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Tag Archives: Dr. Thomas Clark

Should Weight Loss Surgery be My Last Resort?

Posted on March 19, 2018 by

MaryYou may think this is a strong statement but…ABSOLUTELY NOT!  However, weight loss surgery shouldn’t be your first option either.  The purpose here is not to create confusion but to reinforce the fact that for people who are morbidly obese and have tried other nutritional, behavioral and fitness programs without success, weight loss surgery can be a great option.

An ideal candidate is someone who is somewhere between 75 and 150 pounds over their ideal body weight.  As your weight increases, generally so does the incidence of other health problems.  With the additional weight and health problems, your risk for weight loss surgery increases significantly as well.   Thus, you take the risks associated with surgery and increase them which is not the most desirable situation for your or your surgeon.

The fear and negative connotations surrounding weight loss surgery has significantly decreased since 1994 when I began my weight loss surgery career.  Thank goodness!  In addition, the procedures have evolved and become safer and more effective.  However, the higher your BMI and co-morbid conditions (other health problems) the higher your surgical risk will be.  In addition, the higher the BMI and co-morbid conditions, the higher the possibility is that you may not be a candidate for weight loss surgery.




Rhonda’s Opinion:  I should have done surgery a long time ago before I yo-yoed all those years.


View our Weight Loss Surgery Webinar now!

Is Weight Loss Surgery Right for Me?

Posted on March 12, 2018 by


As you have read, weight loss surgery is a decision that requires research (like you are doing here), a risk/benefit comparison, an evaluation by an experienced bariatric surgeon and soul searching on your part to make sure you are committed to long term changes.  These changes can drastically improve your health, your ability to live your life to the fullest and potentially extend your lifespan.  This may seem overwhelming but the important thing for you to know is that you are not alone.

There is a delay with regards to documented statistics, but here are the clear trends:

  • About 15 million adults in the U.S. have morbid obesity which is associated with more than 30 other diseases and conditions including type 2 diabetes, heart disease, sleep apnea, hypertension, asthma, cancer, joint problems and infertility.  The direct and indirect costs to the health care system associated with obesity are about $117 billion annually.5
  • In the United States, the number of people who qualify for weight loss surgery is increasing as the incidence of obesity and morbid obesity is on the rise.
  • In the United States, the number of weight loss procedures performed each year continues to rise with an estimated 177,600 procedures performed in 2006 (an increase from about 16,000 in the early 1990’s).5 In 2008 the number of weight loss procedures was up to 220,000 and remained there in 2009.  Numbers for subsequent years have not been published as of this publication.


Telling you that you are not alone and sharing these sobering statistics doesn’t solve the problem for you or the general population.  There has to be a need (and clearly there is a need), there has to be a want (which usually results from the pain endured as a result of being obese or morbidly obese) a viable solution (in this case, surgical weight loss with an experienced bariatric surgeon who is passionate not just about surgery but your long term success).  Sounds like a recipe for success but there is an ingredient that is missing.  You can have a need and a want and a viable solution but if you don’t have the commitment and motivation to follow through and create lasting change for yourself, you may never experience the optimal success you deserve.

If you decide that you have the want, the need and the commitment, you are a great candidate for weight loss surgery.  Now you just need to explore the rest of the questions in this book and get started on your path to success.

View our free Weight Loss Surgery webinar now and then click to schedule your conversation with Cat Williamson, our Surgical Coordinator.

How do I know if I qualify for weight loss surgery?

Posted on March 05, 2018 by

gastric sleeve sleeve gastrectomy GeorgiaIf you are at least 50 pounds over your ideal body weight and have been unsuccessful with other methods of weight loss, you may be a candidate for weight loss surgery.  However, most insurance companies additionally require a BMI of 40 or greater or a BMI of 35-40 with other potentially life threatening health problems such as diabetes, high blood pressure and/or sleep apnea.  Your BMI is your weight in relation to your height.  So how do you calculate your BMI?  You need to take your weight in kilograms and divide by the square of your height (meters).  For example, If your weight is 80 kilograms and your height is 1.8 meters, you would square your height (1.82=3.24) and then divide it into your weight (80 divided by 3.24 = a BMI of 24.69).  Or you can simply enter your information online for quick results with a BMI calculator.4

General BMI classification guidelines include:

BMIClassificationHealth Risk
Under 18.5UnderweightMinimal
18.5-24.9Normal WeightMinimal
35-39.9Severely ObeseVery High
40 and OverMorbidly ObeseExtremely High

The decision as to whether or not weight loss surgery is right for you is ideally made by you and your surgeon after careful consideration of your weight, your past medical/surgical history and your current health problems or co-morbidities.  However, there are general guidelines that most surgeons and insurance companies adhere to when choosing who an appropriate candidate for weight loss surgery is as noted below:

General Guidelines for Weight Loss Surgery Candidates3:

  • BMI of 40 or greater
  • Comorbidity: You have a life-shortening disease process, heart disease, diabetes or obstructive sleep apnea that can be improved by losing weight.
  • For at least two years, you have attempted to lose weight.
  • You have been obese for an extended period of time, at least three to five years.
  • You are able to effectively care for yourself and follow a physician’s instructions.
  • You are motivated to lose weight and maintain a healthful lifestyle.
  • You do not abuse drugs or alcohol.
  • You are a nonsmoker or have quit smoking.
  • You are an adult under the age of 65.

These guidelines vary by insurance carrier and your individual policy.  Your insurance policy is an agreement between you and your insurance provider.  However, if you are working with an experienced bariatric surgeon/center, they can easily help you navigate through your particular insurance requirements and efficiently submit your information for surgery authorization. This topic is covered in Chapter 6 of the book, Less Weight…More Life! Is Weight Loss Surgery Right for You?

As with any general guidelines, there are caveats that cannot be ignored. Some of the ones we find most important include age, motivation and mindset.  With regards to age, you can see by the general guidelines listed previously that it is recommended that an adult be under the age of 65.  At the Center for Weight Loss Success ( we do not put a cap on age for good reason.  Age is just a number.  You likely know someone who is over 65 years of age yet physically, emotionally and intellectually they are really more like a 40 year old.  Conversely, you likely know someone around 40 who walks, talks and acts as if they should be 80+ years old.  In terms of lower age restrictions, although there are a few centers in the United States performing weight loss procedures on patients under the age of 18, most surgeons prefer to wait until you are 18 years of age or older and able to better decide and commit to such a life changing procedure.

Of great importance is your motivation and mindset.  If you are considering weight loss surgery, you need to be motivated and an active participant throughout your entire pre-operative and post-operative phases.  This is how you will experience the best results.  Weight loss surgery is something you need to do for yourself, not someone else.  You need to prepare yourself physically and mentally prior to surgery and proactively plan for your post-operative phase.  If you believe surgery is a “quick fix” or the “easy way out” you likely should not pursue weight loss surgery.  With this mindset, you may not fully commit to the lifestyle changes that result in the rewarding outcomes that will transform your life in so many positive ways.  However, if you do commit, get ready for an amazing journey.  Try not to get overwhelmed here.  An experienced bariatric surgeon/center will provide a comprehensive process to help guide you through these considerations.

Finally, it is important to note that some people are actually too obese to qualify for weight loss surgery.  If you are too heavy, you will usually be instructed to lose weight before your surgeon can proceed with weight loss surgery.  Once again, an experienced bariatric surgeon/center will guide you through this process and help you optimize your physical and emotional health prior to surgery and beyond.

3 Bariatric Surgery for Severe Obesity. Consumer Information Sheet. National Institute of Diabetes and Digestive and Kidney Diseases. March 2008. http://


If you don’t qualify for weight loss surgery under your insurance provider, contact my Surgical Coordinator, Cat Williamson at CFWLS to discuss your options.

What are the best weight loss surgery options available today?

Posted on February 27, 2018 by

Weight loss surgery has certainly evolved…thank goodness!  Don’t get me wrong, it is not without any risk but the procedures available today are much safer and more effective than procedures of the past.

This overview includes the three primary surgical procedures performed within the United States as of the publication of this book along with the advantages, risks and typical results/outcomes for each.  These three procedures are the Sleeve Gastrectomy (also referred to as the Gastric Sleeve), the Laparoscopic Adjustable Gastric Banding (also referred to as LapBand® or Realize Band®) and the Laparoscopic Gastric Bypass. 

Sleeve Gastrectomy:

sleeve GastrectomyThe Sleeve Gastrectomy is a newer laparoscopic weight loss surgical procedure in which a small “sleeve-shaped” stomach is created.  Approximately 75% of the “stretchy” portion of the stomach is removed. This also removes the portion of the stomach that makes the hormone ghrelin. Ghrelin is a hormone which makes you feel hungry. The remaining “sleeve” of the stomach is about the size and shape of a medium banana.   Because anatomy remains normal, this procedure can be considered for people with less weight to lose (50-60 lbs. overweight).


  • The portion of the stomach that produces ghrelin (a hormone that stimulates hunger) is removed.
  • The stomach is reduced in volume, but otherwise tends to function normally.
  • No “Dumping Syndrome” since the pylorus is preserved.
  • No intestine is bypassed so there is little chance of nutritional deficiencies.
  • No implanted device that requires adjusting.
  • Procedure is performed laparoscopically most of the time.
  • Usually done as an outpatient.

This procedure tends to work due to 2 major reasons:

  1. You have a much smaller stomach and will feel full with eating only a small amount.
  2. There is a decrease in the hormone ghrelin so that hunger is much better controlled.

The sleeve gastrectomy was originally developed as the 1st stage of a 2 stage procedure (patients would undergo a conversion of the sleeve gastrectomy to a bypass procedure).  However, it was found to work so well on its own that most patients did not need (or want) to go through with the next stage. This surgery cannot be reversed (i.e. once that part of the stomach is gone…it’s gone).


Obesity, age, and other diseases increase your risks from any surgery.  Below are identified risks related to surgery and the sleeve gastrectomy procedure based upon national averages? :

  • Risk of death is 1:500-1,000
  • Leaks (1-2%)
  • Infection (2%)
  • Blood Clot/Pulmonary Embolus (1%)
  • Nausea/vomiting
  • Peptic ulcer disease
  • Formation of gallstones due to rapid weight loss
  • Stricture (1%)

Some of these problems may require further surgical intervention

Typical Results and Outcomes:

Weight loss outcomes are tracked closely at the Center for Weight Loss Success.  We are proud that outcomes here generally out-perform national averages.  The average best weight loss for this procedure is 65-70% of a client’s excess body weight (i.e. if someone is 100 lbs. over their ideal body weight, average weight loss outcomes would be 65-70 lbs.).

A weight loss of only about 40% of excess body weight will often show significant improvement in many other medical problems:

  • Many Type 2 diabetics will get off of their medications
  • Hypertensive clients will have improvement or resolution of their hypertension
  • Sleep apnea almost always improves
  • Cholesterol improvement in most clients
  • Arthritic symptoms improve

Laparoscopic Adjustable Gastric Banding (LapBand® or Realize Band®):

The FDA approved adjustable gastric banding surgery in June, 2001.  However, it was developed in the 1980’s and has been used in Europe since 1993.  In terms of surgical procedures for weight loss, this is the least invasive procedure.

LAP-BANDLaparoscopic adjustable gastric banding involves applying a band around the upper part of the stomach.  As a result, this creates a small gastric pouch at the top of the stomach, with a small opening to the rest of the stomach.  The band is made of an inflatable silastic ring that controls the flow of food from the small pouch to the rest of your digestive system.  With this surgery, there is no cutting or stapling required dividing the stomach.

In addition to the band, a small port is connected by tubing to the inflatable ring around the stomach.

The port is secured just beneath the skin where fluid can be injected or withdrawn to inflate or deflate (adjust) the band.  This results in increasing or decreasing the size of the opening between the upper small gastric pouch and the lower portion of the stomach.  The need for an adjustment is determined by the surgeon based upon weight loss and symptoms related to eating.

Like any tool, it can be used correctly or incorrectly.  Used incorrectly (such as drinking high calorie liquids) you will have relatively poor weight loss or even weight gain.  It is still diet, exercise, and behavior change which produce weight loss.  Thus, following your surgeon’s recommendations is crucial to your overall success.


The advantages cited in the literature are outlined below:

  • Risk of death is approximately 1:1000
  • There is no division or re-routing of intestinal tract
  • Minimal risk of malnutrition
  • The procedure is considered reversible since the Band can be removed with minimally invasive technique if needed

The band is adjustable:

  • Often performed under fluoroscopic guidance
  • May require 4-6 adjustments during the first year (or more)
  • Adjustments need to be checked yearly – forever

The band is effective with the following considerations:

  • Weight loss success is directly related to:
    • close clinical follow-up
    • appropriate adjustments
    • exercise
    • diet and behavior modification

The potential disadvantages of laparoscopic adjustable gastric banding are as follows:

  • Weight loss is typically slower when compared to other weight loss surgeries
  • Adjustments are required throughout your lifetime
  • Problems can develop secondary to the mechanical device (see Risks)


Obesity, age, and other diseases increase your risks from any surgery.  Below are identified risks related to surgery and the laparoscopic adjustable gastric banding procedure based upon national averages.

  • Risk of death is 1:1000
  • Infection (<1%)
  • Blood Clot/Pulmonary Embolus (1%)
  • Gastric pouch dilation potentially requiring further surgery (5%)
  • Band slippage or migration often requiring further surgery (5%)
  • Band erosion requiring further surgery for band removal (1%)
  • Access port problem or tubing leak requiring further surgery
  • Nausea/vomiting
  • Peptic ulcer disease
  • Formation of gallstones due to rapid weight loss

Some of these problems may require further surgical intervention

Typical Results and Outcomes:                       

Following are expected results and outcomes based upon national averages:

  • Average weight loss is 45-50% of excess body weight, but with aggressive diet and exercise changes you can lose almost all of your excess weight.
  • A weight loss of only about 40% of excess body weight will often show significant improvement in many other medical problems:
    • Many of Type 2 diabetics will get off of medications
    • Hypertensive clients will have improvement or resolution of their hypertension
    • Sleep apnea almost always improves
    • Cholesterol improvement in most clients
    • Arthritic symptoms improve


Laparoscopic Gastric Bypass Surgery

Laparoscopic Roux-en-Y Gastric Bypass was first originated by a group of Bariatric surgeons in California in 1994.  This procedure is considered a combination procedure.  It works by both restricting the amount of food consumed and also by providing some malabsorption.   The surgical outcomes of this procedure seem to indicate that the weight loss results are similar to the traditional “open” procedure as long as the procedures are performed the same way.

The procedure begins by dividing the stomach to create a “pouch” that limits the amount of food that can be eaten.  The pouch is about the size of one’s thumb and can hold about 20cc or 2-3 tablespoons of food.  The larger excluded stomach, known as the gastric remnant, is stapled closed and separated from the pouch.  This portion no longer receives food but has a normal blood supply thereby keeping it healthy.

The second step of the procedure involves taking a portion of the small intestine and creating a “bypass” or “Roux” limb that is connected to the new pouch to provide an outlet for food.  This part of the procedure is what creates a slight malabsorption of nutrients to assist in weight loss.

The malabsorptive portion of the procedure also contributes to weight loss by causing a condition known as “Dumping Syndrome”.  Most sugar consumed is normally absorbed in the first 1-2 feet of small intestine in normal situations.  After the Gastric Bypass procedure sugar passes directly from the pouch into the lower small intestine.  The unabsorbed sugar pulls fluid into the small intestine resulting in distension, increased motility (activity), cramping and a neurologic response that may cause an increase in heart rate, sweating, diarrhea, nausea, and even vomiting.  Most patients will experience this at least once and will learn to avoid foods containing high sugar content, thus improving the chance for long-term weight loss success.

The following is a diagram of the described procedure: gastric bypass


  • Possible conversion to an open procedure due to limited access and visibility
  • There may be an increased risk for bowel obstruction in the long term
  • Death (1:500-1,000)
  • Pouch leaks – (1%)
  • Deep venous thrombosis (1-2%)
  • Pulmonary emboli (1%)
  • Abdominal wall hernia (1%)
  • Peptic ulcer disease (3-5%)
  • Stricture (narrowing) at gastric pouch (1-2%)
  • Small bowel obstruction (1-2%)

Typical Results and Outcomes:

The average best weight loss for this procedure is 70% of a person’s excess body weight (i.e. if someone is 100 lbs. over their ideal body weight, average weight loss outcomes would be 70 lbs.).

A weight loss of only about 40% of excess body weight will often show significant improvement in many other medical problems:

  • Many Type 2 diabetics will get off of their medications
  • Hypertensive clients will have improvement or resolution of their hypertension
  • Sleep apnea almost always improves
  • Cholesterol improvement in most clients
  • Arthritic symptoms improve

Determining which procedure is right for you will require an evaluation with your surgeon and discussion about your specific situation.  As you meet with him/her you will want to find out what their opinion is regarding the preferred weight loss procedure based upon your medical history as well as the number of procedures he/she has performed and their individual outcomes.

We invite you to view our Weight Loss Surgery webinar to learn more and decide if weight loss surgery is right for you:  Weight Loss Surgery Webinar


Rhonda’s Opinion:  The decision has to be yours but I am REALLY happy with the sleeve gastrectomy!

Best of CoVa Contest!

Posted on January 21, 2018 by

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We have to admit it.  We know we have the very best patients around!  We drive to work with smiles on our faces. looking forward to helping our patients improve their health by losing weight.  Your success makes us happy!

If you’d like to let others know about Dr. Clark’s Center for Weight Loss Success, please take a minute and VOTE FOR US in Coastal Virginia Magazine’s Best of Readers’ Choice Awards for 2018!

You will find us under HEALTH and BEAUTY in THREE categories

  • Best Gym/Wellness Center
  • Best Specialty Fitness
  • Best Weight Loss Center

You can also nominate/vote for us in SHOPPING

  • Specialty Foods

You can vote ONCE each DAY through Friday, March 30, 2018

Share the Love!

Two Things to Remember About Eating and Weight Loss

Posted on October 09, 2017 by

2017-03-29_17.13.23_smaller squareI’m going to talk about my two favorite eating rules. Eating rules can help you keep on your dietary plan. They don’t make it easier to do, but they’re fairly simple.

The first one is always sit down at a specific location to eat. It doesn’t matter if it’s a snack or a meal.  Always sit down and always have it be a specific location. Eat at a specific location in your home. It gets rid of that eating on the run or eating over the kitchen sink. There are some specific decisions that have to be made.  You’re physically going to get the food, sit down, and eat it in a specific location. That’s the first eating rule.

Number two is always use utensils. This requires more decisions.  Even if it is finger food (which typically isn’t what I call eating clean), you still have to use utensils.  If it’s an Oreo or chips, you have to sit down at a certain place, and you have to use utensils. If you can do this, they’re very simple rules. Simple doesn’t necessarily mean easy. If you can do this, you’ll find it easier to stick to your dietary plan. Multiple decisions have to be made in order to get there. So when you are potentially “straying”, you’ve got multiple decisions points that you can actually change your mind.

Number one, sit in a specific location. 

Number two, always use utensils. 

The Best Weigh In Routine – Part 2

Posted on October 02, 2017 by

Dr C with tie croppedI want to complete the video I made last week which was about routine weighing. Should you weigh yourself routinely or not?  My inclination is, yes, people ought to weigh themselves regularly. I think people should weigh themselves daily.

I want to talk about what the real reason is for weighing yourself daily. Especially if you’re in a weight loss program, whether you’ve had surgery or you’re in the middle of a weight loss plan, I encourage people to weigh themselves daily. During the weight loss program, you’re not just weighing yourself to watch the pounds come off. The real reason to weigh daily is to get in the habit of weighing yourself routinely for maintenance.

Maintenance is hard.  It’s actually harder than weight loss. So, you want to get in the habit of weighing yourself routinely during the weight loss plan so that you’re doing it for maintenance. If you weight yourself daily during maintenance you’ll notice little fluctuations.  If you notice little fluctuations you can look back on that 24 hours and figure out, “What did I do differently during those 24 hours that would affect today’s weight?”  Typically there is going to be something. You’ll be able to figure that out a lot easier if you’re weighing yourself routinely (daily).  If you try to look back a week’s period of time you really have no idea what you did differently. So, this is the reason you want to weigh yourself routinely so you can have those little fluctuations under control.

Maintenance, as I mentioned, is harder than weight loss. It’s easier to make little modifications by looking back over the past 24 hours to figure out what you did differently and then modify what you’re doing.  You can change that fairly easily. So that’s why you should weigh yourself daily.  It’s so that you can be in the habit of doing it for maintenance.

Stop in anytime to check your BCA – and don’t forget to add those pounds to the total on our home page!


The Best Weigh In Routine

Posted on September 25, 2017 by

Dr C with tie croppedShould you weigh yourself routinely or not? You’ll see things all over the map like “You should never weigh yourself” or “You should just go with how you feel” or “If you feel good, you’re good.”  There are a lot of questions out there and I’m going to give you my thought on that whole issue about weighing.  Weighing is the best monitor we have as far as keeping track of your weight and overall health.

Weighing is a good way to look at health because when our weight is stable, we tend to be in stable health. When our weight is changing very quickly one way or the other, potentially there can be changes in health. In a weight loss program we’re obviously trying to lose weight.  So, subsequently then we want to keep track of these things.

Should your weigh in routine be once a week, twice a week, should we step on the scale whenever?? I encourage people to weigh themselves daily and you should weigh yourselves early in the morning.  If you forget to weigh yourself early in the morning, don’t bother.  Wait until the next day. It should be routine weighing.  Why do I say that? Many of the patients I see are very sensitive to carbohydrates.  As we’ve talked about many times in the past, carbohydrates influence insulin level. Insulin is one of the hormones that makes you retain water. It also makes you store fat. If insulin levels go up, you store fat, but the first thing you do is retain water. Subsequently, weight jumps up. So, it’s actually a good monitor to weigh yourself.  Many of our patients are sensitive to carbohydrates and even a little carbohydrate causes a significant weight increase.

If your weigh in routine is daily, it’s relatively easy to look back on the past 24 hours and see what you did differently. Where did you stray?  What happened over the last 24 hours? If your weigh in routine is once a week, it’s hard to look back at a whole week period of time and see what happened differently.  It seems like we’re doing the same things week-to-week. But day-to-day it’s much easier to monitor your weight and notice little changes. And, little changes will matter. If you’re sensitive to carbohydrates, one bad day can cause your weight to jump up significantly. If you wait a week to find that out, you’ll never really know what happened. This goes along with the journaling discussion we’ve had as well. So, write things down and weigh yourself routinely.

I typically like people to weigh themselves in the morning.  Early in the morning is your most accurate weight. As we progress throughout the day, we typically will retain some fluid and weight will go up.  Make it a part of the morning routine.  Get up, weigh yourself, and get on with your day. If you’re someone who is going to obsess about the numbers, understand that the weight does fluctuate day-to-day even when you’re doing all the right things.  Don’t obsess about that number.  What I encourage people to do is to look at what’s happened on average over the past 7 days. But don’t obsess about the numbers because there are lots of reasons to have fluid shifts and fluctuations up and down, and it may not be something you ate the previous day.  It could be that you’re close to your cycle (women).  It could be blood pressure or salt issues. There are lots of little things that will play into that. The biggest thing tends to be the carbohydrate sensitivity. Overall, I recommend you weigh yourself daily early in the morning.  If you forget, wait until the next morning.

Don’t forget to post your weight losses on the Home Page of the website!

The Fallacy of the Fat Burning Zone

Posted on September 18, 2017 by

Dr C with tie croppedWe talked recently about heart monitors and how they’re helpful in determining how well you’re doing with your fitness routine. You’re often taught to exercise in the “fat burning zone” to maximize the utilization of fat.

We want to burn calories and fat. That fat burning zone is where you burn the highest percentage of fat as your energy source during your exercise. It’s usually at about 60-70% of your maximum heart rate. We talked last time about maximum heart rate (220-your age).  That’s a good estimate. We’re then taking 60-70% of that maximum heart rate.  It’s somewhere between 108-126 if you’re 40 years old. In theory, that’s your fat burning zone. That means that the highest percentage of calories burned is actually coming from fat.

The problem is that you’re not actually burning very many calories. Most of the calories you’re burning are coming from fat, but the issue is that you’re not burning that many calories. What you really want to do is bump up the intensity.  If you bump up the intensity, you’re burning a lot more calories. As you’re burning a lot more calories, your body can’t use fat quite as efficiently and so you’re burning more calories from carbohydrate. Is there something wrong with that?  Absolutely not! If you’re burning more calories from carbohydrate, what you’re doing is decreasing your carbohydrate stores.

We can store carbohydrate in our muscles. If we start decreasing the carbohydrate stores, you can actually replace that carbohydrate. For example, you can’t put more gasoline into your car’s gas tank until your burn the gas off. There’s only so much carbohydrate that will fit into your muscles. If you don’t actually decrease the amount that’s in the muscle, then you can’t replace it. You want to burn off that carbohydrate that’s in the muscles. If you burn that off, then you can actually put more in.  That’s how we can smooth over blood sugar swings.  Then, you can get a little leeway on your carbohydrates.

There are two reasons why the fat burning zone doesn’t work really well.  The first is you’re not burning that many calories. If you bump up the intensity, you’re going to burn a lot more calories. Number two, you want to use some of the carbohydrates stores because you want to be able to replace those stores. When you’re exercising, use a heart rate monitor and bump up the heart rate to higher than the fat burning zone. If you’re just starting an exercise program, you can’t just jump right into that.  But if you’ve been in exercise for a while you can go into that higher intensity as your fitness level increases. That’s where you burn the most calories and you get the most after burn as well. That’s burning calories long after you’ve finished exercising.

I have a great 20 minute High Intensity Interval Training (HIIT) workout you can use to get the intensity up!

My Advice to You About Weight Loss Surgery – Don’t Wait!

Posted on September 04, 2017 by

Allen Fabijan 2Meet Allen Fabijan – you may already know him as ‘Some Guy Named Allen’ from US106.1. What you may not know, is Allen chose weight loss surgery as a tool to help him improve his health and quality of life.

Allen has recently completed Weight Management University for Weight Loss Surgery™ here at Dr. Clark’s Center for Weight Loss Success.  He has lost over 130 pounds since he began his journey to lose weight and improve his health. Join him as he shares his struggles and successes along the way!

“If I could give one piece of advice to someone who is considering weight loss surgery it would be WHY WAIT? What are you waiting for? Are you waiting on the next holiday? Are you waiting on the next phase or chapter of your life?  What are you waiting for?  Number 1, you might not get a chance to wait.  You know it if you’re dealing with what I’m dealing with. Every time your heart flutters or something is uncomfortable the thought goes through your head “Is this it?”  “Am I going to end up in a hospital?” There’s no need to wait. I went in the first week of June and a year later I’m down 120 pounds.  I wish I had done this a lot sooner.”

“There’s no reason to wait. Go do it. Go see Dr. Clark. You’ll get all the support, all the help that you need. Any tool is at your disposal.  There’s no excuse.  There’s no need to wait anymore.  Go get healthy.  Go feel better.  Go get thin! Go see Dr. Clark!”

To learn how weight loss surgery could change your life, watch our free webclass at: