Binge Eating… Is it Possible to Break Such a Vicious Cycle?

Binge eating is defined as a compulsive overeating. People who binge eat can experience eating enormous amounts of food and feeling powerless to stop. Some patients start at adolescence or at early adulthood, most start after an episode of dieting. Most patients will eat even when they are not hungry and continue to eat long after they feel full, or eat to quickly and not even register what they are eating.

Some key points for binge eating are:

  • Frequent episodes of uncontrolled eating
  • Feelings of guilt during or after binge eating
  • No attempts to “make up” for binge eating (unlike bulimics that provoke vomiting, extended periods of fasting or over exercising)

Patients that binge eat have issues with depression and guilt. They worry about what they are doing to themselves, and yet are unable to stop eating in that manner, sometimes eating in secret because they feel ashamed of eating, but yet finding comfort in eating.

In turn, there are many effects of bine eating on a person. There’s the physical aspect that a person who eats in that manner, that they will tend to grow overweight, then obese, which in turn can cause many other complications inherent of obesity itself, such as diabetes, high blood pressure, etc.

The emotional aspect is the feeling of stress or tension where they only feel better after eating, afterwards they can feel depression that is caused by too much eating, that can lead to feeling desperate and perpetuate a vicious cycle. Some effects that can stem from binge eating are stress, insomnia, depression, anxiety and substance abuse.

It is believed that there is a neurological component to binge eating, where the hypothalamus is not sending the proper signals of feeling full and being hungry. Also, low levels of serotonin can play a role in compulsive eating.

Present

Nowadays, were there are many people with depression; they will look for ways to relieve that feeling. Some people will start with exercise, others with other hobbies, and there are many people who will turn to eating for relief of their stress. Also, given the fact that there are many unhealthy foods such as potato chips, processed microwave food, high calorie drinks such as sodas, frappuccinos and energy drinks, there are many ways to have binge eating with extremely high calorie intake.

People need to understand that eating in that fashion is not a healthy stress relief, that there are many ways to vent out that stress such as exercise, taking up a hobby. Also, seeking treatment for binge eating is a very acceptable. It is a multidisciplinary treatment that involves nutritionist, psychiatrists, therapists and obesity specialists.

Prevention

Patients recovering from binge eating disorder can take some time to achieve their goal, but it is crucial for them to have a good support group, and should know they can rely on anyone from this group whenever they are feeling low or are about to return to that habit.


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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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