My daughter’s pre-op update

In her own words from her post with typos!  

(I will add my experiences of these processes as the Parent-Of-Patients soon. I HAVE SOME THINGS TO SAY.  It’s very hard to find time to write like I used to— I have been waiting for my smallest child to settle down and not find him on a ceiling fan.  This is being posted from the bathroom, with him.)

Anyway — her quick post from yesterday —

Update:

   About four months ago I made a huge decision that is going impact the rest of my life; I started to take part in the WLS program at Boston Children’s Hospital, which most of you know. In the beginning I had barely any idea of how any of this worked and if I would even be able to lose anything. What I didn’t know was the motivation that comes with having to meet with people, and having to have lost weight before the next monthly appointment to be able to stay/ move forward in the program. 

     At my first appointment with OWL (Optimal Weight loss for Life) which is the first step in the WLS program, I was really unsure how successful I would be in the month to come while she was explaining it. But, I went to my second appointment and I had lost 13lbs which was a HUGE accomplishment for me. After this appointment I was not only shocked at what I had done it motivated me to do more for my next appointment; at the third and final appointment with OWL I had lost 5lbs which is less than the first but still an accomplishment that I was content with, although I could have done more.

        Last month I had my first meeting with the WLS program; this is when it really set in that this was going to happen. At this appointment I met the team of doctors that I am going to be working with through out the next 6 months (if all goes as planned) this team includes a dietitian, social worker, Nurse Practitioner, Psychologist, and of course Surgeon. This first appointment with them went very well they approved me for the program and gave me goals and a cool binder that has all of the foods and drinks I should be eating and what I have to do to be able to do the surgery in the time frame that I would like to; all of this was to set me up for the month until my next appointment. At my next appointment I was unsure of how I did, I hadn’t weighed myself, I honestly thought I had gained; But I didn’t I lost 12lbs which really boosted my motivation and confidence levels because now I have lost a total of 30lbs which is absolutely crazy! I am currently waiting for my next appointment at the end of March where I am hoping to do even better than last time. I am very excited to see where the next few months take me and see what the progress is like so I can reach my end goal in the WLS program!

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So it’s been a minute.

I signed on with a company to do a monthly product review of bariatric-approved products. My first product arrived this weekend, and in the spirit of full disclosure before I even start the review I have to tell you (…before I laugh, cry, or other?) that I hand-picked the first product because I know I like it. It's something I used to promote back in The Day of Blogging.  (I do not know when the day ended, but it's no longer that day.) 

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The reason I am oversharing with you — is because — when I sniffed around the blog to find the first post about said product and it was written or even re-written MORE THAN EIGHT YEARS AGO.  Guys.  This means I could have written about this item nine or ten years ago and I am about to throw it back in your faces because I am:

  • Old As Hell  (Did you figure out how long has been?  Because I just had a minor heart failure.)
  • Still Around  (Sorry?)
  • Crazy (…to still be around?  LOL)
  • Hungry?
  • Have Five Kids To Feed And Free Product Sounds Amazing Right About Now
  • You Pick

What's worse?  I deleted the initial URL for whatever reason, so the copy and paste of my words is showing up online in scraped feeds on other sites. Or on sites I used to frequent.  

I just wanted to know how much this stuff cost back in ye olden days.  (Yes, this is how I think.  Post tomorrow.)

Exercise improves insulin sensitivity after gastric bypass

Clinical trial demonstrates additive effect of exercise following gastric bypass.   

So. do. it.  I know, I know, easier said than done. 

Over 75 million adults in the US are obese. These individuals are predisposed to health complications, including diabetes, heart disease, and cancer. Gastric bypass surgery results in dramatic weight loss and can improve diabetes symptoms in obese patients. A new study in the Journal of Clinical Investigation reveals that exercise following bypass surgery provides additional benefit for obese patients. Bret Goodpaster and colleagues at the University of Pittsburgh conducted a study on individuals that had recently undergone gastric bypass surgery. One group followed a moderate exercise protocol for 6 months, while the control group underwent a health education program. Individuals in both groups exhibited dramatic weight loss and reduced fat mass. However, individuals in the exercise group had improved insulin sensitivity and cardiovascular fitness. The results of this study support the inclusion of an exercise program following gastric bypass surgery.

Read the article released earlier this week in JCI: http://buff.ly/1wlKroB

How sugar affects the brain – or – why we are crackheads – or – why your diet failed – or – or – or

THIS!  I saw Dr. Avena (the voice in this video) at OAC #YWM2013 and she was amazingly informative.  WATCH.

As the video shows, the key player in the reward system of our brain — where we get that feeling of pleasure — is dopamine. Dopamine receptors are all over our brain. And doing a drug like heroin brings on a deluge of dopamine. Guess what happens when we eat sugar?

Yes, those dopamine levels also surge — though not nearly as much as they do with heroin. Still, too much sugar too often can steer the brain into overdrive, the video says. And that kickstarts a series of "unfortunate events" — loss of control, cravings and increased tolerance to sugar. All of those effects can be physically and psychologically taxing over time, leading to weight gain and dependence. The takeaway is pretty clear: If you're sensitive to sugar and inclined to indulge in a supersugary treat, do it rarely and cautiously. Otherwise, there's a pretty good chance that your brain is going to start demanding sugar loudly and often. And we're probably better off without that extra voice in our head.

Factors Distinguishing Weight Loss Success and Failure at Five or More Years Post Bariatric Surgery

What makes someone a Weight Loss Success long term after bariatric surgery?  

According to a study by Colleen Cook of BSCI – it's following the rules of your WLS.

I've heard her say it a hundred times at bariatric events – fall back to the RULES of your surgery – because it DOES WORK –

(Nodding in agreement – I am proof.)

Here's the study details from ASMBS/TOS 2013

Dietary support after bariatric surgery, along with pre-operative teaching and post-operative management, may mean the difference between weight-loss success and failure for patients with obesity, according to results of an on-line survey presented at the 31st Annual Scientific Meeting of The Obesity Society (OBESITY 2013).

“This study confirms the need to put into place the resources to support people after bariatric surgery, including the dieticians and behavioural therapists who are actively involved with their patients, and can be critical to their success or failure,” stated American Society for Metabolic and Bariatric Surgery past president, Scott Shikora, MD, Center for Metabolic Health, Brigham and Women’s Hospital, Boston, Massachusetts.

People who have had bariatric surgery and are complying with the very basic principles of personal accountability, portion control, food intake, vitamins and supplements, proper nutrition and exercise are the ones who have been doing well long-term,” noted lead author Colleen M. Cook, Bariatric Support Centers International, Jordan, Utah, speaking here on November 14.

Cook and colleagues conducted a survey to assess adherence to specific, research-based, behavioural recommendations based on earlier research. Of their 535 total initial respondents, 255 were 5 or more years post-surgery. From this group, they took a final sample of 158 respondents comprised of 117 (74.05%) who reported achieving at least 80% of their excess body weight loss (the Highly Successful group) and 41 (25.9%) who reported achieving less than 40% of their excess body weight loss (the Not Highly Successful group).

The groups were compared on self-reported behaviours, including dietary intake, physical exercise, attendance at surgical follow-up visits, and participation in bariatric support groups.

The Highly Successful group reported significantly higher rates of compliance with dietary recommendations (P< .001); fewer total calories per day (1511.9 kCals versus 2190.0 kCals, P< .001 ); consuming a higher percentage of calories from protein (49% vs 36%; P< .001); higher frequency of eating protein first (P =.007); and lower percentage of calories from carbohydrates (31% vs 40%; P = .001).

The Highly Successful group was much more likely to regularly weigh themselves (P< .001); attend support groups (P = .002); and take supplemental multivitamins (P = .029), including calcium (P = .004), iron (P = .011), and B12 (P = .001).

The Highly Successful group was significantly less likely to eat mindlessly (P< .001); to “graze” (P< .001); to eat in front of the TV (= .002); to eat fast food (P< .001); and to eat food high in sugar (P< .001).

The groups also differed significantly on carbonated beverage (P = .02) and caffeine (P = .005) drinking patterns. The Highly Successful group reported significantly more physical activity at least several times per week than the Not Highly Successful group (P< .001).

The researchers found no significant differences, however, for ingestion of percentage calories from fat or the frequency of eating at sit-down restaurants, drinking calorie-laden liquids, or attending surgical clinic follow-ups.

Participants in this study averaged 51.7 years of age and 8.8 years post-surgery; 96% were female, 59% were married, and 89% were white. Both groups had similar demographics.

Funding for this study was provided by Bariatric Support Centers International.

[Presentation title: Factors Distinguishing Weight Loss Success and Failure at Five or More Years Post Bariatric Surgery. Abstract A-366-P]

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Miranda Lambert – “My Diet Is Better Than Gastric Bypass”

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Miranda Lambert, you're not making friends with your target market  (…Did You Notice That 70% of America is Overweight?!) with these ridiculous articles.

Via Life & Style Magazine - 

The speculation all started when Miranda showed up at the AMA Awards showing off her extreme weight loss. She reportedly dropped 25 pounds from her 155-pound frame in a very short span of time, which led to rumors that she may have secretly gotten her stomach stapled.

However, Life & Style’s report claims that Miranda is now firing back against the rumors, and claiming that neither plastic surgery nor a gastric bypass had anything to do with her weight loss. Apparently, she did NOT lose 30 pounds in 8 weeks via a shortcut, but old-fashioned hard work. Eh. It’s still difficult to believe, but with celebrities, you never know – they have a ton of free time and access to the best trainers and the best food. It’s possible that Miranda just worked really, really hard to lose all that weight so quickly, even if it sounds a tad bit unbelievable.

Nobody really cares if you "got your stomach stapled," and those of us who understand "stomach stapling" know that you could not have it done at 5' 4" and 155 lbs.  

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http://www.nhlbi.nih.gov/guidelines/obesity/BMI/bmicalc.htm

Frankly, as someone who is nearly THAT size – I am a bit miffed that people would suggest bariatric surgery at a weight that I have been told is "too skinny."  

This is so silly.  

 

 

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Celebrate ENS Video – All in one vitamin, protein, and more!

Celebrate says — This is MUCH MORE than a protein shake. This is as close that you will ever get to having an ALL IN ONE bariatric supplement! Our Celebrate ENS shake is a one of a kind way to get your multivitamin, calcium, fiber AND protein all in one. Each ENS (Essential Nutrient System) shake contains a high potency multivitamin, 500 mg of calcium citrate, 4 g of fiber, and 25 g of whey isolate protein in each serving. This product is the best option for patients immediately following surgery.
Created for surgical weight loss patients, our ENS (Essential Nutrient System) shake contains a high potency multivitamin, 500 mg of calcium citrate, and 25 g of whey isolate protein in each pack. Our integrated formula provides maximum solubility and ensures that the vitamins and minerals are readily bioavailable. This product is the best option for patients immediately following surgery. 

* The vitamin and mineral content of each pack is equal to taking one chewable multivitamin, plus 500 mg of calcium, plus 25 g of protein. 
* Due to the nature of the formulation, this product is appropriate for any surgical weight loss procedure. As with any of our other delivery systems, you may need additional supplementation based on surgery type. 
* It is recommended to be blended with 8 oz of cold water, shaken, and consumed but can be mixed with as much or as little water as you want. It may also be mixed with milk. 
* Each pack also contains 4 g of soluble fiber, added electrolytes and a 500 mg antioxidant blend, and a 200 mg green tea blend. 
* Like our other products, taste is important and this has a delicious vanilla flavor that will make you think that you are drinking a glass of milk flavored like cake batter. 
* Since quality is a critical element of all of our products, we utilize an ultra refined whey isolate protein that scores 100 on the PDCAAS scale. 

-Celebrate Vitamins 

Who would benefit from this product? 

1. Early post-operative patients – Since this may be diluted to taste, there are virtually no issues with taste aversion. 
2. Athletes – If you are a surgery patient turned athlete, this can help to flavor that boring water that you need to drink. Water is critical and taking your vitamins and calcium while hydrating makes it easier. 
3. Anyone looking for a convenient alternative to pills or chewables.

Bariatric surgery may prevent heart failure

Bariatric surgery may prevent heart failure

Major finding: The incidence rate of heart failure during a median 15 years of prospective follow-up after bariatric surgery was 3.1 cases per 1,000 person-years, compared with 5.2/1,000 person-years in obese controls.

Data source: The Swedish Obese Subjects study included 2,010 obese subjects who underwent bariatric surgery in 1987-2001 and 2,037 closely matched obese controls. It is a nonrandomized, prospective, observational study.