Cognitive-Behavioral Therapy: Stop “All-or-Nothing Thinking”

Cognitive-behavioral therapy (CBT) is based on the idea that our thoughts (as opposed to external events) cause our feelings and behaviors. We can change the way we think, so that we can feel and act better, regardless of our given situation. CBT is a therapy approach that is useful for a variety of problems with mood, anxiety and eating.

Image of Sleeve Gastectomy

Sleeve Gastrectomy as a Primary Weight Loss Procedure

Many patients have recently become aware of the laparoscopic sleeve gastrectomy as an option for surgical weight loss. The news has spread from various sources including: medical societies, insurance companies, internet articles, newspapers, and patient word of mouth. A most recent and very high profile acceptance of the sleeve gastrectomy as a surgical procedure for weight loss came from “CMS” which stands for “Centers for Medicare &

Dr. Ramon Rivera Runs NYC Marathon in Support of Team Healthy Kids

NYC Marathon, New York City, New York

Congratulations on a job well done to Dr. Rivera for running the ING NYC Marathon!! On a cold and windy day on Sunday, Novemeber 3rd he ran a grueling 26.2 miles to help raise funds for a charity called “Team Healthy Kids”. The charity’s purpose is to help fight against childhood obesity.


Michele Amundson, FNP-BC, RNFA

Obesity is a significant risk factor for comorbid conditions including hypertension, dyslipidemia, stroke and heart attack and certain types of cancers. It is associated with overall increased mortality and a decrease in lifespan. The benefits of bariatric surgery include weight loss which improves high blood pressure, high cholesterol and triglycerides,

Taking Medication after Weight Loss Surgery

Dr. Alisha M. Fuller, FNP-BC Clinical Director

Taking Medication after Weight Loss Surgery What medications you take and how you take them will more than likely change after bariatric surgery. Taking medications that are not advised or in the wrong formulation, may lead to serious damage and cause adverse reactions in patients who have weight loss surgery.


< Patients that experience frequent sticking and vomiting despite the Lapband being not too tight have not mastered the proper eating techniques, and some of these patients will go on to pouch dilatation or a slip, requiring either revision, replacement or a conversion to a different procedure.

Myth #3. The Lapband requires too many adjustments. The surgeons at Tristate Bariatrics are all trained to perform adjustments during the surgery to implant the Lapband so that the number ofpThe Lapband is a safe and effective tool for weight loss. We continue to offer it as one of our surgical weight loss options.

Dining Out for the Post-Surgical Patient

Vincenza Garcia, RD, CDN

With our hectic lifestyles and busy schedules, dining out has become a part of life for many of us. Typically, dining out often means higher consumption of extra calories and fat from large portions and extra sodium. However, it is possible to dine out once you’ve had weight loss surgery,

Celebrity Patients

This is the first article in a series that will examine how bariatric surgery is portrayed in the media.

New Suffern, NY Office

On May 31, 2013 TRI STATE BARIATRICS opened a new office in Suffern NY. The office is located less than one mile from the Hospital. The grand opening was a Great success! May 31, 2013; Tri-State Bariatrics held their “Grand Opening” for their new office in Suffern, NY. The grand opening was a wonderful occasion.

Realistic Expectations from Weight Loss Surgery

Weight loss surgery has been proven to be the only effective way to achieve and maintain significant weight loss for those suffering from severe obesity. Most diet and exercise programs and medications can be effective in achieving modest weight loss for the short term, but studies have shown that most people will regain their weight.

Exercise for Weight Loss Success after Bariatric Surgery

It would be nice if people could eat or drink anything, remain sedentary and still manage to stay healthy. Unfortunately, this utopian world doesn’t exist and in fact we live in an obesogenic society were we must eat healthy and exercise to stay healthy. My interest as a bariatric surgeon and avid weekend runner is to help people maintain long term weight loss by encouraging and supporting patients to get involved in post-bariatric surgery exercise.


What inspired you to consider weight loss surgery? This question is probably very easy for you to answer. One person may answer “my health”, while another may quickly answer “because of my family”. Yet another might say “I just want to feel better”. Yes “wanting to look better” is another reason. None of these reasons are wrong and the lists of reasons or inspirations are endless.

Avoiding Weight Gain During the Holiday Season

We all love the holiday season! Families gather for fun and festive meals. The one problem is that many of the traditional, comfort foods we crave are usually also rich in carbohydrates, fat, and calories. As a result, this time of year can be especially challenging for weight control. Here are a few strategies to help make the best choices possible during this special time of year.

Medication Treatments for Weight Loss

The practice of Bariatrics is defined as a branch of medicine that deals with the control and treatment of obesity and allied diseases ( As a Nurse Practitioner (NP) specializing in Bariatrics for the past 6 years I find it to be much more. Our team at Tri- State Bariatrics is able to assist our patients in returning to a “normal lifestyle.” One that is free from discrimination,

Is Bariatric Surgery Safer When Performed in an Accredited Bariatric Surgery Center of Excellence?

On February, 21 2006 the Centers for Medicare & Medicaid Services (CMS) issued a national coverage decision requiring that all CMS beneficiaries undergoing bariatric surgery needed to have that surgery done at an accredited Bariatric Surgery Center of Excellence (COE). This determination was reached because of data at the time indicating excessive complications, a high percentage of poor outcomes,

Diabetes Surgery Named Top Medical Innovation for 2013

Conversations on the unexpected benefits of bariatric surgery rise to the top of healthcare conversations in 2013.

According to a survey of Cleveland Clinic physicians and researchers, bariatric surgery for diabetes treatment has been named the “most important medical innovation for 2013”. Philip Schauer, MD, director of the Bariatric and Metabolic institute at the clinic,

Choosing the RIght Bariatric Surgery Program

CHOOSING THE RIGHT BARIATRIC SURGERY PROGRAM What are the 5 things to look for in a Bariatric Surgery Program? Weight loss surgery has now been proven in numerous scientific publications to be the only safe and effective way to achieve and maintain substantial weight loss for those individuals suffering from severe obesity. The benefits of successful weight loss surgery include improvement or resolution of Type 2 diabetes mellitus,

Exercise vs ADL (Activities of Daily Living)

Numerous patients during their follow-up visits confuse daily exercise with activities of daily living. When asked what kind of exercise they partake in, many of my patient’s answers vary from walking the dog to collecting the mail at the top of their one hundred foot driveway. While walking is a great form of exercise, it does not present an ample form of exercise to lead the human body into exertion.

Shop Savvy and Save-How to Eat Healthy Without Breaking the Bank

Working as a dietitian, two of the most common complaints I hear are that “eating healthy is too expensive” and “it’s too hard to find healthy options”. This does not have to be the case. In fact, my goal is to prove that eating healthy can actually be cheaper than and just as easy as buying highly processed,

Protein: A Vital Piece in the Weight Loss Puzzle

When you think of protein, what comes to mind? A muscle bound body builder in a gym? A twenty ounce piece of beef in a steak house? Well, protein plays a very important role in all of our lives and when you are trying to lose weight, adequate protein consumption is a requirement.

Proteins are called the “building blocks of life”.

BMI of 30 or More With Diabetes

TRI STATE BARATRICS is pleased to announce that we were recently able to get approval for the Lap-Band procedure for a patient with a BMI of 32 with diabetes through an external appeal process.

Bariatric Surgery May Reverse Aging

Dr. John Morton is the new president-elect of the ASMBS. He presented this startling research finding at the Obesity Week conference in Atlanta last week. I found this CBS news article, written by Ryan Jaslow of CBS, worthy of sharing with all of you. Ryan Jaslow, CBS News Weight loss, or bariatric surgery may not only help very obese keep the weight off,

Follow-Up Care: What about it?

Weight loss surgery is a very good tool to help patients lose a significant amount of excess weight, if not, all of their excess weight depending on their diet and exercise compliance. Ultimately, the interest of weight loss lies within long-term weight loss. In other words, you want to lose the weight and keep it off,

Finding the Right Protein Drink for You

Shopping for a protein drink can sometimes be a stressful experience. Navigating the various stores and internet can take a great deal of time and energy, putting a toll not only on your sanity, but also your wallet. Additionally, finding a drink that suits your taste buds can be a challenge. And don’t forget that often times your taste preferences change after bariatric surgery.

The Importance of Hydration for Weight Loss

The Importance of Hydration for Weight Loss

When trying to slim down and lose weight, people often overlook how much or how little fluid they consume. The body’s need for hydration is an integral part of successful weight loss and maintenance. Our bodies are composed of approximately 75% water depending on our age,

How Skipping Meals Affects Your Health

We’ve all heard it before – it’s important to provide our bodies with proper nutrients in order to complete the daily tasks and physical activities in our day. Oftentimes I hear that individuals skip meals because they are trying to lose weight or because they simply just don’t have the time; However, research has shown that skipping meals have undesirable consequences to our health and most often to do not result in weight loss in the long run.

Am I Really Hungry

Am I Really Hungry

One of the most common concerns of patients prior to surgery is, “will I still be hungry after surgery”? After years of struggling with diets and always feeling hungry, people just want to gain control of their eating habits. Will weight loss surgery resolve the issue of feeling hungry all the time?

Surgical Complications – Vitamin and Mineral Deficiencies

Surgical complications – Vitamin and Mineral Deficiencies

The body needs many vitamins and minerals to be able to function properly. Vitamin deficiencies can be mild or severe depending on the vitamin as well as length of time the body has been deficient. I will discuss some of the vitamin and mineral deficiencies that may occur in bariatric patients.

Fighting Sugar Cravings

Now that we have learned about sugar, specifically where it is found, and it’s potentially harmful effects on our bodies, how do we rid it from our diets? How do we deal with “sugar cravings”?

Kicking the sugar habit/addiction can be very difficult. Sugar affects all of the cells within the brain and can even mimic the neurochemical changes that occur during ingestion of certain drugs.

How to Solve Protein Shake Boredom

Getting bored of your protein shakes? Here are some ways to “jazz” up the flavor of those shakes without adding unwanted sugar or calories.

MOCHA LATTE SHAKE– Cool ¾ cup decaffeinated coffee. Add coffee to blender and begin blending. Add 1 scoop chocolate protein powder, 1 Tbsp. unsweetened cocoa, and 1-2 packs calorie free sweetener such as Equal.


The impact of bariatric surgery on psychological health is often overshadowed by the significant reduction or resolution in physical morbidities. A history of chronic physical conditions (such as diabetes, hypertension, hyperlipidemia) was identified as a risk factor for the presence of depression. Research has shown that obesity increased the risk for depression even if chronic physical disease was not present.

The Importance of the Twenty Minute Rule

Americans are always on the go and being on the run constantly has become normal. People can often be heard saying, I don’t have time; I don’t have time to exercise, I don’t have time for breakfast. Eating
healthy is no different from other situations that arise; time needs to be made. One of the biggest food issues in our culture today is eating fast.

Cognitive Behavioral Therapy: Avoid Labeling

It is important to have realistic standards and a healthy body image. Obtaining a healthy body image and a healthy weight is desirable for everyone. Not letting how you look determine who you are is part of a healthy self-esteem.

In my last blog, I introduced the theory of Cognitive Behavioral Therapy, that our thoughts influence how we feel and behave.

Attaining Your Goals: “The starting point of all achievement is desire”

Goal setting is a powerful tool which can provide you with direction for your future endeavors. It can act as a motivating factor to turn your ideas into your reality. As we enter the holiday season, we start to realize that the new year is right around the corner. We start to reflect on the year that is passing and we start to look ahead to the new year.

Stress Reduction

Stress! It is a normal part of life. Whether money is tight, you have work assignments piling up, you are fighting with your spouse or you just don’t feel healthy. We all deal with it at some point. Stress can manifest itself in many different forms. It can be positive, keeping us alert to situations or motivated to accomplish something.

ASMBS Obesity Week Conference 2013

Obesity Week, Atlanta, GA

Dr. Kwon, Dr. Ostrowitz, Dr. Fuller, Becky Aschoff, RN, of Tri State Bariatrics attended.

Nearly 5,000 professionals attended this years Obesity Week.Obesity Week is a combined meeting of the American Society for Metabolic and Bariatric Surgery (ASMBS) and The Obesity Society (TOS). This year was the 30th year anniversary of ASMBS.

Making the Most of your Pre-Operative Time

As a nurse practitioner here at Tri-State, I see many patients in the various stages of their weight loss journey. One of the most challenging, yet exciting times is the pre-operative stage. So much to do…appointments to make, checklists to review, doctors to see, groups to attend, AND lose weight???

Obviously, the pre-op time can be very challenging.

The Bewitching Hours

Any time of day or night can be considered the bewitching hours for snacking. The bewitching hours are those hours that challenge your strength and commitment towards staying on track with your weight loss goal and not giving into those old habits of snacking. Your environment also will impact those bewitching hours. The people or are or are not around you can also be an impact.

Be Cool, Lose Weight

Be Cool, Lose Weight

Did you know that being exposed to cold temperatures could help you lose weight?
There is now mounting evidence supporting the concept that exposure to cold temperatures can promote fat burning, which in turn, can help you lose more weight.
We all have a temperature-regulating center of our brain located in the hypothalamus that works constantly to keep our core body temperature steady.

Goal Setting after Weight Loss Surgery

A New Year often inspires individuals to make a change. Whether you have already begun this change or not, it is useful to set goals for yourself to help keep you motivated along the journey. Here are some tips on how to set SMART goals:
A useful way of making goals more powerful is to use the SMART mnemonic.

Why Aren’t All the Cool Kids Doing It?

Despite widespread acceptance in the medical community, bariatric surgery doesn’t seem to have received the same embrace from the general public

Recently, I was reading an opinion piece in the New York Times by an author named Julia Holloman, entitled “Don’t Keep Bariatric Surgery a Secret.” (link: In the article,

Adopting a Positive Attitude to Maximize Your Success

To successfully achieve your weight loss goal, you must make the right choices consistently. You can make the right choices by accepting a positive, can-do attitude. Put a positive spin on everything and look for the silver lining. Just as bad things, snowball and become larger, good things can too. Each of the choices we make lead to consequences.

Dealing with Weight Loss Sabotage

How many times has this happened to you? You are trying to make good food choice and trying to make positive changes only to have a well meaning family member or friend offer you a rich, creamy dessert that has always been your weakness? Are your friends and family trying to make you fat?

Weight loss “sabotage” can come in many forms.

Getting the Support You Need

Getting the support you need is one of the best ways to continue having success with weight loss. Often, people who don’t keep focus or aren’t given proper care, find themselves at a weight loss plateau. Losing weight from bariatric surgery can bring about dramatic changes in your life. One of the best ways to stay motivated and receive positive reinforcement is to attend support groups.

Fiber Facts: The What, Why, and How

From Dr. Oz to the cereal commercial, fiber is something being promoted all over the place. And while we may all know we need fiber, we may not know exactly what it is or why we need it or how to get it. That’s what I am here to help you with.

What is Fiber?

Vitamin B 12 – Deficiency

Deficiencies in micronutrients are very common in patients with obesity even before surgery and persist after surgery Vitamin B 12 is a water-soluble B vitamin usually acquired from the diet. The body has a 12-18 month storage of Vitamin B12. Vitamin B 12 absorption is a complex process. Healthy adults absorb approximately ½ of their ingested vitamin B 12.

Cognitive Behavioral Therapy: Get Rid of Those “Shoulds”

We have been talking about healthy thinking to help with your weight loss. It may not be a matter of trying harder, or more willpower, but, rather, changing how you think. In previous blogs, we discussed All-or-Nothing Thinking, and Labeling, as common thought errors that may lead to weight struggles. We can all identify with a third thought error: Should Statements.

Body Changes after Bariatric Surgery

There are many positive changes after Bariatric surgery including improvement in diseases, decrease in chronic pain, and an increase in self-confidence. You will also notice significant changes in your body during your weight loss journey. The fat cells that hold up your skin are shrinking which causes a sagging or hanging of the skin. Most patients notice the biggest changes in their arms,

Childhood Obesity

Childhood obesity is becoming a major problem in the United States. More than twenty three million or one in every five children is found to be overweight or obese and this number is continuing to rise. These overweight children are prone to becoming overweight adolescents or adults. They are also at risk for developing bone and joint problems,

The Importance of Food Journaling

Ok, so you’ve already heard enough about food journaling, or you’ve already tried food journaling before but you stopped for some reason. We’re revisiting it today because monitoring what you eat is an essential part of your weight loss program. Try thinking of beyond just listing your daily food intake. Mood/food journaling is where you also record your emotion,

How A Vegetarian Diet Can Be Adequate For a Bariatric Patient

There is a popular misconception that “meat” is the only real source of protein and thus a vegetarian diet is inherently unhealthy due to its’ lack of protein. That statement could not be further from the truth. A vegetarian diet can be both nutrient dense and satisfying and with a little extra attention it can also be low in carbohydrates.

Building Self-Motivation

Even the most motivated of us can feel unmotivated at times. In fact, sometimes we get into such a slump that even thinking about making positive changes seems too difficult.But it’s not hopeless. With some small steps, you can get started down the road to positive change.

Make a Plan

From personal experience,

Iron Deficiency Anemia

It is not uncommon for morbidly obese patients to have anemia and/or nutritional deficiencies prior to surgery. Studies have shown that up to 22% of bariatric surgery patients had anemia prior to surgery. (, 2009).

Iron is very important in maintaining many body functions. It is necessary to maintain healthy cells, skin, hair and nails.

How A Vegetarian Diet Can Be Adequate For a Bariatric Patient

There is a popular misconception that “meat” is the only real source of protein and thus a vegetarian diet is inherently unhealthy due to its’ lack of protein. That statement could not be further from the truth. A vegetarian diet can be both nutrient dense and satisfying and with a little extra attention it can also be low in carbohydrates.

The Importance of Food Journaling

The Importance of Food Journaling

Ok, so you’ve already heard enough about food journaling, or you’ve already tried food journaling before but you stopped for some reason. We’re revisiting it today because monitoring what you eat is an essential part of your weight loss program. Try thinking beyond just listing your daily food intake.

Mindful Eating

Have you ever finished a meal and felt completely full and uncomfortable or eaten a few chips and realized the whole bag was gone? These are symptoms of unconscious or mindless eating. Many of us don’t slow down to realize how our food tastes or to receive the first signal that our body is satisfied.

My Weight Loss Has Stalled, What Can I Do?

Don’t Panic.

Reaching a weight loss plateau is common for people who are dieting and trying to lose weight. The same is true after Bariatric Surgery. Many patients will experience rapid weight loss in the weeks immediately following surgery. However, once the “honeymoon” period is over, most patients regardless of which bariatric procedure was done,

Why Follow Up Care is Not Optional for Long-Term Success

Many people go through a surgical procedure, do well for a while, and they regain their weight. A small percentage of this is due to a physical cause related to the surgery or a new illness. For the majority of people, weight regain is the lack of follow up care.

Bariatric surgery is a tool,

Mindful Eating

Have you ever finished a meal and felt completely full and uncomfortable or eaten a few chips and realized the whole bag was gone? These are symptoms of unconscious or mindless eating. Many of us don’t slow down to realize how our food tastes or to receive the first signal that our body is satisfied.

Building Self-Motivation

Even the most motivated of us can feel unmotivated at times. In fact, sometimes we get into such a slump that even thinking about making positive changes seems too difficult. But it’s not hopeless. With some small steps, you can get started down the road to positive change.

Make a Plan

From personal experience,

Thiamine Deficiency (Vitamin B 1)

Nutritional deficiencies are common after bariatric surgery, however, they are avoidable. There needs to be careful monitoring of nutrients. These include Iron, Vitamin B12, Vitamin B 1, Folic Acid and Vitamin D.
Thiamine is a water-soluble vitamin and is absorbed in the small intestine. Approximately 5 mg of thiamine is absorbed through the small intestines.

A Stampede Toward More Effective Treatment for Type 2 Diabetes

Bariatric surgeons have been extolling the virtues of weight loss surgery for some time now. However, it has taken some time to convince our colleagues in other medical specialties that this was in fact the case. The evidence to support that claim has expanded as researchers from the Cleveland Clinic have released the results of their clinical trial,

The Significance of the Shopping List

Going food shopping can give people an array of emotions. Some find it an annoyance, others therapeutic and for some it gives them anxiety. Whatever emotion you may have towards food shopping one thing is certain, a list makes it easier. Food stores tempt you with unnecessary purchases every second you are there. Often, people spend more than they plan to due to impulse purchases.

Getting Started with Exercise

It is becoming that time of year when the weather is warming up and the day is slowly becoming
lighter longer. It makes you want to get outside and enjoy every minute of it. Many people want to begin an exercise regime but the thought of starting is so overwhelming and they generally don’t know where to begin.

Planning for Vacation

Getting stressed about your upcoming island getaway or drive down to the beach? Maybe it’s a calorie-laden cruise that has got you worried? You’re asking yourself when, where, what am I going to eat? How am I going to keep up with my exercise routine? Don’t fret! Putting a little effort into planning ahead can save you a lot of calories and set your mind at ease.

Say “No” to Poor Food Choices

In order to lose weight, there are going be many times that you will have to turn down food that is available at work, social events, or even leftovers at home. More than willpower, you may need to change your thinking to get through these temptations without going off your meal plan. First of all,

Weight Cycling

Weight cycling, yo-yo dieting and disordered eating are common. If not addressed, mindless habits, emotional eating, and maladaptive eating may contribute to challenges after Bariatric surgery.

Some bariatric patients will come to realization that they “miss their friend, food” and are not able to manage triggers emotions.

Some patients may believe that they will not have to think about their eating,

Back on Track

Has this cold winter left you with a few extra pounds? Perhaps you slipped
into some old habits? Lacking motivation to exercise or choose the right foods?
Spring is just around the corner…I hope? Time to get BACK ON TRACK!!

Remember, you can’t beat yourself up for falling off track, all you can do
is move forward.

Eating Right While on Vacation

Everyone looks forward to vacations.It’s a great time for family, fun, and travel. But, when we go on a trip, do our good eating habits go on vacation as well? On vacation, it is very easy to eat foods that we wouldn’t normally eat, leaving us with a little extra pounds for the trip home.

Celebrating Non-Scale Victories

It’s easy to get caught up in the numbers when you’re weighing in every week. And who can blame you? You worked so hard and you want your scale to say your hard work is paying off, right? However, there is a danger in depending solely on the scale for feedback. If your scale shows that you didn’t lose weight or that you gained,

Staying Motivated through Weight Plateaus

While you are bound to have some blips in the road along your way to your weight loss goal, it is important to stay positive to help you move forward. Perhaps you no longer feel you are losing weight fast enough, or you’ve reached a weight plateau. One key is not to focus too much on the number on the scale.

Finding Reliable Information on the Internet

Finding Reliable Information on the Internet

In this day in age, when people don’t know an answer to something they very quickly run to the internet to “Google It.” People no longer use dictionaries or even use the more dated Encyclopedia to find their answers. These sources are all monitored by organizations to make sure they were putting out correct information.

Understanding Health Claims on Food Labels

After having Bariatric Surgery, maintaining a healthy diet can be challenging. The dietary recommendations after surgery are specific and it can be confusing when you are trying to make the best choices at the grocery store. For example, if a food label for a protein bar states that the food is “carb conscious”, does that mean it is a good,

A Real Life Treasure Hunt

The longer days and warmer weather brings urgency to get out and be active. Many of us remember being outside all day when we were younger but as you grow up and more responsibility comes your way, you find less time to do what you want. Make this summer a time to let your inner child out.

The D’s of Dealing with Cravings: Part 1

You may or may not have heard about the Ds of Dieting. There are different variations of this phrase, including Decode/Determine, Delay, Distract, Distance, and Delight/Decide. These are all catchy tips to help you stay away from poor food choices. Although TriState Bariatrics doesn’t encourage “dieting” (mainly because people who go on a diet, eventually go off of one),

The Sleeve Gastrectomy

When patients come to the office for their first visit, some know which procedure they would like to undergo. Others, are unfamiliar with bariatric surgery or are skeptical about the outcomes and are fearful of complications. Some patients hesitate to consider the sleeve as they think we do not have long term data to document its success and safety.

Beat the Heat

Quite frequently during the summer we hear patients say I’m too hot to ______. Whether it’s I’m too hot to cook for myself, I’m too hot to be active, or something else, the heat can throw you off track. Keep your motivation going. Most people know that when they stop eating on a regular schedule or stop moving,

Understanding Calcium and Iron Supplementation

After you have bariatric surgery you are required to take various vitamin supplements. Included in these requirements are a Calcium + Vitamin D and an Iron supplement. What many people do not know is that there is can be a right way and a wrong way to take these vitamins. Timing can be essential regarding how our bodies absorb certain vitamins.

The D’s of Dealing with Cravings: Part 2

Having strategies to resist food temptations can be helpful when those nagging urges strike to eat starchy or sugary foods. Last time we covered decode (determine why you are having a craving), and delay (wait out a craving). Now try the rest of the Ds:

Distract Make a list of all the things you can do before eating a poor food choice.

Why Walk?

The spring season is finally upon us and after this cold, cold, winter it’s about time we get out and get moving. Walking has a ton of health benefits attached to it for people in all different circumstances. Also, the best part about this exercise is that it’s free! Gyms can be crowded, dark and expensive.

How Do We Measure Success?

It is not uncommon for many individuals who are beginning their weight loss journey to focus on the numbers on their scale. One week we may step on the scale and there may be a gain, the next week we may have a loss. There are times where losing weight can be an emotional rollercoaster,

Benefits of Exercising

Let’s start by defining Exercise, it is an activity that requires physical effort. It has the ability to help patients lose weight by the burning of calories. We exercise to sustain and improve our overall health and fitness. Exercise is an essential part of any weight-loss program and should become a permanent part of your lifestyle.

Buying Fresh

As the weather warms up, our food choices often become lighter. Salads are craved more and produce is often increased. If you are one of these people who find themselves increasing their fruits and vegetables during this time, do yourself a favor and buy locally. We are lucky to be in an area that offersseveral farmer’s markets.

Jumping Out of An Airplane with Our Patients

Reaching a Goal

Goals are part of life, but when weight truly prevents you from reaching your goals, it becomes very frustrating, to say the least. As individuals begin their weight loss journey, I, as the Nurse Coordinator and Support Group Leader, encourage people to think beyond the obvious reasons they want to have weight loss surgery,

10 Weight Loss Mistakes Bariatric Patients Make

10 Weight Loss Mistakes Bariatric Patients Make

Weight loss surgery (WLS) also known as bariatric surgery is considered the most successful form of treatment for morbid obesity. Surgery helps provide patients with a tool to get to a healthier lifestyle and in order for surgery to be successful there are many behavior modifications,

What is Normal Eating?

What is Normal Eating?

Eating means something different to everyone throughout their lifespan. Some people view food simply as fuel for their body. Others take pleasure in enjoying every bite. Some mindfully eat every bite, while others stuff food in to cope with their feelings. Some people are filled with anxiety while eating and have a fear that eating what they want will make them gain weight.

What’s Hungry, My Body or My Brain?

What’s Hungry, My Body or My Brain?

True physical hunger is not always easy to identify. If you eat every time your stomach growls you may be eating too often and not allowing yourself to feel “true” hunger. Ask yourself these simple questions before you reach for a snack or move meal time up a few hours: “Has it been less than 3 hours since I last ate?

The Survival Race

Survival Race

Goals are meant to be reached, accomplished, achieved and surpassed. Everyone should set a goal to achieve, whether it is a daily goal, monthly or long term goal. Walking into the office and watching patient’s eyes light up because they met a personal goal or a Tri State goal is one of the best parts of my job.

Eat Your Way to Health with Broccoli

Eat Your Way to Health with Broccoli!

Broccoli is often not people’s first choice when asked what their favorite food is. It is one of the most nutritious food selections one can make. It is often referred to as a “superfood” because of its vast nutritional value. It’s not only a great source of fiber,

Pregnancy After Weight Loss Surgery

Pregnancy After Weight Loss Surgery

Many of the patients we see are women of childbearing age. Questions often arise about the safety of having a child after surgery and how long one needs to wait in order to become pregnant. The bottom line is that pregnancy after weight loss surgery is perfectly safe.

Optimizing the Laparoscopic Gastric Band

Optimizing the Laparoscopic Gastric Band

Laparoscopic adjustable gastric banding enables obese patients to achieve significant, lasting and safe weight loss. This can help reduce or resolve multiple diseases and enhance quality of life in patients with obesity. It is performed for the purpose of affecting physiological function in weight loss and appetite control.

Improved Brain Function After Weight Loss

Improved Brain Function After Weight Loss

Why would body weight have anything to do with brain function? It turns out that obesity works on a number of different metabolic pathways that can affect the way our brains process and operate. A growing body of evidence has suggested that obesity is linked to cognitive deficits as well as being a known risk factor for Alzheimer’s disease,

Enjoying Fall

Enjoying Fall

As sad as it may seem your summer is now just a sight in the rearview mirror. The relaxation that summer brings is behind you and schedules, though hectic, seem to resume. Getting back on track is ideal during the fall season. Many people experience that nostalgic feeling that the first day of school brings and it feels like a new year.

What You Need To Know About: Whey Protein

What You Need To Know About: Whey Protein

Whey protein is a supplement used by athletes, fitness enthusiasts and other individuals simply for general health, which also includes the population of bariatric surgery patients.

Whey protein is the liquid by-product produced during the curdling of milk. Milk consists of 80% casein and 20% whey.

Non-weight/scale Measures of Weight Loss Success

Non-weight/scale Measures of Weight Loss Success

Often when we are on a weight loss journey, we forget about all the non-weight related milestones and accomplishments we achieve. There is often a laundry list of successes that we need to remember when we are questioning our overall success. By looking at each one of the different aspects of our lives,

Water: One of the Keys to Good Health

Water: One of the Keys to Good Health

Water is vital for maintaining good health and is more important to our body than any of the other nutrients we require daily. We can survive weeks without food, but we would last only 3 to 4 days without water.

Although most people are at least generally aware of the importance of water,

The Definition of Success

The Definition of Success

While there are a number of ways to measure success after weight loss surgery, the bariatric surgery community defines the concept of a “successful” outcome in terms of percentage of excess weight loss (%EWL) following surgery. Longer-term studies of bariatric surgery outcomes extend the definition of success from excess weight loss to excess weight lost and maintained over a longer period of time.