New Research Suggests We Can Shut Off our Desire to Eat


Obesity is a widespread epidemic in North America: since the 1980s, the obesity rate has doubled. In Canada, 1 in 4 people are deemed clinically obese. The rise directly correlates with the intake of more refined sugars, processed foods and the growth of the fast food industry.

According to Medical Daily, obesity comes down to maintaining energy homeostasis – the balance between calorie intake and calorie burning. This is regulated by genes, proteins and enzymes in the body in addition to your diet and lifestyle. However, despite their best efforts, some people still struggle with obesity.

New research suggests that if you suppress the enzyme known as O-GLcNAc transferase (OGT), which regulates insulin and metabolism along with controlling food intake, this may create the ability to shut off the desire to eat.

The study involved injecting one group mice with a control virus, while another group was injected with a virus that inhibited their OGT function, which takes place in an area of the hypothalamus known as the paraventricular nucleus (PVN). The OGT-inhibiting mice ate double the amount of food the control mice ate. Their fat tissue was prevalent and it was only when their food intake was controlled that the OGT-mice were able to maintain a normal weight.

However, they found that when they stimulated OGT in mice afterward, the opposite effect came into place. Their food intake lowered as they craved less.

So what does this mean? This latest study, in addition to a previous study on genes and obesity may be grounds for developing a new drug that can target obesity at a basic biological level. Stimulating OGT in the body will be able to lower cravings and help a person’s impulse control. This will create the perfect situation to encourage better eating habits.

If you or a family member are suffering from obesity and you want help to start the process of making a healthy and significant change, considering reading about our bariatric surgery procedures at Clinique Michel Gagner. You can also get started by filling out our questionnaire.

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The True Cost of Bariatric Surgery Performed Abroad for Canadians

Obesity is a serious issue facing modern societies around the world, and Canada is no exception. Although diet and exercise can help, when they are not enough to curb obesity, bariatric surgery has been proven to be an effective solution.

In Canada, not everyone who would benefit from it gains free access to bariatric surgery – in fact, less than one percent of those eligible do. That’s why many are being lured to nations like Mexico where they can get the procedure done quickly at a tropical resort, and all for less money than it would cost them in Canada.

Of course there is a reason why these surgeries are cheap: the quality. As it turns out, many Canadians are returning home in worse health than when they left. Surgeons back in Canada are then called upon to rectify these botched surgeries, as their complications are often life-threatening.

Private health, public money

Nobody understands the bariatric surgery industry better than we do, so we sympathize with those who are stuck on waiting lists or do not have the funds to pursue private treatments. However, a growing issue is the use of public money to correct health issues that were caused by private decisions. When a person flies to Mexico to get a treatment, they have made that decision personally, but if they come back with health issues it is up to the public health system to remedy it.

Life-threatening complications

Doctors say that many of their patients are returning from medical tourist destinations with potentially catastrophic complications, including anastomotic leakages, a condition where the stomach almost ruptures. In fact, complication rates for out-of-country surgeries range anywhere from 42%-56%.To make matters worse, Canadian surgeons will not know exactly what the doctors in other nations did during your procedure, so becomes that much harder for them to fix it.

The costs of obesity

A government committee reported that the cost of obesity in Canada was roughly $7.1 billion dollars. This includes costs of health care and due to lost productivity. So aside from the health costs, there is a real-dollar figure that takes away from our economic system. According to Statistics Canada, an estimated 6 million Canadians are obese. The trend of “bariatric medical tourism” only adds to the existing strain that the obesity epidemic puts on our health system.

At Clinique Michel Gagner, we are committed to helping those with serious weight issues get healthier and improve their quality of life. Although medical tourism is becoming more and more popular, it is important to know that it comes with great risks. In the end, choosing to undergo a bariatric procedure at a trusted and reputable medical clinic in Canada will be better for yourself and our society in general.

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Bariatric Surgery: It Extends Your Life

If you know anything at all about bariatric surgery, you probably know that it is very effective at reducing mortality rates among those who are obese. Life expectancies are much higher with a bariatric surgery intervention. Despite the success of bariatric surgery in general, it is a prevalent belief that bariatric surgery is not effective at lowering mortality rates past 35.

In fact, an article that was recently released by The Journal of the American Medical Association shows that bariatric surgery is very effective for patients over 35. The recent study “Association of Patient Age at Gastric Bypass Surgery With Long-term All-Cause and Cause-Specific Mortality” demonstrated that bariatric surgery:

improved long-term survival for all patients undergoing surgery at ages older than 35 years, with externally caused deaths only elevated in younger women. Gastric bypass surgery is protective against mortality even for older patients and also reduces the age-related increase in mortality observed in severely obese individuals not undergoing surgery. (Davidson LE, Adams TD, Kim J, et al, 2016)

The study compared 7925 patients who were given gastric bypass surgery (specifically Roux-en-Y gastric bypass surgery) with 7925 patients who did not undergo gastric bypass surgery. The participants fell into several age ranges: 35-44, 45-54, and 55-74. All the age ranges in the section that underwent the gastric bypass surgery experienced significant decrease in all-cause mortality compared to those who did not undergo the surgery.

We know that bariatric surgery can also help reduce the risk of health problems such as type II diabetes and atherosclerosis. The preparation involved in bariatric surgery can even detect pre-existing conditions in their early stages, and potentially save the patient’s life. Now this study has demonstrated that the health benefits extend to those who are entering the later stage of life.

Dr. Gagner has extensive experience in gastric bypass surgery, as well as other bariatric procedures. Take a look at the bariatric treatments that are available to you for more information. Each of these bariatric surgery options has the capacity to improve your overall health, resulting in a longer lifespan.



Davidson LE, Adams TD, Kim J, et al. Association of Patient Age at Gastric Bypass Surgery With Long-term All-Cause and Cause-Specific Mortality. JAMA Surg. Published online February 10, 2016. doi:10.1001/jamasurg.2015.5501.

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Une nouvelle campagne de la CDC s’adresse aux 86 millions d’adultes pré-diabètes aux É-U

Selon la Center for Disease Control (CDC) aux États-Unis, le pré-diabète affecte  86 millions de personnes aux États-Unis et 5,7 millions au Canada. Le pré-diabète est une condition sérieuse qui peut conduire au diabète de type 2. Si vous êtes pré-diabétiques, vous avez des niveaux de pression artérielle et de glycémie plus élevés, mais non suffisamment élevés pour être diagnostiqué avec le diabète de type 2.

Presque tous les pré-diabétiques ignorent leur condition. Le pré-diabète peut causer des problèmes de santé sérieux comme le diabète de type 2, des accidents vasculaires cérébraux et des crises cardiaques. Si une personne pré-diabétique n’est pas traitée, un quart de tous les cas se développeront en diabète de type 2 dans une demi-décennie.

Quelles sont les causes ?

Il existe plusieurs façons de devenir pré-diabète – et avec l’absence de traitement, de développer le diabète de type 2 par la suite. Voici les principaux facteurs qui contribuent à cette condition.

  • Avoir des antécédents de diabète dans votre famille
  • Si vous avez plus de 40 ans – le risque de pré-diabète et de diabète augmente avec l’âge
  • Si vous êtes en surpoid ou obèse
  • Avoir des antécédents de diabète gestationnel (le diabète ou une glycémie élevée lors de la grossesse)
  • Avoir une pression artérielle élevée

Que faire ?

Le pré-diabète peut être inversé par la perte de poids, les changements dans le régime alimentaire et l’exercice physique. Prenez le temps de vérifier et voir si vous devriez être diagnostiqué pour le pré-diabète – la recherche moderne a démontré que les gens qui savent qu’ils sont pré-diabétiques sont plus susceptibles de faire les changements nécessaires dans leur mode de vie.

La CDC a mis en marche une série d’annonces dans le cadre de leur programme national de prévention du diabète qui encouragent les gens à se faire tester pour le pré-diabète et le diabète. Ces messages d’intérêt public sont assez directs (au point de la comédie), mais avec une nuance d’urgence qui encouragera certainement plus de gens à se faire tester.

Pour ceux qui ont de la difficulté avec la perte de poids ou qui doivent perdre une grande quantité de poids, la chirurgie bariatrique est une option qui peut aider la lutte contre le diabète. Contactez la Clinique Michel Gagner pour plus d’informations sur les traitements disponibles.

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Study Finds Bariatric Surgery Costs Equal to Long-Term Health Costs for Diabetes

As we’ve discussed in a previous article, those who undergo bariatric surgery have achieved remarkable results in regards to type-2 diabetes. While bariatric surgery is a viable method that has proven successful over many years of study and treatment, alternatives such as long-term treatment are currently more readily accepted. A study conducted in Sweden over 15 years has shown that bariatric surgery costs are equal to that of long-term health care, only further proving the viability of weight loss surgery as a treatment for type-2 diabetes.

How does weight loss surgery treat diabetes?

In the words of one physician at Boston Medical School, “the cure of diabetes after gastric bypass lies in the intestine.” Remarkably, after bariatric surgery the small intestine begins to increasingly produce a molecule called GLP-1 which helps regulate body weight. In many patients, this has led to a decrease in blood sugar levels. What is more remarkable is that in obese individuals, the production of GLP-1 might be reduced. This has led medical science to believe that bariatric surgery somehow promotes the natural process of weight loss at the molecular level.

What did the study show?

The study, conducted in Sweden, tracked two groups of obese patients over 15 years. One group was treated with bariatric surgery and the other was treated conventionally. Conventional treatments involved lifestyle changes and behaviour modification. At the end of the study the costs of bariatric surgery in patients who had type-2 diabetes was equal to the long-term costs of conventional treatments.


The researchers concluded that due to the costs of long-term health care to society and the difficulties that it produces for patients, bariatric surgery should be prioritised. Patients with type-2 diabetes are better off getting weight loss surgery in many cases than they are undergoing traditional long-term medical treatment.

We treat many patients that are obese with a wide range of surgeries and complimentary treatments. The results that our patients have achieved have been remarkable. With this new research about the costs of bariatric surgery, there is all the more reason to pursue a bariatric procedure to treat type-2 diabetes.

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La lutte contre l’obésité et le diabète: La semaine de l’obésité 2015 a Los Angeles (2-7 novembre)

Au cours du siècle dernier, plusieurs nations à travers le monde ont vu une augmentation sans précédent dans leur prospérité. Cependant, cette augmentation a causé des effets secondaires imprévus. L’augmentation du revenu disponible, de l’accès aux viandes transformées et aux sucreries et un mode de vie plus sédentaire ont tous contribué aux niveaux d’obésité et de diabète également sans précédent dans notre société.

Depuis 1983, le comité de programme de l’ASMBS, dont je suis le co-président, est dédié à l’optimisation des soins donnés aux patients gravement obèses et diabétiques. Notre 32e réunion annuelle a eu lieu lors de la Semaine de l’obésité à Los Angeles au début novembre cette année.

Pourquoi avoir participé à la Semaine de l’obésité?

En tant que chirurgien, j’ai consacré ma vie à fournir les meilleurs soins possibles à mes patients. En tant que spécialiste en chirurgie bariatrique, je suis dédié à poursuivre mes études, partager mon expérience et rester au courant des traitements les plus récents. L’ASMBS a maintenant plus de 4000 membres à travers le monde. Nous utilisons la semaine de l’obésité comme une plateforme pour partager notre expertise.

La 32e réunion annuelle a été un exposé complet qui comprenait 41 cours de pré-conférence, 96 sessions scientifiques et plus de 200 présentations. En plus de cela, nous avons présenté 33 procédures bariatriques en direct. Nous couvrions les chirurgies de pointe, incluant les chirurgies endoscopiques / procédures laparoscopiques jamais vues en direct à l’ASMBS. Cette semaine eut une assistance record cette annee, soit plus de 5,500 participants.

La semaine de l’obésité a donné aux participants une excellente occasion de se sensibiliser à ce problème dans notre société et d’être exposés aux derniers traitements dans le domaine bariatrique. Ceci a été une excellente occasion d’apprentissage et une chance de voir comment les gens font face à leurs problèmes de perte de poids.

La 32e réunion annuelle de l’ASMBS à la semaine de l’obésité 2015 fut une excellente occasion pour rester au courant des traitements d’obésité. Mon dévouement à mon métier et à mes patients s’étend bien au-delà des portes de ma clinique. En tant que co-président du comité de programme de l’ASMBS, je me réjouis d’avoir assisté à cette conférence.

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Bariatric Surgery Shows Promising Signs in the Fight Against Type 2 Diabetes

Type 2 diabetes is a condition that affects hundreds of millions of people around the world. It is a condition that inhibits the body’s production of insulin, and therefore leads to high blood sugar. Although there are ways to manage the disease, we do not yet have a cure. A recent study conducted in the UK has shown that bariatric surgery could have promising results in the fight against type 2 diabetes.

The study

In the United Kingdom, over the span of a year from May 13 to May 14, 2978 patients with a record of bariatric surgery were involved in a study to observe the effectiveness of the surgery on remission in type two diabetes. They each had a record of past surgery and a body mass index of 35 or greater. 569 of the patients were identified as having type two diabetes and they were compared to the 1881 that did not ever have the surgery.

The results

In the comparison between the patients who had bariatric surgery, and those who did not, it was found that those who had had the procedure had an 18-fold increased chance of remission. The greatest affect was from gastric bypass, followed by sleeve gastrectomy, and gastric banding.


It is widely known that obesity can contribute to the development of diabetes, and that someone with a genetic predisposition to the condition is putting themselves at risk by being obese. With this new data that shows that bariatric surgery and the remission of type 2 diabetes have a strong correlation, we must now consider gastric bypass surgery and other forms of bariatric surgery as possible treatments for T2DM. If you have been weighing the benefits of getting this procedure done, it is clear that it has more benefits now than previously thought.

Nobody should have to live with this condition, but at this point we do not have a cure. Bariatric surgery has been shown to cause the remission of type 2 diabetes. If you have been searching for a professional clinic where you could have this surgery performed, then you need look no further than Clinique Michel Gagner. It is now clear that the benefits of bariatric surgery go far beyond weight loss.

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Plus de tests et d’éducation nécessaires pour le diabète

Le diabète est une maladie qui affecte la production de l’insuline dans le corps. Dans le diabète de type 1, le corps n’en produit pas du tout. Avec le diabète de type 2, soit que le corps n’en fabrique pas ou encore qu’il est incapable de l’utiliser. Le diabète est malheureusement une condition que l’on retrouve fréquemment qui pourrait avoir des  effets dévastateurs sur le corps que ce soit au niveau des reins, des yeux et du cœur.

Bien qu’il est possible de le  traiter, il n’y a toujours pas de remède pour le diabète. La recherche continue à être effectuée par  plusieurs chercheurs dans le monde entier. Une étude récente menée par l’Institut national du diabète et des maladies digestives et rénales (NIDDK) a constaté que cette maladie est non seulement répandue, mais aussi fréquemment non diagnostiquée.

Que démontre  cette étude?

L’étude a eu lieu en 2011-2012 et a impliqué un groupe de 2800 personnes selon un échantillonnage représentatif de la population Américaine. En utilisant des méthodes telles que les tests sanguins, les chercheurs ont découvert des données alarmantes:

• La prévalence globale du diabète dans la population en général est entre 12-14%.
• Les cas non diagnostiqués se situaient entre 25-36%, ce qui signifie que plusieurs personnes souffrent de diabète sans en être conscients.
• 36-38% des personnes interrogées avaient le pré-diabète, une condition où les niveaux de glucose dans le sang sont plus élevés que la normale, mais pas suffisamment élevés pour justifier un diagnostic de la maladie.

Qui est menacé?

Le diabète est plus fréquent dans certains groupes ethniques que d’autres. Les américains d’origine hispanique avaient le plus haut pourcentage d’adultes atteints de la maladie (19-23%). Les adultes noirs non hispaniques avaient environ un taux de 21-22%, avec près de 37% non diagnostiqué. Les adultes blancs non hispaniques avaient le taux le plus faible, avec environ 10-11% et 25-32% non diagnostiqué. En général, le nombre d’adultes atteints de cette maladie s’est stabilisé après un pic au milieu de la première décennie du 21e siècle.

Qu’est-ce que tout cela veut dire?

L’étude démontre que nous avons besoin d’un meilleur dépistage pour le diabète de type 2 et plus d’éducation sur le sujet afin que les gens soient conscients des signes et des symptômes. Elle montre également que plus d’études doivent être faites sur la maladie afin que nous puissions mieux comprendre qui risque de la développer.

Vivre avec le diabète n’est pas facile. Si vous l’avez, vous devez faire des ajustements dans votre vie quotidienne pour survivre. Cette étude démontre non seulement comment la condition est répandue dans notre société, mais que  plusieurs des personnes atteintes n’en sont pas conscientes. Il faut donc avoir de meilleurs programmes de dépistage  et développer des programmes d’éducation sur le sujet.

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Science Shows How Sleep Apnea Can Damage the Brain

Although medical science has long known that sleep apnea causes adverse medical conditions in the human body, it hasn’t really been aware of exactly how the damage manifested itself in the brain. Now that has all changed. Researchers at UCLA have concluded a study that now shows how this condition can damage the human brain. This condition affects millions of people around the world, often due to weight problems. Now we finally have first-hand evidence of its effects.

First, what is obstructive sleep apnea, and what does it do?

Sleep apnea is a condition that affects millions of people worldwide, and is characterized by pauses in breathing while the person is asleep. In severe cases, it can happen up to 30 times per hour. In the majority of cases, periods of sporadic breathing change to normal breathing after a loud snort or choking sound. This is our body’s attempt to restore normal respiratory order. The research at UCLA has concluded that it leads to a breakdown of the blood-brain barrier, something that is vital to the protection of brain tissue. This barrier limits harmful bacteria, infections, and harmful chemicals from reaching the brain. Because of this sleep condition, the barrier becomes more permeable, allowing more of these harmful things to pass through.

How is this harmful?

The research shows that gasping during the night damages the brain, and can lead to such conditions as depression, memory loss, and anxiety. Overall it is severely detrimental to your health. Not only this, but it can also lead to day-time sleepiness, and other irritability problems because of interrupted sleep.

How can we help?

The vast majority of sleep apnea issues are caused by excess weight and obesity. The extra fatty deposits and weight can lead to obstruction of the airways, and being obese makes patients at least 30% more likely to develop this condition, according to the American Diabetes Association. In morbidly obese patients the percentages get even higher, and can reach up almost to 100% certainty. Our weight loss procedures can help you medically lose weight, and get down to a healthy size. This will not only improve your overall appearance and health, but it will also help save you from the brain damage that apnea brings on.

Here at Clinique Michel Gagner, we are dedicated to helping make your life better. Our cutting-edge medical techniques are aimed at bringing your weight down to a manageable number, and helping to improve your quality of life. Now that science has shown how obstructive sleep apnea damages the brain, it is important for you take advantage of our procedures to help correct this condition.


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Study Shows American Men Outweigh the Competition

In a recent study conducted using information from organizations like the CDC, an artist has digitally created models of the average body measurements of men from nations around the world. The results were not very surprising, but certainly eye-opening. What he found was that American men are on average more overweight than other nations. Although this was something that most of us had known in the back of our minds, it is interesting to see it plainly laid out. With obesity being such an issue, it is good to see things based on pure statistics that can be shown to educate people on the subject.

The findings

The study concluded that American men are on average shorter than their European counterparts from The Netherlands, but taller than subjects from Japan or France. What the study also concluded was that they are heavier, and rank higher in the BMI department, which seems to back up the growing trend of obesity in the country. While the other nations had BMIs of 25.55 and under, the average American male exhibited a BMI of 29. Being the roundest of bunch shows that the nation is struggling to curtail the obesity trend, but thankfully has seen success in recent years.

Why the study?

The artist, Nickolay Lamm, first wanted to show people the obesity problem in the country in plain data, and he also wanted to make people aware of unattainable body image problems. We so often show images of perfection that in no way reflect reality that he wanted to shed light on this both for men and women. Even though people are aware of this, they don’t always fully understand the implications.

If this study shows us anything it is that obesity in this country is more of problem than we would like to admit. Sometimes you only need a simple procedure to correct the problem. For those people looking for simple procedures to help get their weight under control, we offer many minimally-invasive weight loss surgeries that can help. Bariatric surgery can help obese people lose weight by reducing the volume of the stomach, are thereby reducing appetite. Visit Clinique Michel Gagner on the web, and find out how you can get started.

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