Drug treatment:
ephedrine sulfate 25-mg with caffeine 200-mg per capsule to be given three times per day 4 hours apart for 6 months after gastric bypass surgery. Weight loss rate, resting energy expenditure, fat free mass will be measured during the treatment.

one placebo capsule will be taken three times per day 4 hours apart, identical to the instructions for the active drug for approximately 6 months following gastric bypass surgery. Weight loss rate, resting energy expenditure and fat free mass will be measured during the treatment.

Morbid Obesity

Ephedrine sulfate 25-mg with caffeine 200-mg combination capsule to start 5 weeks after gastric bypass surgery at 3 times per day 4 hours apart.

Ephedrine sulfate with caffeine

sufficient cellulose to fill a placebo capsule identical to the active drug to be taken 3 times per day 4 hours apart for 6 months after gastric bypass surgery

cellulose

Oregon Weight Loss Surgery, LLC

Oregon Weight Loss Surgery

Treatment of Low Metabolic Rate Following Bariatric Surgery

Treatment of Low Metabolic Rate and Low Weight Loss Rate Following Bariatric Surgery

By indirect calorimetry resting energy expenditure will be calculated from vO2 and vCO2 ratios using the Harris-Benedict Equations

Body Impedance Analysis will be measured at each office visit before and after beginning treatment using a Quantum III BIA from RJL Systems (Michigan)

Body Mass Index will be calculated from weight and height obtained at each office visit.

Arterial blood pressure will be obtain in both arms times two at each office visit.

Heart rate will be determined at two time points in each arm at each office visit.

capsaicin/seizures

Treatment of Low Metabolic Rate Following Bariatric Surgery

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