Rank these statements: 1 being the most important and 8 being the least
____ Improved overall medical condition
____ Improved overall quality of lift
____ Less pain
____ Increased mobility
____ Improved self esteem
____ Improved relationships
____ Improved work life
____ All of the above
Wednesday, August 31, 2011
Tuesday, August 30, 2011
Vitamin and Mineral Supplementation
Although vitamins and mineras do not provide energy, they are essential for the body to function properly and utilize the energy found in foods. After surgery it is essential that you supplement your diet with vitamins and minerals. It is very important that you take your supplements every day and for the rest of your life!
Recommendations (check with your surgeon)
2 multivitamins with iron per day (200% of daily value)
Begin with chewable or liquid for first 30 days after surgery.
Calcium Citrate with Vitamin D 1500-2000 mg/day--split into 500-600 mg doses (take at least 2 hours apart from iron)
Vitamin B12 350-500 ug/day oral
Recommendations (check with your surgeon)
2 multivitamins with iron per day (200% of daily value)
Begin with chewable or liquid for first 30 days after surgery.
Calcium Citrate with Vitamin D 1500-2000 mg/day--split into 500-600 mg doses (take at least 2 hours apart from iron)
Vitamin B12 350-500 ug/day oral
Monday, August 29, 2011
Key Lime Pie Protein Shake
6 oz key lime pie yogurt, no sugar added
1/8cup skim milk
1 tbsp sugar free lime jello
1 scoop unflavored protein powder
1/2 graham cracker
1/8cup skim milk
1 tbsp sugar free lime jello
1 scoop unflavored protein powder
1/2 graham cracker
Sunday, August 28, 2011
Quote
Problems produce patience; patience produces persistence; persistence produces character; character produces hope; hope produces power.
~~Unknown
~~Unknown
Saturday, August 27, 2011
Friday, August 26, 2011
WEIGHTY CONVERSATIONS: DON’T MEASURE YOUR SELF-WORTH
By Michelle May, M.D.
www.AmIHungry.com A voice of reason for a society consumed by dieting, weight, food and eating. Vol. I Issue 5
Do you allow a number on your bathroom scale to make or break your day? Wouldn't it be absurd to let the temperature, the date or the Dow-Jones determine how you feel about yourself or how your day will go? They're all just numbers but for some, weight has the power to change a mood and ruin a morning.
The scale does not measure your self-worth. It simply measures the weight of your tissues (including your bones, muscle and fat) and substances that are just passing through (like water, food and waste). Your weight can fluctuate dramatically depending on time of day, hormones, when you last ate and other factors – none of which have anything to do with your value as a person.
Weight a Minute
When you're losing weight gradually (clearly the best way), you may not see significant changes in your weight day to day, and perhaps even some weeks. Further, when you exercise you'll build muscle and lose fat so although the numbers might not change, your body composition is improving. If you're depending on a needle on a scale to tell you how you're doing, you may feel discouraged and tempted to give up even though great things are going on inside.
Weighed Down
Have you ever said to yourself…
- I did so well this week. I deserve a treat!
- I was so good but I didn't lose any weight. I might as well eat.
- I don't have to weigh in until next week so I'll splurge now and make up for it later.
- I was terrible this week and I still lost weight. I guess I don't need to be as careful.
- I only lost a half a pound. It wasn't worth it.
These thoughts are counter-productive to weight management. Further, although it can be motivating, losing weight can also be scary. Maybe a part of you doesn't believe you deserve it or that you'll gain it back so you sabotage yourself.
Weigh to Go
Some people weigh because they want to be held accountable. Accountable to a metal rectangle on the floor and a three digit number?
The goal is long term weight management without restrictive dieting – not answering to a judge and jury. Focus on the process not the outcome.
Why Weight?
Your weight is a surrogate measurement of your body fat so it's helpful for monitoring long term changes. Newer body fat scales are helpful but are only useful over time.
Your weight can also be used to calculate your Body Mass Index (BMI) which is a measure of your weight in relation to your height. (Caution: BMI can be misleading in highly muscled individuals.) Check the easy BMI calculator at http://www.nhlbisupport.com/bmi/. BMI can help you and your health professional assess your risk for common conditions associated with excess weight. Even though BMI is widely used these days, it is only one piece of information.
Michelle May, M.D. is a recovered yoyo dieter and the award-winning author of Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle. Find additional articles and resources at http://AmIHungry.com/. Copyright 2010, Michelle May, M.D. All rights reserved. For permission to reprint, email enews@AmIHungry.com
Thursday, August 25, 2011
IT’S NOT JUST WHAT YOU EAT, BUT WHY
By Michelle May, M.D.
www.AmIHungry.com A voice of reason for a society consumed by dieting, weight, food, and eating. Vol. II Issue 7
Many people have the mistaken belief that their weight problems are caused by what and how much they eat. Those are important but they only tell part of the story. In fact, what you eat and how much you eat are strongly affected by why you're eating in the first place.
The Am I Hungry?® Eating Cycle will help you see how each decision you make can affect your other choices.
As you review the Eating Cycle, ask yourself the following questions to help you recognize and better understand how you make conscious or subconscious decisions about your eating. More importantly, use these questions to discover possible steps you can take to become more mindful about your decisions.
Why? Why do I eat?
- Why do I think I eat?
- Am I aware of any situations or emotions that trigger me to want to eat when I'm not hungry? Examples: Mealtimes, social events, certain people, stress, boredom, buffets, getting ready to start a diet…
- Have I tried a lot of diets? What happened? How did they work for me long term? Why?
- How often do I feel like eating?
- How do I know if I'm hungry?
- How could I redirect my attention away from food until I'm hungry?
- What could I do to cope better with my emotional triggers for eating? Examples: Manage stress better; tell someone how I really feel; find a hobby; treat myself to a hot bath; ask for more help around the house…
- What do I eat in a typical day? Would a food diary for a few days help?
- Do I restrict myself from eating certain foods—then later give-in and overeat those foods?
- What health issues do I need to be aware of when deciding what to eat? Examples: High blood pressure, high cholesterol, family history of diabetes.
- What kind of beverages do I drink?
- What types of foods do I feel like eating when I'm eating for emotional reasons? Why?
- Are there any areas of my diet that I could improve right now?
- What specific change would I like to make at this time?
- What kind of foods could I keep on hand to eat when I'm hungry?
- Do I eat while I'm distracted? Examples: Watching T.V.; reading; driving; working; talking…
- Do I eat fast?
- Do I really taste my food?
- Do I eat differently in private than I do in public?
- How do I typically feel when I'm done eating? Do I like that feeling?
- Do I usually clean my plate?
- If I'm not hungry when I start eating, how do I know when to stop?
- What situations or emotions trigger me to overeat?
- What could I do to address those triggers more effectively? Examples: Order less food; ask for a to-go container; get up from the table; turn off the TV; say "no" to food pushers…
- Am I physically active?
- Do I watch too much TV or spend too much free time in front of computer?
- Do I exercise? What do I like to do?
- What else do I do with my energy? Examples: Play with my children; work on my hobbies; volunteer; travel; spend time with friends…
- Is there anything else I'd like to do with my energy that I'm not doing now? What are my goals for my relationships, my career, and my life?
The first step to changing the way you eat is awareness. As you become more mindful of each decision point in your Eating Cycle, you'll discover small changes that can make a big difference in why, when, what, how, and how much you eat and where you invest your energy.
Michelle May, M.D. is a recovered yoyo dieter and the award-winning author of Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle. Additional articles and resources: www.AmIHungry.com
Copyright 2010, Michelle May, M.D. All rights reserved. For permission to reprint, email enews@AmIHungry.com
Copyright 2010, Michelle May, M.D. All rights reserved. For permission to reprint, email enews@AmIHungry.com
Wednesday, August 24, 2011
Arm Exercises
MAIN MOVE: Ponytail extensions
Stand with feet hip-width apart. Hold light dumbbell in right hand, arm extended straight overhead, left hand supporting right elbow (A) to prevent it from flaring out. Bend elbow, lowering dumbbell behind head (B), then press back up to start position. Do all reps, then repeat on opposite side.
MAKE IT HARDER
Use the heavier dumbbell.
MAKE IT EASIER
Hold the ends of a single dumbbell with each hand so it's horizontal to work both arms at the same time.
MAIN MOVE: Handbag curl
Stand with feet shoulder-width apart, arms at sides, a heavy dumbbell in each hand, palms facing in. Bend left arm to 90 degrees, dumbbell vertical. Hold that position as you bend right arm and curl dumbbell to shoulder, keeping elbow in to side. Complete all reps, then lower both arms and repeat, holding right arm at 90 degrees.
MAKE IT HARDER
Hold dumbbell in the stationary hand with palm facing up so it's horizontal rather than vertical.
MAKE IT EASIER
Alternate curling each arm up to shoulder without holding either arm stationary.
Front Raise
Stand with your feet shoulder-width apart, knees slightly bent, back straight, and abdominals contracted. Hold a dumbbell in each hand with your arms hanging down at the front of your thighs, palms facing in. For a printer-friendly version of all steps click below.
Keeping your wrists straight and your elbows slightly bent, raise your arms in front of you to shoulder height with your palms facing the floor. Hold, then slowly lower. To prevent swinging your arms or arching your back and using momentum to lift, try this move with your back against a wall. Or alternate one arm at a time.
Lateral Raise
Stand with your feet shoulder-width apart, back straight, and abs held tight. Hold a dumbbell in each hand with your arms at your sides, palms facing in. For a printer-friendly version of all steps click below.
Keeping your wrists straight and elbows slightly bent, raise your arms out from your sides, just slightly forward. Lift to shoulder height, pause, then slowly lower.
Rear Shoulder Raise
Sit on the edge of a chair with your feet flat on the floor about hip-width apart. Keeping your back straight, lean forward from the hips so that your chest is near your thighs. Hold a dumbbell in each hand with your arms by your calves, palms facing each other. For a printer-friendly version of all steps click below.
Keeping your elbows slightly bent and your wrists straight, lift your arms out to the sides to shoulder height. Keep your neck aligned with your spine. Pause, then slowly lower.
Last Updated: 02/17/2005 Copyright (c) Rodale, Inc. 2002
Stand with feet hip-width apart. Hold light dumbbell in right hand, arm extended straight overhead, left hand supporting right elbow (A) to prevent it from flaring out. Bend elbow, lowering dumbbell behind head (B), then press back up to start position. Do all reps, then repeat on opposite side.
MAKE IT HARDER
Use the heavier dumbbell.
MAKE IT EASIER
Hold the ends of a single dumbbell with each hand so it's horizontal to work both arms at the same time.
MAIN MOVE: Handbag curl
Stand with feet shoulder-width apart, arms at sides, a heavy dumbbell in each hand, palms facing in. Bend left arm to 90 degrees, dumbbell vertical. Hold that position as you bend right arm and curl dumbbell to shoulder, keeping elbow in to side. Complete all reps, then lower both arms and repeat, holding right arm at 90 degrees.
MAKE IT HARDER
Hold dumbbell in the stationary hand with palm facing up so it's horizontal rather than vertical.
MAKE IT EASIER
Alternate curling each arm up to shoulder without holding either arm stationary.
Front Raise
Stand with your feet shoulder-width apart, knees slightly bent, back straight, and abdominals contracted. Hold a dumbbell in each hand with your arms hanging down at the front of your thighs, palms facing in. For a printer-friendly version of all steps click below.
Keeping your wrists straight and your elbows slightly bent, raise your arms in front of you to shoulder height with your palms facing the floor. Hold, then slowly lower. To prevent swinging your arms or arching your back and using momentum to lift, try this move with your back against a wall. Or alternate one arm at a time.
Lateral Raise
Stand with your feet shoulder-width apart, back straight, and abs held tight. Hold a dumbbell in each hand with your arms at your sides, palms facing in. For a printer-friendly version of all steps click below.
Keeping your wrists straight and elbows slightly bent, raise your arms out from your sides, just slightly forward. Lift to shoulder height, pause, then slowly lower.
Rear Shoulder Raise
Sit on the edge of a chair with your feet flat on the floor about hip-width apart. Keeping your back straight, lean forward from the hips so that your chest is near your thighs. Hold a dumbbell in each hand with your arms by your calves, palms facing each other. For a printer-friendly version of all steps click below.
Keeping your elbows slightly bent and your wrists straight, lift your arms out to the sides to shoulder height. Keep your neck aligned with your spine. Pause, then slowly lower.
Last Updated: 02/17/2005 Copyright (c) Rodale, Inc. 2002
Monday, August 22, 2011
Optisource Protein Drink Suggestions
Print Recipe
OPTISOURCE® High Protein Drink
Makes 1 serving.
Ingredients:
1-2 tsp Sugar-Free Flavoring Syrup
4 fl oz of OPTISOURCE® High Protein Drink
Preparation:
Add 1-2 tsp of the following to Sugar-Free Flavoring Syrups to 4 fl oz of
OPTISOURCE® High Protein Drink
Sugar-Free Flavoring Syrups (Torani® and DaVinci are two popular brands).
Recommended flavors include: Irish Cream, Hazelnut, Caramel,
Almond, English Toffee, Peanut Butter,
Chocolate Macadamia Nut and Brown Sugar Cinnamon.
Sugar-Free Fat-Free Chocolate or Strawberry Syrup
Sugar-Free Maple Syrup
(add 2 drops almond or black walnut extract for a maple nut flavor)
Sugar-Free Liquid Coffee Creamers
Flavorings and Extracts
Try adding 1/8 - 1/4 tsp of the following flavorings and extracts to 4 fl oz of OPTISOURCE® High Protein Drink.
Try blending flavors to make a unique combination!
Orange
Raspberry
Cherry
Pineapple
Vanilla or French Vanilla Blend
Maple
Anise
Black Walnut
Coconut
Cinnamon
Butter
Almond
Root Beer
Peach
Orange
Lemon
Banana
Recipe Nutrition Facts
Approximately 1/2 cup (141 g)
Amount per Serving
Calories 100
Calories from Fat 27
% Daily Value
Fat 3g 5%
Saturated Fat 2g 10%
Trans Fat 0g 0%
Cholesterol 5mg 2%
Sodium 90mg 4%
Carbohydrates 6g 2%
Dietary Fiber 1g 4%
Total Sugars 7g
Protein 12g
Vitamin A 0%
Vitamin C 0%
Calcium 15%
Iron 4%
* Percent Daily Value based on 2,000 calorie diet
OPTISOURCE® Recipe 12 of 12
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OPTISOURCE® High Protein Drink
Makes 1 serving.
Ingredients:
1-2 tsp Sugar-Free Flavoring Syrup
4 fl oz of OPTISOURCE® High Protein Drink
Preparation:
Add 1-2 tsp of the following to Sugar-Free Flavoring Syrups to 4 fl oz of
OPTISOURCE® High Protein Drink
Sugar-Free Flavoring Syrups (Torani® and DaVinci are two popular brands).
Recommended flavors include: Irish Cream, Hazelnut, Caramel,
Almond, English Toffee, Peanut Butter,
Chocolate Macadamia Nut and Brown Sugar Cinnamon.
Sugar-Free Fat-Free Chocolate or Strawberry Syrup
Sugar-Free Maple Syrup
(add 2 drops almond or black walnut extract for a maple nut flavor)
Sugar-Free Liquid Coffee Creamers
Flavorings and Extracts
Try adding 1/8 - 1/4 tsp of the following flavorings and extracts to 4 fl oz of OPTISOURCE® High Protein Drink.
Try blending flavors to make a unique combination!
Orange
Raspberry
Cherry
Pineapple
Vanilla or French Vanilla Blend
Maple
Anise
Black Walnut
Coconut
Cinnamon
Butter
Almond
Root Beer
Peach
Orange
Lemon
Banana
Recipe Nutrition Facts
Approximately 1/2 cup (141 g)
Amount per Serving
Calories 100
Calories from Fat 27
% Daily Value
Fat 3g 5%
Saturated Fat 2g 10%
Trans Fat 0g 0%
Cholesterol 5mg 2%
Sodium 90mg 4%
Carbohydrates 6g 2%
Dietary Fiber 1g 4%
Total Sugars 7g
Protein 12g
Vitamin A 0%
Vitamin C 0%
Calcium 15%
Iron 4%
* Percent Daily Value based on 2,000 calorie diet
OPTISOURCE® Recipe 12 of 12
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Sunday, August 21, 2011
Saturday, August 20, 2011
Friday, August 19, 2011
Three Questions To Make the Perfect Food Choice Everytime
By Michelle May, M.D.
Original article http://amihungry.com/three-questions.shtml
People often struggle with "being good" when there are so many "bad foods" to choose from. Ironically, we're supposed to define ourselves by what we put in our mouths despite the fact that the definition of "good" and "bad" foods changes every few years or so. Many people feel confused and overwhelmed by all the conflicting and often arbitrary messages about what they are "supposed" to eat.
But it is possible to find that balance between eating for health and eating for pleasure. In fact, one of the keys to optimal health and lifelong weight management is to nourish your body and your soul with the foods you eat.
So how do you drown out all the noise and find that balance when you decide what to eat? Start by asking yourself three simple questions when you're hungry: "What do I want to eat?" "What do I need to eat?" "What do I have to eat?"
What Do I Want to Eat?
The first question, "What do I want to eat?" often comes as a surprise. But what happens when you try to avoid food you really want-like those Girl Scout Cookies that were delivered after you started your new low-carb diet?
First you check the label and confirm that they're off limits so you put them in the freezer. Two days later they whisper to you from their hiding place, "Pssst. We're in here!" You manage to resist them, instead munching on some olives, four cubes of cheese, a hunk of leftover meatloaf with a side of celery sticks, two pieces of low-carb toast-and yet you still don't feel satisfied.
"Hey! We're in here and we taste great frozen!" You finally give in to your urge and have two Thin Mints®. Blew it again! Might as well eat a few more-and a bowl of ice cream-and start over tomorrow. Sound familiar? Thinking about what you really want to eat without judging yourself will keep you from feeling deprived and out of control when you choose to eat certain foods.
You might be worried that if you ask yourself what you're really hungry for, you'll always choose foods you "shouldn't." At first this might seem true, since cravings tend to get stronger when you try to ignore them for too long. But once you let go of the guilt about eating certain foods, you'll find that you want to eat a variety of foods to feel healthy and satisfied.
What Do I Need to Eat?
The next question to ask yourself is, "What do I need to eat?" While food decisions aren't "good" or "bad," clearly some foods offer more nutritional benefits than others.
As you consider what food to choose, ask yourself, "What does my body need?" Keep in mind the principles of variety, balance and moderation when deciding what to eat. Consider nutritional information, your personal health issues, your family history, what else you are eating that day and how your body responds to certain foods.
Enjoy your healthy choices by focusing on fresh foods, appealing combinations, new flavors and interesting recipes.
What Do I Have to Eat?
The key to the final question, "What do I have to eat?" is planning. If you feel hungry and the only thing available is a vending machine, you're likely to choose a snack food that may not be very healthy, may not taste very good and may not really be what you were hungry for anyway.
Instead, strive to have a variety of foods available that are healthful and appealing but not overly tempting. These are foods that you enjoy when you're hungry but won't be calling out to you from their storage place saying, "Come eat me!"
Of course, you're not always in control of which foods are available. At a restaurant, office potluck, or friend's house, simply see what is available and ask yourself "Is there a healthy choice that will meet my needs without feeling deprived?" For example, could you be happy with frozen yogurt instead of ice cream this time?
Matching the food you choose to what you're really hungry for and what your body needs leads to greater satisfaction and more enjoyment-with less food. Remember that small changes really do make a difference and that balanced eating is simply the result of all of the individual positive decisions you make. Eating food that you truly enjoy while taking good care of your body is the best way to make long term changes that you can live with.
Michelle May, M.D. is a recovered yoyo dieter and the award winning author of Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle (download the first chapter free). She conducts corporate workshops and speaks throughout the country on mindful eating and vibrant living. Learn to eat without deprivation and guilt with Dr. May's complimentary mini e-course at http://www.amihungry.com/mini-e-course-intro.shtml.
Thursday, August 18, 2011
Plastic Surgery Procedures
Classification: UNCLASSIFIED Caveats: NONE
The following information will help you learn more about some of the more popular cosmetic procedures for post-bariatric patients.
Arm Lift (Brachioplasty): Surgery to remove excess hanging skin from the upper arm between the elbow and shoulder. Incision/scar is along the underside of the upper arm.
Body Lift (Torsoplasty): A Mid Body Lift is surgery to remove and lift sagging skin around the buttocks, thighs, hips, and abdomen. Combines a lower body lift (buttocks, thighs, and hips) and tummy tuck into a single procedure for outstanding overall results. Incision/scar extends around the entire body. A Total Body Lift includes the arms, back and breasts.
Breast Lift (Mastopexy) and Breast Augmentation (Augmentation mammaplasty): Surgery and body contouring procedure to lift a sagging breast and enhance natural breast volume. Breast size is often reduced with weight loss since they are mainly composed of fatty tissue.
Breast Reduction in Men (Gynecomastia): Surgery to remove loose chest skin and female-like breast contours in men. Incision lines/scars can be an issue.
Face Lift (Rhytidectomy) or Neck Lift (Platysmaplasty): A Face Lift is surgery to remove extra skin and tighten muscles of the neck and face. If surgery is performed under the jaw line and in the neck area only, it is known as a Neck Lift.
Liposuction (Lipoplasty): Cosmetic procedure used to remove small amounts of fatty tissue from the hips, thighs, buttocks, and abdomen to sculpt a more desireable body shape. It is often combined with body lift surgery. Liposuction is not for weight loss, but for sculpting the body's shape and contour.
Panniculectomy: Surgery to remove the excess skin and fat that hangs from the stomach after weight loss. Unlike abdominoplasty (tummy tuck), panniculectomy does not involve tightening the abdominal muscles. May be covered by health insurance (but do not call it a tummy tuck).
Tummy-Tuck (Abdominoplasty): Surgery to remove excess skin and fat from the middle and lower abdomen and tighten muscles in the abdominal wall. Effect is to create a more slender waistline and flatter stomach. The incision/scar goes from hip to hip and around the belly button.
www.wlshelp.com
The following information will help you learn more about some of the more popular cosmetic procedures for post-bariatric patients.
Arm Lift (Brachioplasty): Surgery to remove excess hanging skin from the upper arm between the elbow and shoulder. Incision/scar is along the underside of the upper arm.
Body Lift (Torsoplasty): A Mid Body Lift is surgery to remove and lift sagging skin around the buttocks, thighs, hips, and abdomen. Combines a lower body lift (buttocks, thighs, and hips) and tummy tuck into a single procedure for outstanding overall results. Incision/scar extends around the entire body. A Total Body Lift includes the arms, back and breasts.
Breast Lift (Mastopexy) and Breast Augmentation (Augmentation mammaplasty): Surgery and body contouring procedure to lift a sagging breast and enhance natural breast volume. Breast size is often reduced with weight loss since they are mainly composed of fatty tissue.
Breast Reduction in Men (Gynecomastia): Surgery to remove loose chest skin and female-like breast contours in men. Incision lines/scars can be an issue.
Face Lift (Rhytidectomy) or Neck Lift (Platysmaplasty): A Face Lift is surgery to remove extra skin and tighten muscles of the neck and face. If surgery is performed under the jaw line and in the neck area only, it is known as a Neck Lift.
Liposuction (Lipoplasty): Cosmetic procedure used to remove small amounts of fatty tissue from the hips, thighs, buttocks, and abdomen to sculpt a more desireable body shape. It is often combined with body lift surgery. Liposuction is not for weight loss, but for sculpting the body's shape and contour.
Panniculectomy: Surgery to remove the excess skin and fat that hangs from the stomach after weight loss. Unlike abdominoplasty (tummy tuck), panniculectomy does not involve tightening the abdominal muscles. May be covered by health insurance (but do not call it a tummy tuck).
Tummy-Tuck (Abdominoplasty): Surgery to remove excess skin and fat from the middle and lower abdomen and tighten muscles in the abdominal wall. Effect is to create a more slender waistline and flatter stomach. The incision/scar goes from hip to hip and around the belly button.
www.wlshelp.com
Wednesday, August 17, 2011
Bariatric Plastic Surgery
Bariatric plastic surgery can help an individual achieve the best possible body shape by removing loose skin, tightening loose muscles, and removing excess residual fat from the body that may remain after significant weight loss with weight loss surgery.
Cosmetic plastic surgery procedures such as the tummy tuck, body lift, and liposuction can help successful bariatric patients improve their overall appearance and comfort.
After Rapid Weight Loss
After weight loss surgery, bariatric patients usually lose a substantial amount of weight in a relatively short amount of time. With rapid weight loss, however, the skin does not always shrink so well. Individuals who have lost a lot of weight are typically left with loose hanging skin about the abdomen, back, thighs, and other parts of the body, as well as loose muscles and small areas of unsightly fat tissue.
Improve Appearance and Comfort
Cosmetic plastic surgery that is performed to remove excess skin after weight loss not only improves appearance but also helps make an individual more comfortable. Loose drooping skin, especially around the abdomen, can be uncomfortable and bothersome. Any type of physical activity, even sitting and standing, can cause annoying skin movements. Many patients are not able to find clothing that feels comfortable or fits properly. Also, it may be difficult to keep the skin clean under the large folds of skin around the abdomen, leading to skin irritation, skin rashes, pain and infection.
www.wlshelp.com
Cosmetic plastic surgery procedures such as the tummy tuck, body lift, and liposuction can help successful bariatric patients improve their overall appearance and comfort.
After Rapid Weight Loss
After weight loss surgery, bariatric patients usually lose a substantial amount of weight in a relatively short amount of time. With rapid weight loss, however, the skin does not always shrink so well. Individuals who have lost a lot of weight are typically left with loose hanging skin about the abdomen, back, thighs, and other parts of the body, as well as loose muscles and small areas of unsightly fat tissue.
Improve Appearance and Comfort
Cosmetic plastic surgery that is performed to remove excess skin after weight loss not only improves appearance but also helps make an individual more comfortable. Loose drooping skin, especially around the abdomen, can be uncomfortable and bothersome. Any type of physical activity, even sitting and standing, can cause annoying skin movements. Many patients are not able to find clothing that feels comfortable or fits properly. Also, it may be difficult to keep the skin clean under the large folds of skin around the abdomen, leading to skin irritation, skin rashes, pain and infection.
www.wlshelp.com
Tuesday, August 16, 2011
Serotonin and Depression
Serotonin: 9 Questions and Answers
By Colette Bouchez
WebMD Feature
Reviewed by Brunilda Nazario, MD
1. What is serotonin?
Serotonin acts as a neurotransmitter, a type of chemical that helps relay signals from one area of the brain to another. Although serotonin is manufactured in the brain, where it performs its primary functions, some 90% of our serotonin supply is found in the digestive tract and in blood platelets.
2. How is serotonin made?
Serotonin is made via a unique biochemical conversion process. It begins with tryptophan, a building block to proteins. Cells that make serotonin use tryptophan hydroxylase, a chemical reactor which, when combined with tryptophan, forms 5-hydoxytryptamine, otherwise known as serotonin.
3. What role does serotonin play in our health?
As a neurotransmitter, serotonin helps to relay messages from one area of the brain to another. Because of the widespread distribution of its cells, it is believed to influence a variety of psychological and other body functions. Of the approximately 40 million brain cells, most are influenced either directly or indirectly by serotonin. This includes brain cells related to mood, sexual desire and function, appetite, sleep, memory and learning, temperature regulation, and some social behavior.
In terms of our body function, serotonin can also affect the functioning of our cardiovascular system, muscles, and various elements in the endocrine system. Researchers have also found evidence that serotonin may play a role in regulating milk production in the breast, and that a defect within the serotonin network may be one underlying cause of SIDS (sudden infant death syndrome).
4. What is the link between serotonin and depression?
There are many researchers who believe that an imbalance in serotonin levels may influence mood in a way that leads to depression. Possible problems include low brain cell production of serotonin, a lack of receptor sites able to receive the serotonin that is made, inability of serotonin to reach the receptor sites, or a shortage in tryptophan, the chemical from which serotonin is made. If any of these biochemical glitches occur, researchers believe it can lead to depression, as well as obsessive-compulsive disorder, anxiety, panic, and even excess anger.
One theory about how depression develops centers on the regeneration of brain cells -- a process that some believe is mediated by serotonin, and ongoing throughout our lives. According to Princeton neuroscientist Barry Jacobs, PhD, depression may occur when there is a suppression of new brain cells and that stress is the most important precipitator of depression. He believes that common antidepressant medications, such as Celexa, Lexapro, Prozac, and Paxil -- designed to boost serotonin levels -- help kick off the production of new brain cells, which in turn allows the depression to lift.
Although it is widely believed that a serotonin deficiency plays a role in depression, there is no way to measure its levels in the living brain. Therefore, there have not been any studies proving that brain levels of this or any neurotransmitter are in short supply when depression or any mental illness develops. And while blood levels of serotonin are measurable -- and have been shown to be lower in people who suffer from depression -- what doctors still don't know for certain is whether or not the dip in serotonin causes the depression, or the depression causes serotonin levels to drop.
Antidepressant medications that work on serotonin levels -- medications known as SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin and norepinephrine reuptake inhibitors) are believed to reduce symptoms of depression, but exactly how they work is not yet fully understood.
5. Can diet influence our supply of serotonin?
It can, but in a roundabout way. Unlike calcium-rich foods, which can directly increase your blood levels of this mineral, there are no foods that can directly increase your body's supply of serotonin. That said, there are foods and some nutrients that can increase levels of tryptophan, the amino acid from which serotonin is made.
Protein-rich foods, such as meat or chicken, contain high levels of tryptophans. Tryptophan appears in dairy foods, nuts, and fowl. Ironically, however, levels of both tryptophan and serotonin drop after eating a meal packed with protein. Why? According to nutritionist Elizabeth Somer, when you eat a high-protein meal, you "flood the blood with both tryptophan and its competing amino acids," all fighting for entry into the brain. That means only a small amount of tryptophan gets through -- and serotonin levels don't rise.
But eat a carbohydrate-rich meal, and your body triggers a release of insulin. This, Somer says, causes any amino acids in the blood to be absorbed into the body -- but not the brain. Except for, you guessed it -- tryptophan! It remains in the bloodstream at high levels following a carbohydrate meal, which means it can freely enter the brain and cause serotonin levels to rise, she says.
What can also help: Getting an adequate supply of vitamin B-6, which can influence the rate at which tryptophan is converted to serotonin.
6. Can exercise boost serotonin levels?
Exercise can do a lot to improve your mood -- and across the board, studies have shown that regular exercise can be as effective a treatment for depression as antidepressant medication or psychotherapy. In the past, it was believed that several weeks of working out was necessary to see the effects on depression, but new research conducted at the University of Texas at Austin found that just 40 minutes of regular exercise can have an immediate effect on mood.
That said, it remains unclear of the exact mechanism by which exercise accomplishes this. While some believe it affects serotonin levels, to date there are no definitive studies showing that this is the case.
7. Do men and women have the same amount of serotonin -- and does it act the same way in their brain and body?
Studies show that men do have slightly more serotonin than women, but the difference is thought to be negligible. Interestingly, however, a study published in September 2007 in the journal Biological Psychiatry showed there might be a huge difference in how men and women react to a reduction in serotonin -- and that may be one reason why women suffer from depression far more than men.
Using a technique called "tryptophan depletion," which reduces serotonin levels in the brain, researchers found that men became impulsive but not necessarily depressed. Women, on the other hand, experienced a marked drop in mood and became more cautious, an emotional response commonly associated with depression. While the serotonin processing system seems the same in both sexes, researchers now believe men and women may use serotonin differently.
7. Do men and women have the same amount of serotonin -- and does it act the same way in their brain and body? continued...
Although studies are still in their infancy, researchers say defining these differences may be the beginning of learning why more women than men experience anxiety and mood disorders, while more men experience alcoholism, ADHD, and impulse control disorders.
There is also some evidence that female hormones may also interact with serotonin to cause some symptoms to occur or worsen during the premenstrual time, during the postpartum period, or around the time of menopause. Not coincidentally, these are all periods when sex hormones are in flux. Men, on the other hand, generally experience a steady level of sex hormones until middle age, when the decline is gradual.
8. Since both dementia and Alzheimer's disease are brain-related conditions, does serotonin play a role in either problem?
In much the same way that we lose bone mass as we age, some researchers believe that the activity of neurotransmitters also slows down as part of the aging process. In one international study published in 2006, doctors from several research centers around the world noted a serotonin deficiency in brains of deceased Alzheimer's patients. They hypothesized that the deficiency was because of a reduction in receptor sites -- cells capable of receiving transmissions of serotonin -- and that this in turn may be responsible for at least some of the memory-related symptoms of Alzheimer's disease. There is no evidence to show that increasing levels of serotonin will prevent Alzheimer's disease or delay the onset or progression of dementia. However, as research into this area continues, this could also change.
9. What is serotonin syndrome -- and is it common or dangerous?
SSRI antidepressants are generally considered safe; however, a rare side effect of SSRIs is serotonin syndrome. Serotonin syndrome is a condition that occurs when levels of this neurochemical in the brain rise too high. It happens most often when two or more drugs that affect serotonin levels are used simultaneously. For example, if you are taking a category of migraine medicines called triptans, at the same time you are taking an SSRI drug for depression, the end result can be a serotonin overload. The same can occur when you take SSRI supplements, such as St. John's wort.
Problems are most likely to occur when you first start a medication or increase the dosage. Problems can also occur if you combine the older depression medications (known as MAOIs) with SSRIs.
Finally, recreational drugs such as ecstasy or LSD have also been linked to serotonin syndrome.
Symptoms can occur within minutes to hours and generally include restlessness, hallucinations, rapid heartbeat, increased body temperature and sweating, loss of coordination, muscle spasms, nausea, vomiting, diarrhea, and rapid changes in blood pressure .
Although not a common occurrence, it can be dangerous and is considered a medical emergency. Treatment consists of drug withdrawal, IV fluids, muscle relaxers, and drugs to block serotonin production.
Reviewed on October 12, 2010
© 2008 WebMD, LLC. All rights reserved.
By Colette Bouchez
WebMD Feature
Reviewed by Brunilda Nazario, MD
1. What is serotonin?
Serotonin acts as a neurotransmitter, a type of chemical that helps relay signals from one area of the brain to another. Although serotonin is manufactured in the brain, where it performs its primary functions, some 90% of our serotonin supply is found in the digestive tract and in blood platelets.
2. How is serotonin made?
Serotonin is made via a unique biochemical conversion process. It begins with tryptophan, a building block to proteins. Cells that make serotonin use tryptophan hydroxylase, a chemical reactor which, when combined with tryptophan, forms 5-hydoxytryptamine, otherwise known as serotonin.
3. What role does serotonin play in our health?
As a neurotransmitter, serotonin helps to relay messages from one area of the brain to another. Because of the widespread distribution of its cells, it is believed to influence a variety of psychological and other body functions. Of the approximately 40 million brain cells, most are influenced either directly or indirectly by serotonin. This includes brain cells related to mood, sexual desire and function, appetite, sleep, memory and learning, temperature regulation, and some social behavior.
In terms of our body function, serotonin can also affect the functioning of our cardiovascular system, muscles, and various elements in the endocrine system. Researchers have also found evidence that serotonin may play a role in regulating milk production in the breast, and that a defect within the serotonin network may be one underlying cause of SIDS (sudden infant death syndrome).
4. What is the link between serotonin and depression?
There are many researchers who believe that an imbalance in serotonin levels may influence mood in a way that leads to depression. Possible problems include low brain cell production of serotonin, a lack of receptor sites able to receive the serotonin that is made, inability of serotonin to reach the receptor sites, or a shortage in tryptophan, the chemical from which serotonin is made. If any of these biochemical glitches occur, researchers believe it can lead to depression, as well as obsessive-compulsive disorder, anxiety, panic, and even excess anger.
One theory about how depression develops centers on the regeneration of brain cells -- a process that some believe is mediated by serotonin, and ongoing throughout our lives. According to Princeton neuroscientist Barry Jacobs, PhD, depression may occur when there is a suppression of new brain cells and that stress is the most important precipitator of depression. He believes that common antidepressant medications, such as Celexa, Lexapro, Prozac, and Paxil -- designed to boost serotonin levels -- help kick off the production of new brain cells, which in turn allows the depression to lift.
Although it is widely believed that a serotonin deficiency plays a role in depression, there is no way to measure its levels in the living brain. Therefore, there have not been any studies proving that brain levels of this or any neurotransmitter are in short supply when depression or any mental illness develops. And while blood levels of serotonin are measurable -- and have been shown to be lower in people who suffer from depression -- what doctors still don't know for certain is whether or not the dip in serotonin causes the depression, or the depression causes serotonin levels to drop.
Antidepressant medications that work on serotonin levels -- medications known as SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin and norepinephrine reuptake inhibitors) are believed to reduce symptoms of depression, but exactly how they work is not yet fully understood.
5. Can diet influence our supply of serotonin?
It can, but in a roundabout way. Unlike calcium-rich foods, which can directly increase your blood levels of this mineral, there are no foods that can directly increase your body's supply of serotonin. That said, there are foods and some nutrients that can increase levels of tryptophan, the amino acid from which serotonin is made.
Protein-rich foods, such as meat or chicken, contain high levels of tryptophans. Tryptophan appears in dairy foods, nuts, and fowl. Ironically, however, levels of both tryptophan and serotonin drop after eating a meal packed with protein. Why? According to nutritionist Elizabeth Somer, when you eat a high-protein meal, you "flood the blood with both tryptophan and its competing amino acids," all fighting for entry into the brain. That means only a small amount of tryptophan gets through -- and serotonin levels don't rise.
But eat a carbohydrate-rich meal, and your body triggers a release of insulin. This, Somer says, causes any amino acids in the blood to be absorbed into the body -- but not the brain. Except for, you guessed it -- tryptophan! It remains in the bloodstream at high levels following a carbohydrate meal, which means it can freely enter the brain and cause serotonin levels to rise, she says.
What can also help: Getting an adequate supply of vitamin B-6, which can influence the rate at which tryptophan is converted to serotonin.
6. Can exercise boost serotonin levels?
Exercise can do a lot to improve your mood -- and across the board, studies have shown that regular exercise can be as effective a treatment for depression as antidepressant medication or psychotherapy. In the past, it was believed that several weeks of working out was necessary to see the effects on depression, but new research conducted at the University of Texas at Austin found that just 40 minutes of regular exercise can have an immediate effect on mood.
That said, it remains unclear of the exact mechanism by which exercise accomplishes this. While some believe it affects serotonin levels, to date there are no definitive studies showing that this is the case.
7. Do men and women have the same amount of serotonin -- and does it act the same way in their brain and body?
Studies show that men do have slightly more serotonin than women, but the difference is thought to be negligible. Interestingly, however, a study published in September 2007 in the journal Biological Psychiatry showed there might be a huge difference in how men and women react to a reduction in serotonin -- and that may be one reason why women suffer from depression far more than men.
Using a technique called "tryptophan depletion," which reduces serotonin levels in the brain, researchers found that men became impulsive but not necessarily depressed. Women, on the other hand, experienced a marked drop in mood and became more cautious, an emotional response commonly associated with depression. While the serotonin processing system seems the same in both sexes, researchers now believe men and women may use serotonin differently.
7. Do men and women have the same amount of serotonin -- and does it act the same way in their brain and body? continued...
Although studies are still in their infancy, researchers say defining these differences may be the beginning of learning why more women than men experience anxiety and mood disorders, while more men experience alcoholism, ADHD, and impulse control disorders.
There is also some evidence that female hormones may also interact with serotonin to cause some symptoms to occur or worsen during the premenstrual time, during the postpartum period, or around the time of menopause. Not coincidentally, these are all periods when sex hormones are in flux. Men, on the other hand, generally experience a steady level of sex hormones until middle age, when the decline is gradual.
8. Since both dementia and Alzheimer's disease are brain-related conditions, does serotonin play a role in either problem?
In much the same way that we lose bone mass as we age, some researchers believe that the activity of neurotransmitters also slows down as part of the aging process. In one international study published in 2006, doctors from several research centers around the world noted a serotonin deficiency in brains of deceased Alzheimer's patients. They hypothesized that the deficiency was because of a reduction in receptor sites -- cells capable of receiving transmissions of serotonin -- and that this in turn may be responsible for at least some of the memory-related symptoms of Alzheimer's disease. There is no evidence to show that increasing levels of serotonin will prevent Alzheimer's disease or delay the onset or progression of dementia. However, as research into this area continues, this could also change.
9. What is serotonin syndrome -- and is it common or dangerous?
SSRI antidepressants are generally considered safe; however, a rare side effect of SSRIs is serotonin syndrome. Serotonin syndrome is a condition that occurs when levels of this neurochemical in the brain rise too high. It happens most often when two or more drugs that affect serotonin levels are used simultaneously. For example, if you are taking a category of migraine medicines called triptans, at the same time you are taking an SSRI drug for depression, the end result can be a serotonin overload. The same can occur when you take SSRI supplements, such as St. John's wort.
Problems are most likely to occur when you first start a medication or increase the dosage. Problems can also occur if you combine the older depression medications (known as MAOIs) with SSRIs.
Finally, recreational drugs such as ecstasy or LSD have also been linked to serotonin syndrome.
Symptoms can occur within minutes to hours and generally include restlessness, hallucinations, rapid heartbeat, increased body temperature and sweating, loss of coordination, muscle spasms, nausea, vomiting, diarrhea, and rapid changes in blood pressure .
Although not a common occurrence, it can be dangerous and is considered a medical emergency. Treatment consists of drug withdrawal, IV fluids, muscle relaxers, and drugs to block serotonin production.
Reviewed on October 12, 2010
© 2008 WebMD, LLC. All rights reserved.
Monday, August 15, 2011
Depression after WLS
Depression – One of the Common Gastric Bypass Problems
Many people suffer from depression after weight loss surgery, but they don’t usually realize that this is one of the common gastric bypass problems, either because of the procedure itself, or the very low calorie diet that follows weight loss surgery.
Some gastric bypass problems are caused by the post-surgery diet
Research has shown that low calorie diets may cause depression, and a low-calorie diet can increase the symptoms in already diagnosed depressive people. The diet following gastric bypass surgery is so low in calories that depression often follows the procedure – but patients rarely recognize the cause.
Some doctors argue that post-surgical depression is “all in the patient’s head,” but depression can be caused by inadequate levels of mood stabilizing chemicals such as serotonin, nor-epinephrine, and dopamine. These brain chemicals can be altered by nutritional deficiencies and the physical stress of recovering from a major surgery.
Many things can cause these chemicals to get out of balance, including weight loss and low calorie intake. Depression is one of the more serious gastric bypass problems and risks.
Why the reduced food allowance can cause depression and other gastric bypass problems
Calories are fuel for the body. The body needs a certain number of calories to survive. When there isn’t enough fuel to go around, the most important functions of the body get first shot at the available food. This can cause lower serotonin levels in people who do not eat enough to maintain all the important functions inside the body’s cells.
The lower serotonin levels can cause depression. According to the Thinner Times website, psychological challenges are the causes of 5-10% of deaths occurring two or more months after gastric bypass surgery, so this is far from a minor complication.
Depression is a dangerous illness causing thousands of deaths each year. The gastric bypass diet needs to be closely monitored and adjusted in order to prevent depression. Many small healthy meals per day are needed to take in adequate amounts of calories. This will ensure a continuous supply of fuel for your body.
The small meals need to be well balanced with a healthy amount of proteins, dairy, fruits, and vegetables. Vitamins also should be taken daily to help supplement the food intake. Stick with your nutritional adviser, and follow her recommendations closely. If you feel any of the symptoms of depression or any of the other common gastric bypass problems, discuss it with your doctor, and insist that your symptoms are taken seriously.
Lifestyle changes and other gastric bypass problems can also contribute to depression
The loneliness a gastric bypass patient often feels after surgery can also contribute to depression. It is hard to go out to a restaurant and eat like friends do. Ordering and portion size must be taken into consideration. The joy of dining out with a date is also compromised. The need to explain actions causes embarrassment and feelings of inadequacy. Speaking to a date before eating at a restaurant will alleviate the fears of uncomfortable questions. The right person will understand and not judge the gastric bypass patient.
Common symptoms of depression
Symptoms of depression include sadness throughout most of the day and lack of interest in activities a patient once enjoyed. A depressed person may be tired and want to sleep all the time. They may be pessimistic and have a negative outlook on life. Severely depressive people will have thoughts of death or suicide.
When depression does occur, is is imperative to seek help immediately. There are medications available to help balance out the chemicals in the brain. Early intervention is important because after beginning a depression medication, sometimes up to 4 weeks can pass before a patient begins feel better. Your nutritional counselor may also want to make changes in your post-gastric bypass diet to make sure you’re getting all the nutrients you need for optimal mental health.
If the first medication doesn’t provide relief within a month, inform the prescribing doctor and don’t despair. There are many medications to try. Each person is different and finding the correct medication sometimes takes a few tries.
People choosing gastric bypass surgery need to be aware of the serious side effects of depression. Depression is not something to downplay or ignore. It can be very serious and even fatal if not treated.
As with any of the common gastric bypass problems, patients should be informed of the ways to prevent depression, how to identify that they are having a problem, and the steps to take to alleviate symptoms.
Many people suffer from depression after weight loss surgery, but they don’t usually realize that this is one of the common gastric bypass problems, either because of the procedure itself, or the very low calorie diet that follows weight loss surgery.
Some gastric bypass problems are caused by the post-surgery diet
Research has shown that low calorie diets may cause depression, and a low-calorie diet can increase the symptoms in already diagnosed depressive people. The diet following gastric bypass surgery is so low in calories that depression often follows the procedure – but patients rarely recognize the cause.
Some doctors argue that post-surgical depression is “all in the patient’s head,” but depression can be caused by inadequate levels of mood stabilizing chemicals such as serotonin, nor-epinephrine, and dopamine. These brain chemicals can be altered by nutritional deficiencies and the physical stress of recovering from a major surgery.
Many things can cause these chemicals to get out of balance, including weight loss and low calorie intake. Depression is one of the more serious gastric bypass problems and risks.
Why the reduced food allowance can cause depression and other gastric bypass problems
Calories are fuel for the body. The body needs a certain number of calories to survive. When there isn’t enough fuel to go around, the most important functions of the body get first shot at the available food. This can cause lower serotonin levels in people who do not eat enough to maintain all the important functions inside the body’s cells.
The lower serotonin levels can cause depression. According to the Thinner Times website, psychological challenges are the causes of 5-10% of deaths occurring two or more months after gastric bypass surgery, so this is far from a minor complication.
Depression is a dangerous illness causing thousands of deaths each year. The gastric bypass diet needs to be closely monitored and adjusted in order to prevent depression. Many small healthy meals per day are needed to take in adequate amounts of calories. This will ensure a continuous supply of fuel for your body.
The small meals need to be well balanced with a healthy amount of proteins, dairy, fruits, and vegetables. Vitamins also should be taken daily to help supplement the food intake. Stick with your nutritional adviser, and follow her recommendations closely. If you feel any of the symptoms of depression or any of the other common gastric bypass problems, discuss it with your doctor, and insist that your symptoms are taken seriously.
Lifestyle changes and other gastric bypass problems can also contribute to depression
The loneliness a gastric bypass patient often feels after surgery can also contribute to depression. It is hard to go out to a restaurant and eat like friends do. Ordering and portion size must be taken into consideration. The joy of dining out with a date is also compromised. The need to explain actions causes embarrassment and feelings of inadequacy. Speaking to a date before eating at a restaurant will alleviate the fears of uncomfortable questions. The right person will understand and not judge the gastric bypass patient.
Common symptoms of depression
Symptoms of depression include sadness throughout most of the day and lack of interest in activities a patient once enjoyed. A depressed person may be tired and want to sleep all the time. They may be pessimistic and have a negative outlook on life. Severely depressive people will have thoughts of death or suicide.
When depression does occur, is is imperative to seek help immediately. There are medications available to help balance out the chemicals in the brain. Early intervention is important because after beginning a depression medication, sometimes up to 4 weeks can pass before a patient begins feel better. Your nutritional counselor may also want to make changes in your post-gastric bypass diet to make sure you’re getting all the nutrients you need for optimal mental health.
If the first medication doesn’t provide relief within a month, inform the prescribing doctor and don’t despair. There are many medications to try. Each person is different and finding the correct medication sometimes takes a few tries.
People choosing gastric bypass surgery need to be aware of the serious side effects of depression. Depression is not something to downplay or ignore. It can be very serious and even fatal if not treated.
As with any of the common gastric bypass problems, patients should be informed of the ways to prevent depression, how to identify that they are having a problem, and the steps to take to alleviate symptoms.
Sunday, August 14, 2011
Quote
I am only one, but still I am one. I cannot do everything, but still I can do something; I will not refuse to do the something I can do.
~~Helen Keller
~~Helen Keller
Saturday, August 13, 2011
Friday, August 12, 2011
Banana Nut Optisource
Print Recipe
Banana Nut OPTISOURCE®
Makes 1 serving.
Ingredients:
1/8 – 1/4 tsp banana extract
4 fl oz of OPTISOURCE® High Protein Drink – Caramel flavor
1-2 drops of black walnut or almond extract and a dash of cinnamon
Preparation:
1. Add 1/8–1/4 tsp banana extract to 4 fl oz of OPTISOURCE® Drink - Caramel flavor.
2. Stir in 1-2 drops of black walnut or almond extract and a dash of cinnamon.
Recipe Nutrition Facts
Approximately 1/2 cup (141 g)
Amount per Serving
Calories 100
Calories from Fat 27
% Daily Value
Fat 3g 5%
Saturated Fat 2g 10%
Trans Fat 0g 0%
Cholesterol 5mg 2%
Sodium 70mg 3%
Carbohydrates 6g 2%
Dietary Fiber 1g 4%
Total Sugars 7g
Protein 12g
Vitamin A 0%
Vitamin C 0%
Calcium 15%
Iron 4%
* Percent Daily Value based on 2,000 calorie diet
OPTISOURCE® Drink Recipe 1 of 12
close window
Banana Nut OPTISOURCE®
Makes 1 serving.
Ingredients:
1/8 – 1/4 tsp banana extract
4 fl oz of OPTISOURCE® High Protein Drink – Caramel flavor
1-2 drops of black walnut or almond extract and a dash of cinnamon
Preparation:
1. Add 1/8–1/4 tsp banana extract to 4 fl oz of OPTISOURCE® Drink - Caramel flavor.
2. Stir in 1-2 drops of black walnut or almond extract and a dash of cinnamon.
Recipe Nutrition Facts
Approximately 1/2 cup (141 g)
Amount per Serving
Calories 100
Calories from Fat 27
% Daily Value
Fat 3g 5%
Saturated Fat 2g 10%
Trans Fat 0g 0%
Cholesterol 5mg 2%
Sodium 70mg 3%
Carbohydrates 6g 2%
Dietary Fiber 1g 4%
Total Sugars 7g
Protein 12g
Vitamin A 0%
Vitamin C 0%
Calcium 15%
Iron 4%
* Percent Daily Value based on 2,000 calorie diet
OPTISOURCE® Drink Recipe 1 of 12
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Thursday, August 11, 2011
Recipes
Recipes for the Summer Heat: More Creamy Cold Pudding Pops!
Here are three creamy cold Jell-O Pudding Pop recipes:
Strawberry Banana
Orange Creamsicle
Chocolate Fudgesicle
These all have a nice creamy texture and rich taste! Separately, let us know if you sample supply is running low.
1. UNJURY Strawberry Banana Jell-O Pudding Pops
Use Instant Sugar-Free Banana Pudding1 , 1 oz box, makes 6 popsicles
Use Jell-O Sugar Free Instant Pudding (Not Cooked), 4-serving package
Measure 2 cups of cold skim milk following package directions.
Add two scoops of Strawberry Sorbet UNJURY to the two cups of cold milk.
Thoroughly mix the UNJURY powder with the milk by shaking or stirring.
Put the Jell-O Sugar Free Instant (Not Cooked) Dry Pudding Mix into a bowl.
Add the UNJURY and milk mixture to the dry pudding mix.
Stir for 2 minutes.
Pour into 6 small paper cups (3 oz pudding per cup).
Place popsicle stick in center of each cup.2
Put cups in freezer for about 4 hours.
Once popsicles have frozen, peel away the paper cup and enjoy!
Nutrition Facts per 3 oz popsicle (makes 6):
9 grams protein, 9 grams carbohydrate, 5 grams sugar, 76 calories
2. UNJURY Creamsicle Jell-O Pudding Pops
Use Instant Sugar-Free Vanilla Pudding1 , 1 oz box, makes 6 popsicles
Use Jell-O Sugar Free Instant Pudding (Not Cooked), 4-serving package
Measure 2 cups of cold skim milk following package directions.
Add two scoops of Vanilla UNJURY to the two cups of cold milk.
Thoroughly mix the UNJURY powder with the milk by shaking or stirring.
Put the Jell-O Sugar Free Instant (Not Cooked) Dry Pudding Mix into a bowl.
Add the UNJURY and milk mixture to the dry pudding mix.
Stir for 2 minutes.
Mix in 1 teaspoon of Orange Extract (adjust to taste).
Pour into 6 small paper cups (3 oz pudding per cup).
Place popsicle stick in center of each cup.2
Put cups in freezer for about 4 hours.
Once popsicles have frozen, peel away the paper cup and enjoy!
Nutrition Facts per 3 oz popsicle (makes 6):
9 grams protein, 9 grams carbohydrate, 5 grams sugar, 76 calories
3. UNJURY Fudgesicle Pudding Pops
Use Instant Sugar-Free Chocolate Jell-O Pudding1 , 1 oz box, makes 6 popsicles
Use Jell-O Sugar Free Instant Pudding (Not Cooked), 4-serving package
Measure 2 cups of cold skim milk following package directions.
Add two scoops of Unflavored UNJURY to the two cups of cold milk.
Thoroughly mix the UNJURY powder with the milk by shaking or stirring.
Put the Jell-O Sugar Free Instant (Not Cooked) Dry Pudding Mix into a bowl.
Add the UNJURY and milk mixture to the dry pudding mix.
Stir for 2 minutes.
Pour into 6 small paper cups (3 oz pudding per cup).
Place popsicle stick in center of each cup.2
Put cups in freezer for 4 hours.
Once popsicles have frozen, peel away the paper cup and enjoy!
Nutrition Facts per 3 oz popsicle (makes 6):
10 grams protein, 9 grams carbohydrate, 4 grams sugar, 77 calories
Notes
1 You can also use other flavors of Sugar Free Jell-O Instant Pudding!
2 You can find popsicle-type sticks in the crafts dept. at Wal-Mart, and Target, and at Michael's.
Martha M Krachenfels MS RD
President
© UNJURY Protein 2011
Medical Quality Protein (TM)
Martha@UNJURY.com
1 800 517 5111
www.UNJURY.com
Copyright UNJURY (R) Protein 2011
Here are three creamy cold Jell-O Pudding Pop recipes:
Strawberry Banana
Orange Creamsicle
Chocolate Fudgesicle
These all have a nice creamy texture and rich taste! Separately, let us know if you sample supply is running low.
1. UNJURY Strawberry Banana Jell-O Pudding Pops
Use Instant Sugar-Free Banana Pudding1 , 1 oz box, makes 6 popsicles
Use Jell-O Sugar Free Instant Pudding (Not Cooked), 4-serving package
Measure 2 cups of cold skim milk following package directions.
Add two scoops of Strawberry Sorbet UNJURY to the two cups of cold milk.
Thoroughly mix the UNJURY powder with the milk by shaking or stirring.
Put the Jell-O Sugar Free Instant (Not Cooked) Dry Pudding Mix into a bowl.
Add the UNJURY and milk mixture to the dry pudding mix.
Stir for 2 minutes.
Pour into 6 small paper cups (3 oz pudding per cup).
Place popsicle stick in center of each cup.2
Put cups in freezer for about 4 hours.
Once popsicles have frozen, peel away the paper cup and enjoy!
Nutrition Facts per 3 oz popsicle (makes 6):
9 grams protein, 9 grams carbohydrate, 5 grams sugar, 76 calories
2. UNJURY Creamsicle Jell-O Pudding Pops
Use Instant Sugar-Free Vanilla Pudding1 , 1 oz box, makes 6 popsicles
Use Jell-O Sugar Free Instant Pudding (Not Cooked), 4-serving package
Measure 2 cups of cold skim milk following package directions.
Add two scoops of Vanilla UNJURY to the two cups of cold milk.
Thoroughly mix the UNJURY powder with the milk by shaking or stirring.
Put the Jell-O Sugar Free Instant (Not Cooked) Dry Pudding Mix into a bowl.
Add the UNJURY and milk mixture to the dry pudding mix.
Stir for 2 minutes.
Mix in 1 teaspoon of Orange Extract (adjust to taste).
Pour into 6 small paper cups (3 oz pudding per cup).
Place popsicle stick in center of each cup.2
Put cups in freezer for about 4 hours.
Once popsicles have frozen, peel away the paper cup and enjoy!
Nutrition Facts per 3 oz popsicle (makes 6):
9 grams protein, 9 grams carbohydrate, 5 grams sugar, 76 calories
3. UNJURY Fudgesicle Pudding Pops
Use Instant Sugar-Free Chocolate Jell-O Pudding1 , 1 oz box, makes 6 popsicles
Use Jell-O Sugar Free Instant Pudding (Not Cooked), 4-serving package
Measure 2 cups of cold skim milk following package directions.
Add two scoops of Unflavored UNJURY to the two cups of cold milk.
Thoroughly mix the UNJURY powder with the milk by shaking or stirring.
Put the Jell-O Sugar Free Instant (Not Cooked) Dry Pudding Mix into a bowl.
Add the UNJURY and milk mixture to the dry pudding mix.
Stir for 2 minutes.
Pour into 6 small paper cups (3 oz pudding per cup).
Place popsicle stick in center of each cup.2
Put cups in freezer for 4 hours.
Once popsicles have frozen, peel away the paper cup and enjoy!
Nutrition Facts per 3 oz popsicle (makes 6):
10 grams protein, 9 grams carbohydrate, 4 grams sugar, 77 calories
Notes
1 You can also use other flavors of Sugar Free Jell-O Instant Pudding!
2 You can find popsicle-type sticks in the crafts dept. at Wal-Mart, and Target, and at Michael's.
Martha M Krachenfels MS RD
President
© UNJURY Protein 2011
Medical Quality Protein (TM)
Martha@UNJURY.com
1 800 517 5111
www.UNJURY.com
Copyright UNJURY (R) Protein 2011
Wednesday, August 10, 2011
WLS Cost Effective for all Obese
Weight-loss surgery cost-effective for all obese
July 13, 2011
By Julia Evangelou Strait
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TIM PARKER
Washington University surgeons perform a bariatric surgical procedure.
Bariatric surgery is not only cost-effective for treating people who are severely obese, but also for those who are mildly obese, according to a new study from Washington University School of Medicine in St. Louis. The findings support making bariatric surgery available to all obese people, the researchers say.
Patients who have the surgery are more likely to keep weight off over time and have fewer medical problems related to their weight, indicating the procedure is a good value. But beyond being cost-effective, the analysis shows that bariatric surgery actually saves health-care dollars for the most severely obese patients who also have diseases related to their weight such as diabetes, heart disease and high blood pressure.
“If lifetime medical costs are taken into consideration, surgery saves severely obese patients money,” says Su-Hsin Chang, PhD, a postdoctoral research associate in the Division of Public Health Sciences and first author on the study published in the journal Maturitas.
National Institutes of Health (NIH) guidelines say candidates for bariatric surgery should have a body mass index (BMI) of 40 or more (about 100 pounds overweight for men and 80 pounds overweight for women on average) or a BMI of 35 to 40 if they also have obesity-related diseases. Many insurance companies pay for the procedure only if patients meet these criteria.
“Insurance companies often pay for treating obesity-related diseases,” Chang says. “But a portion of those costs could be saved if they paid for bariatric surgery for a wider range of obese patients.”
Among the many strategies for treating obesity, including dieting, exercising and medications, only bariatric surgery has been shown to be effective in maintaining a healthy weight over the long term. But surgery also is the most expensive strategy. Cost estimates range from $20,000-$25,000 for the initial surgery and don’t include follow-up care.
In the United States, the upper limit for a medical procedure to be considered cost effective is $50,000 per quality-adjusted life year (QALY), a measure of the true value of treatment in terms of a person’s quality and length of life. The assumption is that most people would be willing to pay up to $50,000 for an additional year of healthy life. Any amount less than that is considered cost effective.
Chang and her colleagues analyzed data from 170 studies looking at the effectiveness of bariatric surgery. The analysis only included studies that measured at least one outcome of interest such as weight loss, quality of life, complications and medical cost information.
They used this data to estimate and simulate the life expectancies and quality of life of people who underwent surgery versus people who did not. This simulation data then informed their cost-effectiveness analysis.
For the super obese, people with a body mass index (BMI) of 50 or greater (for example, a person who weighs 350 pounds and stands 5 feet 10 inches tall), the cost per quality-adjusted life year is actually negative. This means that, over a lifetime, the cost of bariatric surgery is less than the health-care costs associated with not having the procedure.
For the severely obese, people with BMIs of 40-50, the cost per QALY is about $1,900 for those with obesity-related disease and about $3,800 for those who are otherwise healthy. And for the moderately obese, people with BMIs of 35-40, the cost per QALY is about $2,400 for those with related medical problems and $3,900 for those who are healthy. While costs increase for healthier, less obese patients, all amounts are well below the $50,000 threshold.
“Other similar studies have found higher costs associated with bariatric surgery because they did not take the lifetime medical costs of the obesity-related diseases into consideration,” Chang says.
This work also differs from previous cost analyses because it draws data from a much larger number of studies. While Chang says bariatric surgery in general is worth the high price tag, she points out that the analysis does not differentiate between types of bariatric surgery, such as lap band and gastric bypass.
“We did not intend to compare different types of weight loss surgery, but to generalize its effects and costs,” she says. “Based on our analysis, bariatric surgery should be an option that is universally available to all obese people.”
Chang SH, Stoll CRT, Colditz GA. Cost-effectiveness of bariatric surgery: Should it be universally available? Maturitas. July 2011.
This work was supported by the Barnes-Jewish Hospital Foundation and the American Cancer Society Clinical Research Professorship.
Washington University School of Medicine’s 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children’s hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked fourth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children’s hospitals, the School of Medicine is linked to BJC HealthCare.
July 13, 2011
By Julia Evangelou Strait
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TIM PARKER
Washington University surgeons perform a bariatric surgical procedure.
Bariatric surgery is not only cost-effective for treating people who are severely obese, but also for those who are mildly obese, according to a new study from Washington University School of Medicine in St. Louis. The findings support making bariatric surgery available to all obese people, the researchers say.
Patients who have the surgery are more likely to keep weight off over time and have fewer medical problems related to their weight, indicating the procedure is a good value. But beyond being cost-effective, the analysis shows that bariatric surgery actually saves health-care dollars for the most severely obese patients who also have diseases related to their weight such as diabetes, heart disease and high blood pressure.
“If lifetime medical costs are taken into consideration, surgery saves severely obese patients money,” says Su-Hsin Chang, PhD, a postdoctoral research associate in the Division of Public Health Sciences and first author on the study published in the journal Maturitas.
National Institutes of Health (NIH) guidelines say candidates for bariatric surgery should have a body mass index (BMI) of 40 or more (about 100 pounds overweight for men and 80 pounds overweight for women on average) or a BMI of 35 to 40 if they also have obesity-related diseases. Many insurance companies pay for the procedure only if patients meet these criteria.
“Insurance companies often pay for treating obesity-related diseases,” Chang says. “But a portion of those costs could be saved if they paid for bariatric surgery for a wider range of obese patients.”
Among the many strategies for treating obesity, including dieting, exercising and medications, only bariatric surgery has been shown to be effective in maintaining a healthy weight over the long term. But surgery also is the most expensive strategy. Cost estimates range from $20,000-$25,000 for the initial surgery and don’t include follow-up care.
In the United States, the upper limit for a medical procedure to be considered cost effective is $50,000 per quality-adjusted life year (QALY), a measure of the true value of treatment in terms of a person’s quality and length of life. The assumption is that most people would be willing to pay up to $50,000 for an additional year of healthy life. Any amount less than that is considered cost effective.
Chang and her colleagues analyzed data from 170 studies looking at the effectiveness of bariatric surgery. The analysis only included studies that measured at least one outcome of interest such as weight loss, quality of life, complications and medical cost information.
They used this data to estimate and simulate the life expectancies and quality of life of people who underwent surgery versus people who did not. This simulation data then informed their cost-effectiveness analysis.
For the super obese, people with a body mass index (BMI) of 50 or greater (for example, a person who weighs 350 pounds and stands 5 feet 10 inches tall), the cost per quality-adjusted life year is actually negative. This means that, over a lifetime, the cost of bariatric surgery is less than the health-care costs associated with not having the procedure.
For the severely obese, people with BMIs of 40-50, the cost per QALY is about $1,900 for those with obesity-related disease and about $3,800 for those who are otherwise healthy. And for the moderately obese, people with BMIs of 35-40, the cost per QALY is about $2,400 for those with related medical problems and $3,900 for those who are healthy. While costs increase for healthier, less obese patients, all amounts are well below the $50,000 threshold.
“Other similar studies have found higher costs associated with bariatric surgery because they did not take the lifetime medical costs of the obesity-related diseases into consideration,” Chang says.
This work also differs from previous cost analyses because it draws data from a much larger number of studies. While Chang says bariatric surgery in general is worth the high price tag, she points out that the analysis does not differentiate between types of bariatric surgery, such as lap band and gastric bypass.
“We did not intend to compare different types of weight loss surgery, but to generalize its effects and costs,” she says. “Based on our analysis, bariatric surgery should be an option that is universally available to all obese people.”
Chang SH, Stoll CRT, Colditz GA. Cost-effectiveness of bariatric surgery: Should it be universally available? Maturitas. July 2011.
This work was supported by the Barnes-Jewish Hospital Foundation and the American Cancer Society Clinical Research Professorship.
Washington University School of Medicine’s 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children’s hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked fourth in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children’s hospitals, the School of Medicine is linked to BJC HealthCare.
Tuesday, August 9, 2011
State-by-State Obesity Rates
State-by-state obesity rates
Updated 07/07/2011 9:55 PM
Comments 11
Reprints & Permissions
The South has the highest percentage of people who are too heavy.
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1. Mississippi (34.4%)
STORY: Southerners, poor have highest rates of obesity
2. Alabama (32.3%)
3. West Virginia (32.2%)
4. Tennessee (31.9%)
5. Louisiana (31.6%)
6. Kentucky (31.5%)
7. Oklahoma (31.4%)
8. South Carolina (30.9%)
9. Arkansas (30.6%)
10. Michigan (30.5%)
11. Missouri (30.3%)
12. Texas (30.1%)
13. Ohio (29.6%)
14. North Carolina (29.4%)
15. Indiana (29.1%)
16. Kansas (29%);
17. (tie) Georgia (28.7%); and South Dakota (28.7%)
19. Pennsylvania (28.5%)
20. Iowa (28.1%)
21. (tie) Delaware (28%); and North Dakota (28%)
23. Illinois (27.7%)
24. Nebraska (27.6%)
25. Wisconsin (27.4%)
26. Maryland (27.1%)
27. Maine (26.5%)
28. Washington (26.4%)
29. Florida (26.1%)
30. (tie) Alaska (25.9%); and Virginia (25.9%)
32. Idaho (25.7%)
33. (tie) New Hampshire (25.6%); and New Mexico (25.6%)
35. (tie) Arizona (25.4%); Oregon (25.4%) and Wyoming (25.4%)
38. Minnesota (25.3%)
39. Nevada (25.0%)
40. California (24.8%)
41. New York (24.7%)
42. Rhode Island (24.3%)
43. New Jersey (24.1%)
44. Montana (23.8%)
45. Vermont (23.5%)
46. Utah (23.4%)
47. Hawaii (23.1%)
48. Massachusetts (22.3%);
49. Connecticut (21.8%)
50. District of Columbia (21.7%)
51. Colorado (19.8%).
Source: Trust for America's Health; Robert Wood Johnson Foundation
Rankings are based on combining three years of data (2007-2009) from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System.
For more information about reprints & permissions, visit our FAQ's. To report corrections and clarifications, contact Standards Editor Brent Jones. For publication consideration in the newspaper, send comments to letters@usatoday.com. Include name, phone number, city and state for verification. To view our corrections, go to corrections.usatoday.com.
Posted 07/07/2011 9:02 PM | Updated 07/07/2011 9:55 PM
Updated 07/07/2011 9:55 PM
Comments 11
Reprints & Permissions
The South has the highest percentage of people who are too heavy.
Ads by Google
Bose SoundDock for iPod
Your iPod®. Bose® sound-now, to go.
Portability and performance.
www.Bose.com
Obesity Prevention Org.
The threat of obesity. The need for
change. Help with obesity here.
www.MyChoiceCampaign.com
Diet for Overweight Child
Healthy diet designed especially
for overweight children.
www.AllStride.com
1. Mississippi (34.4%)
STORY: Southerners, poor have highest rates of obesity
2. Alabama (32.3%)
3. West Virginia (32.2%)
4. Tennessee (31.9%)
5. Louisiana (31.6%)
6. Kentucky (31.5%)
7. Oklahoma (31.4%)
8. South Carolina (30.9%)
9. Arkansas (30.6%)
10. Michigan (30.5%)
11. Missouri (30.3%)
12. Texas (30.1%)
13. Ohio (29.6%)
14. North Carolina (29.4%)
15. Indiana (29.1%)
16. Kansas (29%);
17. (tie) Georgia (28.7%); and South Dakota (28.7%)
19. Pennsylvania (28.5%)
20. Iowa (28.1%)
21. (tie) Delaware (28%); and North Dakota (28%)
23. Illinois (27.7%)
24. Nebraska (27.6%)
25. Wisconsin (27.4%)
26. Maryland (27.1%)
27. Maine (26.5%)
28. Washington (26.4%)
29. Florida (26.1%)
30. (tie) Alaska (25.9%); and Virginia (25.9%)
32. Idaho (25.7%)
33. (tie) New Hampshire (25.6%); and New Mexico (25.6%)
35. (tie) Arizona (25.4%); Oregon (25.4%) and Wyoming (25.4%)
38. Minnesota (25.3%)
39. Nevada (25.0%)
40. California (24.8%)
41. New York (24.7%)
42. Rhode Island (24.3%)
43. New Jersey (24.1%)
44. Montana (23.8%)
45. Vermont (23.5%)
46. Utah (23.4%)
47. Hawaii (23.1%)
48. Massachusetts (22.3%);
49. Connecticut (21.8%)
50. District of Columbia (21.7%)
51. Colorado (19.8%).
Source: Trust for America's Health; Robert Wood Johnson Foundation
Rankings are based on combining three years of data (2007-2009) from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System.
For more information about reprints & permissions, visit our FAQ's. To report corrections and clarifications, contact Standards Editor Brent Jones. For publication consideration in the newspaper, send comments to letters@usatoday.com. Include name, phone number, city and state for verification. To view our corrections, go to corrections.usatoday.com.
Posted 07/07/2011 9:02 PM | Updated 07/07/2011 9:55 PM
Monday, August 8, 2011
As Obesity Rises...
As obesity rises, so do calls for healthier lifestyles
Thirty-eight states have adult rates of 25% or higher, a report shows. In 1991, no state had a rate higher than 15%.
By CHRISTINE S. MOYER, amednews staff. Posted July 25, 2011.
PRINT|E-MAIL|RESPOND|REPRINTS| SHARE
Despite national and local efforts to shrink Americans' expanding waistlines, adult obesity rates increased in 16 states over the past year, a new report shows. Obesity prevalence did not decline in any state.
The rates were determined by averaging states' obesity data during the three-year period of 2008 through 2010.
Links
See related content
Topic: Public health
Region: States
Also on the rise is the number of adults living with type 2 diabetes and hypertension, which are associated with being overweight and obese, according to the report issued July 7 by Trust for America's Health and the Robert Wood Johnson Foundation.
"It is bad news," said James Marks, MD, MPH, senior vice president of the Robert Wood Johnson Foundation and director of the organization's health group. "Twenty years ago, no state had an obesity rate above 15%. Now, 38 states have rates above 25%. It's a huge shift, and it's relentless."
To curb the obesity epidemic, he said more policies need to be implemented to help adults and children make healthy lifestyle choices. Such efforts include increasing access to high-quality, affordable foods and reducing youths' exposure to the marketing of unhealthy products.
17% of U.S. children and teens are considered obese.
Dr. Marks said primary care physicians should continue speaking to patients about ways to achieve a healthy lifestyle and advocate for obesity-prevention policies in their communities.
"We know that many patients live in communities where healthy choices are almost impossible to make. For the medical profession to be a voice, saying that [these policies] are needed, would be of huge value to the nation," he said.
Researchers examined data from the Behavioral Risk Factor Surveillance System for 2008 through 2010. The system is a telephone health survey that tracks health conditions and risk behaviors in the U.S. Adult obesity rates were determined by averaging states' obesity data during the three-year period.
The study found that in 2010, 12 states had obesity rates higher than 30%. There were eight such states in 2009.
Researchers said obesity is most widespread in the South, with Mississippi having the nation's highest rate of 34.4%. The lowest rate was in Colorado, where 19.8% of residents are obese.
Obesity is most common among blacks and Hispanics, people with a limited education and those who earn less than $15,000 a year.
Childhood obesity
The report said obesity affects even the youngest Americans, with about 17% (12.5 million) of children and adolescents considered obese. Since 1980, obesity prevalence among this age group almost has tripled, said the Centers for Disease Control and Prevention.
To help address the problem, the National Restaurant Assn. on July 13 launched the Kids LiveWell initiative. The program encourages restaurants to offer at least one healthy children's meal with no more than 600 calories and another nutritious item that contains 200 calories or less. Nineteen restaurant brands are participating in the initiative, including Burger King, Denny's and IHOP.
Sue Hensley, a spokeswoman for the National Restaurant Assn., said the initiative is a good step to help improve children's health. But the Center for Science in the Public Interest says the initiative does not go far enough.
"The main problem is that the participants only need to provide one healthy meal and one side that meet the [USDA dietary guidelines]. That doesn't give families many choices," said Margo Wootan, DSc, director of nutrition policy at the center.
This initiative comes on the heels of new policy adopted in June by the American Medical Association House of Delegates that nutritious items in fast-food restaurant children's meals be priced similarly to less-healthy options.
ADDITIONAL INFORMATION:
WEBLINK
"F as in Fat: How Obesity Threatens America's Future," Trust for America's Health, Robert Wood Johnson Foundation, July (healthyamericans.org/report/88)
Thirty-eight states have adult rates of 25% or higher, a report shows. In 1991, no state had a rate higher than 15%.
By CHRISTINE S. MOYER, amednews staff. Posted July 25, 2011.
PRINT|E-MAIL|RESPOND|REPRINTS| SHARE
Despite national and local efforts to shrink Americans' expanding waistlines, adult obesity rates increased in 16 states over the past year, a new report shows. Obesity prevalence did not decline in any state.
The rates were determined by averaging states' obesity data during the three-year period of 2008 through 2010.
Links
See related content
Topic: Public health
Region: States
Also on the rise is the number of adults living with type 2 diabetes and hypertension, which are associated with being overweight and obese, according to the report issued July 7 by Trust for America's Health and the Robert Wood Johnson Foundation.
"It is bad news," said James Marks, MD, MPH, senior vice president of the Robert Wood Johnson Foundation and director of the organization's health group. "Twenty years ago, no state had an obesity rate above 15%. Now, 38 states have rates above 25%. It's a huge shift, and it's relentless."
To curb the obesity epidemic, he said more policies need to be implemented to help adults and children make healthy lifestyle choices. Such efforts include increasing access to high-quality, affordable foods and reducing youths' exposure to the marketing of unhealthy products.
17% of U.S. children and teens are considered obese.
Dr. Marks said primary care physicians should continue speaking to patients about ways to achieve a healthy lifestyle and advocate for obesity-prevention policies in their communities.
"We know that many patients live in communities where healthy choices are almost impossible to make. For the medical profession to be a voice, saying that [these policies] are needed, would be of huge value to the nation," he said.
Researchers examined data from the Behavioral Risk Factor Surveillance System for 2008 through 2010. The system is a telephone health survey that tracks health conditions and risk behaviors in the U.S. Adult obesity rates were determined by averaging states' obesity data during the three-year period.
The study found that in 2010, 12 states had obesity rates higher than 30%. There were eight such states in 2009.
Researchers said obesity is most widespread in the South, with Mississippi having the nation's highest rate of 34.4%. The lowest rate was in Colorado, where 19.8% of residents are obese.
Obesity is most common among blacks and Hispanics, people with a limited education and those who earn less than $15,000 a year.
Childhood obesity
The report said obesity affects even the youngest Americans, with about 17% (12.5 million) of children and adolescents considered obese. Since 1980, obesity prevalence among this age group almost has tripled, said the Centers for Disease Control and Prevention.
To help address the problem, the National Restaurant Assn. on July 13 launched the Kids LiveWell initiative. The program encourages restaurants to offer at least one healthy children's meal with no more than 600 calories and another nutritious item that contains 200 calories or less. Nineteen restaurant brands are participating in the initiative, including Burger King, Denny's and IHOP.
Sue Hensley, a spokeswoman for the National Restaurant Assn., said the initiative is a good step to help improve children's health. But the Center for Science in the Public Interest says the initiative does not go far enough.
"The main problem is that the participants only need to provide one healthy meal and one side that meet the [USDA dietary guidelines]. That doesn't give families many choices," said Margo Wootan, DSc, director of nutrition policy at the center.
This initiative comes on the heels of new policy adopted in June by the American Medical Association House of Delegates that nutritious items in fast-food restaurant children's meals be priced similarly to less-healthy options.
ADDITIONAL INFORMATION:
WEBLINK
"F as in Fat: How Obesity Threatens America's Future," Trust for America's Health, Robert Wood Johnson Foundation, July (healthyamericans.org/report/88)
Sunday, August 7, 2011
Quote
The best way to bring focus into your life is never to place a question mark where God has put a period.
~~Unknown
~~Unknown
Saturday, August 6, 2011
Friday, August 5, 2011
Squelching Myths about WLS
WLS will save your marriage...
Actually, the opposite is true. The divorce rate among couples in which one has had WLS is higher than the average. Many couples are not able to weather the drastic change that happens when one spouse loses a tremendous amount of weight. Your spouse may become jealous of the new attention that you're receiving. Or you may find that with improved self-esteem, you're no longer willing to endure treatment that you don't find acceptable. Ot, with a whole new appearance, your personality may change--and your spouse may not like that new personality.
Actually, the opposite is true. The divorce rate among couples in which one has had WLS is higher than the average. Many couples are not able to weather the drastic change that happens when one spouse loses a tremendous amount of weight. Your spouse may become jealous of the new attention that you're receiving. Or you may find that with improved self-esteem, you're no longer willing to endure treatment that you don't find acceptable. Ot, with a whole new appearance, your personality may change--and your spouse may not like that new personality.
Thursday, August 4, 2011
Squelching Myths about WLS
You'll have a great body...
Following WLS, you'll lose a lot of weight in the form of fat, but you won't necessarily have a great-looking body. As you lose weight, your skin won't necessarily shrink along with your body, which may leave you with lots of sagging skin. Exercise will tone your muscles and help you lose even more weight, but it won't undo the damage your skin has endured from smoking, the sun, being stretched, your age and your heredity. You may need to resort to having plastic surgery to deal with excess skin--this just depends on your own body and how it responds after surgery.
If you have skin breakdown because of your excess skin after WLS, visit your PCM for treatment and documentation. In rare cases, Tricare may cover thee costs associated with removal of excess skin if it's causing a medical problem. In most cases, you, the patient will be responsible for these costs.
Remember, you may not have the perfect body, but you'll be healthy!
Following WLS, you'll lose a lot of weight in the form of fat, but you won't necessarily have a great-looking body. As you lose weight, your skin won't necessarily shrink along with your body, which may leave you with lots of sagging skin. Exercise will tone your muscles and help you lose even more weight, but it won't undo the damage your skin has endured from smoking, the sun, being stretched, your age and your heredity. You may need to resort to having plastic surgery to deal with excess skin--this just depends on your own body and how it responds after surgery.
If you have skin breakdown because of your excess skin after WLS, visit your PCM for treatment and documentation. In rare cases, Tricare may cover thee costs associated with removal of excess skin if it's causing a medical problem. In most cases, you, the patient will be responsible for these costs.
Remember, you may not have the perfect body, but you'll be healthy!
Wednesday, August 3, 2011
Squelching Myths about WLS
WLS is very risky...
Many people associate WLS with a very high risk of death, but that is just not the reality. The death rate associated with WLS is considered to be one-half of one percent, when an experienced surgeon performs the surgery.
Also consider the health risks of staying morbidly obese. You may be at far greater risk staying that way than you will be having surgery.
Many people associate WLS with a very high risk of death, but that is just not the reality. The death rate associated with WLS is considered to be one-half of one percent, when an experienced surgeon performs the surgery.
Also consider the health risks of staying morbidly obese. You may be at far greater risk staying that way than you will be having surgery.
Tuesday, August 2, 2011
Squelching Myths about WLS
You'll be very happy after WLS...
Unhappy people come in all shapes and sizes. Losing weight does not guarantee happiness. That being said, you will find many rewards--both physical and emotional--when you reach a normal weight. You'll have a stronger sense of self-esteem, and your health problems will be much more under control. But weight loss surgery won't solve all of you problems, and you don't want to go into it thinking it will.
Unhappy people come in all shapes and sizes. Losing weight does not guarantee happiness. That being said, you will find many rewards--both physical and emotional--when you reach a normal weight. You'll have a stronger sense of self-esteem, and your health problems will be much more under control. But weight loss surgery won't solve all of you problems, and you don't want to go into it thinking it will.
Monday, August 1, 2011
Squelching Myths about WLS
Weight loss surgery is the easy way out...
Nothing angers a WLS patient more than hearing someone say they took the easy way out. There is nothing easy about it. Consider the following:
You ave to go through rigorous testing and psychological testing to ensure that you are an appropriate candidate for surgery.
Civilian sector may have to fight with their insurance company for coverage.
You may face complications from surgery.
You have to endure at least four weeks of liquids and then at least two weeks of pureed foods--let's face it, those protein shakes get old!
You have a whole new way of eating-- and there are consequences if you don't follow the rules. You may throw up, suffer from dumping syndrome, experience nausea, and get food stuck--and none of it feels good.
Nausea may be a real issue until you get used to your new pouch.
You may lose hair.
You have to take vitamin supplements for life.
You have lifetime follow up.
Many lose significant relationships.
You have major psychological adjustments, with a need to learn new ways of coping.
You have to spend extra money on new wardrobes.
Nothing angers a WLS patient more than hearing someone say they took the easy way out. There is nothing easy about it. Consider the following:
You ave to go through rigorous testing and psychological testing to ensure that you are an appropriate candidate for surgery.
Civilian sector may have to fight with their insurance company for coverage.
You may face complications from surgery.
You have to endure at least four weeks of liquids and then at least two weeks of pureed foods--let's face it, those protein shakes get old!
You have a whole new way of eating-- and there are consequences if you don't follow the rules. You may throw up, suffer from dumping syndrome, experience nausea, and get food stuck--and none of it feels good.
Nausea may be a real issue until you get used to your new pouch.
You may lose hair.
You have to take vitamin supplements for life.
You have lifetime follow up.
Many lose significant relationships.
You have major psychological adjustments, with a need to learn new ways of coping.
You have to spend extra money on new wardrobes.
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