Certain particle compounds may directly generate ROS in vivo because
of their surface chemistry (eg, metals, organic compounds, and semiquinones) or after bioactivation by cytochrome P450 systems (eg, polycyclic aromatic hydrocarbon conversion to quinones).6, 290 a, 290 b A particle surface or anions present on otherwise more inert particles may disrupt
iron homeostasis in the lung and thereby also generate ROS via Fenton reactions.291 Other PM constituents may do so indirectly by the upregulation
of endogenous cellular sources (eg, nicotinamide adenine dinucleotide phosphate [NADPH]-RRB- oxidase) 292,293 or by perturbing organelle function (eg, mitochondria) by taken - up PM components.261 Particle stimulation
of irritant and afferent ANS fibers may also play a role in local and systemic oxidative stress formation.294 Given the rich antioxidant defenses in the lung fluid, secondarily generated oxidization products
of endogenous molecules (eg, oxidized phospholipids, proteins) or a reduction in endogenous antioxidants per se may be responsible at least in part for the state
of oxidative stress in the lungs (along with instigating the subsequent cellular responses) rather than ROS derived directly from PM and its constituents.
CHAPTER 1 Indications, Screening, and Contraindications Associated with Bariatric Surgeries Obesity Trends and Consequences Criteria for Bariatric Surgery in Adults Contraindications to Bariatric Surgery CHAPTER 2 Types and History
of Bariatric Surgery Broad Categories
of Bariatric Procedures History and Time - line
of Bariatric Surgery Procedures Restrictive - Malabsorptive Surgery: Roux - en Y Gastric Bypass Purely Restrictive Bariatric Procedures Purely Malabsorptive Procedures Experimental or Investigational Procedures CHAPTER 3 Benefits and Risks
of Bariatric Surgery Benefits
of Bariatric Surgery Complications
of Bariatric Surgery Consequences
of Surgery Which May Impact Nutritional Status CHAPTER 4 Perioperative Nutrition Recommendations for Bariatric Surgery Patients Multidisciplinary Approach Prior to Surgery Preoperative Nutrition Guidelines Postoperative Nutrition Assessment and Follow - up Diet Progression Recommendations for Adjustable Gastric Band Diet Progression Recommendations for Roux - en Y Gastric Bypass or Sleeve Gastrectomy Diet Progression Recommendations for Biliopancreatic Diversion (BPD) Vitamin and Mineral Supplementation Exercise CHAPTER 5 The Power
of Protein: What the Nutrition Professional Should Know Overview Role
of Protein in the Body Sources
of Protein Digestion and Absorption
of Protein Digestion Rate Upper Limits
of Protein Digestion Liver Processing and Elimination Protein Requirements in Humans Beneficial Roles
of Protein: Muscle Protein Synthesis, Glucose and Lipid
Homeostasis, Thermogenesis and Satiety Muscle Protein Synthesis and Maintenance
of Lean Body Mass Glucose and Lipid
Homeostasis Thermogenesis and Satiety Protein Malnutrition Preoperative Risk
of Protein Malnutrition Postoperative Risk
of Protein Malnutrition Protein Prescription for the Bariatric Patient Treatment for Protein Malnutrition in the Bariatric Patient The «30 gram» Protein Myth Liquid or Powder Protein Supplements The Patient's Role Conclusions CHAPTER 6 Micronutrient Deficiencies Associated with Bariatric Surgery Overview Water Soluble Vitamins Thiamin: Overview, Food Sources, Digestion and Metabolism Thiamin Deficiency: Signs and Symptoms Thiamin: Assessment and Treatment
of Deficiency Vitamin B12: Overview, Food Sources, Digestion and Metabolism Vitamin B12 Deficiency: Signs and Symptoms Vitamin B12: Assessment and Treatment
of Deficiency Folate (folic acid): Overview, Food Sources, Digestion and Metabolism Folate Deficiency: Signs and Symptoms Folate: Assessment and Treatment
of Deficiency Fat Soluble Vitamins Vitamin A: Overview, Food Sources, Digestion and Metabolism Vitamin A Deficiency: Signs and Symptoms Vitamin A: Assessment and Treatment
of Deficiency Vitamin D and Calcium: Overview, Food Sources, Digestion and Metabolism Vitamin D and Calcium Deficiency: Signs and Symptoms Vitamin D and Calcium: Assessment and Treatment
of Deficiency Minerals
Iron: Overview, Food Sources, Digestion and Metabolism
Iron Deficiency: Signs and Symptoms
Iron: Assessment and Treatment
of Deficiency Zinc: Overview, Food Sources, Digestion and Metabolism Zinc Deficiency: Signs and Symptoms Zinc: Assessment and Treatment
of Deficiency Copper: Overview, Food Sources, Digestion and Metabolism Copper Deficiency: Signs and Symptoms Copper: Assessment and Treatment
of Deficiency Selenium: Overview, Food Sources, Digestion and Metabolism Selenium Deficiency: Signs and Symptoms Selenium: Assessment and Treatment
of Deficiency Conclusions References Abbreviations and Acronyms Glossary Self Assessment Questions Answer Key to Self Assessment Questions Explanations to Self - Assessment Questions About The Author About Wolf Rinke Associates, Inc..