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Paprika Parmesan Chicken

Posted on February 19, 2020 by

A healthier twist on a traditional favorite!

Ingredients
¼ cup almond flour
½ cup grated parmesan cheese
2 tsp paprika
Salt & pepper to taste
4 skinless chicken breast halves
1 Tbls mayo

Directions

  1. Mix dry ingredients in a shallow bowl wide enough to dredge chicken breasts.
  2. Rinse chicken and pat dry. Smear each side with a little mayo.
  3. Dredge chicken through the dry mixture and pat to coat evenly.
  4. Place each piece of chicken in a baking dish sprayed with cooking spray.
  5. Bake one hour at 350 degrees or until crust is golden and juices run clear.

 

Makes 4 servings

Nutrition Facts:
Calories                                 186
Total Fat                                8g
Total Carbohydrates          2.4g
Dietary Fiber                        .6g
Protein                                  16g

Print Recipe: Paprika Parmesan Chicken

Creamy Shrimp with Mushrooms and Spinach

Posted on January 31, 2020 by

It doesn’t get much better than this!

Ingredients
1 lb raw shrimp, peeled & deveined
8 oz baby bell mushrooms
3 oz baby spinach
2 Tbls butter
3 cloves garlic, minced
1 tsp dried basil
½ cup chicken broth
½ cup half & half
2 tsp arrowroot powder (or cornstarch)
Salt & pepper to taste
1/2 cup parmesan cheese

Directions
1. Toss shrimp with salt & pepper, sprinkle with basil.
2. Melt 1 Tbls butter in skillet and cook shrimp over medium heat until pink, turning to cook evenly on both sides. Remove from skillet.
3. Melt remaining butter in skillet and add garlic. Saute and add chicken broth and spinach.
4. Combine half & half with arrowroot powder and pour over wilted spinach. Stir mixture until it starts to thicken.
5. Stir in parmesan cheese and cook until cheese is melted.
6. Toss in shrimp and stir to coat.
7. Sprinkle with basil and serve.

Makes 4 servings

Nutrition Facts:
Calories 276
Total Fat 13g
Total Carbohydrates 8g
Dietary Fiber 1g
Protein 32g

Print recipe: creamy shrimp with mushrooms and spinach

Fiber and the Facts

Posted on January 27, 2020 by

Fiber is good. There’s no doubt in my mind. Is it as good as some people claim? The best thing about fiber is all the nutrition that it carries with it. The best fiber comes from food. The best fiber foods have no labels on them. Basically it’s the vegetable/salad stuff we prepare ourselves.

Most people don’t get enough fiber. It can help with bowel function. The best fiber foods are from salad and colorful vegetables. A lot of nutrients in there like vitamins and minerals. Eating clean is basically purchasing the food and preparing it.

Fiber foods are usually a mixture between soluble and insoluble.  Soluble fiber means it dissolves in water. Insoluble doesn’t dissolve in water. It pulls water in. All plants have fiber. It’s the non-digestible part of the plant. We can only digest certain parts of plants. Fiber is everything else. I’ll give an example of carb blockers. Basically a carb blocker takes the digestible part of some of the plants, (carbohydrate), and makes the absorbable part non-absorbable.  It acts more like fiber because fiber is a non-absorbable carbohydrate. Soluble fiber can be found in foods such as barley, nuts, seeds, beans, lentils, and fruits. Some of them are still very high in carbohydrate. Just because it may be “healthy” and contains fiber, doesn’t necessarily mean it’s going to help you lose weight. Eating healthy and losing weight are two different things.  Fruit has a lot of fiber in it. Most of that is soluble fiber (mostly citrus fruits). Many vegetable have a lot of soluble fiber. They also have insoluble fiber.  Insoluble fiber is a whole wheat/whole grain type of thing.

Fiber can potentially help with weight loss. It does tend to make us feel full, especially insoluble fiber because it pulls water in and swells. There are things out there sold as weight loss products. They’re fiber tablets that swell. There is something new coming out on the market. They’re little tablets that have microfibers that absorb water. They swell up and make you feel full. They break down again, and you just pass them through. In theory that can be very helpful. It’s working on that same principle that fiber itself makes you feel fuller, therefore fewer calories.

Fiber is a misunderstood nutrient

People often “know” fiber is important, but not much more than that. Fiber is found naturally in plants. It’s the non-digestible part of the plants. It’s the part of the plants that don’t break down in your intestines. They pass through your system undigested and end up as stool. The average person gets about 15 grams a day (25-30 recommended).  Dietary fiber can be soluble or insoluble. Plants often contain both types. Both types are important and potentially have health benefits. The health benefit is probably the whole food that contains the fiber.  Whether you’re getting the health benefit from fiber itself has never actually been proven.

Soluble fiber dissolves in water. Because it absorbs water, soluble fiber becomes a viscous gel and may slow absorption of other carbs and cholesterol products. It can also be fermented by the bacteria along the intestinal tract. We can’t digest the fiber. The fiber itself can be a good source of nutrition to the bacteria that live along our intestinal tract. That means that certain plants can potentially cause certain individuals more “gas”, bloating, cramping, and diarrhea. Some of this is because everybody’s microflora is a little different. Subsequently, if you have more of the bacteria that cause this bloating and cramping, you’re going to be more susceptible.  Good sources of soluble fiber are: oats, dried beans, barley, flax seed, carrots, oranges, and apples. Again, a lot of these healthy foods don’t necessarily help you lose weight.

Insoluble fiber doesn’t dissolve in water. It absorbs water which increases bulk and softens stools and shortens intestinal transit time. It swells up like a sponge. It aids in constipation and diarrhea. Food sources for insoluble fiber: leafy vegetables, fruit skins, whole grain products, bran products, seeds and nuts. There’s a question of whether it can prevent cancer. Early studies say potentially it can. Later studies show there may not be anything to that. That doesn’t mean it’s not healthy.

Fiber supplements are different from fiber in food. The best fiber comes from real food. Almost all the studies done on high fiber diets were done on fiber-based foods. The question is whether the benefit came from the fiber or the healthy foods containing the fiber? Studies done on people taking fiber supplements don’t really show any benefits. Although, it does help with regular bowel movements. But does it actually improve other health benefits? Doubtful. Fiber supplements are made from “functional” fibers from plants. The two that are often used are inulin and oligofructose. These can act as prebiotics (what the bacteria live on).  The prebiotics can stimulate the growth of the beneficial bacteria. Prebiotics means supplying the healthy bacteria with a good food source. The hope is that they will grow more and help you. It actually makes a lot of sense. Some of these supplements are: psyllium, guar gum, pectin, and cellulose. Many products just have different amounts of the soluble and insoluble fibers. You have to watch for abdominal gas/bloating, cramping and diarrhea. Then the question is can it bind with other nutrients preventing their absorption? You should take your medications separate from your fiber supplements. Fiber supplements have never been shown to have the same benefits as fiber-rich food.

What’s the real “poop”?  Why did we think fiber was good to begin with? The original theory of fiber being good for us began in the 1960’s. Many disease processes were due not to the increase in processed sugar/carbs, but rather to the lack of fiber. Small studies supported this. In the 1970’s the “fiber hypothesis” became dogma, theorizing that fiber would prevent many of the world’s diseases: intestinal problems, weight, breast cancer, colon cancer, CHO, etc.… Between 1994-2006, long term studies involving over 180,000 people revealed NO beneficial effect on colon/breast cancer, heart disease or weight loss. The benefit is probably all the extra nutritional benefits come from high fiber foods, not the fiber itself. The belief that fiber is an intrinsic part of a “healthy diet” has been kept alive by factors that have little to do with science. The high fiber foods are nutritionally dense.

The best fiber comes from food: leafy greens and colorful veggies. Don’t worry about the “kind” unless you are seeking a specific health benefit.  Remember a few things if you’re taking fiber supplements. Start out slowly. Gradually increase the amount each day. Drink plenty of water. Some of the fiber pulls in the water. Spread the fiber out throughout the day. And, separate your fiber supplements from your medications. Realize that not all the implied “health benefits” are real.  Nutrition benefits can be very real; the whole foods.

 

We carry fiber supplements in our CFWLS Nutritional Store as well – you can pick them up onsite or order online!

Weight Loss…Simplified

Posted on January 20, 2020 by

The goal is to identify essential weight loss principles that you can use starting today for both medical and surgical patients. I’ll throw in a few “random thoughts” by Dr. Clark telling you my though process. One of my favorite quotes and favorite people, Albert Einstein, said “If you can’t explain it simply, then you don’t understand it well enough.” So, hopefully I can explain it simply.

It often seems like weight loss concepts and principles are significantly different between medical patients and surgical patients. Nothing could be further from the truth. The principles and concepts are exactly the same thing. The weight loss principles for a patient will be the same post weight loss surgery. They just have a slightly different anatomy. The essence of any weight loss plan will always be behavior modification. Change what you do, whether it’s nutritional or activity level. Change (weight loss) will not occur unless you change your behavior. Sometimes we’re waiting for the life around us to change or people around us the change. The reality is that’s never going to happen. If you don’t change, change will never occur. Don’t wait for someone else to change for you.

Energy storage is extremely important for survival. If we couldn’t store energy, we would have to eat continuously. We can store energy in 2 ways. We can store it as fat or we can store it as glycogen. Storing energy as fat is unlimited. We can store hundreds of pounds of fat. Even a thin persona has a lot of fat storage. Even a 200 pound male with 10% body fat has 70,000 available calories. That’s a lot of stored calories! We can’t store very much glycogen (sugar). We can only store about 2000 calories. Most of the glycogen is in the muscle. The muscle doesn’t like to give up any of this energy (it’s kinda selfish). The liver is unselfish. It will share sugar. What’s the problem with this?  The problem is just because you may have a tremendous amount of stored energy as fat does not mean that you have unrestricted access to it. Unfortunately it’s not very accessible.

What do we do here at The Center for Weight Loss Success? We have 2 comprehensive programs. We also have a full fitness center, nutritional store, clinical area, educational classroom, behavior modification classes, weekly live webinars, weight loss meds, Hormone Replacement Therapy, and more. We have a 6 month medical program referred to as “Weight Management University™.” We have a 12 month post-surgical program called, “Weight Management for Weight Loss Surgery™.” Both of these programs are very similar. A lot of the topics in the programs are interchangeable. The medical program has 14 different topics. The surgical program has 12 topics. The difference is how we present them. We put them in different order because they become pertinent at different times depending if you’ve had surgery or not.

The real question is:  how do you do it?? The dietary plan, activity plan, and behavior modification changes don’t take place immediately just because someone has undergone weight loss surgery. There should not be a “cloud of mystique” that surrounds someone who has had weight loss surgery. We didn’t change things by operating on you.

My job is to figure out why someone is overweight. Then, I have to figure out what are the right “things” to do for that individual. Finally, (the hard part), is how that individual implements those things and make them a lifestyle. Part of that is being willing and able to do those things in order to lose the weight. That’s a very important concept and mindset for anyone, especially with weight loss. Some people are just natural athletes. They may have never picked up a golf club. But when they do, they’re able to play pretty darn well. Other people might have to practice really hard but are mediocre at the sport. Is there a difference?  Maybe some of us will never be pro golfers. But if we practice and work at it we will get better. All weight loss surgery does is just exaggerate the “normal” weight loss curve. The normal weight loss curve is this: you go on a specific diet and lose weight. Then you’re weight is going to stabilize. You might regain a little bit. With weight loss surgery you lose weight much quicker, greater weight loss, and it lasts longer. Long term it’s still doing all the same things. One of the “downfalls” of WLS is….it works! Because WLS works so well, people often think they’re doing the right things. You’re going to lose weight the first few months no matter what you do, but if you don’t do all the right things long term you will find that you’re going to start struggling. You need to do all the right things. Weight loss is something we work on forever. It’s a process. You’ve got to do the right things. Are you willing and able to do the right things?

I’ll sometimes see people back in the office several years after having WLS. They’ve gained weight. Or, I see people who were successful in the Medical program but they return because they’ve gained weight back. No one gains weight due to a deficiency of surgery. Some people say they need surgery because they’re gaining weight. Likewise, no one gains weight due to a deficiency of phentermine or any other weight loss medication.  They gain weight because they are eating and/or doing the wrong things. As physicians sometimes we contribute to that. There are certain medications that physicians prescribe that cause weight gain.

The concept of eating is, “How little can I eat and be satisfied.” It’s not, “How much can I cram in there.” The difference between those two thought processes is about 20-25%.  It’s often the difference between losing weight and keeping it off, and gaining weight. Long-term the pattern of eating needs to be 3 meals a day +/- a planned snack. No one has ever starved in 3 hours. If your mind is telling you it’s time to eat something, but it’s not time to eat, drink some water or do something else. Meals should be small plate size. The best food has absolutely no labels. It’s eating green and clean.

The Basics

The “Basics” of the eating plan are calories, protein, and carbohydrates. Everyone has a calorie “ceiling.” If you go above it, you gain weight. It does not mean that if you stay below the calorie ceiling you will lose weight. You can’t survive without protein. Preserving lean body mass is key. We talk about this all the time. The best protein source is from food. Everyone has a carbohydrate “tipping point.” A certain level of carb intake makes insulin levels rise. Insulin turns on fat storage. Some people have a very high tipping point. They can eat just about whatever they want to and never gain a pound. They don’t have a better physiology. They have a more efficient physiology. If what you eat increases your insulin levels. It turns on fat storage. If you eat a mountain of lettuce and it makes your blood sugar go up, it will also make your insulin level go up. One thing you can do is get a blood sugar monitor and check your blood sugar after you eat.

I have a few things for you to “chew” on.  “Kinda” working on weight loss will never help.  You can’t, for example, do a good job during the week and then go crazy on the weekends. If you’re only going to do one thing, count your carbohydrate intake. Carbohydrate is not an essential nutrient and there is no such thing as carbohydrate deficiency. Carbohydrate influences insulin which is the “fat storage” hormone. If you don’t make insulin, you cannot store fat. One of the first symptoms of a Type I diabetic who does not make insulin is that they are losing weight like crazy. They can’t store fat. Two thirds of the population is “carb sensitive.” If they eat carbs they get large blood sugar swings. Large blood sugar swings cause 2 major problems:  symptoms (headaches, irritability, shaky, not thinking clearly) and weight gain.

What do blood sugar swings actually mean?

If your blood sugar level is 100, what does that actually mean? That’s at the higher end actually. We would rather that it be 80. Each of us has about 5 liters of blood in our body. When we say that your blood sugar is 100 mg/dl, that means there is 5 grams of sugar in your entire blood volume. There’s 1 gram in each of those liters. How much sugar is 1 gram? If you have just 5 grams of carbohydrate, in theory you will double your blood sugar. If it was 100, it will jump to 200 after eating 5 grams of carbohydrate.  Examples of 5 grams of sugar (1 tsp): ½ Oreo, 1 triscuit, 1/5 banana, ¼ apple, ¼ slice of bread. I often have patients come into the office and say, “Well I only had…” It only takes a little bit and you’ve doubled your blood sugar. The point of all this is that it doesn’t take much carbohydrate to give you tremendous blood sugar swings.

In review, the Basics of the eating plan include: a calorie ceiling, sufficient protein, and a carbohydrate tipping point. The trick is to figure out the numbers. If you’re a woman who’s had WLS, if you get about 1200 calories you’ll struggle. If you’re a man and get about 1500-1600 calories you’ll probably struggle. Protein is based on lean body mass. It almost always comes around 90-100grams/day. It depends on how big you are. A male with a much bigger frame is going to need more protein. We typically say less than 50 grams a day. Some patients are so sensitive they need to be in the 20-30 gram range to really see good weight loss. What about fat? I’m not concerned too much unless it drives your calories too high. You want to try and stick to the monounsaturated fats. There are good and bad fats. They do tend to influence calories. Fat does not affect the hormones the affect weight. Carbohydrate and protein do affect hormones that affect weight.

The best foods have no labels

The best foods have no labels. Eat just 3 things. We would die without water. Water is the best thing to drink. Get rid of everything else. Good protein sources are meat, seafood, cheese and eggs. They have basically no carbohydrates. Eat colorful vegetables/salad stuff which is typically low calorie, nutrient dense, and fairly low carbohydrate. If it falls outside the “core,” then don’t eat it!

Dr. Clark’s low carb diet simplified (LCDS) is avoiding these three things: starches, “crumbly” carbs, and watching the fruit. Fruit can be the downfall of any weight loss plan. I’ve heard so many people say they eat healthy (including a lot of fruit). Fruit is healthy. There’s no doubt about that. However, it won’t help you lose weight. Healthy and losing weight are two different things. The main starches to avoid are potato, rice, pasta and bread. The “crumbly” carbs (6 “C”s) are chips, cookies, cereal, cake and candy. That includes hot cereal too. It’s simple to understand but NOT easy to do! Simple does not equate with easy.

A good weight loss plan includes a good diet/nutrition plan, activity/exercise plan, and behavior modification. There is no difference between surgical and medical weight loss patients trying to lose weight. The hard part is behavior modification.

We can help you get started! Call us at 757-873-1880 to schedule a free consultation if you are interested in a non-surgical program or watch our free weight loss surgery webinar.

Food Triggers & Dietary Disasters

Posted on January 13, 2020 by

A lot of times emotions can turn on that “feeding frenzy.” Or, sometimes situations will turn it on. Certain foods will call your name. We all seem to have our own triggers. We also have our own cravings. A trigger is something that sets in motion a course of events. Here we’re talking about eating when we don’t necessarily want to eat or should be eating. Eating triggers fall into 3 categories: trigger foods, trigger feelings, and trigger environments.

A trigger food is a specific food that sets off a course of overeating. Is there some food that you can only have a tiny bit and then you need to eat everything in sight? Control is often lost and excessive amounts of food may be consumed. Common trigger foods are usually highly refined foods such as sugar/fat combinations like ice cream. Another common trigger food is salty/starchy combination such as bread, chips, or crackers. I’m not a big fan of diet deprivation. I don’t believe in saying, “You can never eat this…” You’ll typically want it even more if you think you can never have it. If you want it even more it makes it harder to leave it alone. Can we be satisfied with a little bit? That’s what you want to strive for. If there truly is a food that causes you to eat the whole thing (whole bag of chips) then you probably should avoid that food. It’s the food, not the emotion that triggers the out of control eating. It’s not the situation.

Physiologic cravings are real. They tend to be most pronounced with high carb foods such as cookies, breads, pastries, and chips. They usually peak during the first few weeks of dieting. Then they fade. But you can experience true withdrawal symptoms. Carbohydrates are like a drug. If you have a little bit you’re going to want more. The symptoms are worsening cravings, headaches, fatigue, shakiness, and irritability. Once you get through the withdrawal symptoms it gets easier but that doesn’t make it easy. Many cravings are related to blood sugar swings. Every time the blood sugar comes down you’re going to want more because your body wants something to keep that blood sugar from dropping. Consequently you’re going to get a big swing up if you have more of that food. The big blood sugar swings make the cravings even worse. Appetite suppressants can help. Chromium can also help. It’s a mineral and can help smooth over blood sugar swings. You can get it just about anywhere. We sell it here in our nutrition store. On the bottle it will say take one a day as a supplement. Unfortunately that doesn’t work for cravings. Generally you need to take it 3 times a day. It’s very safe but you shouldn’t take a bottle every day!

A trigger feeling is an emotion (good or bad) which sets off a period of overeating. Examples are stress, anxiety, anger, sadness, or loneliness. It often sets off overeating of just about any food (salty, crunchy, sweet, doughy, etc.….). Identifying the emotion is key to controlling these triggers. Journaling is one of the best ways to sort this out. It’s not just writing down what you’re eating. It’s writing down why you’re eating. If you’re hungry and it’s time to eat then that’s a good reason. What if it’s not time to eat? If you’re not hungry, what are the reasons? Am I stressed? Am I excited? Am I depressed? You’ll see a pattern developing.

Trigger environments are specific situations or places that set off an episode of overeating (Movie Theater, buffet, sporting event, socializing with a specific group of friends).  The overeating is set off by the specific environment or situation. Usually you regret it the next day. To manage this you have to identify the specific location, people, or events. Avoidance works, but often that’s not possible. Are you really never going to the movies again? Are you really going to avoid your friends? It’s important to develop strategies to minimize the overeating in those environments. Plan ahead of time what you’re going to do. It’s hard to unlearn things but we have to.

We all have willpower even though we don’t think we do. Some of us need to take it up a notch. Cravings tend to fade with time. They can come back. The internal struggle with cravings leads to emotional pain. It’s often due to indecision. We really haven’t made up our mind. We literally make thousands of eating decisions every day. With fasting you get rid of a lot of decisions. Make the hard and fast decision that you won’t give in to the craving. To weaken the intensity and reduce the craving you must stop giving in to them. It’s easier said than done but it does work. Avoiding the indecision can be very helpful. Willpower is like a muscle. It can be strengthened with practice.

Your Strategies for Improving Willpower

There are strategies for improving willpower. The first strategy is Mindset Changing Techniques. You need to be truthful with yourself. Tell yourself it’s a craving, not true hunger. Is there another reason you’re eating (angry, lonely, tired, and stressed)? Don’t waiver in your commitment. It will get easier with time. We want to imagine the aftermath of giving in. Sometimes when we give in it feels good to eat that sugary food for a few minutes. You might even get a sugar high. But typically, a little later, you’re not going to feel so good. Replace the word can’t with won’t. You always have a choice.  Review your goals and remind yourself why you’re doing this. Why do you want to continue with this weight loss process? If you give in all the time, you’re always going to be at risk for gaining weight.

The second strategy for improving willpower is Habit Changing Techniques. You want to distance yourself from the food you crave. Remove the food or yourself from the scene. Remove the food or distance yourself from the scene. For example, don’t go to the movies for a while. When you go back, don’t revert back to the big tub of buttered popcorn, bring some protein snack along with you instead.  Drink something. Thirst is often confused with hunger. If you drink something you often realize you weren’t hungry. Your body will tell you that you need something. It could be just the water that it needs.  Try to change your mindset. Relax. Set a timer for 5 minutes and concentrate on breathing. Distract yourself: brush your teeth (how many people want to eat after they’ve brushed their teeth?), paint your nails, brisk walk, exercise, call a friend, shower, practice a musical instrument, or work in the yard. Do something that will distract you for a period of time and the cravings will fade away.

In summation, food trigger are all around you. Learn to recognize them for what they are. Develop the strategies to combat them. It will get you that much closer to your weight loss goals! If you need help, we offer counseling for anyone that’s struggling with that. The counselors will figure out a solution for you. Contact us at 757-873-1880 and set up a free consultation to figure out which program or plan fits your needs!

Hey Doc – Could it be my Thyroid?

Posted on January 08, 2020 by

I routinely hear from patients in the office, “It couldn’t be my thyroid.” It could be. But usually that’s not the real blame for weight problems. It is something to try and understand. It’s commonly a problem, especially in women. When it gets treated people feel so much better.

I probably mention this on every Losing Weight USA Webinar; with all hormones, balance is absolutely key! If you balance one hormone, potentially you can throw off another hormone. You don’t want one working too well and the other not working well enough.  Hormones come from endocrine glands. There are lots of different endocrine glands. They all produce different hormones. The endocrine glands are found throughout the body.  There are lots of different glands in the body: pancreas, testis, ovaries, and more. A hormone is simply a chemical messenger. They communicate between one part of the body and another. The tissue that makes the hormone releases the hormone into the bloodstream. Subsequently the hormone goes throughout the body. The tissues that have receptors can receive the message. It’s that “Lock and Key” type of thing. It needs to fit well into the receptor in order to send the message. Hormones are one of the main tools your body uses to maintain homeostasis (balance).  Hormone balance is a key concept. It’s especially true with Thyroid Hormone.

The pituitary gland is a tiny gland the size of a berry sitting in the center of your head. It receives messages and sends messages. It works in concert with the hypothalamus. The hypothalamus often sends the message of what the pituitary gland should release. The pituitary gland releases all sorts of hormones. It releases prolactin, growth hormone, thyroid stimulating hormone, FSH, and more. Often it’s the pituitary gland that’s sending the message to the endocrine gland. Then the endocrine gland releases the hormone. The thyroid gland receives instruction from the pituitary gland. There are a lot of places where these hormones can be thrown out of whack.

The thyroid gland sits in your neck. It’s below the “Adam’s apple.” It’s one of the largest endocrine glands. The thyroid comes from the Greek word for shield. It’s protected and covered by some of the neck muscles. The parathyroid glands are adjacent to it. The parathyroid glands influence your bones but they don’t really influence your overall metabolism. They are adjacent to the thyroid glands. The function of the thyroid is directly related to metabolism (how your body uses energy). This is what drives your metabolism—whether it’s slow or fast. This is what overseas our metabolic rate. When someone talks about a slow or fast metabolism, they are alluding to their thyroid gland. If you looked under a microscope at a slice of your thyroid tissue you would see these open areas that have food in there. That’s the thyroid hormone. If this goes out of whack potentially you can get thyroid disease.

A balanced hormone means there’s good communication between different areas. The hypothalamus talks to your pituitary gland. The pituitary gland talks to the thyroid gland. Then the thyroid gland releases the thyroid hormone. There are multiple layers. They are like multiple feedback loops. One of these hormones in the loop feeds back on the other. So you don’t want to get too much of any one thing there. It’s also very dependent on appropriate iodine intake.  Iodine is essential for life. It’s utilized by every single cell in your body. The thyroid uses about 3 mg every single day. The breast tissue uses a couple milligrams every single day because the breast is very receptive to iodine. It’s very important in breast function. Iodine has been added to salt. The iodized salt is one of the only ways we get iodine.

Unfortunately the iodine that’s in the salt can vaporize. Once the iodized salt container has been opened the iodine can vaporize. We often don’t get enough iodine because it’s been released into the atmosphere. It’s very common that people don’t get enough, especially Americans. Iodine used to be added to a lot of different foods. It’s been taken out of a lot of foods and substituted with bromine. In Europe bromine is illegal. The receptors for bromine are very similar to iodine. So if you’re exposed to a lot of bromine eventually the iodine receptors get blocked and then, subsequently even with the iodine, you’re not utilizing as much as you could. Iodine is very important to the thyroid. If you don’t get enough it can lead to goiter. Cysts form because the tissue is trying to work but can’t due to lack of iodine. The cysts can turn into a goiter. They can be very noticeable or very small. Eventually the thyroid could have to be taken out.

Again, the thyroid system runs from the hypothalamus down to the pituitary, and up to the thyroid gland. The thyroid gland then makes the thyroid hormone. Iodine is important in all of this. It releases thyroid hormone into the bloodstream. The thyroid hormone will go to just about every cell in your body.  If the thyroid hormone is unbalanced, then that would be either hypothyroidism or hyperthyroidism. It’s very important for growth and development and overall metabolism.

Is your thyroid functioning normally? TSH is thyroid stimulating hormone. It’s made by your pituitary gland in your brain. The thyroid functioning test is a screening test telling. It doesn’t tell us how well your thyroid is working. If the pituitary gland makes a lot of TSH it basically means your pituitary gland is screaming at your thyroid to get it to work. It often means the thyroid is not working well. That’s a sign of hypothyroidism. If the pituitary gland doesn’t make much TSH that means the thyroid is working like crazy. You don’t need to tell it to work anymore. That’s often a sign of hyperthyroidism.  Again, the thyroid function test is really a poor test. What’s important is not what the brain is telling the thyroid to do. What’s important is what the thyroid is actually doing. To know what the thyroid is doing, we look at the thyroid hormone. The working thyroid hormone is T3. It’s called free T3. What this has to do with is how many iodine molecules are on that thyroid hormone? T4 is levothyroxine. T3 is missing an iodine. Synthroid is synthetic thyroid. The issue there is that if you’re taking synthroid, you’re not taking the working thyroid hormone, T3. Subsequently your body has to convert it to the T3. Some people don’t do that well. If you don’t do that well synthroid (levothyroxine) might not be a good choice.   The reason we would give you T4 and not just T3 is because the T4 is much longer acting. Therefore it’s just one dose a day. T3 is short acting and you have to take multiple doses. Most people will continue to take the T4 and convert it to T3. I want to know what your TSH is (for the thyroid function test). But I also want to know what the free T3 is because that’s the true working hormone. All the others are just working up the working hormone. The T3 is what’s telling all the cells in your body how to act. How do we look at the thyroid physically? We can do an ultrasound or radioactive iodine. Often an ultrasound is a better way to look at the thyroid.

The TSH is coming down from the brain and tells the thyroid gland to release thyroid hormone. The level will change depending on what it needs to tell the thyroid. If it’s telling the thyroid to release more, the volume goes up. If it’s telling the thyroid to release less, the volume goes down. The T4 is converted the T3, which then tells all the cells what to do. The T4 could actually make what’s called reverse T3. You don’t want to make this. It’s kind of a mirror image of T3. The mirror image of the T3 doesn’t function like the actual T3 does. Reverse T3 really doesn’t do you a lot of good. Some people take the T4, and instead of converting it to the T3, convert it reverse T3. Subsequently you’re thyroid doesn’t work well. But it may not show up on that TSH screening test.

Lots of thyroid symptoms go along with abnormality. The biggest thing we’re worried about is hypothyroidism. If you’re truly hyperthyroid you usually don’t have a weight problem. The symptoms with hypothyroidism are numerous and vague. That’s where the problem comes in. Because they are vague, we just don’t think about these things. For example, there are a lot of reasons to be tired.  You might lose some of your eyebrow hair. You might get a puffy face, enlarged thyroid gland, or be hot or cold all the time.  Cold intolerance is a symptom. You could be tired all the time, have dry skin, menstrual cycles are way off, weight gain, constipation, or brittle nails. Unfortunately a lot of these symptoms are very vague and don’t necessarily point at any one thing. It potentially can be hypothyroidism. There are some overlap symptoms that go with both hyper and hypothyroidism. Part of the problem is how we sort all these things out. Again, we look at those thyroid function tests.

What do you do if your thyroid is not quite abnormal enough to be on thyroid medication? One thing is iodine. It can help. Most Americans don’t get enough Iodine. There are some thyroid support supplements. We have them here is our store. You can also find them in health food stores. They usually have some B vitamins in them. They also have extra zinc, selenium and some herbal things as well. Typically there are some things you can do for supporting the thyroid.  Again, we can’t live without iodine.

Iodine supplements can be purchase in the CFWLS Nutrition Store or online.

 

 

 

 

Thyroid Support Pack also available in store or online!

Sabotage Behaviors

Posted on December 16, 2019 by

We’re talking about sabotage behaviors. Often it’s self-sabotage. We are our own worst enemy.  But sometimes it’s others who are sabotaging us.  Eat to live, NOT live to eat. If it were only this easy! Often you “know” what to do, but doing the right thing can be difficult. Why is that? Often sabotage behavior can derail the best intentions.

Sabotage is “the act of hampering, deliberately subverting or hurting the efforts of another.” Another definition is “the deliberate action to destroy property or equipment.” What about the self-sabotaging behavior? Here are some things to think about. Are your goals realistic? If they become unrealistic, typically it becomes easy to sabotage yourself. You might be trying to do too much too soon. For example, if you overdo it with the exercising you could be so sore you can’t move. Now you have to stop working out for several days. That “all or none” mentality does not work. The reality is, we all make mistakes. We need to be able to forgive ourselves as well. There’s the “excuse for every occasion” type of thinking. For example, “I only have a birthday once a year.” There’s always going to be a birthday or festival or something. Relying solely on willpower is another example of self-sabotage. I assure you that doesn’t work very well. Listening to how you feel will help you counteract this, as well as journaling. Thinking about it ahead of time will help you make better decisions. Another good way is writing it down. Journaling is one of the best ways to control what we do. It’s a great way to keep track of what we eat and keep track of what we’re doing. Writing your emotions down can be very helpful. You can ask yourself things like, “Am I truly hungry?” “Why is it I’m hungry?” “Am I angry?”

How do you combat this self-sabotage behavior?

Part of it is setting realistic goals. If the bar is set too  high there’s no way we’re going to get over it. It would be nice to lose 100 pounds. Is that realistic? Can you do it in a year? The goal is going to be different for every individual. Some of it is where we are trying to get in the long run. Secondly, throw away the excuses. Just decide what you’re going to do and do it. Don’t be in a hurry. You don’t have to do it all at once. We all make mistakes. We all fall off the wagon. You need to forgive yourself. Be realistic. This didn’t happen overnight.

Try not to overbuy. We talked recently about the “Costco effect” where we can get some great deals on everything in bulk. That’s wonderful except whenever we buy things in bulk we tend to eat it quicker. This is true with everything.  When you have a lot of it, you tend to overuse it.  When we have only a little bit of something we tend to conserve it. This is true with food too. Overbuying tends to lead to overeating.

Pre-plan your day or week, including meals and activity. Review them frequently. Review at night to see what you could have done better that day. Wake up in the morning and figure out what your plan for the day is. Keep track of your steps daily.

Replace the negative thinking wit what you’re doing right. We tend to beat ourselves up. Negative thinking is never helpful. Realize you made a mistake and do things differently. Most things in our life are recurring themes.

Finally, journaling is one of the most powerful tools there is. Writing things down helps you figure out what works well for you. Without writing it down you’ll never really know where the problem areas are, especially the eating and activity aspect. We often have the concept of thinking we’re doing everything just right. But if you actually right it down you can find areas of improvement. We can all improve. I can assure you of that.

Other people can sabotage your efforts. Some do it purposefully and others do it unconsciously. Unconscious saboteurs appear to be supportive and believe they are being helpful, but they actually knock you off track by acting out of habit. The conscious saboteurs are more obvious. They know you’re trying to lose weight but they try to entice you. “Just one won’t hurt.” “This is the best cookie ever.”  Some people ask you to do something else when they know it’s your fitness time. “Let’s stop by the bar and have a beverage and some food. “ Other people just have a constant discussion about food. I could never understand why someone who’s trying to lose weight would watch the Food channel. Turn it off. Why do you want to torture yourself?! You can be a foodie I guess, but it makes it really hard. When we talk about food, we get hungry.

How do you combat saboteurs?

Recruit people to help with weight loss. Communicate with friends and family assertively. Have responses ready. When someone encourages  you to eat some cake, just say, “No thank you.”  You don’t have to have a big explanation.  Place trigger foods out of sight. I’m not a big fan of saying you can never eat a particular food. The exception to that is for people who have trigger foods. If you’re someone who can’t eat just one potato chip and has to eat the whole bag, then you should avoid that trigger food. Stop being so polite.  “Ok I’ll have a little of this….” “I’ll skip my exercise because I know we haven’t seen each other in a long time.” Try to recruit your saboteur as a support person. If you can’t recruit them, it’s time to spend less time with them.

There are certain situations and events that are saboteurs. The big three are vacations, office life, and holidays. The reality is we’re all going to be part of these things. You can’t just ignore them. Everybody needs a vacation. You should have fun when you go on vacation. Incorporate activity into your vacation. Try some new foods. Search for new protein sources. Keep alcohol in check. There’s a lot of calories alcohol and it turns to sugar very quickly. It also decreases inhibitions so you tend to eat more. Plan your splurges. For example, be careful during the day because you want to go to a certain restaurant at night. Enjoy the splurges and then get right back on track. Deprivation diets don’t work very well.

Office life can be a saboteur. We obviously have to go to work. We have to socialize. You don’t want to hide what you’re doing. If you’re losing weight, people are going to know what you’re doing. If you talk about what you’re doing then you can get support. Everyone is going to have an opinion so you want to be a little careful who you’re sharing things with. Don’t listen to everything they say. Take a walk during your break. Keep healthy snack available. Plan your eating times. There are also unplanned eating times. There should be periods of time when you’re not eating.

During the holidays plan for events and don’t go hungry. Have a plan to socialize away from the food. Take a look at the spread of food so you can “pick your poison.” Keep it to a minimum. Watch the alcohol. It’s a good time to schedule a personal trainer during the holidays. Have someone that is going to hold you accountable and to push you. Don’t go it alone. Find a weight loss buddy. You can support each other.

Here are some tips for success.

Identify sabotaging behaviors you or others might have. It’s very important to figure these things out. The situations are not going away. They are going to be there forever. Review the tools for combating saboteurs and risky situations. Separate yourself from risky situations as necessary. There are a couple of good resource both written by Judith Beck. She’s a psychologist/behaviorist. The first is “The Diet Trap Solution” which is an older book. It’s a really good book about how to change your behavior with eating. The other is “The Beck Diet Solution.”

Right now we have 2 specials running to help you with your weight loss goals.  The first is our 28 Day Weight Loss Plan and the second is our Weight Loss Surgery Reset.  Check them out!

Avoiding Holiday Weight Gain

Posted on December 02, 2019 by

You don’t want to be standing on the scale after the holidays and wondering what happened.  We want to avoid that problem. Holiday weight gain: everyone thinks about and everyone fears it. Is it inevitable?  What can you do to avoid it? How do YOU make the best choices?

Here are a few statistics. It’s often stated that the average person gains 3-5 pounds during the holidays. But, this is not true.  The average American does gain about 1.1 lbs. during an entire year. So, it doesn’t take that many years to start getting into some problems. About 10% of the population gains greater than 5 pounds in a year. This is typically the population that I see.  One of the problems is that it’s not just the entire year. About 80% of the weight occurs during the 6 weeks between Thanksgiving and New Year’s. A significant proportion of people (my patient population) will gain a significant amount of weight during a year. And, most of this occurs over the holidays.

There are a lot of factors that lead to overeating during the holidays. There are a lot of social gatherings. We get together for social functions over the holidays with friends and family and it usually revolves around food. The holidays tend to bring about more stress (family, gift buying, decorating).  The stress can lead to exhaustion and we make poor food choices. There’s a lot more emotional eating during the holidays. We can be sad, depressed, or stressed. Cold weather causes us to desire comfort food. One of the issues is the food around the holidays tastes good! It’s very palatable and it’s everywhere! Cookies everywhere!  Plenty of temptation. Often there are treats that only come out during the holidays.

How do you avoid that holiday weight gain? I like to look at what I call the 3 basic pillars of weight management. The three pillars are: eating (home and at parties), exercise, and behavior modification. We’re going to look at these three things and how we can use them to help us.

Eating is the biggest one.  Don’t skip breakfast. A couple of good studies have shown when people don’t eat breakfast they tend to eat more by the end of the day then what they normally would. The exception is if your breakfast is going to be a high carbohydrate meal. You’re better off skipping breakfast. If you start off with a carbohydrate breakfast, you’re going to end up eating more during the day. If you have a good protein start to your day you’ll actually eat less during the day. Recruit family and friends to help you. Let them know you’re trying to lose weight and you need their support. Typically they will be supportive if they know about it. Hopefully they want try and sabotage you. You might need to avoid them for a period of time. At home you might need to have an “off limits” area for yourself. If you have treats in the house for other family members that could tempt you, place them in an “off limits” area. Make it a rule that you won’t go into that off limits area. If you don’t make that rule, it makes it harder to avoid temptation. Don’t purchase or make the things that tempt you the most. If you need to make holiday cookies for your child to take to school, make ones you don’t typically like. Use the “catch and release” program. If someone brings you cookies, try one, and they immediately give it away. Get it out of the house.

A different scenario is eating at parties/functions. They’re occurring all the time during that 6 week period over the holidays. Here are some things to do to help protect you. Don’t go hungry. The last thing you want to do is show up at a holiday party starving because then you’re going to eat everything. Eat something healthy before you go. Bring a healthy choice with you so you know you’re going to have something you can eat. Increase the water. Water loading makes us feel full. It doesn’t last very long but it can prevent over eating. Use small plates and small utensils. If you use smaller plates and smaller utensils you will eat less. This has been shown in multiple studies for multiple years.  Watch the alcohol for numerous reasons. It has a lot of calories in it. Also watch the high calorie drinks like egg nog. We tend to get that “drinking amnesia” where we forget that we had drinks and don’t consider all the calories involved. Alcohol releases inhibitions and we tend to eat more. Do the “walkabout” first. Look around at all the food and figure out what you’re going to have.  Choose the good protein sources and colorful veggies. Choose your poison carefully. You can choose some things you don’t get to eat often. Complete deprivation doesn’t work well. I’m not a big fan of deprivation diets. If you tell yourself you can never eat something, you’re going to fall off the wagon at some point and go crazy. Have the mindset that you can be happy with just a small portion of the food. Don’t stay in the room that has the food in it. Get your food and leave the room. Eat in another room. Keep your hands full (not food related). You’re less likely to eat if your hands are full. Hold your drink in your dominant hand. Most people don’t eat very well with their non-dominant hand. These little tricks can be very helpful in avoiding the dietary disasters of the holidays.

Exercise to avoid weight gain. In encourage people to schedule their workouts. This is the time to go more intense. You’ll boost your metabolism somewhat. You might get a little more leeway with your eating. Make sure you’re doing the weight training. After you’re done eating go for a brisk walk. Get out of the chair and move as opposed to just moving to the couch to watch TV. You could buy yourself an early Christmas present and purchase some personal training sessions. It will keep you accountable. It can help you into the New Year getting your exercise on track.

There are behavior aspects to avoid weight gain over the holidays. Plan! It’s especially important if you’re going to travel and visit family. Once we get out of our usual environment and have less control, it’s important to plan ahead.  A lot of these social things revolve around eating. It’s good to revise your recipes. Nowadays this is relatively easy to find online. You can find many recipes with lower carbohydrates. Remember why you are celebrating the holiday and what the main focus is. Focus on the socializing with friends and family. Keep healthy snacks close at hand. If you know you’re going to struggle, have the better choices readily available. Keep unhealthy things out of sight. Handling stress effectively is easier said than done.  You can take a brisk walk, practice deep breathing, warm bath, or whatever positive thing you can do to keep that stress under control. Finally, get your rest. If you get quality rest, you’re going to handle these situations better. If you do overindulge, get back on track immediately. Don’t let a few bad choices turn into days or weeks. You don’t want to lose the momentum. You have to be very careful. 98% of our patients are sensitive to carbohydrates. If they drift, they struggle. It doesn’t take a whole lot of drift to have a big struggle. It’s like a drug. If you have a little bit, you’re going to want more.

Holiday weight gain is NOT inevitable! You need to plan, socialize with family and friends, watch the alcohol, and bump up your exercise.  When you indulge, get right back on track. Yes, it is that important.

If you need help, let us know! Check out our non-surgical options or Back on Track After Weight Loss Surgery.

Why is Your Protein to Carb Ratio So Important?

Posted on November 25, 2019 by

Baja Chicken Bowl

Why is the protein to carb ratio so important? Why do we harp on this stuff? If you’ve come into my office to see me you’ve heard me talk about the protein to carb ratio. The protein part is important for a number of different reasons.

Protein tends to be more satisfying. So, you tend to stay full for a longer period of time. It’s also harder to digest. Digestion is work your body has to do. Eating protein increases your metabolism.  Protein increases a couple of hormones that help with weight loss. Those hormones are glucagon and growth hormone, and are stimulated by protein. Protein is really important after surgery because we want to make sure as you’re losing weight you are preserving lean body mass. It’s the combination of the protein and the exercise that helps do that.

The carb part is the antithesis of the protein side. The carbohydrate typically works against weight loss. It stimulates the hormone insulin. Insulin has multiple jobs. Its main job is trying to keep blood sugars normal. It also tells your body to store fat. In a weight loss program you want to be mobilizing fat. You want to keep insulin levels way down. One of the nice things about insulin is that it’s a hormone you have some control over. Most hormones you don’t have any control over. Insulin only goes up in response to blood sugar levels going up. You want to keep your carbohydrate lower and protein higher. Both of those things have nothing to do with calories. It doesn’t mean calories aren’t important. In a weight loss plan you need to be in a calorie deficit. But if we can manipulate hormones, sometimes that’s going to help with weight loss even more.

Creamy Tuscan Shrimp

I’ve seen thousands of patients throughout my surgical career.  You tend to figure out a few things. One thing I see the best weight loss occurs when people get their protein in the 90-100 gram range. It’s typically higher for men (120). With carbohydrate we see the best weight loss when carbs are below 50 grams a day. That’s where we get the protein to carb ratio of 2-1. Protein should be about twice as much as your carbohydrate. We typically see the best weight loss in that ratio. For any one individual the protein could be a little higher or lower. There is a limit to how much protein you should take in because at some point it drives your calories too high. There isn’t any limit to how low your carbohydrate should go. The lower the better. It’s just harder. There’s carbohydrate in lots of foods. The best foods that will keep those carbs as low as possible are generally going to be the colorful vegetables and salad stuff. Both of those are very low in carbohydrate. We literally don’t need to eat any carbohydrate. Your body actually does need some carbohydrate, but it can make the carbs. You don’t have to eat it. The lower your carb intake, the lower your insulin levels, and the easier it is to lose weight.

Every individual has what I call a “tipping point” with their carbohydrate. Most of our surgical patients are very sensitive to carbs. Often times when they drift up and get into that 70-80 gram range I see them start to struggle. Some of them have to be as low as 30 grams a day. Most of them do very well if they can keep it below 50 grams a day.

If you’re looking to lose weight and need some help, we offer the most comprehensive surgical and non-surgical programs anywhere.

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What You Need to Know About the Gastric Sleeve

Posted on November 20, 2019 by

The gastric sleeve, or sleeve gastrectomy, is the new kid on the block so to speak. It’s not a new operation. We used to do the surgeries for other reasons not including weight loss. About 15 years ago a hormone was discovered called ghrelin. It’s a hormone made by part of the stomach that makes you feel hungry. We thought if we took that part of the stomach out, we’ve actually done two things. First we’ve made you a smaller stomach so you can’t eat very much. Secondly, when you take that part of the stomach out, ghrelin levels go way down. Since ghrelin makes you feel hungry, hunger levels go way down in its absence. If you think about it, one of the potential downfalls of every single weight loss plan in the world is hunger. If we can control hunger it’s a lot easier to lose weight and keep the weight off. Sleeve gastrectomy is the fastest growing option out there. It is the most common operation for weight loss right now. Last year about 2/3 of all operations done for weight loss were sleeve gastrectomy in the US. It’s close to 95% of what I do these days because it works so well and we see a quick recovery with very low risk. It keeps your anatomy normal.

In the sleeve gastrectomy, we remove the greater curve of the stomach (stretchy part). If you eat a large meal the stomach fills and stretches way out as you eat. That’s how it can hold so much. When we remove the stretchy part it leaves you with a tubular part (or sleeve). Sometimes when people hear the term sleeve gastrectomy they mistakenly think we’re placing something around the stomach. We’re not placing anything around the stomach. It’s referred to as a sleeve gastrectomy because we’re changing the shape. Like the sleeve on a shirt, it’s tubular shaped. We’re making it into a tubular shape. Nothing is bypassed so there is no malabsorption.  Your anatomy remains normal. Food is going to enter the stomach and empty into the small intestine the same way it did before. The size of the stomach is about the size and shape of a medium banana. The part of the stomach that’s removed is the part that makes the hormone ghrelin. Ghrelin is decreased so hunger decreases. This doesn’t mean that you won’t get hungry. There are still good reasons to get hungry. Your hunger is just much easier to control. This surgery is increasingly popular and the fastest growing option out there. It’s literally close to 95% of what I do nowadays.

The surgery doesn’t take that long. It generally lasts about 45 minutes. 95% of the surgeries we do are outpatient. It’s pretty rare that someone needs to spend the night. Full recovery isn’t as fast as the adjustable bands but it’s a lot faster than gastric bypass. Most people are comfortable driving about 3-4 days after surgery. Generally in 2 weeks people can do most things. In a month you can do anything you want. Recovery tends to be really quick.

What are the risks?  The first 30 days is the same as the other surgeries. It’s just slightly different numbers. In theory the death rate and leak rate should be the same as gastric bypass. But we’re not seeing that. What we’re seeing is about 1:1000 for deaths and less than half a percent for leaks. Wound infections, DVT’s, PE’s and dehydration have fewer risks than gastric bypass because the surgery doesn’t last as long. But it’s not impossible for any of those things. One of the things I really like about this operation is that we’ve gotten rid a lot of the long term risks. You’ve got normal anatomy so once you’re healed, you’re healed. The thing we have to keep in mind is stenosis.   Stenosis means narrowing. Anywhere along the tubular stomach could get scarring and become too narrow. If that happened you would go see a gastroenterologist. They can look in there and take care of it. It would be very rare to need another surgery after the sleeve. In theory stenosis should be about 1%. I’ve done over 1600 of these surgeries. I’ve only seen 1 case of stenosis.

We basically see the same weight loss as we did with the gastric bypass. Average weight loss is 70% of what you were overweight. If you are 100 pounds overweight, your average weight loss will be 70 pounds. If you are 200 pounds overweight, your average weight loss will be 140 pounds. That’s average. Some will lose more and some will lose less. That is very good weight loss. Long-term we see about 10-20% regain most of their weight. With any of these operations you can gain your weight back. Your stomach is a little bigger than with the gastric bypass. So why do we see a similar result?  It’s because ghrelin levels go down. In the other operations, that part of the stomach is still there. We can control the hunger somewhat with appetite suppressants. But they’re not necessarily ideal. With the sleeve gastrectomy ghrelin levels go down and hunger is easier to control.

Overall, for most people considering weight loss surgery, the sleeve gastrectomy is the better option. One of the reasons is we keep the anatomy normal. There’s a lower risk with the procedure, a fairly quick recovery and very good weight loss. We also get rid of any concerns about having anatomic abnormalities or nutritional abnormalities (malabsorption). There’s no mechanical device. Finally, you haven’t burned a bridge. That means if you don’t get out of it what you wanted out of it your anatomy is at least still normal. If your anatomy is still normal you could still have any of the other surgeries done. You could have a band placed on it or converted to a bypass. This is much more difficult after any other the other weight loss surgeries. We haven’t revised these things. We’ve seen really good results with them.

How does CFWLS compare to the national average? Obviously we’re doing this for weight loss to improve medical problems and improve your life.  We’re doing the same thing as everyone else in the world but we’re seeing better weight loss. We have a 15.8% better average weight loss at 2 years. We have good education and weight loss.  We give you a full year afterward. And with that better weight loss we also see better reduction in medical problems:  Diabetes 78.6% vs 62.3%, HTN 62.5% vs 46.9%, lipids 70.7% vs 45.3%, sleep apnea 69.4% vs 56.6%, and GERD 74.3% vs 16.6%.  Some people think weight loss surgery shouldn’t be done on patients with GERD. But we’ve seen it get much better, not worse. Again, it’s not the operation. It’s what you do with the operation. If you do the right things it can fix these medical problems.

Why is the education and support so important? We have Weight Management University for Weight Loss Surgery™.  It’s a 12-month post-op program. It includes all kinds of thing including the following:  pre-op and post-op text books, monthly support group, 12 Weight Management University courses, access to Members Only portal, fitness classes, personal training and more.

View the online surgical webinar and then schedule a call with Cat Williamson to go over any further questions you may have.  You’ll get a copy of my best-selling book, Less Weight…More Life!