Posts Tagged ‘Weight Loss Surgery’

Strategies for Successful and Lasting Weight Loss

Of the weight loss roller coaster, comedic author Erma Bombeck once said, “In two decades I’ve lost a total of 789 pounds. I should be hanging from a charm bracelet.”

For the millions of Americans who diet, stop dieting and then promise to diet again, the constant struggle to lose weight and keep it off can be exhausting, not to mention discouraging.

Fortunately, there are success stories that you can learn from to help make this time the one that leads to a healthier, happier lifestyle.

If you’re ready for weight loss that sticks, join Arvinpal Singh, MD, Medical Director of the Emory Bariatric Center, on Tuesday, June 25, 2013 to discuss strategies for long term weight loss success. Joining Dr. Singh will be one of our most successful and committed patients, Joe. Together, Dr. Singh and Joe will answer questions on what it takes to get on the path to lasting weight loss and offer inspiration to help you reach your weight loss goals.

>>> Strategies for Successful Weight Loss CHAT TRANSCRIPT <<< 

New Year, New You – Why it’s Critical to Your Health to Lose Weight in 2013

Now that the holidays are finally behind us, it’s time to get serious about your New Year’s resolutions. With more than a third of the adult population in the United States obese, it’s no surprise that one of the top resolutions every year is to lose weight.

If you’re one of the millions of Americans resolving to lose weight in 2013, it’s important to understand that losing weight isn’t just about looking good. It’s more about getting and staying healthy – and even improving health issues that are associated with being overweight, such as high blood pressure, Type 2 diabetes and joint pain.

Because losing weight truly is a journey, Arvinpal Singh, MD, Medical Director of the Emory Bariatric Center and an American Board of Obesity Medicine (ABOM) Certified medical bariatrician, is hosting an online chat on Tuesday, January 8 at noon EST to share tips on healthful living and weight loss pearls of wisdom, as well as give his insight on different approaches to weight loss, including surgical and non-surgical options.

Get 2013 off to a healthy start and join Dr. Singh and other chat participants to share tips, ideas and get questions answered related to how you can make positive changes to last the new year and beyond.

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Emory Bariatric Center Patient Prepares for his First Peachtree Road Race

Just a couple of years after undergoing gastric bypass surgery, Jim Blackburn prepares for his first Peachtree Road Race. Since the operation, Blackburn has dropped over 200 pounds and no longer needs a C-PAP to help with snoring.  Jim stated, before receiving care at Emory University Hospital, his knees and ankles hurt terribly from carrying his weight. Along with high blood pressure and sleep apnea he began to experience the early on-set of diabetes.

Since surgery, “My life has changed 180 degrees. It’s totally turned around,” said Blackburn.

Check out Blackburn’s interview with Fox 5 Atlanta.

Are you running the Peachtree Road Race along with Jim? Then check out 10 tips that will ensure you get to the finish safely.

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Can Weight Loss Surgery Cure Type 2 Diabetes?

Diabetes Treatment Weight Loss SurgeryThe typical treatment methodology for Type 2 diabetes includes medications, diet changes, and exercise, but two recent studies have found that weight loss surgery, also known as bariatric surgery, may in fact be much more effective in curing Type 2 diabetes. Not only that, but those with Type 2 diabetes who underwent weight loss surgery also saw decreases in blood pressure and cholesterol.

Findings from the two new studies were published this week in The New England Journal of Medicine and have helped shed light on a trend doctors have been noticing for years, that bariatric surgery often rids its patients of Type 2 diabetes as well.

“Type 2 diabetes is one of the fastest growing epidemics in human history,” and in the U.S. alone, the number of diabetes cases has tripled over the last 30 years. There are currently over 20 million Americans living with diabetes.

The first study compared two different types of bariatric surgery with the typical medical treatment regimen for Type 2 diabetes. After two years of following the participants, those in the surgical weight loss group had complete Type 2 diabetes remission rates of 75%-95%, whereas those in the standard medical treatment group saw no remissions from diabetes. The second study compared two surgical procedures with a more intense medical treatment regimen.Findings showed ~40% remission rates in the surgical group, whereas the rates were much lower, 12%, for the medical treatment group.

In addition to the findings from these studies, research at Emory has shown that bariatric surgery can also aid in the improvement of Gastroesophageal reflux disease (GERD), sleep apnea, depression, and joint pain among other conditions. The sleeve gastrectomy and gastric bypass procedures were two of the surgeries evaluated in the studies up above, both of which are offered at the Emory. For more information on the study and these procedures, see the links the below.

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Why does Weight Loss Surgery Demand Continue to Grow?

More and more people in Georgia are considering weight loss surgery as an option for returning to a healthy body weight. Because those who are overweight are at a higher risk for the development of conditions such as diabetes and heart disease, for many people, weight loss surgery means both regaining activity and mobility via a healthier body weight and the possibility of a longer, healthier life in general.

Dr. Edward Lin

Dr. Edward Lin

Because the demand for information on surgical weight loss options is growing, Dr. Edward Lin of the Emory Bariatric Center has been taking big action to help educate the community. Today, he held an online chat on the topic of surgical weight loss options (check out the transcript) to help answer questions on the pros and cons of weight loss surgery and dig deeper into the differences between each type of weight loss surgery.

Dr. Lin’s efforts were also recognized by Fox5 News of Atlanta recently, in a story documenting Emory patient, Jim Blackburn’s experience in undergoing a gastric bypass with Dr. Lin as his surgeon.

At 47, and 420 pounds, Jim Blackburn was ready to lose weight in a serious way. “I think I added up 24 different diets that I had been on. I had severe sleep apnea. I had a fatty liver condition, and I was on a lot of medications,” Jim told Fox5. He was worried he wouldn’t make it long enough to watch his children grow up. “My knee joints, ankle joints, hips, I hurt. At 47 years old, that was, that was frightening.”

After Jim decided to undergo surgery, he found Dr. Lin, who looked at Jim’s family history of obesity, his failed weight loss attempts, and identified Jim as a good candidate for gastric bypass.

But according to Dr. Lin, gastric bypass, a permanent procedure, is not for everyone. Pros of the gastric bypass procedure include: dramatic, rapid weight loss and reversal of health problems (including 85% reversal of Type 2 Diabetes cases). However, gastric bypass is a major surgery and is only reversible in a medical emergency. It also comes with a few short term risks, including bleeding and infection. But, because gastric bypass is permanent, it forces patients to adopt new lifestyle and eating habits, typically resulting in better long-term weight loss results.

In contrast, a lap band procedure comes with fewer risks and is a less invasive surgery. The band that is placed around the entrance of the stomach during the procedure can also later be loosened, tightened, or removed, making it less permanent than a gastric bypass. Because of its flexibility, patients who undergo this procedure require “a lot more willpower and mind control,” said Dr. Lin.

Two years after his gastric bypass procedure, Jim Blackburn is now 200 pounds lighter and feeling great. And as findings from a recent study support, family members of weight loss surgery patients, such as Jim’s wife who has since his surgery lost 80 pounds, also benefit from being around relatives who have undergone surgery.

For more information on each of the procedures discussed above and others, check out the Emory Bariatric Center website.

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Weight Loss Surgeries Help Families Get Healthier, Too

Weight Loss Surgery Online ChatA recent study found that family members living with patients who underwent weight loss surgery dropped significant amounts of weight and made more positive lifestyle changes.  In this study, 35 morbidly obese patients underwent Roux-en-Y gastric bypass surgery. Overweight spouses and family members living with the patient attended three lifestyle counseling sessions before surgery and five sessions after surgery. At these sessions, patients and their family members learned about healthy eating habits (portion control and a healthy diet) and how to increase physical activity.

At one year after surgery, patients lost an average of 100 pounds and decreased their body mass index (BMI) from 48.7 to 33.3. In addition, their overweight spouses and family members lost an average of 10 pounds and decreased their BMIs from 38 to 36.3.Family members also watched less television, exercised more, and reported fewer instances of uncontrollable eating.

The result of this study reinforces the importance of social support as a motivator to maintain healthy changes. If we mimic the positive lifestyle changes of those around us, we might find ourselves making healthier decisions more often. You may not realize, but people may use you as an inspiration to change their lifestyles! It is important to remember that over time, small steps turn into large strides.

If you’re interested in learning more about weight loss surgery and the options that exist for you or someone you know, now is the perfect time to sign up for a free online chat with Dr. Edward Lin of the Emory Bariatric Center. You don’t be ready for surgery or live in Atlanta to attend, just sign up using this form, and you can ask Dr. Lin all of your questions on weight loss surgery during the chat on January 26th.

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Controlling Stress While Maintaining Your Weight

Tanya McGill, two years after bariatric surgery.

Tanya McGill, two years after bariatric surgery.

Coping with stress and huge life changes can be extremely challenging as our lives can quickly spin out of control in this zany world we live in. We are  pulled in so many directions, expecting more and more  of ourselves (as we feel others expect an ever-increasing amount out of us). Businesses are running lean and mean and focusing on newer, more efficient ways to do handle transactions which can leave you feeling as if you handle the workload of multiple people at the end of the day!

This is precisely why taking a moment out for yourself is more important than ever, particularly for those of us who used to use food as a way of coping with stress before bariatric surgery. And the great news is that we have more resources than we’ve ever had  to unwind and get in touch with ourselves when things get hairy. My experience has been that I actually live a higher quality life when I make some “me” time on a regular basis, not just when I’m feeling overextended. Of course, one might say that this is easier said than done. With a very long commute into the work place each day, I’ve tried to get creative with my time to maximize my “me” time opportunities.

One of the best things I ever did for myself was get a membership to an online audiobook distributor. Having this has allowed me the opportunity to listen to a myriad of audiobooks on my MP3 player during my two- to three-hour commute each day. A great distributor will give you a free, trial membership so you can see if you like their product, and they usually have tens of thousands of audiobooks, lectures and all sorts of things to listen to. I also have used that time commuting to brush up on other languages I wanted to learn, and to catch up on some of the fabulous podcasts that are out there, most of which are free! May I recommend the Nutrition Diva from the Quick and Dirty network of podcasters? She’s got a wealth of information tucked under her health belt!

Another way I’ve captured a little time for myself is to actually take my lunch to work, find an office or conference room that isn’t being used when it’s time for me to take a break, and I jump in, shut the door, turn off the lights, set the timer on my phone and drift off into about a twenty-five minute meditation. Some people prefer to meditate without guidance, some with guidance, some with music alone and some people (like me) enjoy listening to binaural beats during meditation. If you’re interested, but there are loads of great meditation resources out there. Just grab your headphones and MP3 player on the way out the door before you start your day and you’re set! I often find that this midday reset feels terrific and there’s usually still time to nosh on something yummy I’ve brought from home for lunch (and it’s a terrific money saver, too)!

Lastly, on Friday nights, my finance and I always enjoy “Italian Date Night” which consists of delicious Italian food together at home. It’s become a tradition for us (yes, you can still eat delicious, Italian food after bariatric surgery!). Afterwards we try to make it a habit of dancing in the living room to fun music. If you can picture this in your head, then I’ll go ahead and apologize now.  Seriously, today there are so many fun “games” on the market for anyone interested in shedding some serious calories and simultaneously reliving stress, it’s amazing! One of our favorites is something we recently purchased for the Xbox 360 called “Dance Central.” Any kind of working out indoors is beneficial during what can be the most biting of winter months.

Maintaining a low level of stress in my life and not falling into the old habits I used to have in using food to cope with the stress has been an ongoing challenge for me. But having tools to deal with it which was jump-started with the surgery, has been key for me. It’s my hope that you find the same for your life!

My Journey Through Weight Loss – Part 7

Prior to weight loss surgery, it wasn’t uncommon for me to sit down to a meal and suddenly have finished it without even remembering most of the bites I’d taken or any of the sensory enjoyments that should have accompanied the actual eating of the meal. It was often as if I were just shoveling the food in as fast as I could without any regard to the actual taste, texture and appreciation for what I was taking in to nourish my body.

But I needed something from that food, something that nothing else could give me. There was a void to fill. And that’s why I think I swallowed it down – quickly and without much thought or regard for the potential flavor this sustenance could be delivering. It wasn’t really about the way the food tasted. It was about something else. It was about filling that void. Since my journey with weight loss began, I have asked myself some hard questions, dug deep and worked at identifying what that void was all about. From time to time the “void monster” still rears its ugly head but when it does, I know to stop what I’m doing and take a self assessment of what’s going on inside me that might push me towards wanting to eat mindlessly. It’s in that key moment that I chose to eat consciously.

Of the many things I’ve learned from having bariatric surgery, one of them is to chew, chew, chew my food. And out of that practice comes the delightful by-product of really tasting and enjoying everything I put in my mouth. Without hesitation I would say that conscious eating (eating with awareness) has been essential to my weight loss success. It’s why we don’t eat meals in front of the television in our home and we don’t snack on the couch. I’ve found that food that is consumed “consciously” is enjoyed more, eaten in less quantity and usually happens to be a better food choice to begin with.

I would encourage anyone who doesn’t already practice conscious eating to give it a shot, even those who aren’t on the road towards weight loss surgery. It’s really the Zen of eating, so to speak, and dining in this way can be very fulfilling. Would you like to know one of my favorite things about it: It requires very little to eat consciously! There aren’t really any special things you need; there’s no need to rush out and buy the latest piece of miraculous-results-producing-fad-equipment. All you need is to be aware and present from start to finish during your meals and at snack times. Yes, this can take some mental training, changing up your routine a bit, and a little getting used to but that’s it! So from now on let’s enjoy each bite, really taste the delicious food and fully savor the marvelous experience of eating!

My Journey Through Weight Loss – Part 6

Tanya McGill, two years after bariatric surgery.

Tanya McGill, two years after bariatric surgery.

It seems that no matter how many testimonials I heard from other patients prior to surgery and no matter how many books I read about other people’s experiences, the many miracles I experienced after bariatric surgery blew my mind over and over again! I would get on the scale and some days I would lose two to three pounds from one day to the next. That was insane (and that was mainly in the first month, mind you). My size twenty-eight pants were suddenly falling right off my hips and I just couldn’t wear them anymore. I certainly wasn’t complaining, and a monthly trip to the discount big box store to purchase a couple of new pairs of pants with elastic waist bands became my new reward for another month of weight forever gone.

One of the most mind-blowing things I remember is going to one of these discount stores to look at a few pairs of pants. I thought to myself, “Well, I’ve lost a few more pounds. I’ll grab a size twenty-four from the rack and see how they fit.” I was completely dumbfounded when I zipped them up only to find that they swallowed me. They were super baggy all over! Could it be that a twenty-two would be my size? Nope, those were too big, too! You can imagine my amazement when I found that a size twenty is what I settled on, and I still remember thinking those were a little loose. I don’t think I could wrap my head around the fact that I might have almost made my way out of the size twenties all together.

About ten months after surgery (I was down 129 pounds and 32 pounds away from my goal weight) I went on a Labor Day trip to the beach with some friends. We were all playing cards, having a great time, and one of my friend’s brothers picked me up and started carrying me around the room, acting like a caveman! They were all laughing and cheering him on, but I was in a complete panic. In my head I was thinking: “Marc’s not strong enough to be doing this! He’s going to realize he’s picking up my enormous, fat behind and he’ll drop me any minute!” But he didn’t. See, I couldn’t even realize that I was just a few pounds heavier than all the other gals that were there, and 167 pounds was an easy load for him to lift. But my mind was still thinking it was in an almost 300 pound body.

One of the strangest miracles I encountered which I never, ever expected (and ladies, I thought we’d all be safe here but we aren’t, believe me!) was when I lost a shoe size through weight loss! Yes-you heard it here. It didn’t happen right away but when it did happen, it seemed as if it happened overnight. I used to wear a size 9, sometimes a 9½. And I love shoes-love them! We’ve all heard the adage, “We can gain all the weight in the world, but our shoes will always fit!” I always believed that, and I assumed the opposite was true as well. Well, I’m here to tell you that it might not always be so. I remember the days of feeling deep sadness after an afternoon of plus-size clothes shopping when I felt nothing fit properly. I knew I could always stop by any number of fabulous shoe warehouses where a plethora of gorgeous shoe options were just waiting for me. The only thing I didn’t love about my feet was that they were kind of large; even at only 5’4½” I had these rather large size feet. Well, I’m here to tell you that even your feet can carry the bulge as I was so shocked to learn  when I realized that I was going to have to get all new shoes because my previous size 9’s & 9½’s were slipping from my feet!

This journey of weight loss has brought more miracles into my life than I could ever count and I am so grateful for bariatric surgery each and every day.

My Journey Through Weight Loss – Part 5

Tanya McGill enjoying dinner with friends in Barcelona, Spain.

Tanya McGill enjoying dinner with friends in Barcelona, Spain.

Getting back into the swing of things following bariatric surgery was fairly easy given that I was well prepared. The nutritional classes I’d attended at Emory Healthcare prior to surgery, as well as the vast amount of information I’d collected from all the support group meetings I’d gone to really helped take out as many unknowns as possible. I’d even seen a psychologist regularly who specialized in helping weight loss surgery patients prepare for what to expect after surgery.

I thought I had done the entire course of the weight loss surgery’s version of “What to Expect When You’re Expecting” but I still wasn’t fully prepared for what life would be like emotionally after surgery. This wasn’t anyone’s fault; this was because life is weird and people are strange and there was absolutely no way to predict how each and every person was going to respond to me after I began losing weight, and I couldn’t know how I was going to handle the huge variance in responses. Finding my center and staying grounded was one of the most challenging things I faced as a post-op gastric bypass patient.

Because hormones are stored in fat cells, as the fat cells begin to rapidly shrink those hormones are released in very quick bursts. This can lead to mood swings or depression in some people. Others may not notice any change in mood whatsoever. Some people in our support group spoke of mourning the loss of their best friend: food! Before my surgery, food was a great companion, a loyal consoler to whom I could always turn during times of stress and pain as well as during times of great happiness and celebration. I could always count on food to be there for me.  After my procedure, that was no longer the case. I had to cultivate new tools in order to move smoothly into my new life as a person whose tiny new pouch could only accommodate enough to maintain nutrition – certainly not emotional eating.

As I alluded to earlier, dealing with others around you can be a little tricky, as well. Those who know you have had surgery may feel the need to scrutinize every individual thing you put on your plate or in your mouth (even if they never went through a weight loss surgery nutritional class in their life). They could be concerned, they may wish to help or support you, or they may just be downright nosey. This might be a good time to whisper a personal mantra to yourself, something like, “I am surrounded by many good people who want only the best for me.” Well, at least something close to that worked for me so I wouldn’t go crazy every time I had to explain to people that yes, I actually could have cheese grits for breakfast if I wanted to and still lose weight!

One of the most poignant moments I remember concerning the topic of my impending  bypass surgery took place in my favorite fondue restaurant. I and dear friend of mine (whom I had known since I was thirteen) were there along with our another close friend and her husband. The four of us were chatting when the theme of the conversation moved to my surgery which was just a few weeks away. The friend I’d known since I was thirteen suddenly became very concerned, not about the surgery itself and how I might fare during the procedure or anything of that nature. She was quite concerned about my losing weight and therefore losing the real “me” in the process. I remember so vividly her saying that she loved me just the way I was and that she didn’t want me to change who I was in this process. I had to assure her that I was, indeed, going to change, but only in the best of ways. I knew in my heart that this surgery was the right thing for me to do. And I still feel that way more than six years later.

Next up: A handful of the countless miracles I have experienced on this journey.