Clean wound of debris & digested material by gently rubbing with a gauze pad saturated with NS (or other desired cleansing agent compatible with Santyl), follow with a NS rinse. If an antibiotic powder is used in case of infection, it should be applied prior to the application of Santyl.
Your body also converts some substances -- sugar and alcohol in particular -- to triglycerides. If using Splenda, an artificial sweetener, helps you reduce the amount of sugar in your diet, you could enjoy lower levels of triglycerides.
With weight gain, repeatedly elevated cortisol can cause stored triglycerides to be relocated to the visceral fat cells, primarily the ones in the abdomen and under muscle. It also causes fat cells to mature, which may result in increased amounts of cortisol produced at the tissue level.