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What Causes Difficulty In Weight Loss?

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Posted on Wed, 12 Oct 2016
Question: I have no gallbladder and cannot lose weight?
doctor
Answered by Dr. Tayyab Malik (12 minutes later)
Brief Answer:
kindly elaborate your concern.

Detailed Answer:
Hi.
Thanks for posting query at HCM.

I can understand that your gall has been removed.

1. which year did you had the surgery and why ?

2. Secondly, what is your present height and weight?

3. are you suffering from hypertension ? and/or diabetes ?

4. are you taking any medications?

Kindly also attach any recent medical test reports done lately. You can upload/attach them at the reports section.

Awaiting

Thank you
Regards
Dr Tayyab Malik
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Tayyab Malik (35 minutes later)
dear tay,1)I've been taking cozaar eight yrs.2)My a1c ocillates between 6.5 and 7.2
for the last six yrs.Gall came out in an emercency one yr. ago.3)weight:240 pounds.
4)height 5ft. 8in.5)I take metf.
doctor
Answered by Dr. Tayyab Malik (10 hours later)
Brief Answer:
kindly read detailed answer below

Detailed Answer:
hi.
thanks for getting back to me and for your answers.

to lose weight, one should have a strict check on daily calorie intake.

in order to loose weight, as per your height , your daily calorie intake should not exceed 1200 to 1300 calories.

in addition;

- low fat intake
- low carbohydrate intake but you should include limited amount in your daily food consumption
- avoid junk food and beverages altogether
- daily walk 30 to 45 minutes
- 2 tsp pure olive early in the morning before breakfast would help to fight diabetes and decrease HbA1c
- eat dinner 2 to 3 hours before going to bed

hope this answers your concern,
any further questions are welcomed

regards
DR Tayyab Malik
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Tayyab Malik (9 hours later)
dear t, do we know the consequences (long term) of lacking gall?Will I have a
predisposition to ugly illness, such as cancer?I have not suffered
discomfort and eat all foods.Drs. wanted to operate on my diversiculities
after removal of gall;Irefused.Will you throw some light on diversiculity.
thank you in advance.
doctor
Answered by Dr. Tayyab Malik (7 hours later)
Brief Answer:
kindly read detailed answer below

Detailed Answer:
hi.
its a pleasure to answer your queries.

Firstly, gallbladder removal is NOT a risk factor for cancer.
gall bladder primary role is to store "bile".
when gall bladder is intact, bile is usually secreted after having a meal rich in fat; bile plays a vital role in fat digestion.

after gall bladder is removed, bile is continuously being secreted in small intestine and may reflux into stomach. as a result, gastric inflammation may occur causing pain and discomfort.
moreover, high fat meal induces more bile secretion further affecting gastric mucosa.

since you can tolerate all food, so NO worries.

Diverticulitis is inflammation in diverticulum. diverticulum is sac-like pocketing of the colonic wall. low fiber diet and increased fat/red meat diet increases the risk of diverticular disease. Low abdominal pain ( usually left lower quadrant) , abdominal tenderness and leukocytosis on Blood test are indicative for diverticulitis. CT confirms diverticulitis and treatment is advised accordingly ( outpatient vs inpatient). Medical treatment is sufficient and "surgery" is usually preserved for immunocompromised patients with recurrent diverticulitis and in whom medical treatment has failed.

hope to answer your queries.

wish you good and sound health.

regards
Dr Tayyab Malik
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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What Causes Difficulty In Weight Loss?

Brief Answer: kindly elaborate your concern. Detailed Answer: Hi. Thanks for posting query at HCM. I can understand that your gall has been removed. 1. which year did you had the surgery and why ? 2. Secondly, what is your present height and weight? 3. are you suffering from hypertension ? and/or diabetes ? 4. are you taking any medications? Kindly also attach any recent medical test reports done lately. You can upload/attach them at the reports section. Awaiting Thank you Regards Dr Tayyab Malik