Public Health Archives - DSSurgery

The association of preoperative psychological assessments with long-term sleeve gastrectomy surgery outcomes

Dr. Ara Keshishian — Tue, 12 May 2026 14:45:03 +0000

Obesity is not a mental disorder. For years, we have maintained the position that patients do not gain weight primarily because of overeating and lack of exercise. Telling a patient to just eat correctly and exercise will cause weight loss, just as telling a patient that jumping up and down will make them taller. It completely negates other critical factors: genetics, hormones, microplastic-environment, stress, and many others. Our research has shown that psychological status and preoperative psychological evaluation bear no bearing on the long-term outcome of the weight loss surgery.

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Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice

Dr. Ara Keshishian — Fri, 25 Oct 2024 00:03:09 +0000

GLP-1 agonists have a wide and lasting complication on the GI tract specifically. Some are transient and dose-dependent, and others are long-lasting.

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Hard to believe Adjustable Gatric Band Is till considerend an option

Dr. Ara Keshishian — Tue, 01 Oct 2024 05:58:47 +0000

The adjustable gastric band, the Lap Band, was approved in the US in early 2000 based on a small study with only 149 patients. Over the next decade, the Lap Band became very popular, as mixed data and high revision and complication rates were noted in the literature. Large, small, and short and long-term publications reported a similar theme: The weight loss following Adjustable gastric banding is less than predicted, complications are higher, and further surgical care is needed. Patients should ask themselves why a procedure’s reversibility should be promoted. For example, why is the Lap band advertised as easily reversible? Would anyone consider a knee replacement surgery only if it can be reversed and the knee pain returns? The reversibility of the procedure is promoted because most of them need to be revised over time. One of the few papers that presented favorable results needs to be looked at closely, and the respondents were fewer than the patients who had been operated on (199+186=385 of the 1334 more than three years post-op) A large meta-analysis reported the worst weight loss with the Adjustable gastric banding and the best with the duodenal switch operation. In my opinion, given the proven data of the sleeve gastrectomy and other irreversible complications of the lap band, no one should get it done since the risks associated with complications and inadequate weight loss far outweigh any benefit.

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How are vaccines manufactured?

Dr. Ara Keshishian — Sun, 14 Feb 2021 22:35:14 +0000

How are vaccines manufactured?

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How are vaccines developed?

Dr. Ara Keshishian — Sun, 14 Feb 2021 22:33:37 +0000

How are vaccines developed?

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How do vaccines work?

Dr. Ara Keshishian — Sun, 14 Feb 2021 22:32:19 +0000

How Vaccines Work

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Sorting Out Whether Vitamin D Deficiency Raises COVID-19 Risk

Dr. Ara Keshishian — Wed, 27 Jan 2021 02:40:24 +0000

Regardless of whether vitamin D protects against COVID-19, adequate levels are important for bone health. “Avoiding vitamin D deficiency is always a goal,” Ross wrote. “If the diet doesn’t include vitamin D fortified milk or natural products like fish, then a supplement of the RDA [recommended dietary allowance] amount (600-1000 IU per day) provides good assurance. I consider this a ‘good idea,’ but I don’t want to leave the impression that diet cannot be sufficient.”

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Association of Vitamin D Status and Other Clinical Characteristics With COVID-19 Test Results

Dr. Ara Keshishian — Wed, 27 Jan 2021 02:36:59 +0000

In this single-center, retrospective cohort study, likely deficient vitamin D status was associated with increased COVID-19 risk, a finding that suggests that randomized trials may be needed to determine whether vitamin D affects COVID-19 risk.

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Vitamin D Supplementation Associated to Better Survival in Hospitalized Frail Elderly COVID-19

Dr. Ara Keshishian — Wed, 27 Jan 2021 02:30:55 +0000

A regular bolus of vitamin D supplementation was associated with less severe COVID-19 and better survival in frail elderly. It is therefore recommended that the patient take the supplements.

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Association Between Vitamin D and Novel Sars-CoV-2 Respiratory Dysfunction – A Scoping Review of Current Evidence and Its Implication for COVID-19 Pandemic

Dr. Ara Keshishian — Wed, 27 Jan 2021 02:21:24 +0000

Vitamin D deficiency may cause immune dysfunction. Therefore Novel_Sars-viruses have an easier time causing respiratory injury.

The post Association Between Vitamin D and Novel Sars-CoV-2 Respiratory Dysfunction – A Scoping Review of Current Evidence and Its Implication for COVID-19 Pandemic appeared first on DSSurgery.