: Risk of alcohol abuse increases after weight-loss surgery

By Howard LeWine, M.D.




What to know before considering gastric bypass surgery


JewishWorldReview.com | Q: I'm considering gastric bypass surgery. I really enjoy my nightly glass of wine. Will I still be able to drink after the surgery?


A: It might be best to avoid alcohol for a while right after the surgery. A recent study highlighted why you need to be cautious about drinking after a gastric bypass procedure.


Researchers reported that almost 11 percent of nearly 2,000 men and women who underwent gastric bypass surgery (the most common type of obesity surgery) got in trouble with drinking by the second year after surgery. About 7 percent drank too much before the operation, representing a 50 percent increase.


In a gastric bypass procedure, the surgeon uses staples to create a small pouch in the stomach. This bypasses the rest of the stomach. The pouch is hooked to a loop of small intestine beyond the first section of intestine.


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The smaller stomach pouch makes the person feel full after eating a small amount of food. Because the first section of the intestine is bypassed, fewer calories are absorbed.


Gastric banding is done through small holes in the abdomen using a laparoscope. The surgeon wraps an adjustable band around the upper stomach. This creates a small pouch with a narrow opening that empties into the rest of the stomach.


The risk of alcohol use disorder was twice as high for people who had gastric bypass than for those who had placement of an adjustable stomach band. Although the researchers were not sure why there was such a difference, it does make sense.


The stomach lining contains an enzyme called alcohol dehydrogenase that breaks down alcohol. With a much smaller stomach after gastric bypass, less of this enzyme is available and more alcohol gets directly into the blood stream. Also, alcohol remains at higher concentrations for longer periods after gastric bypass.


Perhaps this is why excess alcohol use did not show up until the second year after surgery. During the first year after the operation, some casual drinkers might not have realized they were feeling twice as much effect from the same amount of alcohol they were used to drinking. So they may not have realized that they were developing alcohol dependence.


If you do decide to have gastric bypass, perhaps the safest thing to do is avoid alcohol completely for the first year. If you'd find that difficult to do, limit your alcohol use to one small glass of wine a few times per week. Be aware of how much alcohol you consume, and whether you feel it is causing problems in your life.


(Howard LeWine, M.D., is a practicing internist at Brigham and Women's Hospital, Boston, Mass., and Chief Medical Editor of Internet Publishing at Harvard Health Publications, Harvard Medical School.)

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