Post Bariatric Surgery / Hunger / Chewing and Spitting
Hello, 10 Months ago I had Gastric Sleeve Surgery. I have had great success and lost 100 lbs since then (295 to 195). My biggest issue with food is/was my compulsive eating habits. I should mention that I am a chef and owner of two restaurants. This makes the consumption of highly caloric foods a part of my daily tasks while checking quality and creating new dishes. My success post-surgery in dealing with this aspect was, usually, not being hungry. After about 6 months, my appetite returned. Although I can't consume large quantities of food as I had before, the calories of tasting food add up throughout my day. So I devised a plan - Spit out the food (with extreme care and food safety in mind, of course). It's a minor inconvenience really. But it gets the job done and I get to continue my path. HOWEVER - I fear my compulsions are not being addressed. Given the opportunity to "binge" on certain foods, I will. I at times will do a bait and switch. Take a LARGE bite of pepperoni pizza to fulfill the cravings. Chew until about to swallow, then spit. Immediately I will then eat steamed vegetables (which I also find delicious, but not nearly as cravable) and swallow. I repeat this process until I am full. Other techniques work - Like putting food on the other end of the room if I'm at home, taking small bites then moving away. Eating Slowly.. and all the other dietitians' suggested techniques. But the "kill the craving" Chew-and-Spit move has gotten to a spot where I am doing it more frequently. QUESTION: Besides seeing another dietitian (and I've seen MANY) I wanted your take on this from these perspectives -Behavioral -Metabolic -Hormone Am I creating some sort of weird false dopamine rush / mental triggering by eating the foods I want, spitting them out, then filling my tiny gut with more healthful things that fit my diet plan? Because it feels pretty good! Not that I am doing this with every meal, but a few times a week. Most of the taste and spit at work is not followed up with other foods, just trying to not consume unnecessary calories. Also, you are the best! thank you for all you do!
Hearing impaired
I’m 43 year old male, and I’ve been hearing impaired since I was 8. I had sudden hearing loss in which I’ve been told by a doctor that he believes it was caused by vaccinations as a kid (I got very I’ll for a week or so after getting my school immunizations after 2nd grade and going into 3rd). Auto immune thing in which they say my immune system attacked my inner ear/cochlears causing the hair follicle loss. I have ‘severe/profound hearing loss’ in which I’m estimated 88% deaf. How does neuroscience play a roll in hearing and what studies are being done to cure hearing loss? Is it theoretically possible to regenerate hair growth in cochlears? Or is it theoretically possible for some sort of brain development stimulus allowing hearing? For example- in times when I have used psilocybin - one side effect I notice is how much better my hearing is? All senses seem to be stimulated from the psilocybin. In that context could it be possible for an exogenous substance (such as psilocybin) be safely used to allow for natural hearing?
"Hybrid" Style Athlete Nutrition
I am a 23yr old, 156lbs man who is currently training for a half marathon (soon to be training for a full) I also enjoy strength training. My current exercise protocol is: 5days a week of strength training (5am) and running 5 days a week (between 3-4pm). I get lots of sleep (between 8-8.5hrs) and I really enjoy this style of training because I get great amounts of joy from both. That being said I want to make sure I am optimizing my nutrition to support these daily protocols. How should my diet change? Current macros P:200 C:275 F:50