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Before undergoing bariatric surgery, it is essential to assess the health of your liver. One way to determine if your liver is shrinking is by understanding the concept of liver glycogen and its depletion. Liver glycogen plays a crucial role in our body’s metabolism and energy storage.
The Role of Liver Glycogen
Glycogen is a form of glucose that serves as an energy reservoir in the body. It is primarily stored in the liver and muscles. The liver glycogen acts as a buffer to maintain blood glucose levels within a normal range.
Every gram of glycogen in the liver is associated with approximately three grams of water. This means that when the glycogen stores in the liver reduce, the water content in the liver also decreases. Consequently, the liver size may shrink.
Identifying Liver Shrinkage
So, how can you tell if your liver is shrinking before bariatric surgery? One way is by monitoring changes in your body composition and size. As you deplete liver glycogen, your liver might reduce in size, which may be noticeable through changes in your abdominal region.
An effective way to assess liver glycogen depletion is through fasting. When you fast, your body relies on its glycogen stores for energy. It generally takes around 12-16 hours for the body to deplete liver glycogen. During this time, the liver starts utilizing glycogen, resulting in a decrease in its storage and potential shrinkage.
Elizabeth Oseid, a renowned expert in bariatric surgery, explains that complete liver glycogen depletion can occur in approximately 24-36 hours of fasting. However, it is essential to consult your healthcare provider before attempting any prolonged fasting to ensure it is safe and appropriate for you.
Importance of Liver Health in Bariatric Surgery
Assessing liver health before bariatric surgery is crucial for several reasons. One significant reason is related to the surgical procedure itself. The liver is in close proximity to the stomach and other organs being operated on during bariatric surgery. If the liver is enlarged, it can make the surgery more challenging and increase the risk of complications.
Furthermore, non-alcoholic fatty liver disease (NAFLD) is prevalent among individuals who are obese or have metabolic disorders. Evaluating liver health before surgery helps identify and address any underlying liver conditions, ensuring a safer surgical procedure and reducing the risk of post-surgery complications.
In conclusion, monitoring changes in liver size and understanding liver glycogen depletion can provide insight into liver health before undergoing bariatric surgery. Liver shrinkage, as a result of glycogen depletion, may be a visible indication. However, it is essential to consult with a healthcare professional to assess liver health accurately and determine the most suitable course of action for your specific situation.
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