Anyone who has ever gone on a diet or attempted to lose weight knows that there are more than a few difficulties along the way. Losing weight and keeping it off for good means making changes to the ways you approach food and nutrition that will last the rest of your life. One difficulty in […]
There are many questions surrounding bariatric weight loss surgery. You’ve likely researched what your new life will entail after your procedure; eating habits, exercise, and weight loss expectations. One important consideration to think about is the timeline in which you can expect to become active again. Of course, you won’t leave the hospital and immediately […]
Ask anyone who has tried, achieving long-term weight loss is difficult, especially if you have a considerable amount of weight to lose. For those who choose bariatric surgery, they have the added benefits of a team of experts, a system designed to promote steady, lasting results, and the tools to keep off the wight. One […]
Because of the Coronavirus outbreak, more and more people are worried about gaining weight or staying on their weight loss paths. Not only are we spending more time indoors, but it’s actually healthier to do so right now. Sticking to weight loss goals when we’re not allowed to go to the gym and are restricted […]
Written by Susan Epstein Healthy snacking after Bariatric Surgery is very important. Your stomach size is much smaller, and you can’t afford to waste space on empty calorie foods. The first step in making good snack choices is embracing “conscious eating”. Snacking for nourishment is different from mindlessly grazing. If it has been 3-4 hours […]
How to Make Healthy Eating Simpler and Less Expensive By: Susan Manez MS,RD,CDN 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 […]
By: Vincenza N. Garcia, RD, CDN Healthy meal preparation is a key component to successful weight loss after bariatric surgery. One of the first steps to meal preparation is making sure your kitchen is set up with the right tools and appliances. Listed below are my favorite kitchen items that I recommend to patients when […]
The importance of regular attendance to a bariatric support group is key to maintaining weight loss. Many of your friends and family will support you through your weight loss journey. Some may offer you a reward after you meet a milestone or goal. Although, remember, you should never accept food as a reward. A few […]
Studies show that bariatric patients’ regular attendance to support groups is the key to long term success. Some patients receive support from their families and others receive it from their friends. However, support groups have welcoming atmospheres that encourage you to attend. As you begin your journey towards weight loss, your dietitian will discuss with […]
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. Weight loss “sabotage” can come in many forms. A person may make […]
It’s important to provide your body with proper nutrients in order to complete the daily tasks and physical activities in your day. But even with this knowledge, you have probably at one time or another, skipped meals in order to lose weight. However, research has shown that skipping meals has undesirable consequences to our health. […]
Winter months are fast approaching. This means 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. This is because there is a variety of […]
Little things can be exercise which make it easier and sometimes fun. 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 […]
In this 3rd part of a series on “Sugar Addiction”, the goal is to increase your commitment to avoid excess sugar. After taking a personal inventory of how sugar is affecting you, and learning what sugar sources to avoid, you may need a way to help you “kick the sugar habit”. After all, sugar is […]
By Jeanne Karson, CBN, ANP-C Studies show that keeping a food diary is one of the most successful ways to lose weight. In fact, it has been the cornerstone of many successful weight loss programs. Keeping a food diary will help you to Be objective about what you are eating. We all know that we […]
In part one of this series, 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. 6 things you can do to control your […]
Ways to Stay Active This Winter Keeping up with your exercise routine in the cold winter months can seem nearly impossible, especially if your typical routine involves trudging to the gym or walking outdoors. Not to mention that the colder, darker weather tends to weaken our motivation to get moving. But just because the snow […]
By Susan Manez MS,RD,CDN It’s just after the holidays and you no doubt are feeling the pinch of holiday spending. There is a popular misconception that eating healthy is expensive. This might cause you to put off your healthy eating plans until you recover your finances. The goal of this post is to tell you […]
It is a well-known fact that drugs and alcohol are addictive. There is now 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. This […]
How Much Work it Takes to Burn Off Calories in your Holiday food The holiday season is a time filled with joy, family, celebrations and plenty of food. Most holiday food tends to be filled with great flavor and tons of fat, sugar and calories. You may find these holiday treats very tempting and it […]
Staying motivated can be quite a task, even for the most motivated of us. It is normal to sometimes we go into a slump that can make it difficult to even think about making positive changes in your life. If you get into such a state, you have to remember what you are trying to […]
Avoiding Weight Gain During the Holidays Category: Holiday Eating Tips for Bariatric Patients Pay Attention: When eating, concentrate on each bite. By eating on the go or paying attention to other things such as the TV or computer, you probably aren’t realizing how many calories you’re taking in. By focusing on the food you are […]
How to eat healthy and keep losing weight this holiday Binge Eating is the consumption of large quantities of food in a short period of time. The holidays can be a tempting time because of the wide selection of food available at the table. While other people may pile up their plates, you have to […]
Little things can be exercise and make it less painful. 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 […]
Here’s some things to help all our patients and anyone else wanting to stay on a good eatting habit for the holidays. Christmas & Hanukkah Bariatric Style! The end of the year is quickly approaching and with that comes the holiday season. (Thanksgiving, Christmas, Hanukkah, etc.) The holiday season and food tend to go hand […]
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. […]
A large number of people who go through bariatric surgery do well for a while, and then 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. Getting into […]
Do do this at home… because shivering is a workout. There is evidence that shivering in the cold may result in staying healthy and losing weight. I know. Sounds crazy. It’s a fun fact. Researchers have found this motion of shivering can burn calories as if you were working out for an hour. We’re talking […]
By Jessica Basso, RN, BSN Every patient’s weight loss journey is different and unique. Weight loss support groups provide a place where patients can find help and assist each other throughout the journey, both pre- and post-operatively. Patient support can be from family, friends, coworkers, neighbors, and other WLS patients. Studies have found that patient […]
Eat before the big meal. Yup. That is what we said. Showing up to Thanksgiving dinner with your stomach growling is a terrible idea. You need to pre-game with a healthy snack, a smallest low-calorie one. Butternut squash soup or a veggie soup about an hour before will control your hunger. Our dietitians all agree. Dipping raw veggies in […]
By Vincenza Garcia, RD, CDN Taking a physical exam before bariatric surgery ensures your body is healthy enough to withstand the procedure. But according to bariatric practitioners, emotional health is just as important for bariatric patients. It is important to be mentally prepared for the surgery and at TriState Bariatrics, we recommend the following tips […]
To maintain body weight, you must maintain an energy balance: energy intake has to be equal to energy expenditure. Your body has two hormones that regulate food intake and body weight. These are leptin and the “hunger hormone”, ghrelin. Ghrelin is the hunger hormone while leptin stops appetite. Ghrelin stimulates the brain, which leads to: An […]
Why body weight and brain function go hand in hand Obesity works on a number of different metabolic pathways that can affect the way your brain operates. A growing body of evidence has suggested that obesity is linked to cognitive deficits and that weight loss leads to improved brain function. More so, obesity is a […]
What you need to know about Whey Protein Whey protein is the liquid by-product produced during the curdling of milk. It is a complete protein source, which means that it contains all 9 of the essential amino acids. More so, whey protein is the base of many dairy products such as milk, cream and cheese. […]
SLEEPY HOLLOW, NY — Phelps Hospital announces the addition of bariatric services to their surgical expertise. Bariatric services offer weight-loss surgery and a comprehensive support program to assist morbidly obese individuals in improving their health. Morbid obesity has been identified as an epidemic by numerous healthcare organizations and medical experts. People who are morbidly obese are more likely […]
A reminder that if you have friends or family that have any questions, we have a Suffern, NY practice open to calls or visits for FREE. It is located at: Suffern, NY 10901 – 156 Route 59, Suite A2 Direct Number: (845) 517-2870 Our Suffern location borders New York and New Jersey and is conveniently located just off […]
Leading-edge bariatric care will now be more accessible, thanks to Dr. Wayne Weiss, MD, FACS, and his team of bariatric surgeons at St. Luke’s Cornwall Hospital’s (SLCH) Institute for Metabolic and Bariatric Surgery. Read more >
The Importance of Hydration for Weight Loss By Lisa Deguzman 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 […]
By Diana Larson, RN As you age, your body undergoes certain changes, and you may find yourself making excuses for why you can’t exercise like you used to. Changes in mobility, flexibility, and joint stiffness may leave you feeling like exercise isn’t always possible. However, the benefits of exercise greatly outweigh the risks. The Centers […]
By Laura Greaney Hypothyroidism is a condition in which your thyroid gland isn’t producing enough of the thyroid hormone, thyroxine. It is a common medical condition found in a lot of bariatric patients, mostly women. It is also referred to as an underactive thyroid. The thyroid hormone is responsible for that every important metabolism! When your […]
Vitamin B12 deficiency After weight loss surgery Research shows that most patients with obesity suffer from a deficiency of micronutrients such as Vitamin B12 before surgery. These deficiencies persist even after surgery. In this post, we will discuss Vitamin B12 deficiency, its symptoms, why it is prevalent after gastric surgery, and, what to do about […]
An upcoming event such as a wedding can be great opportunity for you to focus on your weight loss goals. You want to look and also feel your best on this important day. Tap into this enthusiastic mindset to include healthy eating and fitness as part of your overall wedding planning. +++++++++++++++++++++++++++++++++++++++++++ What do you […]
25+ years of Drive and Agility have Yielded Leadership Positions for Healthcare Practices under Her Guidance New York, Release: 28th July 2018 Jeanmarie Falco is a cat person, loves her family and is devoted to her husband and their son. She is also an ardent believer in giving back to the community, as demonstrated through […]
Is your daughter getting married? Weddings are a special time, not just for the bride, but for the mother of the bride as well. As a mum, your daughter’s wedding day is your proud moment. As much as your daughter sailing off to start a life of her own it is her life’s milestone, it […]
This year the Top Doctors feature-one of our most asked for and most appreciated annual features-honors you among the more than 417 doctors in more than 47 specialties. See the letters of Nomination:
Our Dr. Rivera, from Tristate Bariatrics, is on this highly skilled Robotic Surgical Team
By Laura Greaney MSN Summer is in full swing and it has brought the heat. Excessive heat generally causes people to have a lower appetite. Due to the heat and suppressed appetites, meal prepping can seem like an even more tedious task. Though these summer months are a great time to enjoy yourself, that doesn’t […]
We are so proud to be partnered with this hospital in the Bariatric capacity. Here’s the news we’d like to share. Good Samaritan Hospital Kicks Off a $9 Million Refurbishment of the Bariatric and Orthopedic Surgery Units SUFFERN, N.Y. (July 24, 2018) – Good Samaritan Hospital, a member of the Westchester Medical Center Health Network (WMCHealth) […]
Great Medical Programs – Tri State Bariatrics’ Integrated Health Team Provides Compassionate Patient-Centric Care, Pre-Surgery to Aftercare More than one-third of the American adult population is overweight or obese. According to the National Institutes of Health (NIH), an increase in 20 percent or more above your ideal body weight constitutes a health risk. Obesity-related health […]
Summer has finally arrived and with regards to diet and food choices, it presents its own set of challenges. On my way home from work, I pass several seasonal ice cream stands. I also have several outdoor parties to attend. I ask myself, “How can I participate socially and be a part of the party […]
H. pylori and how it affects bariatric surgery When undergoing bariatric surgery, you are sent for several tests, most of which you may not understand. Some of these tests include: Blood work. To create a baseline for your vitamin and mineral levels, we take blood work. This helps to check for deficiencies and determine if […]
Hair Loss after Bariatric Surgery We all want to achieve great weight loss results and still have great hair. However, this is not always possible as hair loss after bariatric surgery is very common. The hair loss associated with bariatric surgery is called telogen effluvium and has to do with the normal hair growth cycle. […]
By Emilie Rosano MS, RD, CDN Pursuing a healthier lifestyle does not mean you have to forgo fun-filled summer activities. While your thoughts of barbecue season may conjure up images of carbohydrate-laden foods and abundant cocktails, there are simple ways to stay on track this season. Any good guest would bring a dish; why not […]
Obesity increases the risk of Iron deficiency anemia Obesity and iron deficiency anemia appear to be unrelated. But according to studies, there is an increased risk of iron deficiency among people with obesity. Researchers(Cepeda-Lopez AC1, Aeberli I, Zimmermann MB., 2011), say that an obese person is likely to get anemia because of: Impaired iron absorption, […]
By: Dr. Allison As the heat of summer approaches, make sure your days in the sun include plenty of fluids. to stay hydrated this summer, aim for 64 oz. of fluids daily. Choose mainly pure water or low-calorie (<5 calories/serving) beverages. However, if you need a change, add a packet of sugarless flavoring, or put […]
Are You Overweight But Are Not Sure You Need Weight Loss Surgery? Come to our TOTALLY SAFE and COMFORTABLE weekly meetings and you will find answers. Time and venue: 9am to noon. Every Wednesday in Middletown 9am to noon. Every Wednesday in Suffern Noon. Every Monday in Fishkill The decision to get weight loss surgery […]
How will bariatric surgery affect your pregnancy? Pregnancy after bariatric surgery is an issue that most women grapple with. Though you could diet or change your lifestyle to lose weight before pregnancy, if you are morbidly obese, bariatric surgery is a more viable treatment option. In fact, studies have shown that bariatric surgery reduces these […]
Is Your child Likely to Suffer from Childhood Obesity? Childhood obesity is becoming a major problem in the United States. Latest data from the CDC shows that 1 in 5 children and young people up to 19 years old in the USA are obese. These overweight children are likely to become overweight adults. They are […]
PCOS (Polycystic Ovarian Syndrome) and Its Relation to Obesity By: Jessica Basso, RN PCOS, Polycystic Ovarian Syndrome, is one of the most common hormonal disorders in women of reproductive age. A woman affected with this condition will experience: Irregular menstrual bleeding/cycles, Excess androgen, which is elevated levels of male hormones, Enlarged ovaries that contain numerous […]
Infertility is a medical condition characterized by a diminished or inability to produce offspring. It is not a gender-specific condition but can affect both men and women. Infertility may result from a problem with any of the steps involved in conception. These steps include: A woman’s body must release an egg from one of her […]
How to Know If You Are At Risk of Severe Obesity Severe obesity is a chronic disease with symptoms that build slowly over an extended period of time. You have severe obesity if: You are 100 lbs (pounds) or more over your ideal body weight, or, Your bmi is 40 or higher or 35 or higher. More […]
How Your Weight Could Be Causing Sleep Apnea and What to Do About It By: Dr. Kristin Allison Sleep Apnea is a serious but treatable sleep disorder. The mainstay of treatment is CPAP (Continuous Positive Airway Pressure), a machine that uses a steady stream of air to gently keep your airway open throughout the night. It […]
How Getting a Good Night’s (Or Day’s) Sleep Affects Your Weight By Susan Manez MS,RD,CDN Adequate sleep duration and good sleep quality are of utmost importance in promoting healthy weight loss and maintenance. Sleep can affect your weight and overall health. This is according to multiple studies that have established that a lack of sleep […]
How can I learn to not eat too much? By: Jessica Basso, RN There are many lifestyle changes that need to occur before and after weight loss surgery, diet being one of the most important. It will take a great deal of effort, but research has shown that our brains can cement new habits within a period of 21-90 days, so consistency and […]
How can I learn to not eat too much? By: Michele Losinno One of the many changes that come with weight loss surgery is portion size. However, this can be a difficult adjustment for people to make. When you are used to eating a certain amount of food your whole life, abruptly changing it can […]
How can I learn to not eat too much? By: Emilie Rosano MS, RD, CDN It is not only what you eat but how you eat that affects your weight loss. Mindful eating is a technique that will teach you to appreciate the food you are using to nourish your body by focusing on each […]
Ramon Rivera, MD, FACS, Medical Director of Good Samaritan Hospital’s Surgical Weight Loss Institute, and Maria Scaffidi, MPA, RD, CDN, Bariatrics Coordinator, announce that Good Samaritan Hospital’s Surgical Weight Loss Institute, a member of the Westchester Medical Center Health Network (WMC Health), has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery […]
Does Diabetes have initial symptoms that can be controlled by immediately eating differently? By Susan K. Manez MS, RD, CDN Diabetes is a condition that effects millions of Americans. According to the American Diabetes Association, in 2015, 30.3 million Americans or 9.4% of the population had diabetes. Even more alarming is that a whopping 1.5 […]
The Benefits of Bariatric Surgery for Patients with Type 2 Diabetes By: Susan Epstein Diabetes, particularly obesity-related Type 2 diabetes, is increasing across the United States and is becoming an epidemic. If you suffer from diabetes, your body’s ability to use the hormone Insulin will be impaired. Insulin is a hormone that helps regulate sugar […]
4 Main Tips to Help You Cope With a New Diabetes Diagnosis By: Dr. Kristin Allison Learning of a new diagnosis of diabetes can feel devastating. This is especially true if you are surprised by blood work results when you weren’t aware of symptoms. Some respond with fear of the possible complications of diabetes and […]
Bariatric Surgery and its Impact on Diabetes By: Jeanne Karson, Adult Nurse Practitioner since 2010. Bariatric surgery as a treatment option for diabetes associated with obesity has become an established treatment option for diabetes associated with obesity. Studies have shown that bariatric surgery is superior to conventional medical treatment and is effective in the resolution […]
Do’s and Don’ts for Successful Recovery From Sleeve Gastrectomy By: Jody MacHugh, FNP-BC, CBN, RNFA The sleeve gastrectomy is a bariatric procedure that is typically done laparoscopically. That means you will only have 5-6 small incisions on your abdomen. Successful recovery from sleeve gastrectomy begins as soon as you leave the operating room and you […]
Is Success After Weight Loss Surgery All About What You See on The Scale? By: Dr. Kristin Allison First and foremost, weight loss surgery success has to do with the amount of weight lost. At Tri-State Bariatrics, we consider patients to be successful if they lose more than 50% of their excess weight. If you […]
5 Things You Can Do to Prevent Loose Skin After Sleeve Gastrectomy By Susan K. Manez MS, RD, CDN Weight loss has a lot of positive “side effects”. Some of them include: Increased energy, Improved health, Better confidence, Greater mobility. But weight loss can also have a few less pleasant consequences as well. Among these […]
What is Sleeve Gastrectomy? By: Jeanne Karson, Adult Nurse Practitioner since 2010. Operations for weight loss include a combination of volume restrictive and nutrient malabsorptive procedures that affect satiety, absorption, and insulin sensitivity. Practitioners use these procedures in conjunction with behavior modification to achieve and sustain weight loss. Sleeve Gastrectomy is a single stage primary […]
How to Prevent Weight Regain After Bariatric Sleeve Surgery By: Laura Greaney MSN Nutritionist Are you experiencing weight regain after bariatric sleeve surgery? Are you finding it difficult to control weight because of habits such as, Emotional eating, Sugar addiction, and Giving in to excuses? If your answer is yes, then you know the classic […]
How to deal with body image issues and improve intimacy after weight loss surgery By: Elizabeth Handler, ANP-BC Prior to weight loss surgery, patients are eager to think about all the exciting changes that will be happening. They are excited about The possibility of no longer needing medication for diabetes or high blood pressure, Feeling […]
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How to Lose the Most Weight with The Right Diet After a Sleeve Gastrectomy By Lisa Deguzman, RD, CDN Losing weight successfully after a sleeve gastrectomy depends largely on an appropriate diet plan. There are many bariatric programs available now. Each of these programs has its own specific dietary and behavioral guidelines. It is important […]
Handling Extra Skin after Sleeve Stomach Surgery By: Jessica Basso, RN, BSN Firstly, what is a Sleeve Gastrectomy? This is a surgical procedure to help aid individuals with weight loss. With the Sleeve Gastrectomy (Sleeve Stomach Weight Loss Surgery) you can expect to lose an average of about 60-70% of your excess weight the first […]
How to Prevent Loose Skin after Sleeve Gastrectomy. It doesn’t have to require surgery. You can do it on your own. By Susan K. Manez, MS,RD,CDN Read how ‘slow and steady’ is a loose skin from Sleeve Bariatric Surgery solution… Weight loss has a lot of positive “side effects”. These range from increased energy, improved health, […]
By Jessica Basso, RN, BSN In 2007, Kaye Bailey developed what is called the 5-day Pouch Test. Kaye had gastric bypass surgery, but seven years after her surgery, she started to regain s weight. Her doctor suggested she get back to the basics. Following, her doctors order, the 5-day pouch test was born. The 5-day […]
The Health Benefits of Yoga Part II By JSCepeda Yoga is widely known to reawaken the mental and physical body, whenpracticed on a consistent basis, through a series of different asanasor poses. However, the vast array of benefits range from overallmuscular flexibility to joint mobility and postural alignment.Athletes benefit from yoga by learning to coordinate […]
To Snack Or Not To Snack By Susan Epstein; MS, RD, CDN, Snacking. Everyone does it. A handful of pretzels at work. A bag of popcorn while at the movies. Is this really going to slow my weight loss? What about after Bariatric Surgery? Doesn’t it make sense to eat small snacks throughout the day […]
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 […]
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 […]
By Susan K. Manez MS, RD, CDN If visions of sugarplums are dancing through your head and you’re ready to settle in for a long winter’s nap, it may not just be your nostalgia for Christmases past. The cause for your malaise is the overindulgences at the many holiday parties and gatherings clouding your brain. […]
By Laura DeAndrade, MSN, ANP-BC Obesity affects all organs of the human body. It does not discriminate. One of the major systems affected in the body is the musculoskeletal system. People of any age, including teenagers, can start to feel the effects of weight on their joints even if they are only ten pounds overweight. […]
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 […]
By Susan Epstein, MS, RD, CDN People are often hesitant to attend a support group. They may wonder, “Will it be relevant to what I’m going through?” “Will I be put on the spot?”. People attend support groups for various reasons. This article will look at what you can gain from attending a support group. […]
By Jeanne Karson, NP Obesity can cause severe damage to your body. It is the major cause of diabetes, high blood pressure, sleep apnea as well as some cancers. These diseases can lead to disability, poor quality of life and early death. The following outlines the associated risks: So, how do we combat obesity? The […]
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 […]
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 […]
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. A large waistline […]
By Michelle Lossino, LCSW Besides being an important part of weight loss, there are many mental health benefits of exercise. Reduces stress. Can assist in alleviating anxiety and depression; regulate mood. Releases endorphins – which create feelings of happiness and euphoria. Improves self-confidence and positive self-esteem. Can assist in preventing cognitive decline – working out […]
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. Maybe you’ve hit […]
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 […]
By Susan Manez, MS, RD, CDN Now that you have achieved your goal weight, the most difficult part of your journey has begun. When actively losing weight your diet plan is much more structured and restrictive, but when it is time for you to maintain your weight there are a lot more variables. However, this […]
By Susan Epstein MS, RD, CDN We all know how important sitting down to a family dinner is. With everyone on busy schedules, it’s a time to connect and hear about one another’s day. Often patients are concerned that after Bariatric Surgery, they will not be able to eat dinner with their families. Meals that […]
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 […]
By Diana Nunziato, RN Mindfulness has been defined in Psychology Today, “as a state of active, open attention on the present” (2016). You are able to observe your thoughts and feelings from a distance, without judging them as being good or bad, when you practice mindfulness. Instead of letting your life pass you by, mindfulness […]
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, elevated […]
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 […]
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 […]
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 […]
By Laura DeAndrade, MSN, ANP-BC Upon your first visit into our office, you will hear our staff stress the issue of not gaining weight during the pre-surgical process. We encourage weight loss of any degree prior to surgery. Not only is this weight loss beneficial for your overall health, but it can reduce your overall […]
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 […]
By: Susan Epstein, MS, RD, CDN Good news! The nutrition facts label is getting a makeover! On May 20, 2016, the FDA (Food and Drug Administration) announced new rules for food labels. The new food labels will be updated, making them easier to read and understand. As a result, consumers will have an easier time […]
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 […]
By: Laura DeAndrade, ANP-BC Have you ever wondered exactly what your food labels meant? Are you being lured into purchasing items that are otherwise not very healthy simply because you fell for a marketing scheme? Chances are that mostly everyone has picked one food over another because it included the words “all natural” or “multigrain”. […]
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 […]
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 […]
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. For […]
By: Diane Nunziato, RN We all need a tool box stocked with the right tools to succeed in life as well as before and after weight loss surgery. Just as a mechanic needs the right tools to repair our cars, without the correct tools, we are just set up for failure.As we mentioned in Stocking […]
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? […]
By: Susan Epstein, MS, RD, CDN Changing your lifestyle and reaching your weight loss goal takes a lot of hard work! Doing this on your own can be difficult and lonely. A good support system is vital to help you achieve success. The following are some ideas to surround yourself with the support you need. […]
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 […]
By: Laura DeAndrade, ANP-BC Cardiovascular disease is the number one killer in the United States and studies now show that elevated body mass index (BMI) in overweight and obese people isn’t simply linked to heart failure – it has been proven to cause it. BMI is a simple measure of weight-for-height used to classify overweight […]
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: Plan ahead. Either […]
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 […]
By: Jessica Basso; RN, BSN For individuals that have undergone bariatric surgery specifically the gastric bypass and the sleeve gastrectomy the effects of alcohol can be stronger and faster. You may feel the effects from drinking much sooner than you would prior to having surgery because our bodies change and so will the way that […]
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 […]
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. For […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 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 […]
By Laura DeAndrade, ANP-BC Myth: I am guaranteed to lose weight after weight loss surgery 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 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. But why […]
By Susan Epstein, MS,RD,CDN Most people know that calcium is “good for your bones” and protects against Osteoporosis, but how does calcium affect your bones and what role does Vitamin D play? Calcium is very important since it’s basically a “building block” of bone. Calcium plays a role in maintaining bone strength throughout life. However, […]
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 […]
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! WARMING UP Every exercise should begin with a warm-up. Muscles that are warmed and stretched are […]
By: Laura Greaney MSN Nutritionist One of the concerns of patients before having bariatric surgery is if they are going to experience hair loss. Unfortunately it is not something that is easily predicted. The safest guess is to assume you may lose a little hair. Your hair has two phases that it goes through, the […]
5 Reasons Why Protein is Good For Weight Loss By: Enza garcia, RD, CDN, CPT With the continued excitement for eating low-carb and Paleo–two diets known for having higher protein intake– the popularity of protein is reigning high. As you undergo your weight loss journey, you might question why protein is so prized. How does […]
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 […]
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. […]
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 […]
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. When those […]
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. Vitamins […]
By Susan K. Manez MS,RD,CDN Both before and after surgery you are advised to begin taking multiple vitamin and mineral supplements, but you may be wondering why. There are many vital nutrients that can be lacking in your diet when you are trying to lose weight. This may be because you are focusing on eliminating […]
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 […]
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. Emotional eating will make you feel […]
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, but if […]
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 […]
By: Susan Epstein, MS, RD, CDN Gluten free diets are in the news more than ever. In this article we will examine gluten free diets and how they impact people who have bariatric surgery. Gluten is a general name for the proteins found in grains such as wheat, barley, and rye. Gluten acts like a […]
Constipation after Bariatric Surgery By: Laura DeAndrade, ANP-BC One of the most common complaints following any type of bariatric surgery is constipation. Constipation is generally described as having fewer then 2-3 bowel movements per week. In addition to this, patients who suffer from constipation also complain that stool is very difficult to pass. Constipation can […]
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 […]
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. For people who are feeling distress, look at your […]
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 […]
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. As a direct […]
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, whether natural […]
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 […]
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, look at your physical activity, medications, medical […]
Once you’ve decided to go ahead and have a bariatric surgery procedure, you’ll find yourself in the tricky position of having to explain your decision to others. Obviously, you’ve probably talked over your decision with close family members and friends, but others may be surprised to learn that you will be undergoing surgery or confused […]
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 […]
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 […]
We all know that exercise combined with a healthy, reduced calorie diet, is a great tool to help you lose weight by burning calories and building muscle, but there is so much more that exercise can help us with. Exercise is one of the most important tools to help us keep off the weight we […]
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 […]
Many weight loss attempts start with dietary modifications and cardio exercise such as walking, swimming, cycling and other activities that increase the heart rate through repetitive movements. Exercise is a key component of the post weight loss surgery lifestyle and may be associated lower weight regain. These two elements are incredibly important but alone they […]
It is important when creating a healthier life to take precautions both inside and out. Exercise and eating healthy are essential but don’t forget to protect your largest organ, your skin. According to The Mayo Clinic, skin cancer is the largest of the cancers. Sun is a major threat that people should take more seriously. […]
You are sitting in a restaurant, facing the dilemma of what to order. The menu is overwhelming. You decide a salad is always a safe choice. Is your assumption correct? Are salads always the healthiest choice? Salads start out as vegetables. However, by the time all of the toppings and dressings are added in to […]
You may want to prepare your family or roommate(s) for changes after surgery, or if you are already post-op, get household members on board. Your home environment can make a big difference in your weight loss progress. After all, home is where you spend a majority of time and you may be tempted, for example, […]
Many of those suffering from excess weight or obesity also find themselves having acid reflux also known as gastroesophageal reflux. When acid reflux becomes chronic, it is known as gastroesophageal reflux disease or GERD. GERD can be very obvious, with symptoms such as sour taste in the mouth, chest pain or waking with a sore […]
Gallbladder disease is one of the most common surgical conditions seen in our society. The surgical procedure to treat gallbladder disease is known as a cholecystectomy, which is the removal of the gallbladder. Gallbladder disease is indicated by the presence of gallstones, which can be detected with an ultrasound. The most common symptom of gallstones […]
Being physically active burns calories and reduces unwanted weight. The ultimate goal is to makes yourself healthier. Adding exercise gradually to your daily routine can have positive long term effects on your body. Being physically active also builds muscle strength and enhances mental wellbeing. Walking is a simple exercise that is inexpensive and can be […]
We have all heard of the numerous benefits of journaling; how it helps us stay focused and on track. There are many different type of food journal apps available in today’s market. They serve as visual reminders to keep track of our daily food habits. With modern technology at our fingertips, it is now easier […]
The FDA (Food and Drug Administration) recently issued a statement saying that trans fats are “not generally recognized as safe” for use in human food. What this means is that trans fats, also referred to as partially hydrogenated oils, should not be part of our diets and will need to be eliminated from foods sold […]
Pregnancy is an exciting time for a woman. It is also a time for her body to undergo many changes. Pregnancy and bariatric surgery can go together well as long as proper steps and precautions are taken. Most bariatric programs encourage patients to wait 1-2 years after undergoing surgery. Within the first year of bariatric […]
Everyone understands that sugary carbonated drinks must be avoided after Bariatric Surgery. The sugar content and empty calories would prevent the desired weight loss. Many people initially assume that “diet” soda can be consumed. Why does diet soda need to be eliminated from the post bariatric surgery diet as well? The most compelling reason is […]
Spring has sprung! Finally!! Time to fold up those treadmills and get outside!There is nothing like a good walk, hike, or run when the winter finally breaks. Exercising outdoors can add variety to your routine, and give you a fun and challenging workout. However, exercising outdoors also can bring some less desirable factors including unwanted […]
Pseudotumor cerebri occurs when the pressure inside your skull (intracranial pressure) increases, causing headaches and vision problems. The name means “ false brain tumor,” since its symptoms are similar to those caused by brain tumors. It occurs in 1 to 2 people in 100,000. The exact cause of pseudo tumor cerebri is unknown, but it […]
According to Tracy Martinez, RN, BSN, CBN, pets can enhance your health by having a beneficial impact on your social, physical, and psychological health. In a recent article in Obesity Action Coalition, she describes the benefits of owning a pet, particularly a cat or dog. Boosts Immunity Playing with your pet can increase neurotransmitters such […]
While there is nothing wrong with seeking external validation (e.g. compliments, buying “nice” things, sympathy, confirmation of thoughts, etc.), it is important to give yourself that same love and affection through internal validation. Start giving yourself the same validation you seek from others and build your self-confidence. The definitions below can better explain: Validation: verb […]
It is indisputable that Bariatric Surgery, and the weight loss that accompanies it, has a tremendous positive impact on the length and quality of the life of patients. However, one potential side effect, hair loss, has caused a great deal of concern along with some inaccurate information. In this article we will explore hair growth […]
Stress is a normal part of everyday life. It can be beneficial, if it motivates you to make a change. Unfortunately, it can also be negative. If stress starts to affect your health, happiness and wellbeing, then it is time to make a change. One easy, accessible tool to help you manage stress is to […]
Adequate sleep duration and good sleep quality are of utmost importance in promoting healthy weight loss and maintenance. A relationship between a lack of sleep and increased body fat has been found in multiple studies, indicating that sleep can have a major impact on our weight and overall health. Poor, inadequate sleep can affect our […]
A common concern of many bariatric patients after weight loss surgery is excess skin. While most of the changes that accompany weight loss are positive, loose skin is a concern for many patients. Loose or hanging skin can affect both comfort and self-confidence and can be a daily reminder of past obesity. In this article […]
Once you have completed the pre-surgical process and have been approved for surgery our staff will guide and educate you in order to insure you have the best and safest outcomes. Your pre-op appointment (usually 1-2 weeks prior to your procedure) includes blood work (if needed), a visit with a Nurse Practitioner (NP) and Registered […]
So you decided to have weight loss surgery and now you are struggling with a few extra pounds that you gained. No one really wants to believe that this can happen but it can and it will if you are not careful. Weight regain can be extremely frustrating to a patient after they have worked […]
Don’t be fooled by the healthy claims or statements made on food packaging. The following are some common misconceptions about how heathy a food actually is. Fruit flavored yogurt. All yogurts contain some sugar in the form of the natural sugar “lactose”. The problem is the “added sugar” that you find in the fruit flavored […]
At Tristate, we like for you to attend 2 support groups before surgery. Ideally, you will get some education, and have an opportunity to ask questions of those who have had surgery. Once you become familiar with support groups, you may find it easier to attend post-op. After surgery, support groups are highly encouraged for […]
Weight loss surgery involves a wide array of both physical and psychological changes to your body. Giving up the one thing you relied on for many years for comfort or during boredom or social events is suddenly not there anymore. Food WAS your addiction for countless years. It got you through stressful times, celebratory times, […]
It’s that time of year again when vegetables and fruits get fresher, farmer’s markets pop up and your overall produce level tends to increase. Most people barely have time to make a dinner, let alone clean their fruits and vegetables properly. But imagine how many fruit and vegetables you touch when choosing what you want. […]
Millions of Americans take advantage of the beautiful Summer weather by vacationing all over the country; however when you take a trip away from your normal routine, does your diet go on vacation too? Many of us use vacation as an excuse to over-indulge and take advantage of the food choices we may not eat […]
Making an appointment to discuss surgery is just the first step in your weight loss journey. Whether you were referred by a Medical Provider, friend, or family member phoning one of our office locations will get you started. One of our staff members will ask you a few simple questions and schedule an appointment for […]
You have decided to have weight loss surgery as a means to a healthier life. Weight loss surgery can be the first step toward a new start, but it is not automatic. For the surgery to be successful, patients need to stick with the recommended guidelines. Some of the most common mistakes include: Not Taking […]
Ghrelin is a hormone that circulates throughout our body, but is mostly produced by certain cells in our stomach. Ghrelin is produced by these cells in the stomach and then a chemical message is sent to the brain to initiate eating (or desire to eat). Ghrelin is associated with regulating mealtime hunger and meal initiation. […]
Losing weight is a lifelong commitment. It is important to remember that being the weight you are did not happen overnight. Therefore, one should not suspect that it will come off easily. As many people may know, losing weight is much more difficult than putting it on. Whether you are just trying to lose weight […]
I had the pleasure to attend a recent surgical symposium where a number of scientific discussions pertaining to weight loss surgery occurred. In attendance where some of the world’s foremost experts in the field of weight loss surgery so the educational content was extraordinary. These are priceless opportunities for surgeon’s from different countries to share […]
Excess body weight can often restrict an individual’s physical activity and it important to understand how to work around these mobility issues and limitations. Weight loss will always be the number one objective since decreasing weight allows for more mobility and puts less stress on the bones and joints, and increases your overall health. If […]
After bariatric surgery, a lot of talk is put into the foods we eat. Eat these foods and omit those foods, etc. Obviously, the stress of liquid calories also comes into play. A common question from many patients is, “When can I have a drink again?” or “How many drinks can I have?”. Let’s face […]
Iron deficiency anemia is a condition in which blood lacks adequate healthy red blood cells. Red blood cells carry oxygen to the body’s tissues. Anemia is due to insufficient iron. Without enough iron the body cannot produce enough of a substance called hemoglobin, which enables the red blood cell to carry oxygen. A blood test […]
Everyone knows that they should drink water, yet most people are not drinking nearly enough. Water should be your main beverage throughout the day. Coffee and sugary beverages are not good choices to have in abundance. A minimum of 4 water bottles should be consumed by every female and male, bariatric surgery or not. Your […]
While you may have heard for years that drinking water can help you lose weight, there are some special considerations after bariatric surgery.
For years, fat was considered detrimental to our diet. We were urged to banish it whenever possible. We switched to low-fat foods. But that shift did not make us healthier, probably because we cut back on healthy fats as well as harmful ones, while adding more processed, refined carbohydrates. Your body needs some fat from […]
Probiotics are live bacteria and yeasts that help maintain the normal flora of the digestive system. When we think of bacteria, we generally think of something negative. Your body also has good bacteria. Probiotics are helpful, because they keep you healthy. Literally probiotic means: “promoting life”. Probiotics have always been around both in your body […]
The time you eat can be just as important as what you eat. If you are skipping meals or going very long times between eating you may encounter a variety of issues that may impair your weight loss or lead to unhealthy weight or nutrient changes. The ideal amount of time between eating can vary […]
Nonalcoholic fatty liver disease (NAFLD) is a term used to describe the accumulation of fat in the liver of people who drink little or no alcohol. That fat that accumulates can cause inflammation scarring in the liver. This more serious form of nonalcoholic fatty liver disease is called nonalcoholic steatohepatits. At its most severe, non-alcoholic […]
Bariatric Surgery is a tool that helps aid in weight loss. Weight Loss prior to surgery may be required from your insurance and/or surgeon and whether or not is it required it is something we highly recommend. Weight loss before surgery has been shown to make surgery safer by reducing surgical risk factors and decreases […]
The topic of food allergies has been a growing conversation over the last few years. With all the increasing nut and gluten allergies it seems like everyone has an allergy to something. However, according to the International Food Information Council Foundation (IFIC) less than two percent of the population is affected by allergies. Though children […]
Obesity is a disease that has become a major epidemic in our country. There are several factors that have contributed to this disease and epidemic. It is our genetics, our environment, our behaviors, certain medications and illnesses all play a role in contributing to this epidemic in our country. One specific environmental factor that has […]
Every year 50% of Americans make New Year Resolutions according to the Journal of Clinical Psychology, but how many of those resolutions actually get carried out? If this is your first year making a resolution make sure it is something realistic and you set a timeframe. If this isn’t your first time, take a second […]
So what can we do about emotional eating? First we need to start to be aware of some of our emotional eating cues; what are the emotions that cause us to overeat. If we can be alert to the why of our problem then we will be better equipped to deal with the how of […]
Self-love is the prerequisite for being loved by others. According to Deborah Khoshaba, Psy.D., self-love has been defined as, “a state of appreciation for oneself that grows from actions that support your physical, psychological and spiritual growth.” There is a seven day prescription to self-love: Forgive yourselfWe are all humans and we all make mistakes; […]
Smoking is an unhealthy habit that 1.1 billion people partake in and the amount of people smoking tobacco products is estimated to increase to 1.6 billion in next two decades. Tobacco smoke contains over 4000 chemicals and some of those chemicals have been known to cause cancer. The chemicals that are found in tobacco consist […]
When most people begin a weight loss or exercise program, they feel excited, motivated, and enthusiastic and usually see immediate results. How does one maintain this enthusiasm? Weight loss after bariatric surgery is often referred to as a journey, because it takes time to lose the desired weight and to adjust to a new way […]
Selecting a product in the supermarket can be as confusing as doing your taxes. There is an abundance of products, new and old, on the grocery shelves. How do we as customers know what to select as the healthiest option. Each product touts its own bells and whistles… a prettier package, a claim of aiding […]
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 […]
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, meaning […]
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. Here are some simple tips for navigating the […]
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 […]
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. According to Psychologist […]
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? If […]
“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, your needs, […]
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 […]
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 […]
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. Plan a […]
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. The first step for measuring […]
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, financial […]
Gout 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 […]
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 […]
Think you’re making a lean choice by opting for a salad instead of your standard burger and fries? If you’re trying to adhere to a low calorie, low carb diet, it’s normal to trade in a greasy meal for a pile of leafy greens. But don’t think you’re saving any calories or getting more nutrition […]
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. H. pylori […]
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 […]
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 […]
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 […]
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 […]
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. However, if a patient does not eat […]
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, we can […]
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, many people […]
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, but it also boasts high levels of […]
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 […]
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 […]
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 […]
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 […]
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. Becoming pregnant after having weight loss surgery […]
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. […]
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, emotional adjustments, and lifestyles changes that need to occur. […]
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 […]
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, such […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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, […]
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 […]
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. The […]
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 […]
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 […]
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 […]
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 […]
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, […]
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 […]
It is becoming that time of year when the weather is warming up and the day is slowly becominglighter 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 […]
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. […]
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 […]
Has this cold winter left you with a few extra pounds? Perhaps you slippedinto 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 dois move forward. Think […]
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, whenever I’ve […]
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. […]
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. Mood/food journaling is where you also […]
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 […]
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, […]
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 […]
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 […]
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 […]
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:SMART GoalsA useful way of making goals more powerful is to […]
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 […]
Despite widespread acceptance in the medical community, bariatric surgery doesn’t seem to have received the same embrace from the general publicRecently, 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: http://www.nytimes.com/roomfordebate/2013/12/26/when-beauty-is-not-exactly-truth/dont-keep-bariatric-surgery-a-secret) In the article, Holloman, herself a bariatric surgery […]
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 […]
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? […]
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 […]
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 […]
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 […]
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 […]
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 […]
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. Eatinghealthy is no different from other situations that arise; time needs to be made. One of the biggest […]
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 […]
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 […]
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 […]
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 […]
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 […]
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. These include fat soluble […]
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. These include fat soluble […]
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 […]
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 […]
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 […]
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 […]
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 […]
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. […]
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? The good news […]
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 […]
The practice of Bariatrics is defined as a branch of medicine that deals with the control and treatment of obesity and allied diseases (Dictionary.com). 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 […]
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 […]
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, […]
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 […]
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 […]
Navigating the Supermarket- Take a Tour with Us at Shop Rite Tri-State Bariatrics has recently had the privilege of working with the dietary staff at cleans has know was under buy cefixime 400 mg problem in face No buy hydrochlorothiazide thick fast especially suitable http://www.fairwaypayments.com/mhx/tetracycline-for-sale-online/ manufacturer they prefers. some of the local Shop Rite supermarkets. […]
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 […]
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 […]
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 […]
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 […]
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 […]
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. There are over 20 million people in America with type 2 diabetes, many of whom are obese and have BMI over […]
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 […]
< 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. […]
This is the first article in a series that will examine how bariatric surgery is portrayed in the media. I pooped my pants in the White House is a headline that would have been very difficult to miss in the last few months. This was a result of an honest admission by NBC weatherman Al Roker […]
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 […]
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, diabetes, […]
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, stay […]
By Kristin Allison, M.D. 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 […]
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 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. So […]
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. Pictured […]
As of 2010, 25.8 million people, or 8.3% of the U.S. population, have diabetes. During 2010, about 1.9 million people aged 20 years or older were newly diagnosed with diabetes. About 35% of U.S. adults aged 20 years or older have prediabetes ( 50% for those 65 years or older),yielding an estimated 79 million Americans […]
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