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Tag Archives: protein

Will I Need to Take Vitamins and Supplements After Weight Loss Surgery?

Posted on June 11, 2018 by

I Can & I WillYes, you will need to take vitamins.  Supplements are helpful but not a requirement.  Actually, whether or not you have weight loss surgery, you should be taking vitamins.  Supplements can be helpful as well, especially if you are trying to lose weight.  You should also make sure your vitamins/supplements are pharmaceutical grade so that the quality of their content is monitored and guaranteed.  The nutritional store at the Center for Weight Loss Success only carries such vitamins and supplements and our patients love them.  (www.cfwls.com)

The common vitamins that will likely be recommended for you (may vary depending upon the surgeon) include the following:

Multivitamins: Taking vitamins will be a lifelong commitment for all patients who have had weight loss surgery.  In the beginning, you should take two chewable complete multivitamins each day.  At one month after surgery, you may be able to progress to taking two regular vitamins daily.  We recommend two vitamins each day during the first year when your weight loss is most rapid.  After the first year, you should continue to take one multivitamin a day.  Women may want to consider a prenatal vitamin if pre-menopausal.

B-Complex: Usually around 1 month after surgery, we recommend that you also add one B-Complex vitamin each day (or even 2 per day).  The B vitamins assist in muscle and nerve functioning and have been shown to increase a person’s energy level over time.  You cannot overdose on B vitamins.  If you take in more than you need, you will simply rid yourself of any excess through your urine.  It is common for B vitamins to cause your urine to be darker or a brighter yellow.  This is normal.  If you prefer, B-Complex is also available as an injection at the office as appropriate.

Essential Fatty Acids (EFA’s):  Take them – they’re just good for you.  By taking fish oil supplements, Omega-3 fatty acids are ingested in their biologically active form.  They can be directly used to support cardiovascular, brain, nervous system, and immune function.  The mini-soft gels are smaller and have a natural lemon flavor to prevent a “fishy” after taste.  Our product is ultra-filtered to guarantee removal of mercury and other possible contaminants.  Most people should take 2-4 soft gels per day.  They are also helpful to prevent constipation.

Magnesium-Potassium: During weight loss your body will tend to waste both magnesium and potassium.  Both of these minerals are essential to normal muscular and cardiovascular function.  Magnesium is involved in over 300 biological reactions throughout the body.  It can help prevent/treat fatigue.  If you are prone to muscle cramps – you need to add this supplement.  Typical doses are 1-4 tablets daily with food.

Will I Have to Exercise After Weight Loss Surgery?

Posted on June 04, 2018 by

fit for lifeThe short answer is “Yes”.  Exercise is extremely important following weight loss surgery because you will be losing weight at a rapid pace.  Your body will try to fight this weight loss by attempting to store fat for this perceived starvation.  Your body does this by burning muscle mass and storing fat.  This is undesirable.  To combat this effect, it is important to exercise regularly so that your metabolism is increased and your body burns fat rather than muscle mass.

If you decide to have weight loss surgery, you should seize this opportunity after surgery and integrate activity/exercise into your daily routine. This will not only help you through any plateaus, it will help you build muscle, enhance your metabolism and overall energy, and greatly influence your overall success.

I encourage walking beginning the day of surgery to improve circulation.  Early walking forces the heart to pump blood throughout the body and prevents it from pooling in your legs which could cause clots that are potentially life threatening.    The more walking you can do, the better.  We ask that you avoid lifting heavy weights or doing sit-ups/abdominal crunches until you are at least 4 weeks from your surgery.  Prior to that time, you may ride an exercise bike, or swim (not until 2 weeks from your surgery).  When you choose your particular exercise program, make sure it incorporates weight training along with some form of aerobic/cardiovascular exercise.

Most everyone knows the benefits of exercise – it’s just doing it that is difficult.  We all can find excuses (not enough time, not enjoyable/boring, inconvenient, lack of resources, don’t know how, etc…).  The bottom line is that you must make time for exercise and make it a priority.  This is easy to say, but hard to do.

The benefits of exercise are many.  Some of these benefits include:

  • Decreased appetite
  • Decreased blood pressure
  • Decreased stress level
  • Reduced risk for development of heart disease
  • Reduced risk for colon and other cancers
  • Reduced depression and anxiety
  • Improved balance and independent living
  • Improved digestion
  • Improved self-esteem
  • Improved flexibility
  • Improved energy levels
  • Improved sleep pattern
  • Improved sexual satisfaction
  • Improved overall quality of life

So you may logically understand the benefits of exercise.  If you still choose not to exercise, you must ask yourself “why?”  Determine your roadblocks to exercise and then identify solutions to the roadblock.  Once you “get the fever” for exercise after doing some form on a regular basis, you will wonder why you didn’t do it earlier.  If you choose weight loss surgery, you are making a life changing decision.  Maximize the benefits of this decision and commit to a regular exercise program.  You will not regret it.  Your weight loss will be enhanced and your overall quality of life improved.

It does take time and effort to get started.  In addition, after you have had surgery, you may have some feelings of fatigue for the first one to three months after surgery.  Until you can begin a more vigorous exercise program (4 weeks after surgery), walk as much as possible.  If you are unable to walk due to a health problem/disability, perform as much upper body exercise as you can tolerate using light weights (until 4 weeks after surgery).  If you have cardiac/respiratory problems, be sure to obtain clearance for starting an exercise program from your primary care physician and/or specialist.

Choose a fitness program that will work for you.  It should be tailored to your specific needs, abilities, preferences and activities that you will enjoy.  Otherwise, you will be tempted to quit.

Remember that at the Center for Weight Loss Success, we love making fitness fun and specialize in starting wherever you are.  We work privately with our patients and offer three personal training sessions as a part of their Weight Management University for Weight Loss Surgery™ program.  Our certified trainers love working with clients at all levels of fitness.  You can also participate in our Group Fitness classes as a part of your program.  Remember, you are not alone.  Please use these resources available with your experienced bariatric surgeon/center to enhance your weight loss and improve your overall health and metabolism.

walking_feetWhen starting a workout program, take it easy.  Be sure to gradually work up to at least 30 minutes of vigorous exercise three or more times a week.  Stick to it and strive to make exercise a habit (usually considered a habit once performed regularly for at least three months)!  You won’t see dramatic changes overnight but you will see dramatic changes over time.

When you exercise, be sure to warm-up prior to the activity and cool down/stretch after the activity.  Do not lift too much weight (increase weight gradually), and remain hydrated – be sure to drink water before and after your workout.

What if I Lose Too Much Weight After Weight Loss Surgery?

Posted on May 28, 2018 by

mind over matterYou wouldn’t think this would be a commonly asked question but it is.  You may have heard a horror story about a “person who had weight loss surgery and lost so much weight that they look pale, weak and all of their skin sags”.   This is by far the exception and not the norm.

Weight loss after weight loss surgery is consistent and rapid (primarily with the gastric bypass and sleeve gastrectomy procedures and not as rapid with the laparoscopic adjustable gastric banding procedure).  Eventually, the body recognizes this rapid weight loss and as a protective mechanism, will slow down your metabolism and you will experience a plateau.  By following your prescribed eating plan (we make it as simple as possible) and incorporating fitness, you can work through these plateaus.  Once you get closer to your goal weight, the body naturally stabilizes at an appropriate weight even if you continue with a lower food intake (if it is the right combination of macronutrients and overall calories).  The industry commonly calls this the “set point”.  If you did continue to lose weight and appear as if you were dropping below your ideal body weight (rare), we can teach you how to use your “tool” to gain weight as well.

If you looked like the person described previously, you would need to be sure you were following up with your experienced bariatric surgeon.  Some things that can contribute to such a situation include poor nutrition, lack of an adequate amount of protein, not taking your daily vitamin, iron deficiency, smoking, depression or a physical malabsorption problem.  Again, this is a rare situation.  If you follow the prescribed post-operative comprehensive program set forth by your experienced bariatric surgeon/center this would be avoided.

CFWLS-Rhonda-04

Rhonda’s Opinion:  I actually did lose a little too much weight but worked with Dr. Clark and a trainer to gain back muscle.  The great thing is that now YOU have CONTROL!!!

Will I be Able to Enjoy my Favorite Foods Again after Weight Loss Surgery?

Posted on May 14, 2018 by

you chooseLife after weight loss surgery is not all about deprivation.  In fact, life after surgery is quite the contrary.  It’s about having an extra reinforcement so that you are better equipped to lose weight and keep it off long term.  As we have said over and over, surgery is a tool but you really need to know how best to use this tool for optimal long-term results.  Our society is focused on the here and now.  You will have an excellent tool that will help you quickly in the here and now after surgery.  More importantly it will serve you well for the long haul so you can fully experience your life in a rewarding and active way.  I see dreams come true each and every day!

Sure, there will be changes and I would be lying if we said they were all going to be simple. I am not trying to be vague here but the answer to the question “Will I ever be able to enjoy my favorite foods again after weight loss surgery?” depends upon a number of things.  These include the type of surgery you have and what is included in your favorite food list.   Not knowing exactly what those favorite foods are, I will include those that you will need to avoid altogether or enjoy in small quantities (we always like to focus on what you can have rather than what you can’t have).

The first category you will want to avoid or enjoy in small quantities is sugary sweets.  This can be in solid (i.e. candy) or liquid form (i.e. sweet tea).  After weight loss surgery, you should avoid food with >8 grams of sugar (5 grams if you are diabetic) because they can cause a negative reaction in your system, particularly if you have had a gastric bypass.  These foods can cause what is commonly called “dumping syndrome”.  Dumping syndrome occurs when there is a rapid passage of food into the small intestines causing a shift of fluid to the small intestine.  This usually occurs when you ingest foods that are too high in sugar or fat.  Symptoms include diarrhea, sweating, nausea, cold/clammy skin, dizziness, weakness, flushed appearance, and occasionally headaches.  You will need to stop and rest until the symptoms subside.  Remember to remain hydrated (water is best).  Take note of the food/foods that caused these symptoms so that you can avoid them in the future.

The second category you will want to avoid is alcohol.  Alcohol is full of empty calories, dehydrates the body, and has negative effects on the kidneys and liver.  In addition, because of the small size of your new pouch and the fact that food/liquid now empties more rapidly into the intestines, alcohol will be more toxic and cause a higher blood alcohol level than before surgery.  For these reasons, ingestion of alcohol should be avoided after surgery.  If you choose to have weight loss surgery and then ingest alcohol, please be aware that a small amount can affect you to a MUCH greater degree than prior to surgery.

After you are a month or so out from surgery, you can begin to experiment more with various foods.  Introduce raw fruits and vegetables cautiously.  Although many people do just fine, certain foods may be difficult to tolerate because your digestive system cannot n handle them.  The following may cause problems for you and may need to be avoided:

  • Tough meats, especially hamburger. Even after grinding, the gristle in hamburger is hard to digest.
  • Membranes of oranges or grapefruit
  • Cores, seeds, or skins of fruits or vegetables
  • Fibrous vegetables such as corn and celery
  • Hulls, popcorn
  • Breads – Fresh breads “ball up” in your stomach and can block your pouch. Try to avoid breads/crackers/cereals as much as possible.
  • Fried foods
  • Milk – If you are lactose intolerant you may use “Lactaid” products or soybean milk
  • Rice – tends to expand further once in your stomach and can cause pain

This list may seem daunting but realize that the further you are out from surgery, the more tolerant your system tends to be.  However, it is very important that especially throughout the first year you participate in a comprehensive program which should be available with any experienced bariatric surgeon/center.  A comprehensive program should include:

  • Follow-up visits with your surgeon
  • Individualized coaching with a nutrition specialist who understands the needs of the weight loss surgery patient
  • Personal trainer/fitness center that eases you into appropriate exercise activities in a safe and comfortable environment
  • Access to delicious nutritional products that support your need for 90+ grams of protein each day
  • An ongoing support group for you and your family/significant others.

All of this is provided on-site or online at the Center for Weight Loss Success and truly impacts the short and long-term outcomes of our awesome patients.  For those that live farther away, most services are very effectively provided online, via Skype, via webinars and other engaging ways.  Short and long-term comprehensive support is essential for optimal success.

CFWLS-Rhonda-09-

 

Rhonda’s Opinion:  Absolutely!  I enjoy food in moderation even more than before because it tastes so much better when you slow down to enjoy it.

Why is Protein so Important After Weight Loss Surgery?

Posted on May 07, 2018 by

can-eat-blueberries-182x300Protein is essential with any weight loss plan.  Protein is essential for muscle and tissue growth and repair.  If you reduce your caloric intake without consuming the necessary amount of protein, your weight loss will be a combination of lean body mass and fat loss.  With adequate protein intake (and exercise), you should be able to preserve your muscle mass, allowing the majority of your weight loss to come from fat stores.  If, over time, you do not meet your daily protein needs, you may experience fatigue, loss of lean body mass, and possible hair loss.

You will need to check with your surgeon, but we recommend that our patients take in at least 90-100 grams of protein every day.  As your weight loss continues, your body will still prefer using your lean muscle as a source of energy.  Therefore, consuming 90-100 grams of protein daily will be a goal throughout your weight loss journey, not just during the beginning phases.

Once your weight has stabilized and you are in a maintenance phase then protein requirements may decrease somewhat into the 60-90 range depending on your weight and overall muscle mass.  The higher your weight the more protein you may require in order to maintain Lean Body Mass.  Men typically require more protein due to their higher total Lean Body Mass.

People seeking medical or surgical weight loss often have many questions surrounding protein intake since it is important for both situations.  How many kinds of protein are there?  Where can I find it?  How much do I need?  What is the best time to have it?  Let’s try to give some straight forward answers to these questions.

The word protein is derived from the Greek word proteios, meaning “of the first quality”.  Protein is essential for life (i.e. we can NOT survive without it!!!) because it contains sulfur and nitrogen, two vital elements for every cell in your body.  Protein also helps produce enzymes and hormones, maintain fluid balance, and regulate numerous vital functions, from building antibodies to building muscle.  The body maintains roughly 50,000 different protein containing compounds, forming the building blocks of muscle, bone, cartilage, skin, hair and blood.

As far at your diet is concerned, there are numerous kinds of proteins, each with their own set of advantages.  The right kinds can make all the difference, especially if you are trying to lose weight and build muscle.  Some of the best protein comes from food. Meat has about 7 grams of protein/oz., large eggs about 7 grams of protein, and milk about 8 grams of protein/8oz.  In a weight loss plan, you have to watch all the extra calories (fat, carbs) that come with food sources of protein.

  • Whey Protein: Whey protein is derived from milk (remember Little Miss Muffet and her curds and whey?).  Many whey protein supplements have had most of the excess fat, cholesterol and lactose removed.  Whey proteins are undoubtedly the most commonly used and most popular protein used in sports nutrition and with good reason.  They are the highest quality protein available with an excellent balance of essential amino acids.  Whey proteins are very efficiently absorbed and this is extremely important but this is also a potential problem.  Because whey protein is so efficiently absorbed (i.e. absorbed quickly) it tends to not keep you feeling full or satisfied for any extended period of time.  For this reason, it also tends to work better if used in small doses (10-20 gms) taken multiple times throughout the day.  Your hunger can potentially return faster than with other proteins.  This brings us to Casein protein.
  • Casein Protein: Casein protein is also derived from milk (the curds part of curds and whey) and is essentially whey’s counterpart.  It also is a very high quality protein with all the essential amino acids.  While whey is absorbed very rapidly, casein forms a slow digesting gel in your stomach.  This in turn promotes a feeling of fullness that can stave off hunger for longer periods of time.  This steady stream of amino acids helps to protect against muscle breakdown.  A good casein based protein supplement made specifically for weight loss is Weight and Inches (29gm protein/serving) which can be obtained from CFWLS.
  • Egg Proteins: Egg proteins digest at a moderate pace.  Eggs are an excellent protein source and mimic the amino acid profile of muscle quite nicely.  Unfortunately, eggs do have a relatively high amount of cholesterol and also arachodonic acid (mainly in the yolks).  Some people are very sensitive to arachodonic acid worsening inflammatory processes.  Egg proteins in supplement form (usually as albumin) have had most of the cholesterol and arachodonic acid removed.
  • Soy Protein: Soy protein is also digested at a moderate pace.  Soy protein contains all of the essential amino acids, but since soy is a plant, it tends to not have quite as good of a ratio of essential amino acids as dairy or egg based protein.  Therefore, it does not tend to protect muscle mass quite as well.  It can still be a good alternative for those who do not tolerate dairy based proteins.

As far as timing goes, ideally you should use smaller doses of protein multiple times throughout the day.  This is especially important after weight loss surgery so even these recommendations will need to be altered somewhat during the phase immediately following surgery.  Starting the day off with a good dose is always a good idea (i.e. that protein shake in the morning).  An example would be 20-30 grams at breakfast, 20-30 grams at lunch and 20-30 grams at dinner.  Then add two 10-20 gram snacks, appropriately spaced between meals.  Positioning a protein snack prior to and immediately after strenuous exercise works extremely well to build/preserve muscle mass.

After surgery, your new stomach pouch will initially only be able to hold about 1-2 tablespoons (15-30cc) of fluid at a time.  This is approximately ½-1 medicine cup.  Your new stomach should eventually stretch to accommodate 6-8 ounces (3/4 to 1 cup) within the first 1-2 years after surgery.  Because your new stomach pouch is so small, you need to follow the guidelines provided by your surgeon to ensure the fluid/food you put in your stomach is the most nutritious possible and does not overfill your small stomach, causing you pain and/or nausea/vomiting.

For delicious recipes that provide adequate protein and are low carb, visit us on Pinterest at: CFWLSVA

How do I prepare for weight loss surgery?

Posted on April 16, 2018 by

sands of timeHow to best prepare for weight loss surgery is one of those questions that might not be on the top of your list, but will contribute to your overall level of success.  As you know, weight loss surgery is an important decision.  If you are adequately prepared, your level of anxiety will decrease and you will be better able to manage the changes required of you after surgery.  In addition, with preparation comes confidence.  This is a great trait to have as you embark upon this remarkable journey.

So how do you prepare for weight loss surgery?  You will want to ask questions.  You will want to make sure that your bariatric surgeon/center has a very thorough educational process in place prior to and after surgery that addresses nutrition, behavior modification and fitness.  These three components are critical to long term success.

You may only be thinking short term.  Let’s face it, you are really busy and have many obligations at home, at work, with school and with friends that take precedence over your needs.  It’s easy to tell yourself “I will figure this out” but it is a lot easier if you have a support system in place at home and with your bariatric surgeon/center prior to surgery so that you can better manage any surprises that may come along the way.

If you have already decided to have weight loss surgery, you will want to think about the positive changes you want to accomplish.  Often people view surgery from a number perspective (i.e. how many pounds they would like to lose).  Weight loss surgery is about so much more than that.  It is about enabling yourself to accomplish things that might not have been possible in the past.  It is about having an exciting life.  Life you can experience to the fullest extent.  It is very important to think about (and document) life goals related to your weight loss.  Then you can celebrate the positive changes transforming your life.  Some of the “dreams” that people have shared include:

  • Walking up the stairs or to the corner of their street without getting short of breath
  • Playing with their children or grandchildren
  • Crossing their legs
  • Painting their toenails
  • Stop worrying about being able to fit into a chair at a public place or worrying that it will break when they sit on it
  • Fitting in a bathtub and having water on both sides
  • Shopping in a store for regular sized people
  • Riding a bicycle
  • Returning to a productive lifestyle
  • Stop worrying about going to a restaurant that might only have booths or chairs with arms on them
  • Going to a movie and fitting into the seat

Take some time to identify your “wish list” and document it.  Then spend some time getting your mind and body ready.  In the weeks or days before surgery, you need to consider yourself in training.  Just as athletes prepare for a race, you can prepare yourself to be in top form for surgery.  When you actively get your body and mind ready you likely will:

  • Have fewer complications from anesthesia and surgery
  • Be able to cooperate with necessary treatments
  • Heal faster and feel better quicker
  • Have better control of your pain

There are some very specific things you need to do to be in the best shape possible.  You need to begin these things as soon as possible.  We know that the very worst time to try to learn things is right after surgery when you may feel foggy from anesthesia and uncomfortable from your operation.  Learn and practice these things now so that you will be able to help yourself after surgery.

  • Focus on healthy eating. The better nourished you are, the more quickly your tissues will heal.  Healing is WORK for your body.  Good nutrition helps you tolerate the stresses on your body and to offset limits on food and fluids right after surgery.  Weight loss prior to your surgery can decrease your risk and improve recovery time after surgery.  This is why you should incorporate your new eating plan and individualized weight loss counseling prior to surgery as a part of your overall plan.  Consult your bariatric surgeon for specific options for weight loss prior to surgery.
  • If you are a smoker – QUIT! Even a few weeks of not smoking increases the safety of anesthesia.  You will not be allowed to smoke while hospitalized.  You will need all your oxygen for healing.
  • Build your exercise tolerance. Toning your muscles and building your strength will help you bounce back quicker.  Walking is a perfect exercise for you prior to surgery.  It is normal to feel a little weak after surgery, but you can reduce this by toning up with daily exercise.
  • Exercise your lungs! Practice your deep breathing.  After surgery you will be encouraged to do this.  Expanding your lungs helps your system get rid of anesthesia drugs quickly, helps prevent pneumonia, and speeds oxygen to your tissues to help you heal quickly.  You will also FEEL better.
  • Move your legs to prevent blood clots!!!! After an operation, the best exercise to help your circulation and reduce your chance of blood clots will be walking!  The nurses in the hospital will get you up after a brief recovery period following surgery.  Once you go home, follow the specific discharge instructions set forth  by your surgeon.  In general, you should rest as needed but also get up and walk around as much as tolerated.  You can do these exercises in bed or sitting in a chair during any rest periods.
    • Lying on your back in bed, “walk” your feet toward your body until your knees are fully bent. Tighten your abdominal muscles while you do this.  Now let your legs slide gently back to the flat position and repeat this four more times.
    • Lying in bed or sitting up, point your toes as if you were trying to bend your foot backwards. Hold for the count of five and relax.  You should feel a “pull” on the muscles in the front of your legs.  Next point your heels away from your body, tightening your leg muscles.  Hold for the count of five and relax.  You should feel this pull in the back of your legs.  Repeat the pointing exercises 5-10 times.

If you have decided to have surgery, you also need to focus your mind on a good outcome.  You are the most important player in this team effort, and much will depend on your ability to fully participate.  Your feelings and thoughts will play a very big part in your recovery.  Reassure yourself that the best people, equipment and techniques are supporting you during surgery.

Finally, if you have decided to have surgery, a good way to prepare is to use the power of your relationships to gather a support group.  Enlist family and friends to help you keep your spirits up.  Let friends and neighbors help with chores and meals.  We all do better when we know we are supported by people who care about us and are cheering us on. Don’t underestimate the power of your emotions.  Positive thinking is the biggest help you can give yourself.  Think hopeful, optimistic thoughts about the experience ahead, and start NOW!

If you do all of these things, you will be best prepared for a positive experience and outcome.

We’re ready to help you achieve your dream – view our online Weight Loss Surgery Webinar or schedule the next

 

 

Will My Insurance Cover Weight Loss Surgery?

Posted on April 02, 2018 by

Insurance coverage for weight loss surgery varies by state and by the insurance provider.  While some insurers may cover the entire bill, many public or private insurance companies will pay a percentage (usually around 80%) of what is considered “customary and usual” for the surgery as determined by the insurance company.  The first step if you are considering weight loss surgery is to contact your insurance provider (use the provider number on your insurance card) and ask “Is weight loss surgery a covered benefit under my policy?”  Many policies require that the employer providing the policy purchase a “Ryder” for weight loss surgery.  Thus, you might also want to ask “Do I have the Ryder for weight loss surgery on my policy?”  The employer must purchase this Ryder for everyone that is covered under the plan, not just a select few.  There are a number of factors that play into this decision for employers.  However, generally speaking, employers who understand the value of weight loss and the employee benefits (improved/resolved co-morbidities, lower health care and medication costs, less time missed from work and increased productivity to name a few) are more likely to purchase the weight loss surgery Ryder.

"My insurance didn't cover Weight Loss Surgery, but I didn't let that stop me!" Allen Fabijan,  'Some Guy Named Allen' from 106.1

“My insurance didn’t cover Weight Loss Surgery, but I didn’t let that stop me!”
Allen Fabijan, ‘Some Guy Named Allen’ from 106.1

If your initial attempt to authorize coverage is denied, you can appeal, and you should initiate your appeal immediately.   Your experienced bariatric surgeon/center will assist you with this process.  It makes good fiscal sense for your insurer to foot the bill for your weight loss surgery.   According to the Obesity Action Coalition, the upfront costs of weight loss surgery are paid off in three and a half years, due to hospitalization cost savings.  What’s more, the cost of drugs for people with diabetes and high blood pressure plummet following weight loss surgery.  Many are able to stop taking such medications altogether as their blood sugar and blood pressure return to normal levels after weight loss6.

Medicare, the U.S. government health plan as know today for people 65 years of age or older states it will pay for three types of weight loss surgery for patients who are treated in “high-volume” centers that achieve low mortality rates.  The three types of surgeries as we know it today include:

  • The Roux-en-Y bypass
  • Open and laparoscopic biliopancreatic diversions
  • Laparoscopic adjustable gastric banding

An experienced bariatric surgeon/center can guide you through the Medicare requirements that need to be documented prior to scheduling surgery.  Medicare does not pre-authorize weight loss surgery so you will need to make sure all requirements are met prior to surgery and submitted properly with your claim.  Some private insurers require a letter of medical necessity from a doctor before they will agree to pay for weight loss surgery.  However, Medicare does not require pre-certification and does not pre-authorize weight loss surgery.  As a result, many surgeons may ask Medicare patients to sign a contract stating that they will pay for any costs that Medicare does not cover after processing the claim.  You can find out your specific requirements regarding diet history by contacting your local Medicare provider. However, at the time of this publication, weight loss surgery is an option for Medicare beneficiaries if they have a body mass index (BMI) of 35, with at least one health problem related to obesity such as heart disease or diabetes.  As you are aware, governmental insurance is currently under debate and potential revision.  Thus, you will want to work closely with your experienced bariatric surgeon/center.

6Obesity Action Coalition website. Fact Sheet: Why it makes sense to provide treatment for obesity through bariatric surgery.

Rhonda’s Opinion:  It wasn’t covered by my insurance – that’s ok – just do it and move into the future.  As I said earlier, you should qualify yourself instead of letting a stranger at an insurance company make your health decisions for you.

Dr. Clark and the Center for Weight Loss Success offer the lowest cost options on the East Coast.  Learn more at: Self Pay Surgery

What to Do After the Jump Start Diet

Posted on June 05, 2017 by

Dr. Clark's 2 Week Jump Start Plan

Dr. Clark’s 2 Week Jump Start Plan

I have something in common with Blake Shelton.  I have a really hot wife.  I finished the Jump Start Diet a couple of weeks ago.  I still use some of the shakes during the day. It’s relatively easy during the week.  It’s the week-ends that tend to be a little bit harder. But I have been able to keep the weight off pretty well. Initially when I finished I kind of went a little crazy and had little more than I should.  My weight jumped up a couple of pounds.  But checking this morning I was back down to 175.  My low is 174 so I’m pretty happy with that.

I talk about goals, especially in the beginning of the year and encourage people to write them down.  I don’t encourage people to do things that I wouldn’t do.  So I write them down every year in my notebook.  I carry the book with me all the time and it’s got in it what’s important to me.  I write down what I’m doing all throughout the week, I keep track of all the books I’m reading, and I also have my goals written in it. I’ve split them up into my personal goals, family and home goals, business goals, and others.  The Jump Start Diet was one of my goals. I’ m also trying to eliminate excess carbohydrates, excess caffeine, excess artificial sweeteners (which I’ll talk about individually).  It’s going pretty well. I feel better when I can do that. I realize I’m not going to completely give up caffeine. I like coffee every once in a while.  I’ll probably not give up artificial sweeteners completely, but there’s no nutritive value in them.  The bottom line is you need to figure out what your goals are and then write them down.  Post them somewhere very obvious to you.  It could be on your computer screen, mirror at home, or refrigerator door.  Keep track of what’s going on.  It’s not just writing down the goals. Now we have to develop a plan to get to those goals. Its’ the whole point of having a goal and working towards that goal. So you need to develop a plan and then work the plan.  What is working for you and what is not? One of the best ways to do this is write things down.  Journaling is something I encourage all the time.

LWUSA iconIf you want more information, I encourage you to join us at Losing Weight USA.  It’s a live webinar I do every Tuesday at 6:00pm. We talk about all kinds of different things. Each week is a different topic but it all has to do with weight and health.  You can go to the website www.losingweightusa.com.  If you’re already a part of our medical or surgical plans, you’re already signed up. You should tune in, but if you can’t we record them all and post them in the membership site. The last Losing Weight USA I talked about intermittent fasting and how it potentially could help with overall health. It could be part of a weight loss plan. It’s something I’ve been toying with in my mind about whether  I would try this or not.  I’m leaning towards I might try this in the near future.  I’m going to try if for a month and see how it goes. That doesn’t mean I’m fasting for a month.  I go into the details on Losing Weight USA. I’ll probably talk about that over the next few weeks.

Dr. Clark’s Jump Start Diet – The Results!

Posted on May 22, 2017 by

Dr C with tie croppedI just completed the two week Jump Start Diet!

This is the morning of day 15. I wanted to give you an update and tell you my results. I encourage you to give us a yell at the Center for Weight Loss Success and go to our e-store. I finished up this morning. I had my official weigh- in. I came over here to the office and got my body composition done. I was excited to get up and have breakfast. Over two weeks I lost 18 pounds which is more weight than I anticipated. I’m not going to try and lose more weight. I improved my body fat percentage by 3% points which I was surprised at too. So it’s been a good couple of weeks.

I feel great. I want to give you an update and an overview. I want to talk about how to get started if you’re interested in doing this because the concept is simple. But simple doesn’t necessarily mean easy. It is a two week Jump Start Diet using 5 shakes a day. It’s 1000 calories, 145 grams of protein, and 70 grams of carbohydrates a day. For people who are especially carb sensitive, this can potentially be a little high but we have a low-carb option.

I encourage people to take vitamins. Some vitamins that can be helpful to add: extra magnesium (muscle function and regular bowel movements), essential fatty acids (muscle and nerve function and mental clarity), and extra B-vitamins. You might want to consider a stool softener if you’re prone to constipation. It’s a great way to get your weight loss jump started. Some people think two weeks is forever but it’s a short period of time. It’s not easy but the concept is simple.

If you’re interested in getting started you really need to get your mind right. You need to decide, “I’m going to do this!” I assure you “kinda” working on a weight loss program does not work very well at all. So, get your mind right. Pick that time-frame when you’re going to do it. Figure out what’s going on. Is it something you can practically do during that two week period? If you’re going on vacation or have some big event it probably won’t work well. There will be temptations. What I found is the week-ends were harder because typically that’s the time for socializing. We’re not in our normal routine and that does make it harder. Get your mind right. Set you mind to it. Commit to what you’re doing. Just like NIKE said, “Just do it!”

After the Jump StartIf you’re interested, go to our corporate web site at www.cfwls.com. Click on the e-store. We have a book in our store called, “After the Jump Start” which helps you when you’ve completed the two weeks. I appreciate you listening. I appreciate you following along with my two week journey. My journey is still going on just like yours is. This is not something that truly ends. We just change how we work on it.

 

Dr. Clark’s Jump Start Diet – Day 12

Posted on May 19, 2017 by

Dr. Clark's 2 Week Jump Start Plan

Dr. Clark’s 2 Week Jump Start Plan

This is an update from day 12 of the Jump Start Diet.  I’m feeling great.  I’ve done really well.  The weight over the last few days fell off.  I’m down 15 pounds now.

I feel wonderful and extremely energized.  I was discussing this with my wife last night. I feel better than I have in a long time. I’ve gotten more accomplished over the last week and a half than I’ve gotten accomplished in the past month and a half.  It’s amazing.  I’m sleeping better, I wake up rested, I have more energy, and I’m thinking clearer.  I shouldn’t really be surprised at this because we see this occur when people acclimate to using ketones as their energy source.  I actually thought it would take longer than this period of time.

It typically does take longer than 12 days to acclimate to using ketones as an energy source.  What that means is I probably wasn’t doing quite as bad as I thought I was over the last couple of months.  What happens when you take the carbohydrate away is your body will use ketones. It takes your body some time to really adapt to using ketones. All those enzyme systems have to be ramped up.

In our patient population, it can often take 4-6 weeks for the energy level to come back up. Our bodies have to get used to using ketones as an energy source.  Typically energy goes up and weight will plummet for a little bit as fat is broken down to ketones. Your body can use either glucose (comes from carbs) or it can use ketones as an energy source.  Ketones come from the breakdown of fat. In a weight loss program, we want to be breaking down fat. If you take the carbs away, your body will preferentially start using the ketones as the energy source.  If you add the carbs back, your body will go back to using glucose as the primary energy source, and then you don’t lose as much weight.  Once the ketones are kicking in, your body has the enzyme systems revved back up.  Mental clarity typically improves, energy level increases, and muscle function improves.  You’ll feel so much better.

So what are you going to do when you start transitioning off the diet?  If you’re feeling good and doing well, there’s no reason to transition off it. You can continue doing this diet.  We call it a two week Jump Start Diet because if I told you to do this for two months you’d look at me like I’m crazy. Anybody can do this for two weeks but there’s no reason why you have to stop it. Once I added bouillon, I was good.  I wasn’t thinking about meat.  For my first meal I’ll probably have bacon and eggs and an omelet in the morning.  I’ll update you before and after that and how it’s going for the first few days after the diet. In the evening I’m probably going to grill something. I probably eat steak.  My good friends Tim and Kate gave me Omaha Steaks for my birthday so I think I’m going to break those out. Thank you Tim and Kate.  Plus I’ll eat a vegetable and salad.

What we’re doing when we transition off the diet is replicate what we’ve done with the diet. That means not driving your calories too high, eating a good protein source, and fill in with vegetable salad stuff.  Vegetables are very low carbohydrate foods, nutrient dense, and low calorie. So, I’ll grill meat and have a salad and vegetable.  You have to watch that you don’t drive your calories too high. At you’re at goal weight, you’re going to let the calories drift back up.  I’m going to let my calories drift up. There is going to be a calorie ceiling even if you’re keeping your carbs low. If you go too high with the calories you’ll still gain weight.

A good way to transition off this diet is to not give it up completely. You might want to transition to the Mini Jump Start which is using 3 shakes a day and then having a healthy dinner. The dinner will be a protein portion (grilled or baked) and vegetables and salad. You can actually have a significant salad portion and it’s still fairly low carbohydrate.  You have to watch closely with the meat/protein portion that you don’t drive your calories too high. When we do add the calories back in we are mainly adding them as fat. It’s still low carbohydrate but bringing calories back as fat. So it’s referred sometimes as a low-carb/high fat diet. I don’t like to call it a high fat diet because it sounds like we’re going to have the calories fairly high but we’re not. So it’s still not going to be a tremendous amount of calories from fat.

Again, if you’re at goal, you’re going to bump the calories up.  If you’re not at goal, you’ll want to keep this going. What we’re doing is replicating the diet with using some food. You have to watch the calories. Typically with eating food they will drift up because the protein shakes are fairly low calorie. We’ll go over that in more detail in the next couple of videos. I will keep you updated before Sunday morning. I’ll probably do another one of Saturday.