Strategies for Successful Long-Term Weight Loss

Strategies for Successful Long-Term Weight Loss

While losing the weight is no piece of cake (no pun intended), keeping it off can be even more challenging. This is why so many people are able to lose weight successfully, but struggle with keeping it off in the long term. Below are a few tips that may help you maintain the weight you have journeyed towards and may even help you get to that weight if you are not yet there.

Probiotics and Prebiotics

Probiotics and Prebiotics

You’ve probably heard of probiotics and prebiotics, but do you know what they are? Nutrition research has pinpointed specific functional components of foods that may improve health. Probiotics and prebiotics are two such substances. Probiotics may be helpful after bariatric surgery.

The root word of the word probiotic comes from the Greek word pro,

Tips on Surviving the Holiday Season

Tips on Surviving the Holiday Season

The holiday season can be one of the most joyous, and yet also, one of the most difficult times of the year. This season has also been referred to as the “hurricane” or “tornado season.” The holiday season can cause a multitude of feelings, stress, and anxiety.

Balancing Your Relationship With Food (part 1)

Balancing Your Relationship With Food (part 1)

Why you eat is just as important as what you eat. Many of us learn from an early age that food can bring comfort, at least in the short-term. As a result, instead of learning healthy ways to resolve and deal with feelings, many people learn to turn to food for emotional comfort to help reduce negative feelings.

Sugar Addiction (part 2)

Sugar Addiction (part 2)

Last month we talked about “addiction” to sugar. Perhaps you identified how sugar is affecting you both physically and emotionally. Or maybe you have just decided to avoid sugar to help with weight loss. Americans, on average, consume 20 teaspoons of sugar daily. Start by examining your food choices and reading labels both in and out of the home.

Grateful People are Healthier People

Grateful People are Healthier People

Some people may associate the Thanksgiving holiday with an endless array of food which lasts all day. Other people may think of the Macy’s Thanksgiving Day Parade and football games on television. However, if people want to have the happiest of holidays, they should focus on associating Thanksgiving with gratitude and thanks.

Following a Vegetarian Diet After Weight Loss Surgery

Following a Vegetarian Diet After Weight Loss Surgery-Is It Possible?

Given the small size of the stomach after Bariatric Surgery, it’s very challenging for patients to consume adequate nutrition. There are vitamins and minerals that must be supplemented in the diet and it’s always a priority to eat enough protein. Is it possible to remove “meat” from your diet and still consume enough protein?

How to Make Weight Loss LAST

How to Make Weight Loss LAST:

“I’ve failed at losing weight so many times…”

There are key ingredients you MUST incorporate if you want to create an effective recipe for weight loss success. Once you understand the importance of these concepts, you can create specific strategies and approaches that will work for you and that will fit your life,

Thanksgiving Bariatric Style!

Thanksgiving Bariatric Style!

The end of the year is quickly approaching and with that comes the holiday season. (Thanksgiving, Christmas, Hanukah, etc.) The holiday season and food tend to go hand in hand. In fact, people tend to gain an average of 5 to 10 pounds between Thanksgiving and New Year’s. Trying to prevent that extra weight gain is a challenge for anyone so to make this thanksgiving holiday bariatric style remember to be wise,

Mindless Munching

Mindless Munching

Picture yourself out for dinner with a good friend. You order grilled salmon with steamed vegetables, an excellent, healthy selection. Your friend orders chicken nuggets and fries, but cannot finish all of the fries. As you are chatting, you help her finish them. Alternatively, you are at home, preparing dinner and taste the foods you are cooking.

Maintaining Exercise During Thanksgiving

Maintaining Exercise During Thanksgiving

Thanksgiving is a time to spend with friends and family while eating some delicious food. Unfortunately, physical activity and healthy eating are placed pretty far down the list of priorities. Here are a few simple ways you can incorporate exercise into the Thanksgiving holiday while still spending time with those you care about.

Measuring Weight Loss Without a Scale

Measuring Weight Loss Without a Scale

Most people calculate the success of their weight loss journey based on how many pounds they have lost. However, there are many other ways to measure success and aim for the ultimate goal of overall good health. Aiming to be in a good health state is the benchmark for success.

Sugar Addiction (part 1)

Sugar Addiction (part 1)

While it is well known that drugs and alcohol are addictive, there is more acceptance that certain foods, particularly sugar, can be addictive in some people. Studies show that sugar produces a similar brain response as drugs and alcohol by directly releasing dopamine, a neurotransmitter in the brain associated with the reward center.

Navigating the Holidays

Navigating the Holidays

We have made it through most of the year and now is when we embark on months of holidays. Though holidays typically mean celebrations and happiness, it also means food buffets, desserts and stress. The holiday season can bring on a lot of stress and emotional eating due to loved ones not being around,



Gout is a form of arthritis which causes pain and swelling in the joints. It happens in people with too much uric acids in the blood. Uric acid is a chemical that is produced when the body breaks down certain foods. Uric acid can form sharp, needle like crystals that build up in the joints and cause pain.

Why Frozen is Sometimes Better Than Fresh

Why Frozen is Sometimes Better Than Fresh

As the winter months are fast approaching our access to quality fresh produce is becoming more and more limited. During the late spring and summer and even the early fall it is very easy to purchase fresh local produce in the supermarket and at local farmers’ markets.

Tips to a Healthy Halloween

Tips to a Healthy Halloween

Halloween is a holiday that is celebrated by millions of Americans. During the Halloween season people dress up in costume, attend costume parties, visit haunted houses, go on hay rides, pick pumpkins, carve jack-o-lanterns, and go trick or treating, and so much more. It’s so important for bariatrics patient to stay on track during the Halloween season and we all know there can be many temptations that can be hard to resist.

H. Pylori is a Bacteria

H. Pylori is a Bacteria

Stress, spicy foods, type A personality, which of these cause most stomach ulcers? The answer is none of them! Research shows that most ulcers develop because of an infection named helicobacter pylori (H. pylori). Patients are tested for H. pylori prior to bariatric surgery to decrease the risk of developing ulcers after surgery.

Don’t Let the Halloween Treats Trick You!

Don’t Let the Halloween Treats Trick You!

Now that summer is over, the stores move on to their next money making scheme. Every October 31st, we buy tons of candy and dress our kids in their favorite Halloween costume. If you’re not careful, a few careless handfuls of your favorite mini treats, and you’ll have sworn you’ve been tricked next time you step on the scale.

How to Practice Mindful Eating

How to Practice Mindful Eating

Slow down, you eat too fast.

Have you finished your meal lately without even tasting it? It takes 20 minutes for the brain to catch up with the gut and register satiety (fullness). Eating too fast can lead to overeating. With the start of a new school year and the holidays fast approaching,

Thirst Quenchers

Thirst Quenchers

Now that the heat of the summer is here, what can be more refreshing than an iced coffee, a frosty smoothie, or a cool fruit drink? Without even realizing it, many of us consume 300 or more calories daily from sugar sweetened beverages including soda, sports drinks, fruit drinks, and sweetened teas and coffee.

Consuming Beverages with Empty Calories

Consuming Beverages with Empty Calories

Many of the foods and beverages Americans consume are full of empty calories. Empty calories do not satisfy hunger or add any vitamins, minerals, and fiber of nutritional value. They are found in sugar-sweetened beverages, juices, fast foods, processed foods, and many snack foods. These empty calories are adding to the presence of obesity in America,

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.

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.

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.

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,

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,

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.

Snack Attack

Snack Attack

It’s not quite dinner time and lunch is just a distant memory, but what’s this? Is it hunger? Is it a crave wave? Or is that a snack attack I’m feeling? Before reaching for those extra snack calories, consider the possibility that you may not really be hungry, but are rather a bit under-hydrated or perhaps letting boredom get the better of you.

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.

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?

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.

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.

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,

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.

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,

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.

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,

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 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),

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,

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.

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.

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,

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.

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,

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.

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,

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,

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.

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.

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.

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,

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.

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,

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.

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.

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.

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,

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.

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.

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.

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.

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.

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,

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.

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?

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,

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.

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.

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.

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 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.


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.

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.

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.

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.

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.

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.

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?

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.

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.

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,

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,

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,

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,

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,

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,

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.

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.