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Interesting Documentary on Discovery Health Last Night...

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Matty - 29 Jul 2004 13:47 GMT
Not sure if anyone's seen it, it was called "Trash Can of Skin" about a British woman that lost 309lbs in 2 years and came to America to have a radical surgery to remove the loose skin from her body. I think they said she was losing 1/3 of her skin through the surgeries. They took out 35lbs of fat & skin from her first surgery, she's still got several more to go.

Interestingly enough, she lost weight by portion control & exercise! She lost an average of 12lbs/month over 2 years(which is where I am currently).

A little sobering, I'm afraid I may have to go down that road as well if I cannot find a way to tighten or tone up my arms & stomach as I lose weight. Total cost to her was around $150,000 for the surgeries, none of it covered by health insurance. She was in a car accident, that's what triggered her weight gain(as she says), I would imagine that she got some sort of settlement from that so she could pay for the surgeries.

Here's the episode link, it's on again on 08/01/04 @ 11am EST:

http://health.discovery.com/schedule/series.jsp?series=86963&gid=0&channel=DHC

Matty

PS - I mowed the entire lawn again last night and wasn't as winded before, which is a plus!
Ignoramus2121 - 29 Jul 2004 14:24 GMT
The link to the article does not work. Congrats on mowing the
lawn. You must be a very muscular and strong man, I know that if I had
extra 240 lbs on me, I would not be able to mow a lawn. So, if you
keep your muscle through some basic exercise (squats, chair or
countertop pushups), you are going to end up very muscular!

Regarding skin, some people's skin shrinks very well. You are pretty
young, if I remember right you must be in your early thirties. If so,
there is a good chance that your skin will behave relatively well, or
at least, better.

Elasticity of the skin is the inverse of degree to which collagen
becomes cross-linked (the strands of collagen in the skin become
joined to one another). That cross linking is a feature of aging, and
the speed of aging wrt collagen crosslinking is determined by the
glycation process, that is, the level of glucose in the blood.

If you are young and have no blood sugar problems, you have better
expectations.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8
168645&dopt=Abstract


i
MJC - 29 Jul 2004 14:38 GMT
So what can us older folks do to tighten things up?

MJ
> The link to the article does not work. Congrats on mowing the
> lawn. You must be a very muscular and strong man, I know that if I had
[quoted text clipped - 15 lines]
> If you are young and have no blood sugar problems, you have better
> expectations.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui
ds=8168645&dopt=Abstract

> i
Ignoramus2121 - 29 Jul 2004 15:00 GMT
> So what can us older folks do to tighten things up?

I have no idea... Great question though.

i

> MJ
>> The link to the article does not work. Congrats on mowing the
[quoted text clipped - 21 lines]
>>
>> i
jamie - 29 Jul 2004 20:33 GMT
> So what can us older folks do to tighten things up?

Hope, pray, and try to build some muscle to help fill some of it out.

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SnugBear - 30 Jul 2004 02:41 GMT
> So what can us older folks do to tighten things up?

Lotion, lotion, lotion!

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jamie - 30 Jul 2004 11:26 GMT
>> So what can us older folks do to tighten things up?
>
> Lotion, lotion, lotion!

Lotion merely moistens the dead outermost layer.

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 jamie  (jamiemck@newsguy.com)

         "There's a seeker born every minute."

SnugBear - 31 Jul 2004 02:16 GMT
> Lotion merely moistens the dead outermost layer.

Loofah first  ;-)

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Start: 2/02  Maintained since 2/03

jamie - 31 Jul 2004 06:43 GMT
>> Lotion merely moistens the dead outermost layer.
>
> Loofah first  ;-)

Then it moistens the *new* dead outermost layer.  It can't
penetrate the moisture barrier.

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 jamie  (jamiemck@newsguy.com)

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SnugBear - 01 Aug 2004 03:09 GMT
> Then it moistens the *new* dead outermost layer.  It can't
> penetrate the moisture barrier.

hmph.  At least you'll *smell* good - now let me have my fantasy, ok?

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Start: 2/02  Maintained since 2/03

jamie - 01 Aug 2004 09:41 GMT
>> Then it moistens the *new* dead outermost layer.  It can't
>> penetrate the moisture barrier.
>
> hmph.  At least you'll *smell* good - now let me have my fantasy, ok?

So long as you're into weight-loss fantasies, you might as well try
the "fat-burning soap."

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 jamie  (jamiemck@newsguy.com)

         "There's a seeker born every minute."

Lictor - 03 Aug 2004 11:56 GMT
> >> So what can us older folks do to tighten things up?
> >
> > Lotion, lotion, lotion!
>
> Lotion merely moistens the dead outermost layer.

Yes, but it's still very pleasant to get a good massage along with the
lotion. :p
Actually, some expert think it's the massage that it doing most of the job,
not the lotion. Massage *does* things to the inner layers of the skin. It
helps break up fat clusters. For instance, good old "draining" hand massage
is actually the best non-surgical way to reduce cellulite...
jamie - 04 Aug 2004 04:39 GMT
> "jamie" <jamie@spam-me-silly.net> wrote in message
>> > Lotion, lotion, lotion!
[quoted text clipped - 7 lines]
> helps break up fat clusters. For instance, good old "draining" hand massage
> is actually the best non-surgical way to reduce cellulite...

Last I read, very vigorous massage and endermologie (special massage
with suction rollers) are believed to reduce the *appearance* of
cellulite by causing mild swelling in the skin that reduces the
puckered appearance for a while.

It's a shrinking of connective tissue fibers between the fat clusters
that causes the cellulite look, and it's largely hereditary. The angle
and thickness of connective tissue fibers is different in most women
from most men, so men almost never have cellulite.

I suspect you'd really have to beat the crap out of the someone to
break up those fibers or "break up fat clusters", and I would think
that would cause significant bruising.  It's not that easy to break up
fat clusters in chicken skin or on a steak with your fingers directly
IN the fat and pinching it, never mind trying to to it from outside
a person.

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Chris Braun - 04 Aug 2004 05:10 GMT
>> "jamie" <jamie@spam-me-silly.net> wrote in message
>>> > Lotion, lotion, lotion!
[quoted text clipped - 24 lines]
>IN the fat and pinching it, never mind trying to to it from outside
>a person.

Ahmed, my Olympic lifting trainer and also my masseur, does this sort
of massage sometimes for women who are fitness models.  He says it's
very painful -- "You don't want to try it, believe me!".  I think I'll
pass.  I do get regular deep tissue massages with him, though, almost
every week.

Chris
Lictor - 04 Aug 2004 09:10 GMT
> Last I read, very vigorous massage and endermologie (special massage
> with suction rollers) are believed to reduce the *appearance* of
> cellulite by causing mild swelling in the skin that reduces the
> puckered appearance for a while.

Yes, that's what I was talking about... Though hand massages work better
than the suction rollers. Appearance is really the only problem with
cellulite, it's not like it's bad for health or anything (being on the legs
and butt, it's pure gynoid harmless fat). Most women are not very concerned
about having "virtual" cellulite, they're concerned about it showing when
they're in bikini ;)
Besides, there is not much to do against cellulite, except surgery. Most non
invasive methods do nothing at all, at least massages can make it look
better, that's still an improvement...

> The angle
> and thickness of connective tissue fibers is different in most women
> from most men, so men almost never have cellulite.

Well, we get the hair loss, the heart diseases, several years less in life
expectancy... We do have to have some advantage somewhere :p
Doug Freyburger - 29 Jul 2004 20:43 GMT
> Not sure if anyone's seen it, it was called "Trash Can of Skin" about a
> British woman that lost 309lbs in 2 years and came to America to have a
[quoted text clipped - 6 lines]
> lost an average of 12lbs/month over 2 years(which is where I am
> currently).

A recent thread on ASD asked why losing faster isn't better.  Here's
yet another reason why - Lose slowly enough and your skin should be
able to shrink as your stored fat does.  Lose too fast and you could
end up with extra skin.

> A little sobering, I'm afraid I may have to go down that road as well if
> I cannot find a way to tighten or tone up my arms & stomach as I lose
> weight.

Stay active, take your time, and be as young as possible when your
start losing.  Two of those three are under your control at least
somewhat.
Chris Braun - 30 Jul 2004 04:19 GMT
>A recent thread on ASD asked why losing faster isn't better.  Here's
>yet another reason why - Lose slowly enough and your skin should be
>able to shrink as your stored fat does.  Lose too fast and you could
>end up with extra skin.

Well, I hate to disillusion anyone, but this is a rather
over-optimistic statement for those of us who are older and have a
fair bit of weight to lose.  I lost my weight at only a little over a
pound a week, and I certainly have extra skin.  It's not nearly as bad
as it might be -- probably partly due to the slow weight loss, but
also, I think, to how I carried the weight, continuing exercise, and
just some genetic luck of the draw.  But I doubt I'll ever want to
wear a bikini in public :-).

I don't think there's much evidence to support such a generalization
as you've made above (i.e., lose slowly enough and your skin will
shrink to fit).  I think almost all 100+ pound losers are going to end
up with some excess tissue, regardless of speed of weight loss.

Chris
262/143/ (145-150)
JMA - 30 Jul 2004 14:03 GMT
> >A recent thread on ASD asked why losing faster isn't better.  Here's
> >yet another reason why - Lose slowly enough and your skin should be
> >able to shrink as your stored fat does.  Lose too fast and you could
> >end up with extra skin.

> I don't think there's much evidence to support such a generalization
> as you've made above (i.e., lose slowly enough and your skin will
> shrink to fit).  I think almost all 100+ pound losers are going to end
> up with some excess tissue, regardless of speed of weight loss.

That's pretty much what my plastic surgeon said.  He also said that besides
genetics, how *long* you were overweight plays a part too.  Everyone is
different - go figure.

BTW for anyone considering the surgery to remove excess skin, a good surgeon
will insist that you keep your weight stable for *at least* a year before
performing the surgery.  Mine recommended 2 or 3 years, but would do the
surgery after 1 year if there were other problems associated with the skin.

Jenn
Lictor - 03 Aug 2004 11:47 GMT
> BTW for anyone considering the surgery to remove excess skin, a good surgeon
> will insist that you keep your weight stable for *at least* a year before
> performing the surgery.  Mine recommended 2 or 3 years, but would do the
> surgery after 1 year if there were other problems associated with the skin.

That's good advice... Statistics say that the average rate of success of
diets is around 15% when you study them at the 5 years point. Not being a
success doesn't mean being an utter failure, it just means gaining back a
significant part of the original weight, it doesn't have to be all the
weight.
The problem is that if you have surgery to remove skin too soon *and* gain
back a large amount of weight, the remaining skin will get stretched so hard
and fast (weight regain can be explosive) that it is likely to be ruined
beyong repair if you ever re-lose that weight again. Even worse if you
regain weight right after the surgery while the tissues are still healing...
Likewise if you keep losing weight after the surgery, you might need a
second operation.
So, responsible surgeons prefer to play it safe and make sure your weight is
indeed stable.
JMA - 03 Aug 2004 22:14 GMT
> > BTW for anyone considering the surgery to remove excess skin, a good
> surgeon
[quoted text clipped - 17 lines]
> So, responsible surgeons prefer to play it safe and make sure your weight is
> indeed stable.

I was told that elasticity all but disappears after the first surgery.  Any
further weight loss results in loose skin and there are people who have had
multiple surgeries.

Not that this has bearing on real life, but the FX show Nip/Tuck currently
has a storyline about a woman who gained a bunch of weight after
liposuction.  It's on Tuesday nights @9 central time, but it's kind gruesome
(very real looking surgery scenes), raunchy (language and sex), and soap
operatic...making it a must see in our household.

Jenn
Doug Freyburger - 30 Jul 2004 15:24 GMT
> > A recent thread on ASD asked why losing faster isn't better.  Here's
> > yet another reason why - Lose slowly enough and your skin should be
[quoted text clipped - 13 lines]
> as you've made above (i.e., lose slowly enough and your skin will
> shrink to fit).

You just posted that it's a great partial strategy and the best
known strategy.  Until a complete solution comes out, partial
is the best that can be done.  Given the choice between partial
and none, I'll take partial.

> I think almost all 100+ pound losers are going to end
> up with some excess tissue, regardless of speed of weight loss.

Some is a lot better than a lot.  You are an excellent role
model for that reducing excess skin along with your other
successes.
Chris Braun - 30 Jul 2004 16:42 GMT
>> > A recent thread on ASD asked why losing faster isn't better.  Here's
>> > yet another reason why - Lose slowly enough and your skin should be
[quoted text clipped - 25 lines]
>model for that reducing excess skin along with your other
>successes.

I agree that's a partial strategy.  However, your post was stated in
absolute terms, and I felt that it offered unrealistic expectations.
Some people are very disappointed to find they don't have a model's
body after a big weight loss, and it's better to not expect the
impossible, or to feel there's something wrong with oneself if that
isn't what happens.

Chris
SnugBear - 31 Jul 2004 02:19 GMT
> I agree that's a partial strategy.  However, your post was stated in
> absolute terms, and I felt that it offered unrealistic expectations.
> Some people are very disappointed to find they don't have a model's
> body after a big weight loss, and it's better to not expect the
> impossible, or to feel there's something wrong with oneself if that
> isn't what happens.

and of course, they didn't have a model's body *ever before*, but think
losing weight will magically reveal one?  

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Laurie in Maine
207/110  60 inches of attitude!
Start: 2/02  Maintained since 2/03

janice - 30 Jul 2004 18:22 GMT
>>A recent thread on ASD asked why losing faster isn't better.  Here's
>>yet another reason why - Lose slowly enough and your skin should be
[quoted text clipped - 17 lines]
>Chris
>262/143/ (145-150)

I do think age has a lot to do with it.  It's well known that the skin
loses a lot of its elasticity as we get older, and it's asking a lot
of older skin to fit a body that's several clothing sizes smaller.
I've noticed a great difference with loose skin when I lose weight as
I've got older - when I was in my 20s and 30s, and probably even my
40s, I took it for granted that my skin would stretch and shrink to
fit whateve size my body happened to be.  Perhaps how many times over
you've lost and regained is also a factor here.

janice
233/181/133
Kasey - 31 Jul 2004 02:26 GMT
Blanket statements and generalizations serve only to breed FUD,
whether it's about loose skin after massive weight loss, or any
particular WOE. My sig says it all _ your mileage may vary.

As always, YMMV.

Kasey
365/253/???
Lictor - 03 Aug 2004 11:52 GMT
> A recent thread on ASD asked why losing faster isn't better.  Here's
> yet another reason why - Lose slowly enough and your skin should be
> able to shrink as your stored fat does.  Lose too fast and you could
> end up with extra skin.

Usually skin is elastic enough to adapt to a new configuration if it is ever
going to. I suspect the main point of losing slowly is that you usually do
that through a reasonnable diet, not a crash one. Thus, you are less likely
to suffer from nutritional deficiencies. The skin is very sensitive to lack
of vitamins and proper essential fatty acids. Especially during a diet,
where you're asking your skin to do some extra work to shrink to your new
body configuration. Losing weight very quickly through a powder diet with no
fats and bad quality proteins and low quality vitamins *is* going to hurt
your skin. Especially if you add dehydratation to that, which is common in
many diets...
 
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