Support Starts Before Surgery

When most of us think of bariatric support, we think of post-surgical groups and lifestyle changes. However support is extremely important and effective even before undergoing bariatric surgery or any other life-changing procedure.

Support before bariatric surgery is a lot easier than you may think. There are many resources available to those who are considering or have decided on bariatric surgery, but have not undergone the procedure. These resources can range from support groups to websites and online applications and even support tools provided by our practice and medical device manufacturers. One of the great advances we have seen in bariatric field is the availability of online and smart phone applications. These programs not only help track weight loss and weight loss goals, but also assist with recipes, calorie counts other amazingly useful tools. This alone can help a patient or someone considering bariatric surgery learn more about their bodies.

Here at Healthy Steps we understand the value of support both before and after surgery. And we know the support system with which you surround yourself is crucial to your long-term success. Starting your support regimen before you undergo surgery not only allows you to learn more about post-surgical lifestyle changes, but will also make them easier to implement. Further, losing some weight and getting healthier before surgery may actually reduce the possibility of a complication during or shortly after surgery.

To learn more about opportunities to start your support program before surgery, please give our office call we will be happy to direct you to the resources that we believe are suitable for your particular situation.

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Undersanding Supplements

Vitamin and mineral supplementation after bariatric surgery is a very important part of staying healthy and losing weight safely. After surgery, your body will be going through many changes precipitated by the surgery itself as well as significantly reduced caloric intake and absorption. As a result many patients will find that their body needs a nutritional boost. Proper nutrition can help or avoid:

  • Anemia caused by lack of iron
  • Muscle tissue breakdown from a lack of protein
  • Vitamin deficiencies
  • Hair loss

Nutritional supplementation may include vitamins B12, C and D as well as iron calcium and protein. Each of these vitamins and minerals can cause minor or major problems if not in equilibrium within the body

The decision on which brand of vitamins and supplements to choose can be a difficult one, especially because the industry is not regulated in the same way as pharmaceuticals. This is where we, or your bariatric practice, can become a great resource. In all likelihood your surgical practice, like ours, has taken the time to evaluate the different nutritional offerings from the wide variety of vendors out there. So consult with your surgical practice and dietician to understand the various offerings and which ones may be right for you.

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The Big FAT Truth

There’s a lot of information out there about fat. Good fat, bad fat, low-fat, and trans fat are buzz words that are frequently thrown around by nutrition experts. What do you need to know about fat that will help you with your surgical weight loss and keep you healthy?

Five Fat Facts

1. You need fat. Our bodies use fat to grow cells and protect our vital organs. Fat is also essential for absorbing vitamins, storing energy, and keeping our bodies warm.

2. Moderation is key. Dietary fat should only make up about 20 to 35 percent of your total calories.

3. There are good fats and bad fats. Good fats include monounsaturated fat, polyunsaturated fat, and omega-3 fatty acids. Bad fats include saturated and trans fats.

4. Good fats can reduce your risk for disease. Unsaturated fats and essential fatty acids can help lower your “bad” cholesterol and improve your cardiovascular health.

5. Reading labels can help you find the bad fats. The FDA requires that food manufacturers disclose the amount of total fat content, including saturated and trans fats. Stay away from products with saturated and trans fats.

A healthy diet will be comprised of mainly good fats and very few bad fats. Good fats can be found in olive oil, safflower oil, seeds, nuts, vegetables oils, salmon, canola oil, flax seeds, and walnuts. Damaging fats are often found in fatty meats, butter, fried foods, full-fat dairy products, and some baked goods.

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Abdominal Obesity and Heart Health

Research indicates that abdominal obesity and extra weight can dramatically increase the risk of cardiovascular disease and death from cardiovascular causes in younger adults. In fact, some researchers estimate that excess weight and obesity account for as many as one-third of all cardiovascular deaths.

Researchers at the Netherlands Heart Foundation in the Hague conducted a population-based study and analyzed data of over 20,500 Dutch adults between the ages of 20 and 65. Of the people studied, 42% of the men and 30% of the women were considered overweight, while 10% of the men and 11% of the women were considered obese. Waist circumference was elevated in 19% of the men studied and 26% of the women.

The study found that both higher waist circumference and obesity were associated with higher rates of cardiovascular death. Additionally, larger waist circumference and obesity doubled the risk for non-fatal cardiovascular disease in people under the age of 65. After an average follow-up of 10 years, cardiovascular disease was found to be 10 times more common than cardiovascular death, with 1,131 hospitalizations for non-fatal cardiovascular disease compared with 111 deaths.

The population review confirms the importance of healthy weight maintenance in order to prevent or counteract cardiovascular disease.

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Bariatric surgery can help extend lives

Research has proven that weight loss surgery is an effective treatment option for obesity and obesity-related health complications. However, certain characteristics that patients display before surgery may affect what type of success they can expect from bariatric procedures.

Weight loss surgery can help morbidly obese people lose a significant amount of weight, but it can also improve their health. People who undergo bariatric surgery lose 50% or more of their excess weight. While the average excess weight loss is about 50%, younger patients are more likely to lose enough weight to reach a BMI that puts them within the range that’s considered normal, which is between 18 and 25.

In addition to helping shed excess pounds, weight loss surgery, including gastric bypass and gastric banding procedures, has been proven to help resolve Type 2 diabetes, GERD, high blood pressure, and asthma. Compared to the health benefits of bariatric surgery, the risk of death or serious complication following surgery is relatively low. Age and pre-operative BMI seem to correlate with individual risk for complication; people who are younger and have a lower BMI before surgery are less likely to die or suffer from serious complications.

As with any operation, there are inherent risks associated with weight loss surgery, including infection and death. The overall health of the patient before surgery can help physicians assess the overall risk and potential benefit. In general, the healthier a patient is, the less risk and more benefit they are likely to experience as a result of weight loss surgery.

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Healthy Eating for Women

While it’s important for both men and women to eat a healthy, balanced diet, women have unique health needs that change as they age. Learn about special nutritional guidelines for women’s health.


3 Diet Tips for Better Women’s Health

  • Eat Plenty of Iron-Rich Foods. Women can be more susceptible to low iron levels because of their menstrual cycles or other problems with iron absorption. Getting plenty of iron is key to good health and high energy levels. Good sources of iron include red meat, chicken, turkey, pork, fish, kale, spinach, beans, lentils, and fortified breads and cereals. Whenever possible, combine plant-based iron sources (such as spinach, breads, and cereals) with Vitamin C for better absorption. For example, put strawberries on top of your fortified cereal or add orange slices to your spinach salad.
  • Load Up on Folic Acid During the Reproductive Years. Folic acid helps decrease the risk of birth defects. Experts recommend getting at least 400 micrograms of folic acid a day if you’re pregnant or may become pregnant. Citrus fruits, leafy greens, dry beans, and peas naturally contain folate. In addition, you can find folic-acid fortified foods like cereals, rice, breads, and pizza crust.
  • Calcium, Calcium, Calcium. Calcium is vital for strong bones and preventing osteoporosis in women. Ideally, you should get your calcium from a variety of food sources every day. Calcium-rich foods include low-fat milk, yogurt, cheese, sardines, tofu (if made with calcium sulfate), and calcium-fortified foods like juices and cereals.

 

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Stronger, leaner and healthier

You probably already know that exercise is good for you. Getting regular exercise can improve your health and help you mange your weight. But did you know that strength training is just as important as aerobic activity in an exercise program?
Strength Training-It’s Not Just for Body Builders

To some people, strength training and weight lifting are reserved for people interested in bulking up. Some people even avoid working with weights because they’re afraid of getting “bigger” as they build muscles. The truth is, everyone can benefit from strength training, even if you have no interest in looking like a body builder.
4 Benefits of Strength Training

  • Preserve Muscle Mass. Strength training isn’t just about building lean muscle mass; it also helps you keep what you already have. The expression “use it or lose it” definitely applies to muscles, and if you lose muscles, you’ll increase your body fat percentage.
  • Build Strong Bones. Strength training stresses your bones, which helps increase bone density and reduce the risk of osteoporosis.
  • Lose Weight. If you’re exercising to lose weight, it’s important to build strength training into your workout routine. Strength training builds muscle, and muscle burns calories more efficiently than fat. Building muscle mass is one of the few proven ways to boost your metabolism.
  • Improve Your Mood. Toning your muscles can help reduce your risk of depression as well as boost your self-confidence. People who do regular strength training workouts are also less likely to suffer from insomnia, which can improve your focus, productivity, and overall mood during the day.

 

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Are chicken eggs good or bad for my cholesterol?

If you’re trying to lower your cholesterol, you may need to rethink your breakfast choices.

The yolk in a regular egg contains 213 mg of cholesterol. It’s recommended that a healthy person limit their daily intake of dietary cholesterol to less than 300 milligrams. That means that if you decide to have one egg for breakfast, you’ll want to carefully monitor your cholesterol intake for the rest of the day.

If you have cardiovascular disease, diabetes, or high cholesterol, you may need to eliminate the egg yolk completely. People who have high cholesterol or are at risk for developing high cholesterol should limit their dietary cholesterol intake to less than 200 mg a day. Instead of eating a whole egg, you can try eating egg whites, which contain no cholesterol. You may also try cholesterol-free egg substitutes that are made from egg whites.

Monitoring your dietary cholesterol is an important step toward maintaining good health. High cholesterol can lead to heart attacks and strokes. To avoid these risks, aim for an LDL (or “bad cholesterol”) level of 100 mg/dL. If you already have heart disease, your doctor may recommend you reach an LDL level of 70 mg/dL. Your total cholesterol level, which is a combination of LDL and HDL (or “good” cholesterol), should be less than 200.

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Obesity Treatment

Obesity, which is defined as having an excess of body fat, is more than a vanity issue. While being obese affects the way you look and may affect the way you feel about yourself, it also poses a serious threat to your health. Obesity related health problems can even lead to premature death. There are obesity treatment options that can help address the specific risks to your health.

Obesity treatment is generally focused on helping you lose weight, although steps may also be taken to help manage complications that occur as a result of obesity, such as prescribing medication for high blood pressure. While you can lose weight without medical intervention, an obesity treatment plan from your physician will include:

  • Evaluating your current health to identify obesity-related complications. Your physicians will then be able to monitor how these complications respond to weight loss.
  • Establishing weight loss goals. Your medical team will not be concerned with reaching a weight that makes you look a certain way, but they will help you determine what your “healthy weight” should be.
  • Creating a comprehensive weight loss program that combines diet, exercise, and other lifestyle changes as well as psychological counseling and support.
  • Evaluating whether you may be a candidate for weight loss surgery.

For morbidly obese people who are at significant risk for complications like heart attack or stroke, a physician may recommend weight loss surgery as part of an obesity treatment plan. Weight loss surgery is most likely to be recommended if you have tried to lose weight in the past and have either failed to lose weight, or failed to keep the weight off for a significant period of time after losing it. Weight loss surgery is often used to address the diet portion of your overall obesity treatment plan, although you will still be encouraged to exercise and make other lifestyle changes after surgery.

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Wait Before Weight Loss Surgery May Be Unnecessary

If you’re considering weight loss surgery and hoping to have your insurance cover a portion of the cost, you’ll probably be instructed to wait six months before having the bariatric procedure. During this time, the insurance company wants to see you starting to diet and exercise, showing a commitment to the lifestyle changes that will be necessary to maintain weight loss after surgery. New research suggests that this waiting period, however, may be unnecessary.

A study presented at the annual meeting of the American Society for Metabolic & Bariatric evaluated 440 bariatric surgery patients, including gastric bypass and gastric banding patients. Of those 440, 116 endured an insurance-mandated 6-month waiting period. Their results were compared to other weight loss surgery patients who were not required to wait to have surgery. According to the study’s author, Dr. Timothy Kuwada of the Carolinas Medical Center in Charlotte, N.C., the waiting period did not lead to a significant increase in weight loss.

While this study may not make a strong case for getting rid of the 6-month waiting period-the author did note that the requirement made sense in light of the cost of the surgery-it may spark new discussion about what sort of requirements should be inflicted on potential bariatric surgery patients. While lifestyle changes have been proven to be necessary in order to achieve significant, long-term weight loss with surgery, the study shows that a 6-month waiting period may not be sufficient for ensuring those lifestyle changes take place.

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