A reader writes:
I was wondering if there is any problem with having LAP-BAND surgery. It is a Laparoscopic Adjustable Silicon Banding and has been proven to be a safe bariatric surgical procedure. It is minimally invasive, adjustable and reversible.
‘Kay, lemme interrupt for a moment. For those who may not be aware, LAP-BAND surgery involves inserting a small, adjustable band to constrict part of the stomach so that only a small amount of food can be taken at one time. This form of surgery is not as radical as others since the band can be adjusted and even removed when it is no longer needed. INFO HERE.
Let’s resume. . . .
Is there a Cathlic stance on having a procedure like this done? I have gained weight after every baby (4 live births and 2 stillborn) and I cannot lose it. Even with Atkins, I gain it back any time I get sick and have to go on anitbiotics or something. I weigh a lot (over 300 pounds) and I have done every thing possible to lose except starve myself and not eat any more at all.
Interruption! Don’t do that! Your body needs nutrients to keep going. Starvation diets are not safe.
I walk an hour a day and I try to stick with mainly protein and vegetables. I have dieted so much in my life that my body refuses to lose weight. With the LAP-BAND procedure, I could just take vitamins and eat a tiny bit and not get so shaky from hunger that I can’t think straight. Do you know the Church’s position on this?
Okay. First, it sounds that you’ve been trying a lot of good things, though you should not do anything so extreme that it causes you to get so shaky from hunger that you can’t think strait. That is not healthy.
That being said, the levels of obesity that you are talking about are serious and lead to long-term serious health problems. Getting the weight off is important.
The Church understands that and, while there is no specific Magisterial statement on this type of surgery, Catholic moral theology recognizes that surgery can be used to address serious health concerns, including obesity. As a result, any surgery for which the expected medical benefits are proportionate to the expected costs (medical, financial, psychological) is licit in principle. There are, however, a few caveats:
- The surgery can’t be predicated on anything intrinsically evil, like killing someone else to get an organ for transplant–but that isn’t what’s happening in this case. Implanting a silicone ring that can be adjusted and removed isn’t intrinsically evil.
- You should seek to form as realistic an understanding of what the
surgery will mean as possible. I know that for folks who are obese, the
idea of surgery can seem like a dream–a cure-all that will finally
take care of the problem. But there are risks and possible side
effects. You need to learn about these. For example, will artificially
shrinking your stomach stop you from being hungry? Even if it stops
hunger, will it leave you weak or suffering other side-effects? What’s the success rate of this surgery? What is the risk of infection? I don’t know the answers to these questions, but you need to find them out.
- There must be a real weighing of the costs and benefits here. At a minimum, you should both be in close consultation about these with your doctor and get a second opinion before having the surgery. You should also test what the doctors tell you and try to poke holes in what they say, whether they are positive or negative regarding the surgery.
- Prior to surgery, you should also seek alternatives that you may not have tried.For example: There may be a way to accomplish a similar effect without actual surgery.
It may be providential, but your query raises a topic that I’ve been thinking about posting on. Of late I’ve been modifying my own diet and trying out a few new techniques. One of them in particular shows rmarkable promise. It’s this: . . . Fiber.
Fiber is the part of our food that we can’t digest. It thus doesn’t add calories but it does take up space. It also absorbs toxins and helps purify the system generally. There are also different types of fiber, and different types do different things for us.
Most Americans get about 10-15 grams of fiber per day in their diet. It’s thought that we need 25-30, though many question whether that is enough. In some places, people eat much more fiber than this. It is reported, for example, that in some parts of China they manage to get 75 grams of fiber per day.
Fiber can be gotten both from eating foods that contain it (e.g., nuts) and in the form of nutritional supplements. The latter are often packaged as compressed tablets, capsules, or powder.
It’s not easy to get significant amounts of fiber without adding calories just by eating food. Most foods don’t have enough fiber in them to make that easy. Tablets also aren’t great as they may not dissolve fully. Capsules can suffer from that, too. But powdered fiber works great.
Of late I’ve been incorpoating significant quantities of powdered fiber into my diet (about 45-55 grams per day, in addition to what fiber I get from food), and I have been very pleased with the results. The fiber generates a sensation of fullness, a notable desire to eat less, and I’ve been losing weight more rapidly and without hunger. The effect has been dramatic.
It also may be accomplishing the same thing as the LAP-BAND surgery (shrinking your effective stomach space), only without the surgery. You therefore might want to try this as an alternative before you try surgery.
If you do, a few important notes:
- Rule #1 of using fiber is to Drink Lots Of Water with it. If you drink too little, problems will result. I generally stir three heaping tablespoons of fiber (about 15 grams) into 12 ounces of water, drink that rapidly, and then follow it with another 12-20 ounces of water while the fiber expands.
- Rule #2 of using fiber is Build Up Slowly. It takes your system a bit to adjust to processing fiber, and if you add too much, too quick then you feel an uncomfortable bloating. Start with one tablespoon (not even a heaping one) and build up slowly from there.
- Rule #3 of using fiber is to recognize that it changes the absorption pattern of food, vitamins, and medicine. You therefore need to sequence fiber into your daily diet in places where it won’t interfere with any medicines you may be taking. If you need to take any medicines on an empty stomach, don’t take fiber for at least an hour before or after you take the medicine. If you need to take any medicines with food, don’t take the fiber too close to mealtime.
Personally, I try to take fiber immediately after eating (it kills any desire I have to eat further), but if you are taking medicines then you may not be able to do that. I’ve even been experimenting with adding moderately carb-laden food items (well, popcorn, anyway) and then taking fiber immediately afterward so that it slows the absorption of the carbs and doesn’t cause my blood sugar to spike. It’s worked well, and I’m still losing weight even though I’m allowing myself moderate portions of popcorn (one of my favorite foods that I haven’t been able to eat in years while doing low-carb).
If you want to get started with fiber, any health food or nutritional supplement store should have it. You can also order online. It’s best to use a mixed fiber supplement since (as noted) different types of fiber do differnt things. YerbaPrima has a couple of good mixed fiber supplements in powdered form that I’ve used.
If you can’t get a mixed fiber supplement, use powdered psyllium husks, which are readily available and one of the best individual kinds of fiber to use. Metamucil is psyllium, though be sure that you get a sugar-free version (Metamucil likes to add sugar and flavors to its fiber). If you add sugar at the same time as you add fiber, you’ll be working against the weight loss purpose for taking it.
Hope this helps, and good luck, whatever weight-loss path turns out to be best for you!
20 on the moral theology aspect.
SPECIAL NOTE: Every time I mention low-carb dieting, people come out of the woodwork to say how "unhealthy" such diets are supposed to be, which is simply not true. However, I don’t want low-carb dieting to be the issue here. Low-carb dieting is not the purpose of this post (talking about LAP-BAND surgery and fiber is), so please do not add any such comments to the combox this time.