Helpful Tips to Reduce Nausea & Vomiting After Bariatric Surgery

By Jessica Basso, RN, BSN

After weight loss surgery, it’s important to adjust to a new way of eating. If the guidelines below are not being incorporated into your post bariatric lifestyle side effects of nausea and vomiting are likely to develop. Therefore, it’s important to follow these tips to help reduce and/or prevent nausea and vomiting from occurring.

Laugh As You Lose

By Dr. Kristin Allison, Psychiatrist

We’ve all heard that “Laughter is The Best Medicine”. Laughter has many physical, emotional, and social benefits, some of which may help with weight loss. For example, laughter can release stress when you feel like eating, and laughter can uplift your mood when you want to turn to food for comfort.

Greek Yogurt

By Susan Epstein, MS, RD, CDN

You have probably noticed that Greek yogurt now dominates your local dairy case. It has rapidly become the “go to” food, especially among the health conscious. This article will examine the benefits of Greek yogurt and explore if it is in fact, a healthier choice over regular yogurts.

Brain Related Benefits of Exercise

By Jessica Basso, RN, BSN

The Brain is our body’s powerhouse. From memory retention to problem solving, everything you do, say and feel is controlled in the brain. The brain, like most parts of the body experiences significant changes as we age. Cognitive decline is a natural association with the aging process. The way you treat your body today can pave the way for tomorrow,

Increasing Self-Discipline

By Laura Greaney, MSN, Nutritionist

You’ll hear it time and time again; bariatric surgery is a great tool to help control portion sizes. However, it’s just that, a tool. What people still have to work on is their self-discipline to avoid their downfalls. There comes a point when we have to be held accountable for our actions.

The Health Benefits of Yoga(Part One-Yoga’s Origins)

By JSCepeda

The origins of yoga began well over 5,000 years ago. Yoga is the Sanskrit word “to join” or “to unite” which melds the physical, mental and spiritual practice with breath. Therefore, yoga is the practice of joining all three aforementioned components to create a level of conscious harmony.
To better understand the origin of yoga,

A Calorie-Conscious Valentine’s Day

By Diana Larson, RN

There are some surprising facts about the number of calories in your favorite Valentine’s Day treats. SparkPeople blogger, Melinda Hershey, compared the calorie, fat, and sugar content in the most popular Valentine’s Day goodies. She concluded that, “keeping these numbers in mind can help you make smarter choices when it comes to choosing the right treats for you and the special people in your life.”

She found that eating five Hershey’s Kisses (112 calories,

Excuses Take Up Time, Exercise Doesn’t Have To

By Laura Greaney, MSN, Nutritionist

I don’t have time to exercise. I can’t afford a gym membership. I’m too tired. These excuses are things I hear daily about reasons why people do not exercise. Exercise is an essential part of not only losing weight, but also having a healthy, longer life. The main point of exercise is making sure heart rate elevates.

Ways to Burn 100 Calories

By Diana Nunziato, RN

We burn calories throughout the day with almost every activity we do. Calories can be burned gradually over a period of time or rapidly with intense periods of exercise. The amount of calories burned is proportional to the length and intensity of the activity. According to Erin Whitehead, a Health and Fitness writer for the website,

What to Expect at Your Behavioral Evaluation

By Dr. Kristin Allison

Everyone entering our program at Tri-State will meet with either our staff psychiatrist or social worker at the beginning of your journey. This behavioral evaluation is different than an outside appointment with a mental health professional that may be intended to diagnosis and treat a condition, usually because you are experiencing certain symptoms that concern you.

The Mental Game of Weight Loss

By JSCepeda

The scale and your feet meet for the trillionth time in the last thirty-five years. Meetings include, but are not limited to the night before a blind date and your favorite dress couldn’t zip. Distressed, but determined to get into the dress, you duct taped the zippered sides together and paired it with a black sequined cardigan,

Your “Wow” Moments

By Susan Epstein MS, RD, CDN

Patients often describe one of their favorite added benefits of their weight loss surgery as a “WOW” moment. These are moments when patients realize their lives have changed drastically and it’s an awesome feeling!
At times when the journey is more challenging, these moments are easily forgotten.

Fall into Healthy Eating

By Susan Epstein, MS, RD, CDN

The days are getting shorter. The leaves are changing color. Sweaters are coming out of the closet, to hide the definite weight gain the colder months bring. Fall has arrived and it’s the time of year we indulge in festive holiday foods that makes Mr. Sweater our close friend in hiding our new bulge.

What is Metabolic Syndrome?

By Laura DeAndrade, MSN, ANP-BC

Metabolic syndrome is the clinical term for a series of risk factors that can put you at risk for other health conditions like coronary heart disease, stroke and diabetes. When a person meets three out of the following five criteria’s, they are said to have metabolic syndrome.

  1. A large waistline – otherwise known as “abdominal obesity”.

The Secret First Step for Successful Weight Loss: Getting Organized

By Susan Epstein, MS, RD, CDN

We often hear about the “fundamentals of weight loss”, eating less, exercising more, staying motivated, and getting enough sleep. However, we rarely hear how critical a role “organization” plays in weight reduction. Setting a routine and planning ahead are very important. Often this is the first step in achieving successful weight loss.

Sleep and Appetite

By Michele Lossino, LCSW

It is estimated that people spend almost 25 years of their lives sleeping. Sleep affects all aspects of our lives, from our mood to our job performance. On average adults need 7-8 hours of sleep a night. Many factors can interfere with your ability to get proper sleep. For example,

The Importance of Support Groups Before and After Bariatric Surgery

By Jessica Basso, RN, BSN

Support Groups are a great way for patients to help assist each other, throughout the weight loss journey both pre and post operatively. Everyone’s weight loss journey will be a different and unique experience. With support from family, friends, coworkers, neighbors, and other WLS patient’s, studies have found individuals have increased success losing and maintaining weight when attending support groups.

Natural Versus Added Sugar

By Susan Epstein, MS, RD, CDN

There is a lot of confusion when it comes to defining carbohydrates and sugars. It gets more complicated when you see terms like “natural sugar” versus “added sugar”. What does it all mean?

Carbohydrates are one of the 3 macronutrients which can be used as energy sources (the other 2 are proteins and fat).

Emotional Challenges After Weight Loss Surgery

By Jessica Basso, RN, BSN

Bariatric surgery has become very popular over the years to help individuals weight struggles healthier. With Bariatric surgery, many lifestyle changes need to take place in order for success to be achieved. Not only physically do changes occur but also emotionally, so let’s talk about some of the emotional challenges that may arise with WLS:

  1. Relationship Changes.

Tips to Pre-Plan Meals

By Vincenza Garcia, RD, CDN

If you’re thinking about losing a few pounds, there are a few ingredients you need to ensure your success. First, you should have a sensible eating plan that is in line with your goals. Second, you should structure a reasonable exercise routine that incorporates both aerobic activity and strength training to ensure you receive maximum benefit from your efforts.

The 5 Best Tips to Help You Mentally Prepare for Bariatric Surgery

By Vincenza Garcia, RD, CDN

Realistic expectations are key to weight-loss success

If you are considering bariatric surgery, a physical exam will help make sure your body is healthy enough for the procedure. But physical health isn’t the only requirement. Your emotional state is just as vital for a successful surgery and the weight loss to follow,

Body Image Disturbance After Weight Loss Surgery

By Laura DeAndrade, MSN, ANP-BC

Everyone has different perceptions of what they will look like after weight loss surgery. For most, it’s thinking about the thinnest time of your adult or teenage life. Many people assume that losing weight is the best way to boost an already suffering body image. The truth is many who undergo a massive amount of weight loss,

What Are Your Bowels Telling You?

By: Laura Greaney, MSN, Nutritionist

Discussing your bowel movements with people seem to be a bit taboo. When I ask people if they are having any issues with their bowel movements their responses normally begin with “I don’t want to be gross.” Paying more attention to your stool can greatly help with determining what you need more and less of.

Eating Healthy at a BBQ

By Susan Epstein, MS, RD, CDN

Summer is finally here! Part of the fun of summer includes lazy afternoons and backyard barbecues with family and friends. So many classic cookout foods including hotdogs, potato salad, and coleslaw, are not the healthiest choices. How can a person stay on track? Here are some tasty tips to help you enjoy the summer without straying from your healthy eating habits:
1. 

The Unspoken Side Effects of Weight Loss Surgery

By: Laura Greaney, MSN Nutritionist

Prior to bariatric surgery you should have an in-depth idea of possible side effects and complications of the actual surgery. You will learn about possible slipped bands, erosions, gastric leaks, dehydration, and vomiting. However, what about common side effects people fail to mention. Things that most of you will experience but may not realize if it’s “normal.” Remember,

Dealing With Hunger

By: Susan Epstein, MS, RD, CDN

Statistically, the greatest concern of pre-op bariatric patients is dealing with hunger. “Will I feel hungry after surgery?” “Will I be able to keep hunger pangs at bay?” This article will address these issues and will give you a few suggestions on how to deal if hunger strikes.

Foods that Fight Inflammation

By: Susan K. Manez, MS, RD, CDN

Many people suffer daily with pain, swelling, weakness, and a vast array of ailments. While some of these conditions are incurable and/or must be treated with medications, many are improved or even resolved with dietary changes. There are many foods that are considered “anti-inflammatory”. What does this mean?

Eating On the Run

By: Susan Epstein, MS, RD, CDN

We all live busy lives. Sometimes our busy lifestyles make having well balanced homemade meals very challenging. We are all looking for fast, easy, tasty foods that will fit into our busy lives. Here are some tips to help you stay healthy in today’s hectic world:

  1. Plan ahead.

Eating and Drinking After Weight Loss Surgery

By: Laura DeAndrade, ANP-BC

Nearly all bariatric programs will have specific recommendations regarding your eating and drinking patterns after surgery. The most consistent recommendations are to:

  • Focus on good, lean proteins
  • Drink a minimum of 64 ounces of no calorie or low calorie fluids daily
  • Take vitamin supplements
  • Avoid drinking with meals

These guidelines were made many years ago and are still in place today.

Why Does My Breath Smell After Bariatric Surgery?

By: Laura Greaney, MSN

Congratulations, you have foul-smelling breath after bariatric surgery! Though this may seem like a trick, having rotten breath after bariatric surgery usually means you are losing excessive weight rapidly. This is a good thing. Many people often report their mouths feel dry or sticky right after surgery, regardless of what they do.

Bariatric Surgery & NSAIDS

By: Jessica Basso, RN

Let’s discuss the definition of NSAID’s. NSAID stands for Nonsteroidal Anti-Inflammatory Drugs. There is a broad range of drugs that contain NSAIDS. The most well-known drugs would be Advil, Aleve, Ibuprofen, Motrin, and Aspirin, all of which, fall into this category of medication. The two main uses for NSAIDS are for fever reduction and to help decrease inflammation and/or pain.

Weight Gain and Menopause

By Susan Epstein, MS, RD, CDN

Most women gain weight as they age. Is this inevitable? Is there a connection between menopause and weight gain? Can anything be done to prevent this weight gain?

Statistics show that during a two year period, menopausal women gain between two and ten pounds. Many women notice their clothing fitting more snugly,

What Happens To Our Bodies When We Don’t Consume Enough Protein

By Laura DeAndrade, ANP-BC

Our bodies are always working hard to keep all of the essential body processes working. Optimal nutrition plays an integral role in the efficiency of these processes. Neglecting our diet and particularly our protein intake, will begin to display negative effects. Over time, these negative effects can cause a lot of stress and harm to our bodies.

Mindful Eating

By Jody MacHugh, CBN, FNP-BC, RNFA

Has this ever happened to you?

You see a candy bowl on someone’s desk at work and before you know it, you’ve already eaten 5 pieces? You’ve finished an entire meal and didn’t even recall what it tasted like? You are stressed at work and suddenly find yourself reaching for potato chips to “make yourself feel better?”

Why am I so gassy?

By Laura Greaney, MSN, Nutritionist

Passing gas is a part of normal day life and everyone does it. However, sometimes after bariatric surgery people begin to recognize it more. It may be louder, smellier or more frequent but patients say they notice it more. This often leads to people feeling embarrassed in social settings or increasing anxiety.

The Powerful Benefits of Walking

By Jessica Basso, RN

Walking is a very beneficial form of exercise. It is estimated that 80% of Americans do not get enough exercise. The Surgeon General suggest that Americans need to start walking because it can help reduce and treat chronic illnesses. Walking is considered a moderate form of exercise which helps prevent and reduce the severity of chronic diseases such as high blood pressure and diabetes.

Tips for Meal Preparation

By Vincenza Garcia, RD, CDN, CPT

If you’re thinking about losing a few pounds, there are a few ingredients you need to ensure your success. First, you should have a sensible eating plan that is in line with your goals. Second, you should structure a reasonable exercise routine that incorporates both aerobic activity and strength training to ensure you receive maximum benefit from your efforts.

Reading Food Labels: The Why and The How

By Susan K. Manez MS,RD,CDN

Why

  • Allows you to choose foods and beverages that fit within your eating plan
  • Provides you with information about the nutrition quality of the foods and beverages you are consuming
  • Helps you compare items so you may make the best choices for you and your family

How

    Below are the steps you need to take to properly read nutrition facts labels:

  1. Serving Size – This is the portion that all nutrients listed on the Nutrition Facts label are based on.

The Power of Protein Powders

By Susan Epstein, MS, RD, CDN

Protein supplements are very important to Bariatric Surgery patients. After surgery, the stomach is so small that it becomes a challenge consuming adequate protein through the foods you eat. As a result, protein shakes are an excellent way to get the protein you need. The problem is that there are literally dozens of protein shakes to choose from.

Mindless or Boredom Eating

By Erin Bradley-Petersen, CSW

Do you often find yourself “picking” or “grazing” throughout the day? Sometimes picking or grazing isn’t even a conscious decision. It usually happens when you’re attention is focused on another activity such as TV, reading, preparing a meal, talking on the phone, working on the computer. Mindless or boredom eating can cause weight gain.

Hiatal Hernias

By Jessica Basso, RN

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue. The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach). Ultimately, all hernias are caused by a combination of pressure and an opening or weakness of muscle or fascia;

5 Common Myths of Bariatric Surgery

By Laura DeAndrade, ANP-BC

  1. Myth: I am guaranteed to lose weight after weight loss surgery
  2. Reality: Nothing in life is a guarantee. Chances are that, YES, you will lose weight. But just because you had weight loss surgery does not guarantee you will lose weight. Surgery is designed to help ASSIST with weight loss efforts by controlling hunger and letting you feel full with far less food than you used to eat.

The Multivitamin Patch

By Laura Greaney, MSN Nutritionist

If you have been to the office lately, you may have heard the buzz about a multivitamin patch. It’s a great way to receive all of your vitamins, in a more cost effective way. The multivitamin patch delivers your vitamins in the same way as topical prescription pharmaceuticals.

Kick Off the New Year with More Activity

By Dr. Kristin Allison

Many people dread the word exercise. So, to alleviate the dread, lets think of exercise as more movement. Any physical activity is encouraged; such as parking the car further away and taking stairs. Consider household chores, yard work, and errands as ways to keep you moving.

Find ways to increase your daily activity level by standing and incorporating gentle stretching.

Exercise

Exercise

By: Jody Machugh, CBN, FNP-BC, RNFA

When considering starting an exercise program, choose an activity that you may enjoy. The best activity is the one that you will actually do, not the one you think you should do!

  1. WARMING UP

    Every exercise should begin with a warm-up.

HAPPY (HEALTHY) HALLOWEEN!

HAPPY (HEALTHY) HALLOWEEN!

By: Dr. Kristin Allison

Healthy Eating Trick-or-Treating?

Keeping health in Halloween can be challenging when it has typically been associated with lots of candy. Try seeing Halloween from a new perspective to keep the fun in it without excessive calories and sugar. Start by not buying Halloween candy early even though the stores and ads suggest otherwise.

Vitamins Post Bariatric Surgery

Vitamins Post Bariatric Surgery

By: Jessica Basso, RN

After weight loss surgery one of the things that individuals will have to adapt to is taking vitamins daily. The reason being is that due to the very low restricted calorie diet individuals are on after surgery they will not obtain the nutrients the body requires solely from their diet.

Vitamin B12

Vitamin B12

By: Laura DeAndrade, ANP-BC

Vitamin B12 is an essential vitamin in everyone’s diet. Bariatric surgery enhances the need for this vitamin for a few reasons. Vitamin b12, also known as cyanocobalamin, is a water-soluble B vitamin. B vitamins help support adrenal function, help maintain a healthy nervous system, and are necessary for key metabolic processes.

Tips for Dining Out

Tips for Dining Out

By: Diana Nunziato, RN, BSN

Dining out used to be an event reserved for special occasions. In today’s society, now dining out has become part of our everyday routine. With busier and more hectic schedule, we need to eat out or eat on the run. Some individuals eat out several times a week or even once a day.

Stomach Ulcers and Bariatric Surgery

Stomach Ulcers and Bariatric Surgery

By: Laura Greaney, MSN

Stomach ulcers deliver a burning sensation in your stomach that is quite painful. There are many factors that can cause a stomach ulcer, and bariatric patients should take extra precaution. Specifically bariatric bypass and sleeve patients. A stomach ulcer is when you have open sores along your stomach lining.

What is H. pylori?

What is H. pylori?

By Laura Greaney MSN Nutritionist

When undergoing bariatric surgery you are sent for several tests. Some tests you may not understand why you even need them. To create a baseline for your vitamin and mineral levels we take blood work. This helps to determine if taking more vitamins are necessary and any deficiencies after surgery.

Banned: Protein Bars After Bariatric Surgery

Banned:Banned:Protein Bars After Bariatric SurgeryProtein Bars After Bariatric Surgery

By: Susan Epstein, MS, RD, CDN

Protein shakes are recommended to assist patients after Bariatric Surgery to achieve optimal nutrition. People often wonder, if protein shakes are recommended, why aren’t protein bars? Some bars provide 15-25 grams of protein making their protein content very similar to protein shakes.

PCOS (Polycystic Ovarian Syndrome) and it’s relation to obesity

PCOS (Polycystic Ovarian Syndrome) and it’s relation to obesity

By: Jessica Basso, RN

PCOS also called Polycystic Ovarian Syndrome is one of the most common hormonal disorders in women of reproductive age. Women affected with this syndrome can suffer from irregular menstrual bleeding/cycles, excess androgen which is elevated levels of male hormones,

Is Procrastination Keeping You From Losing Weight?

Is Procrastination Keeping You From Losing Weight?

By: Laura DeAndrade, ANP-BC

The act of procrastinating has a strong impact on everything you do. We put off household chores, making phone calls, or setting appointments. Losing weight could also be one of the things that you have trouble starting or completing. We all want to be the best we can be,

Food Journaling 101

Food Journaling 101

By Enza Garcia, RD, CDN, CPT

Keeping a food journal or diary gives you an accurate picture of what you eat every day. It’s a good way to gain more control over your diet, without recording what you eat you might not notice how many calories you’re consuming or if you have indigestion or another medical issue,

The Most Common Back Up

The Most Common Back Up

By: Laura Greaney, MSN

Bloating, gassy, and discomfort are all signs that 80% of Americans have felt at one time or another. Constipation is a common issue among people. Most cases of constipation can be relieved with minimal effort, however, there are chronic cases of constipation.

Mindful Eating and Living

Mindful Eating and Living

By: Diana Nunziato, RN, BSN

I recently had the pleasure of attending the Obesity Treatment and Prevention Conference in Baltimore, Maryland where Phillip Snider, DO, MS, RD presented on “Mindful Eating.” He defines mindfulness as, “maintaining a moment-by-moment awareness of our thoughts, feelings, bodily sensations, and surrounding environment.” To be mindful you must accept what is happening in the present state.

Childhood Obesity

Childhood Obesity

By: Michelle Amundson, FNP-BC, RNFA

Obesity in children is increasing at an astounding rate throughout the world. Childhood obesity within the United States has risen to epidemic proportions. The percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2012.

A Few Facts about Sugar

By: Jessica Basso, RN

If you’re like many people, you may be eating and drinking more sugar than you realize because it’s added to so many foods and beverages. “Added sugar” adds calories without adding nutrients. Some evidence suggests there’s a relationship between added sugars and obesity, diabetes and heart disease. All sugar,

Can Music Enhance Your Workout

Can Music Enhance Your Workout

Everyone knows that exercise plays an important role in living a healthy lifestyle. What is less widely known is the role that music can play in this equation. Could listening to your favorite music enhance your exercise?
For people who jog, bike, lift weights, or use cardio equipment music is needed to help achieve peak performance and a satisfying workout.

The Most Common Back Up

The Most Common Back Up

Bloating, gassy, and discomfort are all signs that 80% of Americans have felt at one time or another. Constipation is a common issue among people. Most cases of constipation can be relieved with minimal effort, however, there are chronic cases of constipation. For people who are feeling distress,

Mental vs. Physical Hunger

Mental vs. Physical Hunger

Do you know what role food plays in your life? Food can be a major companion in your life-for comfort, stress relief, a reward, to celebrate, social engagements, end boredom, etc. It’s always there when you need it. Unfortunately, emotional eating doesn’t fix the problem-it actually creates more problems.

Move More to Make a Difference

Move More to Make a Difference

By: Dr. Kristin Allison, ABPN

If the idea of starting a new exercise routine feels a bit daunting, or worse, something you dread, have a goal to move more. Think about adding physical activity in small bursts throughout the day. This approach may feel more natural and easier to accomplish than a scheduled trip to the gym,

Avoiding Weight Gain During Vacation

Avoiding Weight Gain During Vacation

Summer is here, the kids are out of school, and many people have vacations planned. Vacations are a great way to spend time with family and friends but unfortunately with most vacations it’s all too easy to abandon everything we know about eating healthy. During vacation we can make poor food choices and/or decisions that ultimately result in weight gain.

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