VSG Maintenance Group

Workin your : "Ileal Brake"

frisco
on 1/24/11 3:56 pm, edited 1/24/11 5:53 pm

edit** First I should have prefaced that this skill is probably more suited to those who have a problem eating to much. At my stage, I do not have any overeating problems.....I'm pretty good at eating fixed amounts of food and I'm always satisfied, now wrong foods....that's another story (as I'm eating a square of Dove Dark Chocolate with a cup of coffee

Timing and amounts are going to vary as per the individual. The purpose of sending the soft food through first while the pylorus valve is open, than it closes when dense foods enter the stomach. The time the soft food gets to the ileum is individual and should be an experiment all on it's own, amounts and kinds of food would vary.

I'm not claiming a perfected method..... just interested if this could be a tool to use if overeating becomes a problem.

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I was interested in learning a little more about the "ileal brake" after Dr. C mentioned this last week at San Jose.
I went to San Fran support tonight and asked him how to get the best advantage at "workin" the "Ileal brake"

OK......from what I understand....The ileal brake is at the end of the small intestine and before the large intestine.....when food reaches this area it sends the "full" message to your brain.

So, I asked Dr. C what the best way we could take advantage of the ileal brake.

- Eat a soft food first.....Cottage Cheese and Tofu (were mentioned as examples) Than eat the rest of your meal "slow" The key....and perfect timing would be if your ileal brake was activated by the soft food you first sent through just as you finish your meal.

Here is an article I found on google looking for the proper spelling of ileal.

frisco


Physiol Behav. 2008 Oct 20;95(3):271-81. Epub 2008 Jul 21.

Ileal brake: a sensible food target for appetite control. A review.

Maljaars PWPeters HPMela DJMasclee AA.

Division of Gastroenterology-Hepatology, Department of Internal Medicine, University Hospital Maastricht, PO box 5800 6202 AZ Maastricht, The Netherlands. [email protected]

Abstract

With the rising prevalence of obesity and related health problems increases, there is increased interest in the gastrointestinal system as a possible target for pharmacological or food-based approaches to weight management. Recent studies have shown that under normal physiological situations undigested nutrients can reach the ileum, and induce activation of the so-called "ileal brake", a combination of effects influencing digestive process and ingestive behaviour. The relevance of the ileal brake as a potential target for weight management is based on several findings: First, activation of the ileal brake has been shown to reduce food intake and increase satiety levels. Second, surgical procedures that increase exposure of the ileum to nutrients produce weight loss and improved glycaemic control. Third, the appetite-reducing effect of chronic ileal brake activation appears to be maintained over time. Together, this evidence suggests that activation of the ileal brake is an excellent long-term target to achieve sustainable reductions in food intake. This review addresses the role of the ileal brake in gut function, and considers the possible involvement of several peptide hormone mediators. Attention is given to the ability of macronutrients to activate the ileal brake, and particularly variation attributable to the physicochemical properties of fats. The emphasis is on implications of ileal brake stimulation on food intake and satiety, accompanied by evidence of effects on glycaemic control and weight loss.

PMID: 18692080 [PubMed - indexed for MEDLINE]

SW 338lbs. GW 175lbs. Goal in 11 months. CW 148lbs. WL 190lbs.

          " To eat is a necessity, but to eat intelligently is an art "

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mini_me_ now
on 1/24/11 4:26 pm
but how long are the soft foods in our stomach before passing into the intestines? and how much food do we need to send there? wouldnt we have to know that so we get the timing right? if our plyrous is only the size of a ball point ip when closed i should think it would take a little bit of time... i can eat my whole meal in a few mins LOL..   .. I know i know i eat way to fast...
Linda     5".4

6lbs under goal weight
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(deactivated member)
on 1/24/11 4:32 pm
VSG on 05/04/09 with

I think the beauty of a measured meal is, fast or slow eating, your meal is still what you thought it was.  But the timing thing is something - because if I eat normally, which does not take 20 minutes I am fine and satisfied (unless its just a "no satisfaction" kind of day), but if I drag it out, I get less of a satisfied feeling.

I yam a freak?

MacMadame
on 1/29/11 11:43 am - Northern, CA
On January 25, 2011 at 12:26 AM Pacific Time, mini_me_ now wrote:
but how long are the soft foods in our stomach before passing into the intestines? and how much food do we need to send there? wouldnt we have to know that so we get the timing right? if our plyrous is only the size of a ball point ip when closed i should think it would take a little bit of time... i can eat my whole meal in a few mins LOL..   .. I know i know i eat way to fast...
A normal meal sits in our stomachs for 20-30 minutes before it gets mushy enough for the pylorus valve to open. But stuff like yogurt is already mushy. So it sits for a much shorter time.

The pylorus valve opens up when mush (or liquid) hits it. So the yogurt will start going through almost right away and the pylorus valve will open to let it through so it should hit the ileal brake pretty quickly.

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mini_me_ now
on 1/29/11 12:09 pm
ah ok thanks
Linda     5".4

6lbs under goal weight
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(deactivated member)
on 1/24/11 4:35 pm
VSG on 05/04/09 with
Very cool bubs, thank you.  The timing thing I wonder about too.

Random medical word remembering helps!

Ileal - E as in EATING
Ilial - I as in Hip (area, its really a pelvic area thing, but that is not as easy a remember for me).

In case you are ever on Jeopardy or sumpin!
frisco
on 1/24/11 5:21 pm
 
Spelling is no my spezilty.......

Would never be on Jeopardy.....only maybe as a camera man......

frisco

SW 338lbs. GW 175lbs. Goal in 11 months. CW 148lbs. WL 190lbs.

          " To eat is a necessity, but to eat intelligently is an art "

                                      VSG Maintenance Group Forum
                  
 http://www.obesityhelp.com/group/VSGM/discussion/

                                           CAFE FRISCO at LapSF.com

                                                      Dr. Paul Cirangle

(deactivated member)
on 1/24/11 5:50 pm
VSG on 05/04/09 with
Camera 2, pan in on Alex -

Camera 2 - YOU ARE THE SHOW!!
diane S.
on 1/25/11 1:40 am
ok, let me see if i understand this. i need to eat my greek yogurt for breakfast first and then follow it with a baby carrot or two? is that the concept? think that is doable.

On a realated topic, was watching the Dr. Oz show (yeah i know some of it is drivel) but he had three new habits for helping with weight control. I forget what the first one was but the second was to have thirty grams of protein at breakfast which makes sense to get that protein in early and something i have trouble doing. the third thing was to allow a once a week pig out. now his idea of a pig out any my idea of a pig out from my pre surgery days are two different things. But the point is that your body doesn't feel so starved (wondering how this affects the ghrelin level) if you have one meal a week that is not really restrictive to low fat low carb low calorie or whatever. Now we are always restricted as to quantitiy so the pig out for us may be a single slim slice of pizza. Anyway it was an interesting show. there was also something about drinking a little grapefruit juice as it does something to open up fat burning cells or some such stuff and then doing some deep knee bends after the pig out to rev up caloric burning. Don't know if I buy all this but information is always interesting. I emailed the dr. oz show and told them they needed to have a segment on wls but of course they probably won't. I am gonna check and see what that first of the three things is. diane

      
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Lee ~
on 1/25/11 10:17 am - CA
Hi Diane,
My boss is a recent professional bodybuilder.  I've watched him train (eat) to prepare for competition for the last 16 years.  During the week he lives on protein shakes and bars, cans of tuna, hardboiled eggs and cottage cheese.  Every Sunday he would eat a whole cheese pizza to reset his metabolism.  He always looked fabulous and if he had pounds to shed to drop to a lower weight category, he did it.

Maybe Dr. Oz isn't all wrong.

HW: 249   SW: 229 GW: 149 Age: 63 - Body by Sauceda - 12/2011

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